Clinical investigation of hemostasis in dogs and cats with naturally-occurring disease processes is facilitated by the state-of-the-art equipment housed in the coagulation laboratory at the Foster Hospital for Small Animals at Tufts University. A recent study performed at Tufts (JAVMA: Fenty et al.) used thromboelastography to document hypercoagulability in dogs with immune-mediated hemolytic anemia prior to therapy with prednisone. Certainly this population of dogs is known to experience severe thrombotic complications, at times despite aggressive anticoagulation.
At the Foster Hospital for Small Animals and Tufts Veterinary Emergency Treatment and Specialties (Tufts VETS), we have been using wound soaker catheters routinely since 2004 for infusion of lidocaine (dogs) and intermittent bupivacaine injection in cats after a variety of procedures. These include limb amputation, ear canal ablation, intercostal and sternal thoracotomy, celiotomy, and soft tissue tumor excision.
This dog, shown the evening after a thoracotomy, has a wound soaker catheter placed in a median sternotomy incision. Both the wound soaker (lowermost) and thoracic drain (uppermost) can be seen. He is ambulatory and comfortable.
Two of our anesthesiology/pain medicine specialists, Dr. Emily McCobb and Dr. Cheryl Blaze, collaborated with experts at Mila International (Erlanger, KY) to develop the competitively priced veterinary catheters. Qualitatively, we find that the pain relief afforded to patients is excellent. Dogs recovering from an intercostal thoracotomy will lie on the side of the incision, which suggests that they are quite comfortable. Perhaps the most compelling application is the use of wound soakers for limb amputation. In fact, the use of wound soaker catheters has become a common and preferred amputation pain management technique in many hospitals. Patients are comfortable upon recovery from anesthesia, will stand, walk and eliminate with ease, and generally will eat the first postoperative night. Continue reading →
FIGURE 1: A small skin incision used to transect the ulnar insertion of the biceps brachii muscle
Arthroscopic Biceps Ulnar Release Procedure (BURP) For Dogs with Medial Coronoid Disease
Robert J. McCarthy, DVM, MS, DACVS
Canine elbow dysplasia (CED) refers to a complex collection of developmental conditions of the elbow seen most frequently in large breed dogs. Breeds most frequently affected in the United States include Newfoundlands, Rottweilers, Bernese Mountain Dogs and Continue reading →