Article  Webinar 

Emergency and Critical Care of Rabbits

Save the date

Save the Date for a R.A.C.E.-approved continuing education webinar

Presenter:  Charly Pignon, DVM, DECZM (Small Mammal)

Date: Wednesday, November 7, 2018

Time: 1 pm EST; What time is that in my time zone?

Registration opens October 23, 2018

Lecture outline

Lecture topics will include:

  • Emergency triage
  • Cardiopulmonary resuscitation
  • Analgesia
    • Opioids
    • Anti-inflammatories
    • Co-analgesics
  • Fluid therapy
    • Deficit correction
    • Rehydration
    • Maintenance
  • Critical care nutrition

 

Abstract

Intensive care in rabbits requires a thorough knowledge of rabbit […]

Monitoring Vital Signs in Exotic Animal Species

Even the most steadfast and seasoned veterinary anesthetist can find themselves intimidated by exotic animal patients. Standard veterinary anesthesia monitors are not designed to read the extremely high (or extremely low) heart rates and respiratory rates of some exotic animal patients. Despite these challenges, valuable information can be gathered from monitoring tools as well as hands-on techniques. Essential vital signs, such as heart rate and rhythm, respiratory rate and depth, body temperature, and mucous membrane color should all be evaluated.

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Electrocardiography in Exotic Animal Species

Electrocardiography can be used to detect and diagnose arrhythmias and conduction abnormalities, particularly during long-term anesthesia. How are leads attached to exotic animal patients? And what is the normal appearance of normal electrocardiogram tracings in birds or reptiles?

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Pulse Oximetry in Exotic Animal Species

Heart rate and oxygenation should ideally be monitored during every anesthetic event. Patient size can limit the accuracy of pulse oximetry readings in exotic companion mammals and this technique has not been validated in birds or reptiles, however trends during the course of anesthesia can still provide useful clues to patient clinical status.

Article  Teaching Module 

Emergency and Critical Care Teaching Module

This learning aid is designed to assist the participant in meeting the needs of VECCS-certified facility. The basics of emergency medicine and critical care universal, however veterinarians face a unique set of challenges when caring for birds, exotic companion mammals, and reptiles. Level 1 of this teaching module reviews the basics of exotic animal critical care. To learn more in Level 2, review the key points on critical care or supportive care for each taxonomic group: birds, exotic companion mammals, and reptiles. Each summary page includes a brief quiz that tests your knowledge and reinforces fundamental principles. Delve deeper into critical care of exotic animal patients in Level 3 by browsing pertinent exotic animal content on LafeberVet.

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Poisonings in the Avian Patient

Poisonings are relatively uncommon in companion bird emergency medicine, but these conditions do occur and can involve a wide assortment of toxins. In principal, treatment in birds is the same as for other animals. First, stabilize the patient presented with abnormal clinical signs. Establish an airway, initiate respiration, and address cardiovascular needs.

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Cardiopulmonary Resuscitation in Exotic Animals

There is little empirical information available on cardiopulmonary resuscitation in most exotic animals. Fortunately, the basic principles of CPR are the same for all species, however there are important species-specific considerations. This review article explores techniques for establishing airway control, ventilation and cardiac compression recommendations as well as considerations for emergency drug selection.

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Reptile Emergency & Critical Care Summary Page

Reptiles lack an epiglottis and the glottis is ready visualized, making intubation readily accomplished in most species. If the glottal folds are closed, apply topical lidocaine to facilitate intubation. The tracheal rings are complete in reptiles. Use of an inflated, cuffed endotracheal tube can lead to pressure necrosis because there is no elastic ligament to accommodate tracheal expansion. Always select an uncuffed endotracheal tube in small reptiles and never inflate a cuff in large reptiles …

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Exotic Companion Mammal Emergency & Critical Care Summary Page

Although the principles of emergency medicine critical care are universal for all species, this approach must be balanced with an understanding of the unique aspects of small mammal medicine. Use this summary page to review the basic approach to the exotic companion mammal patient and select additional links to supplement your knowledge base.

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Avian Emergency & Critical Care Summary Page

Although the principles of emergency medicine critical care are universal for all species, this approach must be balanced with an understanding of the unique aspects of avian medicine. Use this summary page to review the basic approach to the avian patient and select additional links to supplement your knowledge base.

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Analgesia and Sedation in Exotic Companion Mammals

The approach to analgesia and sedation in exotic companion mammals faces special challenges, including small patient size and unique features of the prey species mentality. Recognition of pain is more difficult in rabbits and rodents because many small mammals are very good at hiding the signs of pain commonly observed in predator species. Instead pain in a rabbit or rodent is often inferred from the patient’s clinical condition as well as the absence of normal behaviors. The diagnostic and therapeutic plan frequently requires some form of chemical restraint in exotic mammal medicine. When compared to general anesthesia, sedation is a safer option for the debilitated or critically ill small mammal.

Article  Video  Webinar 

Avian Respiratory Anatomy, Physiology & Diseases: An Overview

This live webinar event was presented by James Morrisey, DVM, DABVP (AvianPractice). View a recording of this AAVSB R.A.C.E.-approved web-based seminar, then take the brief post-test to earn 1 hour of continuing education credit. The avian respiratory system has several unique and fascinating adaptations for flight that are important to clinicians. This webinar overviews the anatomy and physiology of the avian respiratory tract. Clinical correlates are pointed out as the presenter goes through anatomy and physiology. Clinical signs of respiratory disease in birds are then discussed along with how the clinician can use these signs to anatomically locate the origin of the problem to the upper respiratory tract, the major airways, the pulmonary parenchyma, and/or the coelomic cavity.

Article  Presenting Problem 

Presenting Problem: Dyspnea in Ferrets

This presenting problem article reviews the basic approach to the dyspneic ferret beginning with clinical signs of the dyspneic ferret, key points of urgent care, as well as case management. This latter section reviews tips on taking the history, performing the physical exam, important differential diagnoses, as well as the diagnostic/therapeutic approach.

Quiz 

Five Common Reptile Emergencies Post Test

The Five Common Reptile Emergencies webinar was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (R.A.C.E.) program for 1 hour of continuing education, in jurisdictions which recognize AAVSB R.A.C.E. approval…

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Quality Exotic Small Mammal Anesthesia Post Test

Quality Exotic Small Mammal Anesthesia was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (R.A.C.E.) program for 1 hour of continuing education, in jurisdictions which recognize AAVSB R.A.C.E. approval….

Article  Webinar 

Five Common Reptile Emergencies

View a recording of this AAVSB R.A.C.E.-approved web-based seminar presented by Eric Klaphake, DVM, DACZM, DABVP (Avian Practice), DABVP (Reptile & Amphibian), then take the brief post-test to earn 1 hour of continuing education credit. This webinar explores five common reptile clinical presentations in detail: trauma, gastrointestinal foreign body, neurological deficits, respiratory difficulty, and reproductive problems.

Article 

Esophagostomy Tube Placement in Birds

Placement of an enteral feeding tube is a recognized method of supportive care, and the esophagostomy tube is an accepted route that is generally well tolerated by avian patients and relatively easy to place. In clinical patients, esophagostomy tube placement has been described in psittacine birds, raptors, and ostriches.

Esophagostomy tube placement is indicated in cases of severe beak trauma or disease, as well as diseases of the oral cavity or proximal esophagus, such as abscesses and neoplasia. Esophagostomy tubes may also be used to…

How Did We Get Off the Goo?

Many people have been curious about the way we at International Bird Rescue were able to clean the birds affected by the San Francisco Bay Mystery Goo Spill in January 2015.

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External Coaptation in Birds: Bandages and Splints

Traumatic orthopedic injuries are relatively common in the avian patient. Although bird bones are strong when intact, they tend to shatter on impact as the cortices are thin and brittle. A lack of abundant soft tissue coverage often leads to open fractures…

Behavior Essentials: Clinical Approach to the Rabbit

The approach to a prey species like the rabbit often calls for a profound paradigm shift for clinicians used to dealing only with cats and dogs. Rabbits can stress very easily in a clinical setting and the challenge of managing a small mammal like the rabbit increases exponentially when they are presented for illness or injury.

Presenting Problem 

Presenting problem: Head Tilt and Rolling in Rabbits

Head tilt or torticollis, also known as “wry neck” and uncontrolled or episodic rolling are common presentations in the pet rabbit (Oryctolagus cuniculus). There are two common causes of head tilt or torticollis and rolling in the rabbit…

Article  Video  Webinar 

Quality Exotic Small Mammal Anesthesia

Exotic small mammals can be challenging to safely induce, maintain and recover from general anesthesia. View the recording of this AAVSB R.A.C.E.-approved webinar, which explores clinical anesthesia in exotic companion mammals from patient assessment and anesthetic induction to monitoring and recovery. The use of common premedications, induction agents, maintenance drugs, and post-operative analgesics will be compared and contrasted in exotic companion mammals. Multimodal anesthetic techniques, such as epidural anesthesia and constant rate infusions, will also be discussed. After reviewing the recording, take the brief post-test to earn 1 hour of continuing education credit.

Form-Questionnaire 

Surgical Safety Checklist

The Vets Now Surgical Safety Checklist includes a list of safety issues that should be read aloud, with both the veterinarian and veterinary nurse or veterinary technician present. This checklist is divided into three categories: induction of anesthesia, before the skin incision, and before the patient leaves the operating room…

Article  Video  Webinar 

Nutritional Support to the Critical Exotic Patient

View the recording of this free, interactive webinar, presented by Neil Forbes, BVetMed DECZM (Avian) FRCVS. Many sick or injured exotic animals are presented in critical condition. More of these patients can be saved by appropriate fluids and nutritional support, than by any single medical or surgical procedure. In practical terms, providing this support is often easier said than done. Dr. Forbes’ presentation serves to demystify some of the challenges encountered; practical solutions for all exotic patients are described and discussed.

Article  Presenting Problem 

Presenting problem: “Red Leg” in Frogs

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Rabbit GI Case Challenge Discussion

Gastric dilatation or “bloat” and gastrointestinal obstruction is an acute and life-threatening condition of pet rabbits commonly caused by an obstruction with pellets of compressed hair. The discussion portion of this Case Challenge reviews onset, clinical signs, and diagnostic test results of obstructive and non-obstructive gastrointestinal disease. This condition is considered a surgical emergency and key points of urgent care strive to stabilize the patient through analgesia, decompression when indicated, and supportive care. Surgery is discussed as well as recommendations for patients that cannot go to surgery due to clinical or financial constraints. Follow-up care as well as homecare recommendations, disease prevention, and prognosis are also explored.

Article  Case Study  Slideshow 

Case Challenge: A 5-Year-Old Rabbit With Anorexia and Lethargy

A 5-year old female spayed lop rabbit presents with a history of acute anorexia (<24 hours) and lethargy. Use history, physical examination findings, laboratory results and survey radiographs to solve this case challenge.

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A Guide to Esophagostomy Tube Placement in Chelonians

The use of esophagostomy tubes (E-tubes) allows administration of oral medications and critical care nutrition to turtles and tortoises while minimizing stress and the risk of esophageal trauma associated with repeated rigid gavage tube feeding. Esophagostomy tubes are very well tolerated in chelonians and the patient can even eat normally with the tube in place. Patients can be medicated and fed on an outpatient basis, and once fully recovered, the E-tube is easily removed in the veterinary clinic.

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Exotic ICU: Nursing Care for Exotic Companion Mammals

Released for National Veterinary Technician Week 2014, Nursing Care for Exotic Companion Mammals is part of an Exotic ICU series providing advice on the management of small exotic companion mammals in a critical care setting. Specific recommendations on caging, medicating, feeding, and monitoring the critical small mammal are explored as well as important potential sequelae to the stress of hospitalization.

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Exotic ICU: Nursing Care For the Avian Patient

It is 10 p.m. in your veterinary emergency hospital and a dreaded call comes in. A panicked owner is in tears because their beloved pet is in crisis. In most cases, your team will quickly gather supplies and move swiftly to prepare for the emergent patient. This patient may strike fear in many veterinary professionals, however, because it is the dreaded avian patient presenting to a general veterinary practice.

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Wing Wrap Placement in Birds

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Transfusion Medicine in Birds

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Band Removal in Birds

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Reproductive Emergencies in Birds

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Urethral Obstruction in the Ferret

Although the overall incidence of urethral obstruction is probably low, this condition is an important reason for emergency presentation of the male ferret. n the United States, urethral obstruction is most frequently caused by…

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Urolithiasis in Ferrets, Rabbits and Rodents

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Antimicrobial Therapy and Dysbiosis in Rabbits

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Emergency Drug Therapy in Birds

One of the most valuable items in avian practice is a reliable formulary. Although pharmacokinetic and pharmacodynamic data is slowly growing, the vast majority of drug doses in companion parrot medicine rely on extrapolation and/or clinical experience. It is crucial that the clinician have access to this wide range of information and experience.

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Nutritional Management of Gastrointestinal Disease in the Bird

The gastrointestinal tract acquires and digests food, absorbs nutrients and water, and expels unabsorbed ingesta as feces. Nutritional support of the avian patient with gastrointestinal (GI) disease is challenging. In cats and dogs, it is easy to “rest” the gut, however with their relatively high metabolic rate, this is difficult, if not impossible, to achieve in many avian patients. Specific disease conditions increase the difficulty regulating gastrointestinal motility including ingluvitis (crop stasis). …

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Nutritional Management of Renal Disease in Birds

There are a number of potential nutritional problems that can promote renal disease. Excess dietary protein, excess dietary calcium, hypovitaminosis A, or hypervitaminosis D may lead to nephritis or other degenerative renal changes…

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Nutritional Management of Liver Disease in Birds

In mammals, chronic liver disease is often associated with decreased intake of food, mainly due to anorexia, nausea, and vomiting, as well as taste abnormalities, and the same appears to be true for the avian patient. Chronic liver disease may also lead to maldigestion and malabsorption, as well as metabolic abnormalities such as increased protein and lipid catabolism, glucose intolerance, depletion of hepatic glycogen stores, and decreased glucose oxidation. Therefore chronic liver disease may lead to significant malnutrition and weight loss, particularly in patients with severe hepatic dysfunction…

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Presenting problem: Oropharyngeal Plaques in Birds

Oropharyngeal lesions tend to be asymptomatic until lesions are quite advanced. Clinical signs associated with oropharyngeal disease vary, but may include anorexia, dysphagia, drooling, halitosis, head or food flicking and rubbing the beak. Diffuse disease or large focal lesions or diffuse disease can obstruct the choanal slit and/or glottis leading to wheezing, open-mouth breathing, dyspnea or in extreme cases suffocation…

Article 

Analgesia in Small Mammals

As in other species, to manage pain successfully, one must know when pain might occur. Several common medical disorders can result in acute pain such as otitis, conjunctivitis, and acute gastrointestinal disease. Chronic pain can arise from conditions such as arthritis, which commonly develops in older…

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Emergency Equipment Checklist

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Assessing the Sick Guinea Pig

Guinea pigs tend to be shy, sweet-natured creatures. Guinea pigs are prey species. Their survival depends on the ability to be alert and respond quickly, and they possess acute senses of smell and hearing. Approach guinea pigs in a calm, quiet manner…