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WSV18-0247
AQUATIC PET MEDICINE AND WORLD RABIES DAY
SELECTED CASE STUDIES IN ORNAMENTAL FISH MEDICINE
N. Saint-Erne1
1World Aquatic Veterinary medical Association, PetSmart, Phoenix, USA
This presentation will include case studies of diseases and treatments of aquarium fish by three different aquatic veterinarians.
Your Singapore, the Tropical Garden City
WSV18-0293
WSAVA GLOBAL PAIN
EPIDURAL ANESTHESIA - AN IN-DEPTH HOW-TO
L.N. Warne1
1College of Veterinary Medicine, Murdoch University, Western Australia
The administration of drugs with analgesic properties
via the epidural route provides effective anaesthesia and analgesia for procedures and painful pathologies involving the pelvis and pelvic limbs, the tail, perineum and abdomen. Furthermore epidural administration
can be used to provide analgesia of the thorax. The advantages of epidural administration of analgesics and local anaesthetics are well known: it reduces the need for other anaesthetics, improves haemodynamic function and muscle relaxation, facilitates intestinal surgery and accelerates recovery, reduces the likelihood of adverse effects associated with systemic administration of opioids.
Contraindications:
Infection or neoplasia at the injection site; bleeding disorders (coagulopathy, thrombocytopenia); hypovolemia/hypotension (if using local anaesthetics); septicaemia; (controversial); traumatic or congenital anatomical abnormalities – if landmarks cannot be identified
Equipment
· Medium to large dogs: 20-gauge spinal/Tuohy nee- dles in varying lengths (1.5 – 3.5 inches)
· Small dogs and cats: 22-gauge spinal/Tuohy needles in varying lengths (1.5 – 3.5 inches)
Positioning
Patients may be positioned in either sternal or lateral recumbency depending on the patient’s medical condition or clinician’s preference. Sternal recumbency has several advantages as it is easier for the veterinarian to keep the spinal needle in the correct planes and orientation, it also allows use of the “hanging drop” technique for confirmation of the correct needle placement. The pelvic limbs may be positioned in one of two ways while the patient is in sternal recumbency:
· Rostral extension of the pelvic limbs – increases lumbo-sacral (LS) and L6 – L7 distance.
· “Frog-legged” with the pelvic limbs resting on the stifle and the feet extended posteriorly. This position may allow easier palpation of anatomical landmarks in obese patients.
A lumbo-sacral epidural may be administered with patients positioned in lateral recumbency, with the pelvic limbs taped or held in a rostral position by an assistance. This position may be preferable in cases not amenable to sternal positioning, such as femoral fracture or severe
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