Feb 24, 2015
SEEING IS BELIEVING
The textbooks have all their information but the hands-on practice, recording and observation of anaesthesia hones a vet's skill and expertise in anaesthesia and surgeries at least cost and provide a high level of safety for the pet.
I produce two videos to share my over 30 years of experiences on neutering a dog safely and efficiently with my Myanmar vet assistant with injectable anaesthesia. No isoflurane gas was used if the surgery is started and ended within 21 minutes from injection to final skin stitching
Sheltie, Male, 7 months, 5.6 kg. 38.7C
INJECTABLE ANAESTHESIA
For a young healthy dog, the formula is as follows:
10 kg, young Dom = 0.4 ml Ketamine =0.5ml in one syringe IV
Duration of analgesia (no pain, no movement) = 15 minutes
This dog was given D=0.2 ml and Ketamine 0.25 ml IV. Very good analgesia and safety.
PRE-OP
Clip surgical area first. This dog was excitable and so this was done after the injection of anaesthetic.
A: Injection of Dom + Ketamine 10.47am
D: First skin incision 10.56 am
E: Completion of skin stitching 11.08 am
E-D = 12 min (neuter took 12 min).
E-A = 21 min
Each testicle from incision to the final cut = 3-4 min
lst testicle 10.56 am - 10.59 am
2nd testicle 10.59am - 11.03 am
Antisedan given at 11.30 am. Dog stands up at 11.35 am. All OK.
SURGERY
3-forceps method
Suture Caprosyn /0 absorbable nylon type.
CONCLUSION
No isoflurane gas top up is needed if the vet knows exactly the effects of domitor and ketamine for young dogs in neutering.
Monday, February 23, 2015
Saturday, February 21, 2015
How to advise the owner - skin lump in an old Miniature Schnauzer
Feb 22, 2015. 4th day of Chinese New Year.
A tail lump in an old Miniature Schnauzer - what to do?
When faced with a skin lump, veterinary opinions differ. Some vets will advise "wait and see", prescribing some antibiotics. I will advise excision as it may or may not be cancerous. It will be up to the owner to make the final decision.
The vet should NOT advise "wait and see". Give the owner the option to excise or not to do it as the lump may be pre-cancerous or cancerous.
In this case, the old dog had a circular skin lump 8 mm x 8 mm x 3 mm. It looked very much like a ringworm. Dr Daniel said it could possibly by a result of licking or biting as the old dog had anal sacculitis, with thick brown oil expressed by me earlier.
I advise the owner to get the lump taken out by excision with a 1-cm resection margin ideally. A 1-cm skin margin would permit any present cancerous cells, if any, be removed, leaving little chance of recurrence.
This was not possible as there was insufficient skin and the tail would have to be taken out. The owner wanted to keep the tail stump. She gave informed consent to excise the lump without the margin. Histology was approved.
Dr Daniel operated. The lump was not cancerous based on histology. Dr Daniel's opinion was that this could be due to the dog's anal sacculitis itchiness and licking and that the lump could be inflammatory.
In an old dog, it is best NOT to wait and see. If the dog's lump is cancerous or turn cancerous later, there will be no good words for the vet's competence from family members.
In this case, the skin lump was not cancerous. Everybody is happy. This could be a case of tail gland tumour based on its location. I had seen one in a Siberian Husky some years ago.
A tail lump in an old Miniature Schnauzer - what to do?
When faced with a skin lump, veterinary opinions differ. Some vets will advise "wait and see", prescribing some antibiotics. I will advise excision as it may or may not be cancerous. It will be up to the owner to make the final decision.
The vet should NOT advise "wait and see". Give the owner the option to excise or not to do it as the lump may be pre-cancerous or cancerous.
In this case, the old dog had a circular skin lump 8 mm x 8 mm x 3 mm. It looked very much like a ringworm. Dr Daniel said it could possibly by a result of licking or biting as the old dog had anal sacculitis, with thick brown oil expressed by me earlier.
I advise the owner to get the lump taken out by excision with a 1-cm resection margin ideally. A 1-cm skin margin would permit any present cancerous cells, if any, be removed, leaving little chance of recurrence.
This was not possible as there was insufficient skin and the tail would have to be taken out. The owner wanted to keep the tail stump. She gave informed consent to excise the lump without the margin. Histology was approved.
Dr Daniel operated. The lump was not cancerous based on histology. Dr Daniel's opinion was that this could be due to the dog's anal sacculitis itchiness and licking and that the lump could be inflammatory.
In an old dog, it is best NOT to wait and see. If the dog's lump is cancerous or turn cancerous later, there will be no good words for the vet's competence from family members.
In this case, the skin lump was not cancerous. Everybody is happy. This could be a case of tail gland tumour based on its location. I had seen one in a Siberian Husky some years ago.
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