Implementation of a standard perioperative protocol reduces postoperative respiratory distress events in dogs undergoing surgical correction of brachycephalic obstructive airway syndrome.

Objective: To determine whether a standardized perioperative protocol for patients undergoing brachycephalic obstructive airway syndrome (BOAS) surgery reduces the incidence of regurgitation, aspiration pneumonia, and respiratory distress in the postoperative period.

Methods: The records of client-owned dogs referred to the Texas A&M University Small Animal Teaching Hospital for surgical correction of BOAS over 4 years (February 2019 to June 2023) were retrospectively reviewed. A perioperative protocol for patients undergoing surgical correction of BOAS was implemented in June 2021, which included preoperative cisapride and antacid administration, minimizing opioid use, and a slow recovery with nebulization of hypertonic saline.

Use of peri-incisional liposomal bupivacaine was not different than placebo regarding pain score or rescue analgesia in a randomized clinical trial of 83 dogs.

Objective: To evaluate the impact of peri-incisional liposomal bupivacaine (LB) on postoperative pain scores, opioid use after soft tissue surgeries, and incidence of incision site complications in dogs.

Methods: Client-owned dogs (n = 83) were enrolled in a randomized, blinded, placebo-controlled clinical study for dogs undergoing a variety of soft tissue surgical procedures between March 31, 2021, and August 18, 2022. After incision closure, an injection of a placebo (0.

Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel.

Objective: To quantify serum amikacin concentrations in dogs undergoing wound management with topical amikacin (45 mg/mL) 3% carboxymethylcellulose hydrogel.

Study Design: Prospective clinical study.

Sample Population: Eleven client-owned dogs.

Dogs and cats with prepubic hernia often have concurrent injuries and a good short-term outcome.

Objective: To describe clinical presentation, concurrent injuries, common imaging findings, and short-term outcome of dogs and cats diagnosed with prepubic hernia (PPH).

Animals: 71 dogs and 16 cats.

Clinical Presentation: Medical records were searched at 2 academic referral institutions from August 1, 2008, to August 31, 2023, for dogs and cats diagnosed with PPH.

Dogs receiving cyclooxygenase-2-sparing nonsteroidal anti-inflammatory drugs and/or nonphysiologic steroids are at risk of severe gastrointestinal ulceration.

Objective: To report the incidence and characteristics of gastrointestinal ulceration lesions in dogs receiving an NSAID and/or corticosteroid.

Animals: 33 dogs.

Clinical Presentation: Medical records of dogs with gastrointestinal ulceration receiving NSAIDs and/or corticosteroids within 30 days of diagnosis between January 2012 and July 2022 at multiple referral institutions were reviewed.

Clinical features and outcomes of dogs with attempted medical management for discrete gastrointestinal foreign material: 68 cases (2018-2023).

Objective: To retrospectively describe clinical characteristics of canine gastrointestinal foreign bodies (GIFB) that were successfully and unsuccessfully managed conservatively.

Animals: 68 client-owned dogs presented to the Texas A&M Small Animal Teaching Hospital between January 1, 2018, and October 1, 2023, for GIFB where medical management was attempted.

Clinical Presentation: Medical records were reviewed for signalment, history, physical examination, bloodwork, diagnostic imaging, foreign body type, location, treatments, and outcome.

Diagnostic and surgical treatment for traumatic bile peritonitis in dogs and cats.

Objective: To describe short-term outcomes of dogs and cats undergoing surgery for traumatic bile peritonitis.

Animals: 13 dogs and 4 cats.

Methods: Multi-institutional, retrospective study.

Sedation with dexmedetomidine decreases skin perfusion in cats.

Objective: To evaluate skin perfusion in cats receiving dexmedetomidine compared to a placebo.

Animals: 9 healthy adult research cats.

Methods: A randomized, blinded, placebo-controlled study design was used.

Adrenal tumors treated by adrenalectomy following spontaneous rupture carry an overall favorable prognosis: retrospective evaluation of outcomes in 59 dogs and 3 cats (2000-2021).

Objective: To conduct a retrospective multi-institutional study reporting short- and long-term outcomes of adrenalectomy in patients presenting with acute hemorrhage secondary to spontaneous adrenal rupture.

Animals: 59 dogs and 3 cats.

Methods: Medical records of dogs and cats undergoing adrenalectomy between 2000 and 2021 for ruptured adrenal masses were reviewed.

Outcome in 38 dogs surgically treated for hepatic abscessation.

Objective: To report outcomes following surgical treatment of hepatic abscessation in dogs.

Study Design: Retrospective.

Animals: Thirty-eight dogs.

Traumatic Rectovesicular Fistula in a Dog.

A 7 mo old intact male Australian cattle dog presented for evaluation of a suspected urethrorectal fistula after being examined by the primary veterinarian for leaking of urine from the rectum at rest and when posturing to urinate. Advanced imaging identified a caudally retroflexed urinary bladder, several healing pelvic fractures, and a rectovesicular fistula. Primary surgical repair of the fistula was performed.

Carotid pseudoaneurysm in a kitten after accidental puncture with a needle.

Case Summary: A 3-month-old intact male domestic shorthair kitten's cervical region was inadvertently punctured during routine subcutaneous fluid administration. A swelling rapidly developed on the left lateral neck and continued to grow, despite compression. An emergency facility evaluated the kitten 48 h later and the swelling was determined to be blood.

Dogs ≥ five years of age at the time of congenital extrahepatic portosystemic shunt diagnosis have better long-term outcomes with surgical attenuation than with medical management alone.

Objective: To determine the outcome in dogs diagnosed with congenital extrahepatic portosystemic shunts (EHPSS) at ≥ 5 years of age treated with medical management only (M) or with surgical attenuation (S). The hypothesis was that dogs undergoing surgical attenuation would have a longer survival time than dogs undergoing medical management only.

Animals: 351 dogs definitively diagnosed with EHPSS at ≥ 5 years of age.

Short- and long-term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha-blocker therapy.

Objective: To report data related to the short- and long-term survival of dogs undergoing adrenalectomy for pheochromocytoma, and to determine the influence of preoperative alpha-blocker therapy.

Study Design: Retrospective.

Animals: Fifty-three dogs.

Incidence of and risk factors for surgical site infection following canine limb amputation.

Objective: To determine the incidence of and risk factors for surgical site infection (SSI) following canine thoracic and pelvic limb amputations.

Study Design: Retrospective, multicenter study.

Animals: Dogs (n = 248).

Comparison of bacteriologic culture results for skin wound swabs and skin wound biopsy specimens.

Objective: To compare bacteriologic culture results for superficial swab and tissue biopsy specimens obtained from dogs with open skin wounds.

Animals: 52 client-owned dogs.

Procedures: For each dog, 1 wound underwent routine preparation prior to collection of 2 specimens, 1 by superficial swab (Levine) technique and 1 by tissue biopsy.

Adaptation of a hands-on veterinary surgical training course from a traditionally taught laboratory to a remotely taught laboratory during a global pandemic.

Objective: The goal of this study was to evaluate and report details of a remotely taught surgical laboratory.

Study Design: Observational.

Sample Population: Second-year veterinary students (n = 143) enrolled in a surgical laboratory; 9 weeks were taught traditionally, and 6 weeks were taught remotely.

Management of a urethral tear with porcine small intestinal submucosa-augmented urethroplasty and balloon dilation for subsequent urethral stricture in a cat.

Case Description: As a result of vehicular trauma, a 3-year-old neutered male domestic shorthair cat sustained luxation of the sacrocaudal joint and a urethral tear.

Clinical Findings: Retrograde contrast urethrocystography revealed a urethral tear at the level of the ischiatic tuberosity. Conservative treatment for 7 days with a urethral catheter was unsuccessful.

Dorsal offset rhinoplasty for treatment of stenotic nares in 34 brachycephalic dogs.

Objective: To describe the technique, outcome, and owner satisfaction associated with dorsal offset rhinoplasty (DOR) to treat stenotic nares in brachycephalic dogs.

Study Design: Retrospective case series.

Animals: Thirty-four client-owned dogs.

The "Flip"-Sustaining Complexity and Multiplicity Post-Quarantine.

This article describes poststructural ways of responding to the pandemic by looking for openings or gaps within more traditional ways of interacting with dilemmas. The author situates herself within a "positive deviance" epistemology, which looks for what already works rather than getting captured by the current problem. We "flip" what are the usual ways of responding and explore three different programs that illustrate inventive and assets-based approaches.

Lateral rhinotomy and coblation for treatment of a nasal hamartoma in a dog.

Case Description: A 4-year-old spayed female French Bulldog was referred for treatment of a suspected right-sided nasal angiofibroma associated with a 4-month history of unilateral nasal discharge and stertor.

Clinical Findings: The dog appeared healthy other than right-sided mucoid debris and decreased airflow through the right naris. The dog was anesthetized, and a large intranasal mass was observed obstructing the right nasal passage and abutting the nasal septum.

Single pedicle advancement flap for treatment of feline stenotic nares: technique and results in five cases.

Objectives: Brachycephalic obstructive airway syndrome (BOAS) is a common cause of upper airway obstruction in dogs, but is appreciated less commonly in cats. Of the components of BOAS, stenotic nares appear to play a major role in cats. However, the axial deviation of the alar wing, a common cause of nasal obstruction in dogs, is typically not present.

Abdominal lymphatic drainage after thoracic duct ligation and cisterna chyli ablation in clinically normal cats.

Objective: To characterize abdominal lymphatic drainage in cats after thoracic duct ligation (TDL) and cisterna chyli ablation (CCA).

Animals: 7 purpose-bred research cats.

Procedures: Baseline CT lymphangiography was performed.