Check 1, check 2...Is this thing on?

Want a low-cost, effective tool to reduce post-op complications? We give you...a checklist.

It’s getting hot in here: Heatstroke in dogs

Heatstroke is described as a form of “hyperthermia associated with systemic inflammatory response leading to a syndrome of multiorgan dysfunction in which encephalopathy predominates.”

Lost in the weed: Marijuana toxicosis in the age of legalization

Marijuana is the most commonly used illicit drug in the United States and with the growing number of states allowing its use medicinally and recreationally, there is bound to be an impact on veterinary medicine.

It's getting harder and harder to breathe: How I treat pneumonia

Bacterial pneumonia is fairly common in vet med. This post provides an in-depth discussion of diagnosis and treatment.

Myths in clinical cardiology

Much of our education has been taught as dogma. This post reviews a list of common clinical myths involving cardiac disease with little evidence to support their validity.

Factors to consider prior to pursuing allergen-specific immunotherapy in canines

Allergen-specific immunotherapy (ASIT) is the only therapy that has the potential to change the immunologic response to allergens.

Whiskey in the water: How to smooth anesthesia with the right pre-meds

Premedication is the basis of a sound anesthesia plan or menu. Every premedication is composed of: tranquilizer and opioid, combinations of which

Perioperative hypoxemia - What do I do?

Appropriate arterial levels of oxygen are important for maintaining normal tissue oxygenation and therefore normal cellular metabolism and overall cellular function.

Imaging diagnosis of common gastrointestinal and respiratory emergencies

Interpretation of radiographs, or any additional diagnostic imaging studies, should be performed in a systematic manner to ensure evaluation of all structures and consideration of all possible diagnoses.

Dexmedetomidine use in small animal surgery

Use of dexmedetomidine in an anesthesia protocol can be nerve-racking at first, but with time you'll come to appreciate its use in balanced anesthesia.

No pain-true gain?

Half of all veterinary patients present emergently in pain, especially dogs presenting with orthopedic or neurosurgical conditions, yet rapid and accurate identification and scoring of pain remains challenging.

Lifelong care

The objective of the Lifelong Care initiative is to support pet, pet owner, and veterinary practice wellness.

Inflammation: It's a pain when things blow up!

Though there are many types of pain that exist in our patients, all of those who present for a procedure where pain needs to be treated should be assessed for the presence and/or potential for inflammatory pain!

Do local blocks and epidurals strike a nerve in your practice?

Locoregional nerve blockade provides pain control and comfort, lowered inhalant concentrations, difficult tissue handling, and reduced postop inflammation.

Ranitidine

Ranitidine   Ranitidine is an antacid in the same family…

Clinical communication skills in veterinary practice

This blog post will focus will be on relationship-centered communication, rather than a paternalistic approach.

Cranky kitties: Diagnosis and management of feline osteoarthritis

Canine osteoarthritis (OA) is a well characterized chronic disease, but he same cannot be said for feline osteoarthritis. This article discusses what we currently know about feline OA.

Non-invasive point-of-care monitors in ER/ICU and anesthesia

In this post, Stephen Cital discusses the Radical-7 Pulse CO-Oximeter by Masimo Corp., the only FDA-approved non-invasive CO2-oximeter marketed for veterinary use.

Tooth resorption in dogs and cats

Tooth resorption is the progressive destruction of the calcified substance of permanent teeth by clastic cells. It can be extremely painful and is one of the most common oral diseases seen in cats. It is also frequently found in dogs.

Dentistry beyond dental cleaning

There's much more to dentistry than routine cleaning. Check out this post describing commonly-encountered tooth disorders.

Water, water everywhere: Fluid choices in the hospitalized patient

Fluid therapy is a crucial part of the treatment of patients in the emergency room and the critical care unit. Though it has great ability to help our patients, like any medical intervention, it has the potential to do harm as well. Having a greater understanding of the fluid balance within the body, the effect of different disease states on this fluid balance, and the fluid choices available for treating our patients is vital to maximizing patient benefit, while minimizing side effects of therapy.

Vented vial access adapter

Vented vial access adapter   A Vented Vial Access Adapter…

Vacutainer venipuncture

Vacutainer venipuncture   In any venipuncture situation,…

MILA Esophagostomy Tube

MILA Esophagostomy Tube   We are very excited to announce…

Flex coil IV lines

Flex coil IV lines   Usage To be used in patients where…

Synthetic colloids: A friend or foe?

Synthetic colloids are a combination of water, electrolytes and large molecular weight molecules that contribute to the oncotic force (colloid osmotic pressure, COP) of the intravascular space. This post covers the pros and cons of their use.

Stroke / infarct

Cerebrovascular accidents ("stroke") were once thought to be uncommon to rare in veterinary medicine, but the increasing availability of advanced imaging shows that not to be the case. This post reviews possible causes, diagnosis, and treatment of strokes in dogs and cats.

LMA MAD nasal adapter

Mucosal atomization device   The LMA MAD nasal adapter…

Limiting dependence on transfusion for the critically-ill patient

This post reviews the pillars of patient blood management, including maximizing red cell mass, optimizing hemostasis, and techniques to recover active hemorrhage.

Corneal ulceration in dogs and cats: Diagnosis and treatment

Corneal ulceration is one of the most common ophthalmic problems seen in our canine and feline patients. This post covers the causes and diagnosis of corneal ulceration in dogs and cat, as well as medical and surgical treatment.

The incidentally discovered adrenal mass

With improved imaging techniques, the number of adrenal masses detected in animals with problems unrelated to adrenal function is common.

The latest on steroids and spinal cord injury

One of the most common causes of spinal cord injury in dogs is intervertebral disc herniation (IVDH). This post updates the use of methylprednisolone and PEG in the treatment of spinal cord injury.

Making the most of your ultrasound machine

This post describes how to manipulate user controls to obtain better ultrasound images in veterinary medicine.

Update on acid suppressant therapy

This post describes the use and pros/cons of H2 receptor antagonists and proton pump inhibitors.

Feline head imaging: Continuity with practitioner and radiology

Diseases of the head are often initially imaged with radiographs in the clinic. This article discusses the basics of feline head radiographic imaging.

Minimally invasive surgery - How small can we go?

With advances in human and veterinary medicine, new and innovative surgical techniques are constantly being devised, tested, and either discarded or adopted as the new standard.

Canine cognitive dysfunction

With advances in veterinary medicine, we are more and more commonly seeing our pets living to a greater age than has been reported historically. Current estimates in the companion animal population indicate that there are more than 50 million senior and geriatric dogs over the age of 7 years. As such, advanced age in our pets and their associated illnesses have become a very important aspect in who and what we treat in our roles as general practitioners and specialists, alike.

The clot thickens: Thromboembolic disease in dogs and cats

Nicole Barrella, DVM Massachusetts Veterinary Referral Hospital,…

From Stage 0 to 3: Injectable Induction Agents – New and Old

General anesthesia provides us with unconciousness, amnesia, analgesia, muscle relaxation, and the ability to perform various procedures in our veterinary patients. The use of injectable anesthetic agents allows us to get our patients from premeded-awake to surgical plane of anesthesia, while minimizing the use of inhalant anesthesia and its associated cardiovascular and respiratory depression. This article discusses the more common induction single and combo agents.

My dog hasn’t pooped since discharge! (5 min ago)

Studies in human medicine over the past 30-40 years have shown consistent poor recall of medical information, with between 40-80% of all medical information being immediately forgotten. In fact, 48% of information that is “remembered” is either imagined or misconstrued. This article provides an overview of medical information recall studies.

Old school and new school in airway management

Stephen Cital RVT, SRA, RLAT United Veterinary Specialty and…

Radiography vs. ultrasound in the dog with acute abdominal signs

In the emergency setting, the primary goal of diagnostic imaging is to help differentiate surgical from non-surgical conditions. The benefits and limitations of survey radiography and abdominal ultrasound are discussed in this post.