Procedures: Therapeutics

Case Study Webinar

Wildlife often present to veterinarians and wildlife rehabilitators with conditions that warrant euthanasia. It can be difficult, however, to apply mammalian methods of euthanasia to species with unique physiology such as birds. This fall 2020 Dr. Renée Schott will share a non-interactive webinar recording about this important topic. The content for this recording has already been approved by American Association of Veterinary State Boards Registry of Continuing Education.

Article

According to LitCovid, an open-resource literature hub developed with the support of the US National Institute of Health, over 14,000 relevant articles have been posted to PubMed on the 2019 novel coronavirus. Thousands more articles are available as pre-prints. Obviously this explosion of information can be intimidating for the busy veterinarian, but you can use the national and international resources (listed in Table) to stay current on the latest information. Then turn to this review article and our supplemental LafeberVet Literature Search as well as LafeberVet’s Coronavirus in Animals and Determinants of Viral Infectionto dive a bit deeper into our evolving knowledge of SARS-CoV-2.

Article Case Study Webinar

“The question is not, can they reason? Nor, can they talk? But, can they suffer?” –Jeremy Bentham, philosopher, 1780

Dr. Renée Schott presented a live, interactive webinar on reptile wildlife euthanasia techniques. View the webinar recording today. Wildlife often present to veterinarians and wildlife rehabilitators with conditions that warrant euthanasia. It can be difficult, however, to apply mammalian methods of euthanasia to species with unique physiology such as reptiles. This interactive presentation will use cases to discuss practical euthanasia methods for reptiles and the physiology behind these methods. Emphasis will be placed on freshwater turtles as these represent some physiological extremes.

Article Video Webinar

Dr. Todd E. Driggers presented this live webinar event on Flight Mechanics, Parrot Welfare, and Ethical Concerns. View the video recording, then take the brief post-test to earn 1 hour of continuing education credit. Feather trimming birds in captivity has been a common practice performed for many reasons, including fear of loss, safety, and the ability to control and tame. If the gold standard for animal welfare is freedom and feather destructive behavior is a reliable indicator of scientifically studied animal welfare, feather trimming impacts how the animal feels, functions, and prohibits natural responses to positive or aversive stimuli. Perhaps it is time to reflect on the benefits and risks of feather trims through the lens of animal welfare. At a minimum, the degrees of severity of the current techniques need redressing when we consider the experience of the bird.

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Introduction

Over 14,000 articles have been posted to PubMed on the 2019 novel coronavirus, known as SARS-CoV-2. Thousands more articles are available as pre-prints. Obviously this explosion of information can be intimidating for the busy veterinarian, but you can use the resources listed in Table 1 to stay current on the latest information. Then turn to […]

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Article Video Webinar

Dr. Lorenzo Crosta will present this live, interactive, webinar on the clinical perspectives of avian anesthesia. After briefly reviewing clinically relevant avian anatomy and physiology, Dr. Crosta will touch upon injectable anesthesia, then discuss in detail preanesthesia and inhalation anesthesia in clinical practice. The discussion will then move onto monitoring the avian patient, from vital parameters to capnography, doppler, electrocardiography, and pulse oximetry. Dr. Crosta will also discuss analgesia, intra-operative fluid therapy, as well as specific concerns related to avian anesthesia, such as positioning the patient, hypocalcemia, air sac cannulation, as well as management of diving birds. This seminar will conclude with practical tips for safe and uneventful patient recovery.

Article Video Webinar

Dr. Heather Barron presented this webinar on avian critical care. View a recording of the live, interactive event, then take the brief post-test to earn 1 hour of continuing education credit. The goal of wildlife medicine is always eventual release and therefore triage of avian wildlife may vary based on case load, regulations, and the presenting situation. Dr. Barron examines the guidelines used to set triage policy and the reasons a bird may not be releasable or have a good quality of life in captivity. She then discusses practical measures intended to alleviate suffering and improve the odds of patient survival, such as fluid support, analgesia, evaluation of blood volume, and transfusion. This presentation concludes with a brief discussion on assessing life and euthanasia.

Article Video Webinar

Dr. Susan Orosz presented this live, interactive webinar event on the clinical perspectives of avian nutrition. How can veterinary health professionals best address the nutritional needs of the companion bird in the exam room?

Article Slideshow Video Webinar

This 1-hour, R.A.C.E.-approved webinar recording is designed to impart a basic understanding of avian nutrition for the veterinary health professional as well as students in these fields. Viewing of this recorded is strongly recommended before viewing the recording of the live webinar event Clinical Avian Nutrition for Veterinary Health Professionals by Susan Orosz, PhD, DVM, DABVP (Avian Practice), DECZM.

Article Case Study

Lafeber Company was proud to sponsor the Association of Exotic Mammal Veterinarians Student Case Report Contest. Veterinary students from all over the world were encouraged to write a 2-page case report about an exotic companion mammal seen at their college of veterinary medicine or during a clinical experience. Submissions closed March 22 and judges from the Research Committee evaluated the 14 case reports received. Judges were blinded to the students, mentors, co-authors, and institutions at which the cases were seen. See the brief summaries of each winning case report. Each student has been encouraged to submit their paper for publishing and for a presentation at ExoticsCon 2020.

Quiz

View the recording of this live webinar event, then take the brief quiz. With a passing grade of 70% or higher, you will receive a continuing education certificate for 1 hour of continuing education credit in jurisdictions that recognize American Association of Veterinary State Boards Registry of Approved Continuing Education approval.

Article Video Webinar

View the recording of this interactive, case-based presentation, which aims to cover the basics while also offering helpful tips, tricks, and insights for the experienced rehabilitator or veterinarian. Topics covered include wildlife rehabilitation fundamentals, emergency triage as it applies to wildlife care, and guidelines used to assess patient condition and determine the most humane treatment plan.

Article Video Webinar

Mini pigs remain a surprisingly common pet, with a resurgence in popularity every few years. Owners typically have a “small animal mindset”, and as such, seek like-minded veterinarians, but lack of training and paucity of resources leads many veterinarians to shy away from these unique pets. This recording of the live, interactive webinar reviews handling and restraint as well as routine veterinary procedures, from physical examination, vaccination, and nutrition to therapeutics such as hoof trim, tusk trim, and deworming protocols.

Article Video Webinar

Reptile reproduction can be a confusing topic due to the variety of normal reproductive strategies found throughout different reptile species. Nevertheless it important to understand normal reproductive processes to correctly approach some commonly seen problems. The recording of this R.A.C.E.-approved, web-based seminar discusses normal reproductive strategies of reptiles, including important reproductive anatomy and physiology. Three clinically important conditions, pre-ovulatory or follicular stasis, post-ovulatory dystocia, and cloacal prolapse, are also explored in detail.

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Long-term vascular access is difficult to obtain and maintain in chelonians. Fortunately, central venous catheters provide flexibility and length to avoid catheter dislodgement. Central lines are an effective tool that allow serial blood measurements and can be used for anesthesia administration, intravenous drug delivery, blood product transfusions, and continuous fluid therapy or continuous rate infusions.This photo tutorial article describes this simple technique step-by-step.

Article Video Webinar

This free, R.A.C.E.-approved continuing education webinar, Emergency and Critical Care of Rabbits, was presented by Charly Pignon, DVM, DECZM (Small Mammal) on November 7, 2018. Lecture topics of this webinar recording include emergency triage, cardiopulmonary resuscitation, analgesia, fluid therapy, and critical care nutrition.

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Le site Lafervet.com est conçu pour une utilisation par les vétérinaires. Il est ouvert aux vétérinaires diplômés, aux techniciens vétérinaires diplômés, aux […]

Article Case Study

A 3-year old intact male guinea pig was presented on emergency for suspected bloat and with a history of chronic hair loss. Clinical examination revealed non-pruritic symmetric truncal alopecia, thin skin, severe cachexia, and an abdominal fluid wave. Alkaline phosphatase, alanine transaminase, aspartate aminotransferase, gamma-glutamyl transferase, leukocytes (neutrophils), bilirubin, and serum cortisol were markedly elevated. Abdominal ultrasonography revealed peritoneal effusion, cholestasis, and cholelithiasis. Hyperadrenocorticism was diagnosed based on…

Article Case Study

An adult intact female guinea pig was presented with dysorexia, exhaustion and weight loss. Radiographic and ultrasound findings demonstrated a severe gas dilatation of the stomach, severe gallbladder distension, and abnormalities on the organ topography. On laparotomy, a 180-degree gastric dilatation and volvulus was noticed with a gallbladder obstruction, hepatic lipidosis, and adhesions between the bowels…

Article Case Study

An eleven year old male neutered rex rabbit presented with lethargy and inappetence of two days duration, and an acute episode of vestibular ataxia. Anemia and elevations in plasma alkaline phosphatase and alanine aminotransferase were evident. Abdominal ultrasound revealed questionable, diffuse hepatomegaly. Computed tomography revealed hepatic venous congestion, severe dilation of the pre-hepatic caudal vena cava, and bicavitary effusion, consistent with Budd-Chiari-like syndrome. Turbulent blood flow within the dilated segment of the caudal vena cava was present on spectral Doppler evaluation. Fine needle aspirate and cytology of the liver revealed necrosis with no evidence of infectious organisms…

Article Case Study

A female, spayed miniature lop rabbit presented 1-week post spay with marked subcutaneous swelling along the entire length of the surgical incision. Subsequent debridement of the abscess and closure of the incision site was somewhat unsuccessful, with the patient returning for another debridement procedure, after which the wound was left open for continued flushing and debridement. Culture and sensitivity of the purulent material grew a multi-drug resistant Coagulase-positive Staphylococcus.

Article Case Study

Two guinea pigs suspected of having hyperthyroidism based on weight loss, presence of a cervical mass, and elevated total thyroxine (TT4) levels were confirmed to have active thyroid masses via scintigraphy with Technetium-99 and treated with radioactive iodine therapy (I¹³¹). Both patients responded initially with weight gain and a decrease in the TT4. The purpose of this case series is to describe the use of scintigraphy to aid in confirming a diagnosis of hyperthyroidism, as well as to show the benefits and effectiveness of using radioactive iodine therapy (I¹³¹) to treat hyperthyroidism in guinea pigs in order to provide the best treatment protocol.

Article Case Study

A 1-year-old female intact lionhead rabbit was referred for a history of hematuria, bloody vaginal discharge, anorexia, and lethargy unresponsive to antibiotics and anti-inflammatory medications. Based upon physical examination, radiographs and abdominal ultrasonography a uterine mass was suspected. Severe regenerative anemia secondary to blood loss was diagnosed and the rabbit was administered a whole blood transfusion prior to surgical intervention. Abdominal exploratory with ovariohysterectomy revealed…

Article

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.

Article

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 …

Article

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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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.

Article

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 Slideshow

Inland bearded dragons are native to Australia and are a popular companion animal. Private breeders often select for desirable temperaments and various color morphologies in an effort to provide an ever-increasing variety to the pet trade. They are also bred commercially and sold by large pet retailers making them a widely available pet reptile…

Article

Rabbit intubation can be accomplished using either an orotracheal or nasotracheal technique. Both intubation methods can be challenging in rabbit patients and require patience and practice. Nasotracheal intubation may be the preferred approach in situations where maximum access and maneuverability is required in the oral cavity. Nasotracheal intubation is also preferred where an extended recovery is expected.

Article Presenting Problem

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

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…

Article Webinar

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

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…

Article Video Webinar

This live webinar event was presented by Javier Nevarez, DVM, PhD, DACZM, DECZM (Herpetology). View a recording of Dr. Nevarez’s web-based seminar and earn 1 hour of R.A.C.E.-approved continuing education credit. Lecture objectives include a review of the principles and concepts of reptile analgesia, recommended analgesics, signs of pain and pain recognition, and a review of analgesic protocols. The presentation also reviews principles and concepts of reptile anesthesia, popular anesthetic agents and anesthetic protocols, monitoring, as well as keys to success.

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The “Pigeon Disease Primer” explores important differential diagnoses for common clinical problems observed in pigeons and doves. Although the clinical approach to the columbiform relies on the same concepts of “One Medicine” used in all species, many of the infectious diseases of pigeons are relatively unique to this taxonomic group, or at least much more prevalent when compared to psittacine birds or songbirds.

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.

Article

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…

Article

All raptors consume a meat-based diet ranging from the specialist diet of the fish-eating osprey (Pandion haliaetus) to a generalist diet that can include insects, mammals, birds, reptiles, amphibians, and even carrion. Other than poultry, the exact nutritional requirements of birds are unknown, however the natural raptor diet is always relatively high in protein and fat and low in carbohydrates. Whole prey diets have a calcium/phosphorus ratio of 1.5:1 as the bird actually consumes the bones as well as the meat…

Form-Questionnaire

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

Did you attend the Lafeber Symposium at the 2015 International Conference on Avian heRpetological and Exotic mammal medicine in Paris? View a recording of this encore, web-based seminar: “Medical Management of Psittacines with Bornavirus Ganglioneuritis (PDD)” by Susan Orosz, DVM, DABVP (Avian Practice), DECZM (Avian). This presentation on avian borna virus contains medium to advanced level content. The novice is encouraged to view the first hour of Dr. Orosz’s presentation “Anatomy & Physiology of the Avian Gastrointestinal Tract: Clinical Applications”, which includes a helpful review of avian gastrointestinal anatomy and physiology.

Article Video Webinar

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

Red leg syndrome, also known as “pink belly disease” or bacterial dermatosepticemia, is one of the most common clinical conditions of captive frogs. Associated with peracute to acute bacterial septicemia, red leg is generally a disease of captive animals although the condition has also been implicated in rare mass mortalities of wild amphibians. This presenting problem article reviews clinical findings in red leg syndrome, pathogenesis of disease, as well as key points of urgent care and prognosis. The basics of case management are then reviewed: differential diagnoses, diagnostics, treatment, prevention and control.

Article

The non-hyphal, zoosporic, chytrid fungus Batrachochytrium dendrobatidis (Bd) has caused widespread and dramatic population declines in both wild and captive amphibians worldwide. Use this table to review the basics of the infectious disease chytridiomycosis

Article Slideshow

Did you hear about the Palawan turtle crisis? In June 2015, Philippine authorities confiscated over 4,000 turtles, many of them critically endangered Philippine forest turtles (Siebenrockiella leytensis), intended for the illegal pet trade. Enjoy LafeberVet’s brief, fun slideshow that explores our Emeraid donation for the Palawan turtle crisis as well as care of many, many, many turtles. Although medical supplies are not currently required, financial contributions are still needed for this important conservation effort.

Article

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

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.

Article

A variety of agents may be used in small mammals with ectoparasites. Download this easy-to-use table for a list of agents used to manage lice, flea infestation, mange or acariasis.

Article

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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