Page 472 - WSAVA2018
P. 472

 25-28 September, 2018 | Singapore
B. Niemiec1
1Veterinary Dental Specialties and Oral Surgery, Dentistry, San Diego, USA
Improving your practice with the WSAVA dental guidelines
b.a. nIEMEIC, dvm, dipl. AVDC, Dipl. EVDC, Fellow AVD
Many veterinarians have not heard of the World Small Animal Veterinary Association; much less know they are members. The WSAVA is an association of associations, counting over 200,000 members and 100 associations. Therefore, if you are reading this, you are likely a member of the association and have access to all of the educational and promotional material on the website and any CE provided.
Why are the guidelines important?
Dental disease is the most common problem in small animal medicine. There are rarely any outward clinical signs, however these conditions do cause significant pain and infection. Further, these conditions create
many local and systemic ramifications. Therefore, dental disease is significantly undertreated. Further dental education is sadly lacking in most veterinary curricula. The combination of all these issues allows numerous myths and misconceptions to remain. This includes the overuse of antibiotics and anesthesia free dentistry.What are the Dental Guidelines?
The committee includes not only Diplomates of the American and/or European Veterinary Dental Colleges from 5 continents but also specialists in anesthesia and analgesia as well as nutrition. Finally, there are two animal welfare advocates on the committee.
The guideless contain sections on oral pathology, anesthesia and pain management, as well as the universities role in improving dental education. Further is a section on the importance of and how to perform a proper oral exam, which includes instructions on
the use of a free on line charting system. Step by step instructions with full color images detail the basics of dental prophylaxis, dental radiology and extraction. Minimal equipment recommendations are made for the various areas as well as a thorough review on dental homecare. While non-anesthesia dentistry is discouraged throughout the text, it’s inappropriateness is the subject of its own section. Finally, the animal welfare impact of untreated dental disease is introduced.
 Dopamine 40mg/ml
Dose rate of 5 – 10 ug/kg/min for cardiac uses. Used for the treatment of acute heart failure and to correct the hemodynamic imbalances that can be present following shock. It increases cardiac output, organ perfusion and renal blood flow.
Dobutamine 12.5mg/ml
Dose rate of 5 – 15mcg/kg/min. Used for the treatment of low cardiac output and myocardial failure. It can also be used in shock patients when fluid therapy alone has not restored arterial blood pressure, cardiac output or tissue perfusion. It is a short acting drug.
Visual aids such as dose rate charts, protocols and checklists will also improve the outcome for CPR. You
do not have time to be working out the correct dose for that animal in CPR so having a dosage chart with the weight of an animal for the drugs Adrenalin, Atropine and Lignocaine in particular is highly recommended.
1.Journal of Veterinary Emergency and Critical Care 22 (s1) 2012 – Recover Emergency and Critical Care Guidelines on CPR
2. Lesley G. King, Amanda Boag - BSAVA Manual of Canine and Feline Emergency and Critical Care 2nd Edition
3. Donald C. Plumb - Plumbs Veterinary Drug Handbook 5th Edition
4. Animal Industries Resource Centre - Veterinary Nursing Technician Notes (CTVN L3) Emergency and Critical Care
5. Vetlearn Veterinary Technician - August 2012 Volume 33, Number 8 - “Cardiopulmonary Resuscitation: Administering fluids, oxygen and drugs” Amy
 Breton, CVT, VTS (ECC)

   470   471   472   473   474