Intraperitoneal and incisional analgesia in small animals: simple, cost-effective techniques1, considers the findings and limitations of recent studies and makes recommendations on the use of IP and incisional analgesia in companion animals.
Paulo Steagall, lead author of the paper said: "Based on current evidence and a consensus of the WSAVA-GPC members, it is recommended that IP and incisional analgesia should be used for abdominal surgery such as intestinal foreign body removal, splenectomy, etc. These techniques can be particularly useful in high-volume sterilisation programmes due to their safety and cost effectiveness. They should never be administered as stand-alone analgesic techniques, but rather should be used in addition, as part of a multimodal analgesic plan with opioids and nonsteroidal anti-inflammatory drugs (NSAIDs)."
The review says that current literature on IP and incisional analgesia has several limitations including the use of different doses, drugs and volumes of local anaesthetic. Furthermore, acute pain assessment was performed using a number of different pain scoring systems with variable validity, by a number of different people which may introduce bias. Further studies are therefore warranted to continue to investigate the use of IP and incisional analgesia in a number of clinical scenarios.
Nicholas Jeffery, editor of JSAP said: "Local anaesthetics are inexpensive and not limited by geographic availability; this review supports their use to manage perioperative pain as part of a multimodal management approach."
The full article can be found in the January issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here: https://www.onlinelibrary.wiley.com/doi/10.1111/jsap.13084
For further information relating the use of local anaesthesia and the management of perioperative pain, the BSAVA is advising veterinary surgeons to consult a text such as the BSAVA Guide to Pain Management in Small Animal Practice.
Reference
Dairy nutrition consultant Hefin Richards of Profeed Nutrition Consultancy is warning vets to be on the lookout for an upsurge in over-conditioned cows as winter progresses through spring.
He says his prediction is based on a number of factors that have come together over the last year to greatly increased the risk of cows being over-conditioned at calving, not only potentially affecting productivity but predisposing to a number of clinical conditions.
A high body condition score at calving significantly increases the risk of subclinical ketosis in early lactation, depressing the immune response and increasing the risk of conditions such as retained foetal membranes, metritis and left displaced abomasum.1,2 Conversely, these obese cows go on to suffer excessive body condition loss due to decreased voluntary feed intake and poor energy metabolism.
The ketosis risk has been increased in part because national milk yields were low last summer and autumn as a result of poor weather conditions, low milk prices, high feed costs and the spread of Schmallenberg virus (SBV).3
Hefin said: "SBV and bad summer weather with associated poor forage quality may have delayed rebreeding, leading to more extended lactations and longer dry periods. These two factors can lead to excessively fat cows at calving."
Through the winter many herds were running average milk yields some way below usual winter levels and currently mid and late lactation cows are substantially under target yields.4 This lower yield means that feed intake is very likely to be in excess of actual energy demands, with subsequent fat deposition.
Increasing awareness of this potential issue gives vets the opportunity to reinforce the need to monitor body condition, adjust feeding, review milk yields and consider drying cows off early, using controlled energy feeding.
Hefin suggests that vets ensure that their clients' dry cow nutrition and management is geared towards maximising feed intake in early lactation to help prevent animals falling into a state of negative energy balance. Ketosis is often missed on farm because the signs are not apparent. Consider routinely monitoring herds for ketosis using either blood monitoring or Elanco's Keto-Test cow-side milk test to identify both at-risk cows and herds. Forming a team involving vets, nutritionists and herd managers and harnessing the different skill sets and knowledge allows strategies to be developed that can improve herd performance.
References
The RCVS has announced the appointment of Gordon Hockey as its Head of Legal Services/Registrar.
Gordon, who was previously Head of Professional Conduct and Assistant Registrar, has latterly been Acting Registrar, following the departure of Jane Hern in November 2011 and the arrival of Nick Stace as Chief Executive on 3 September.
A qualified barrister and pharmacist, Gordon has been at the RCVS for the last 14 years.
His is a new role created when the old post of Registrar and Secretary was effectively split into two: Chief Executive and Secretary, and Head of Legal Services/Registrar.
Nick Stace said: "I am delighted that Gordon's is my first appointment as Chief Executive, and I am grateful that he held the fort so well for the last nine months. I look forward to working with him to ensure that the RCVS is in the best shape possible to meet the needs of the public and the veterinary team."
Jacqui Molyneux, RCVS President said: "We have a very strong team to take the RCVS forward. Nick has joined us with leadership experience, consumer expertise and new ideas and impetus; Gordon consolidates this with his legal expertise and experience of the veterinary profession and the RCVS. I look forward to working with them both."
The appointment is subject to formal ratification at the November meeting of Council.
Companion Care Vets has announced that it will open its 100th surgery in Llantrisant, South Wales on 7th September 2012.
The surgery will reside within the Pets at Home store in Llantrisant and will be owned and managed by Joint Venture Partner Rhian Bullock who has returned home to Llantristant after working and studying for many years in the USA.
Jane Balmain, Managing Director, Companion Care Vets said: "2012 has been quite a year for the business, we were named as one of The Sunday Times 100 Best Companies to Work For, becoming the first veterinary group to be awarded this accolade. Our growth has been such that we have recently launched a dedicated recruitment website, we have employed our 1,000th team member and to be opening our 100th surgery is testament to the hard work and dedication of our fantastic team."
Companion Care now has 117 Joint Veterinary Partners, 96 of whom are veterinary surgeons, 13 veterinary nurses, 7 practice managers and a receptionist and a further 953 colleagues employed by the group. The company says it has doubled in size in the past three years and is on track to do so again by 2015.
Jane said: "At present the majority of our surgeries are part of the Pets at Home in-store model but there are already five very successful standalone surgeries and the standalone surgery network plan is being developed to cater for those vets and veterinary nurses whose preference is to have a more traditional standalone surgery."
Rhian said: "A local girl, I have just moved back to Llantrisant and am really excited to be running my own practice in an area that I love. I set myself very high clinical standards and always involve the client in treatment and their pet's wellbeing. There is nothing that satisfies me more than well animals and happy clients."
Rhian and her team are involving the local community in the opening and will have guests from local branches of the Dogs Trust and the Cats Protection League present on opening day raising funds and joining in the celebrations.
A survey carried out by the Veterinary Benevolent Fund has identified stress management and maintaining a healthy work/life balance as the biggest challenges facing veterinary surgeons and the profession.
Asked: 'What are the key issues, if any, for the veterinary profession?', and to select up to 5 from a list, the 400 veterinary surgeons that took part in the survey picked the following:
In addition, when asked: 'How often do you ask someone for advice about your problems?', 49.5% said: 'never/infrequently', 38.3% said: 'occasionally (2-6 times a year)' and only 12.2% said: 'regularly (weekly/monthly)'. Of course this could mean that veterinary surgeons are perfectly able to sort out their own problems, or that the problems they encounter are not severe enough to warrant getting help. Indeed, 49.6% of respondents said that their problems would not be severe enough to contact the VBF for support, and a further 19.9% said: 'I don't need support'
That may be true for those that completed the survey at the time they did, but the high suicide rate within the profession suggests that perhaps more vets would benefit from sharing their troubles with others.
Talking of which, when asked: 'If you were to have a mental health problem, who would you turn to for advice?, the two most popular answers were unsurprisingly: 'a family member or friend', and 'My GP' (32.6% and 32.2% respectively). The VBF came third with 11.9%, ahead of 'a trusted colleague' at 8.3% and 'the Internet' at 6.3%.
VBF President Dr Lydia Brown said: "The findings of this survey are significant for all us of working in the veterinary profession today and many of us will recognise the emerging themes. I am very grateful that so many members of the profession responded to the survey.
"While we train hard for our chosen career and many go on to find fulfilment, it's clear that in today's challenging environment, the reality of life in practice can prove a strain. The effect on relationships both at home and at work can be traumatic and yet, as a profession we can be reluctant to seek help or advice.
"The VBF's role is key. Our Vet Helpline, a 24 hour confidential listening service and the Veterinary Surgeon's Health Support Programme, which provides confidential help with addiction and mental health issues, already provide a lifeline for many. But we're not just here to help in a crisis. Prevention is, after all, much better than cure, and if a small problem can be resolved quickly, and a future crisis may be avoided.
"With this in mind, we are developing the range of services we offer and have, for instance, recently relaunched our Vetlife website. The site provides a wealth of practical advice on many aspects of work and family life from financial planning, managing relationships through to tackling stress and depression.
"Ensuring the wellbeing of all those working in the profession is our goal and we will look to increase the support we can provide in 2012. We greatly appreciate involvement and support from the profession and from industry to sustain our vital work and would ask anyone interested in helping us or getting involved to contact us."
The Easy to Give Awards are designed to recognise the commitment made by pharmaceutical companies in making it easier to give prescription-only medications to cats; recognising that medicines which are easier to give make life less stressful for vets, owners and cats alike and ensure better compliance.
Each Easy to Give Award is decided by a feline expert veterinary panel taking into account feedback from their clients. And the winners are ...
These companies will be granted the use of the Easy to Give logo on advertising to the veterinary world. These bring the total number of Easy to Give awards presented, since their inception in 2005, to 39.
International Cat Care also announced the winners of the Cat Friendly Awards, which recognise other products that have made a real difference to cat wellbeing and welfare.
For more details on the work of the charity go to www.icatcare.org.
Under the previous system, complaints made about a veterinary surgeon or veterinary nurse would, at Stage One, be considered by a Case Examiner Group (CEG) which would determine if there was an arguable case of serious professional misconduct.
If the CEG found there was an arguable case, it would then refer it to Stage Two of the process for consideration by the Preliminary Investigation Committee.
The CEG stage of the process has now been replaced by Stage One Preliminary Investigation Committees which, rather than using the ‘arguable case’ threshold, will consider from the outset whether there is a realistic prospect that the alleged conduct constitutes serious professional misconduct and that there is sufficient evidence.
The new Stage One Preliminary Investigation Committees will comprise members of the professions and lay people, and will be assisted in their investigations by an RCVS Case Manager who will also be the first point of contact for those raising concerns, witnesses and respondents in the case.
Eleanor Ferguson, RCVS Registrar and Director of Legal Services, said: “By keeping to one consistent threshold for serious professional misconduct throughout the concerns investigation process, we hope that these changes will help to simplify our investigations while still ensuring that the process remains robust and thorough.
"We also hope that, in time and when the changes are fully bedded in, we may also see a swifter resolution to some cases, as concerns that may previously been referred on to Stage Two of the process can now be closed at Stage One.”
If a Stage One Preliminary Investigation Committee cannot close a case it will refer it on to a Stage Two Preliminary Investigation Committee.
This will gather additional information and evidence and then determine if there is a realistic prospect of finding serious professional misconduct and if it is in the public interest for the case to go to Stage Three - a full, public Disciplinary Committee hearing.
Eleanor added: “The introduction of these new stages is the first step in the programme of reform of our concerns investigation and disciplinary processes.
"Next year we will be looking to introduce our Charter Case Protocol which will be a way of resolving some less serious cases of alleged misconduct where it would not necessarily be in the public interest to hold a full Disciplinary Committee hearing.”
www.rcvs.org.uk/concerns
35% think the rising cost of living is already making it more difficult to give their dogs all they need.
By far the greatest worry was how they would manage to pay vet bills, which 49% named as their main concern.
The second biggest worry was affording dog food (17%), closely followed by insurance (15%).
Non-dog owners in the UK, meanwhile, were asked whether the rising cost of living would prevent them from adopting or buying a dog. Over half (54%) said that it would.
The Dogs Trust says this research mirrors its own experience, seeing a steady increase in the number of requests from owners who have decided to give up their dog.
It harks back to the year after the 2008 recession, when the increase in the number of stray and abandoned dogs reached over 25% in the UK.
Owen Sharp, Dogs Trust CEO, said: "We know from the experience of the 2008 recession that economic crisis can and will lead to people needing to give up their beloved dogs. Sadly, many loving dog owners simply won’t be able to afford to keep them.
“At Dogs Trust we’re rehoming and fostering dogs as quickly as we can - but as soon as we free up a kennel space, there’s a dog to fill it again.
“We’ve already taken 13,000 calls this year from owners who need to give up their dogs – a 58% increase on last year.
“We know that dog owners need immediate help and we’re working hard to find ways to support them - but it takes time.
“However, there are other ways we help, like our Hope Project, which aims to keep anyone experiencing a housing crisis and their dog together, and helping people find other services such as pet food banks or local charities that could ease the burden.”
“We want dog owners to realise that they don’t have to wait until they are in crisis to call us for help.”
The nomination period closes at 5pm on Wednesday 31 January 2018 with the election period set to start in mid-March and close at 5pm on Friday 27 April 2018.
Candidates need to submit a nomination form, contact details, a short biography and candidate statement and supply a high-resolution digital photograph to use in print and online materials.
In order for a candidacy to be accepted they will also need two nominators who should be veterinary surgeons on the RCVS Register but who are not current members of RCVS Council.
Registered addresses and original (hard copy) signatures of both the nominee and the proposers are required on the form in order for it to be valid.
The RCVS is also reminding candidates that the College is currently preparing for a change in its governance arrangements, including a reduction in the size of Council, as outlined in a Legislative Reform Order (LRO) that was agreed by Council members in March 2016.
As it stands, members of the profession are still electing six candidates to RCVS Council in the 2018 elections. However, if the LRO completes the legislative process and is passed by both Houses of Parliament, then only the three candidates with the most votes will take up their places as members of RCVS Council.
There will be no elections to VN Council this year as a decision was made to reduce the number of elected members.
More information on how to stand as a candidate for RCVS Council, as well as nomination forms, guidance notes and frequently asked questions, can be found at www.rcvs.org.uk/rcvscouncil18
The company has created a waiting room board kit, social media pack and a video which surgeries can play on waiting room televisions.
The board kit comprises cut out images of items which are commonly found in a typical Christmas shopping basket which can be toxic or dangerous to pets. Meanwhile, the video explains the dangers pet owners need to be aware of throughout the year.
For practices which are limiting the number of people coming into the premises, TVM is also offering waterproof posters which can be displayed outside surgeries, along with Pet Dangers leaflets for clients to take home.
Will Peel, Product Manager of TVM UK, said: ‘We know that poisoning cases increase significantly over the Christmas period and while many pet owners are aware of the items which are toxic to their pets, it’s easy to get distracted during the festive season so the materials we have put together are intended as a reminder to be diligent and keep pets safe from harm.’
To claim your free Pet Dangers practice resource kit, visit https://www.tvm-uk.com/order-your-tvm-uk-christmas-pet-dangers-display-kit, contact your local territory manager, email help@tvm-uk.com or call 0800 0385868.
Petplan has been awarded an Insurance Times Tech Award for its social media campaign entitled "Like & Donate", which was devised to support two animal charities, the Dogs Trust and Cats Protection.
As part of the campaign, pet lovers are being encouraged to donate a food pouch to either charity by "liking" the Petplan Facebook page; with one "like" equalling one pouch of food for either the cat or dog charity.
The Facebook app also allows Petplan's Facebook fans to track the progress of donations and encourage friends to visit the page and support their chosen charity. The initiative has resulted in over 48,000 food pouches being donated to the charities with the Cats Protection receiving over 29,000 "likes" and the Dogs Trust gaining 19,500.
Petplan's Head of Marketing, Isabella von Mesterhazy said: "We are delighted our Like & Donate campaign has been awarded Best Use of Social Media. At Petplan we work with over 1,700 animal charities and our Like & Donate campaign has further helped to support the fantastic work of both the Dogs Trust and Cats Protection in rehoming dogs and cats across the UK."
To take part in Petplan's "Like & Donate" programme visit www.Facebook.co.uk/Petplan.
Vets Now, in cooperation with its host practices and the Veterinary Poisons Information Service, is launching a new 'Tox Box' service giving veterinary surgeons 24 hour direct access to the treatments that they are most likely to need, and least likely to stock, in a poisoning emergency.
Vets Now says this new service represents a significant step forward in the ease and availability of care for the intoxicated patient.
Through Tox Box, any vet calling the VPIS advice line after 31st March 2011 will be able to access the drugs required in a poisoning emergency at selected Vets Now clinics and their host practices across the UK. Drugs will be available at cost, plus a small handling charge.
Amanda Boag, Clinical Director at Vets Now said: "We are delighted to be working in partnership with VPIS to offer vets this life-saving service for pets across the UK.
"As emergency and critical care practitioners we frequently deal with poisoning cases and are pleased to be able to use our clinics to allow vets access to the treatments they need in a hurry.
"Tox Box is a service which has been designed to help enhance the current VPIS advice service whereby vets can now easily gain access to those drugs they are most likely to need to treat toxicities, but not stock internally, such as plasma and Adder anti-venom. The service VPIS provides is very important for vets, and we hope that this additional provision will greatly benefit them and the pets they are caring for."
Alex Campbell, Head of Services at VPIS said: "We are looking forward to working in partnership with Vets Now to improve outcomes for poisoned animals and their owners.
"Poisons can have deadly affects on animals if not treated quickly. Previously vets may have had to call round several hospitals or practices to source the recommended drug whilst their patient's health deteriorates. Through Tox Box we can help them access the drug without delay and provide case-specific guidance to ensure the animal receives optimum care."
The VPIS 24/7 telephone number to ring is: 020 7188 0200
Human Factors is the application of human psychological and physiological principles and limitations to the design of processes and systems to reduce human error, increase productivity and enhance safety.
Trainetics has operated in various sectors such as aviation, ergonomics and human healthcare for many years.
As part of its move into the veterinary sector, it is working with a team of team of well-known figures in the profession: Bradley Viner, Holger Volk, Vicky Lipscombe, Tom Cardy and Andy Fiske-Jackson.
Tom said: “The potential impact of human factors on the veterinary industry is huge. What we are able to offer delegates is a unique experience to improve their situational awareness and decision-making.
“It is something which I believe delegates will find incredibly insightful as part of their career progression and it can improve how we treat our patients every day.
“Within the veterinary profession, human factors is still relatively new, however, its true scope within the industry lies in understanding and applying systems-thinking methodology to our complex, adaptive profession.”
Holger said: “When I first had the chance to become consciously incompetent in a flight simulator at BA with Trainetics, it was a fantastic opportunity to learn about my own limitations and how to better overcome them.
“Part of the immersive experience is learning about human factors, situational awareness, decision-making, workload management, system performance and health and wellbeing.
“We can learn so much from the aviation industry and vice-versa, and these unique courses can provide real opportunities to better ourselves as a profession and as individuals.
www.trainetics.co.uk
Genitrix has repackaged its Dentagen plaque prevention chews to provide added value and convenience to pet owners.
Packs of the chews, launched in 2008 as part of Genitrix' Dentagen dental range, will now be available in 'one month' packs in response to customer feedback. The new, bigger value packs will also be priced more cost-effectively and will offer environmental benefits as the amount of packaging is reduced.
Dentagen dental chews are impregnated with a plant extract called RF2 which enables them to act as an 'anti-biofilm' treatment, modifying the membrane of oral bacteria to prevent them from producing plaque. The chews, which come in two sizes for large and small dogs, are designed to be given on alternate days and form part of the unique Dentagen Dental Care Programme. Earlier this year, Genitrix also launched Dentagen Aqua, an innovative water additive treatment to control plaque and prevent bad breath in cats and dogs.
The new size packs of Dentagen chews, which will be available exclusively through veterinary channels, cost £6.35 for a pack of 14 small chews (one month's supply) and £8.09 for 14 large chews.
Norbrook has launched Loxicom 0.5mg/ml oral suspension for small dogs, indicated for the alleviation of inflammation and pain in acute and chronic musculo-skeletal disorders.
Loxicom Oral Suspension comes in a clear 15ml bottle which allows vets and clients to monitor levels of the product and re-order when necessary.
Loxicom 0.5mg/ml for Dogs comes with two sizes of syringe, a 1ml syringe graduated from 0.25kg-5kg to treat even the smallest of dog breeds accurately, and a 5ml syringe graduated from 1kg-25kg to treat small and medium dog breeds. The syringes plug securely into the bottle to ensure a tight-fitting connection and minimal leakage when administering the product.
This new oral suspension joins the range of 1.5mg/ml oral suspensions for Dogs and 5mg/ml injections for Dogs and Cats, launched in 2009, and the 0.5mg/ml oral suspension for Cats launched earlier this year at the BSAVA Congress.
Complete Veterinary Care (CVC) is to launch the BooBooLoon, a new alternative to the Elizabethan collar at BSAVA Congress.
According to the company, the inflatable collar offers comfort and protection advantages over old style Elizabethan collars and other devices that restrict pets from harming surgical wounds and irritating skin disorders.
The BooBooLoon, which is made in the US by a manufacturer called Headroom, will be distributed by CVC to veterinary professionals and pet shops. The collar will be available in five sizes from extra small through to extra large.
Marcy Colangelo, President of Headroom invented the device when her boxer dog Mitzi had surgery for skin cancer. She said: "I just couldn't stand leaving that cone on her. It was like putting her head in a tunnel."
Inspired by her own travel pillow, she came up with the BooBooLoon.
Marcy added: "I know the entire CVC Group administrative and veterinarian management team are enthusiastic about their upcoming BooBooLoon inflatable pet recovery collar launch. The CVC Group is very experienced and is committed to providing excellent service and quality to the veterinary profession and to independent pet shops throughout the United Kingdom."
It was alleged that in September 2015, she had acted inappropriately by striking a Shih Tzu/Toy Poodle cross puppy called Arnie on his head.
The hearing commenced on Tuesday 3 January 2017 with evidence being given by the owner of the animal ("TC"). However, the corroborating witness, who was also the complainant in the case, failed to attend the hearing to give evidence.
Efforts were made by the College to contact the complainant and remind her that she had been summoned to appear before the Committee – however, she still chose not to attend the hearing to give evidence. In response to her non-appearance the Committee decided that her written evidence was inadmissible as there would be no opportunity to cross-examine her about the discrepancies between her account and that of TC.
Miss Faulkner’s counsel then made an application to the Committee that the College had failed to sufficiently prove its case to the requisite standard such that it would not be necessary for her to adduce any evidence in her defence. The Committee granted this on the grounds that there were clear inconsistencies in the evidence given by TC at different stages of the investigation and during the hearing itself.
Chitra Karve, chairing the Committee and speaking on its behalf, said: "The Committee was unable to conclude that TC was a reliable witness. Given TC’s centrality to the case the Committee is unable to be satisfied so that it is sure that her account of events as outlined in her oral evidence is accurate. Accordingly, the Committee is not satisfied that the College has proved to the requisite standard that the respondent did in fact strike Arnie to the head as alleged.
"Accordingly, the Committee accepts the submission made by the respondent that the College has not adduced sufficient evidence upon which it can find the facts alleged in the charge to be proved. Therefore, it is not necessary for the Committee to consider this matter any further. There is no case for the respondent to answer."
The full BEVA Congress programme is now live and super early bird tickets are available from 4th March, saving member delegates up to £200.
The one medicine thread will run through the medicine and orthopaedics and sports medicine streams as well as feature in the Peter Rossdale Plenary Lecture.
BEVA President Roger Smith said “There is much to learn from the human side as well as from what we do as vets.
"We have invited five human medical experts to make some comparative links with human medicine in their presentations.
"Bringing a different angle in this way will help predict what the future holds and advance what we do in the equine veterinary sphere.”
The full programme includes more than 90 hours of live and on-demand CPD covering almost every aspect of equine medicine, surgery and practice.
The first day will commence with an opening address from Olympic gold medallist Sally Gunnell during which she will share her thoughts on maximising performance.
Other highlights include:
Individual super early bird BEVA members prices are £524 for vets and £144 for vet nurses for all three days (with concessionary available for those in their first three years of graduation or earning less than £25,000).
Day tickets and practice passes are also available.
Super early bird ends on Wednesday 29 May 2024.
www.bevacongress.org
Linda, who was first elected to Council in 2019, will take up the post at the RCVS Annual General Meeting in July.
She is currently Chair of both the RCVS Standards Committee and the Riding Establishment Subcommittee and also sits on the Primary Qualifications Subcommittee and the Preliminary Investigation and Disciplinary Liaison Committee.
Outside of the RCVS, Linda is a Director at The George Veterinary Group in Wiltshire, an independently owned practice providing equine, farm, pig and small animal veterinary services.
Linda has been part of The George since 1992, having started her career in practice in Winchester after graduating from Bristol University Vet School the previous year.
She is a member of the British Veterinary Association, the British Equine Veterinary Association and the Society of Practising Veterinary Surgeons and is also a Trustee for Brooke – an international equine animal welfare charity.
Linda said: “Having recently been re-elected to Council for another term by fellow members of our profession, I am really looking forward to joining the Officer Team in my role as Junior Vice-President and I thank my colleagues on Council for their endorsement and support.
“Since joining Council four years ago, I have learned a lot – one of the difficulties I have observed is the tension of our profession having a Royal College which regulates.
"Wearing two hats is never easy, and being both our leadership body and our regulator can position the College in a difficult place in the eyes of its members.
"There are, however, advantages for us as a profession in being self-regulating.
“As Junior Vice-President, I look forward to increasing Council’s direct contact with vets working in first-opinion practice.
"Working as part of a large independently owned practice, I am aware of many of the day-to-day issues currently facing the different species sectors.
"I understand what it takes to be a good workplace delivering veterinary care in a commercial environment and want, through my contribution to Council and the governance and regulation of our profession, to support others to have a successful and fulfilling career in practice.”
Photo: Linda (right) shaking hands with current President Melissa Donald MRCVS
In addition to enhancing current standards of veterinary dentistry, the WSAVA says it hopes that the guidelines will help to bridge what it perceives as a significant gap in veterinary education globally and to encourage a greater emphasis on dentistry in the veterinary curriculum.
The WSAVA’s Global Dental Guidelines include information and images of oral anatomy and common pathology, as well as best practice recommendations for oral examinations and an easily implementable dental health scoring system.
Evidence-based guidance on periodontal therapy, radiology and dental extractions is also included, together with details of minimum equipment recommendations.
A key theme is the WSAVA’s rejection of anesthesia-free dentistry (AFD), which it describes as ineffective and a cause of unnecessary stress and suffering to patients.
The guidelines have been developed by the WSAVA’s Global Dental Guidelines Committee (DGC) whose members include veterinary dentists from five continents, together with representatives from the WSAVA’s Global Pain Council, Global Nutrition and Animal Wellness and Welfare Committees. They are based on the WSAVA’s three-tier continuing education system to ensure that they are relevant for all veterinary surgeons, whether they are working in an advanced hospital setting or in a clinic in a country in which companion animal practice is still developing.
Dr Brook Niemiec, a Board-Certified Specialist in Veterinary Dentistry of the American and European Veterinary Dental Colleges and a Fellow of the Academy of Veterinary Dentistry, is Co-chair of the WSAVA DGC.
He said: "Dental, oral and maxillofacial diseases are, by far, the most common medical conditions in small animal veterinary medicine. They cause significant pain, as well as localized and potentially systemic infection but, because pets rarely show outward signs of disease, treatment is often delayed or not performed with a corresponding impact on the welfare of the patient. In developing the Global Dental Guidelines, we felt that the lack of perception of patient pain was a key issue.
"Our Committee members were also unanimous in their opposition to AFD. We believe that anesthesia is essential for the execution of any useful dental procedure and this is a central recommendation of the Guidelines. To support it, we have provided a detailed analysis of anesthesia and pain management approaches."
He added: "Our patients are not well served by the current variation in standards of care, level of equipment and procedural knowledge of dentistry. Misinformation which clouds the sector is a further hindrance. As clinicians, we cannot allow a fear of the unknown, the discomfort of client pushback or ignorance of current techniques to keep us from doing our best to relieve pain and suffering in our patients.
“We are delighted to launch the WSAVA’s Global Dental Guidelines, which are free to download at http://www.wsava.org/guidelines/global-dental-guidelines. We are equally delighted to announce that 22 of our member associations have already endorsed them. It is our firm intent that they will be the first step in changing the way that dental disease is perceived in the veterinary profession and in improving dental treatment in companion animals worldwide. We are grateful to our sponsors, Addison Biological Laboratory, Boehringer Ingelheim, Hill’s Pet Nutrition, KRUUSE and Virbac for supporting this important project."
Lynda Maris, NexGard™ Spectra Product Manager said: "The campaign, which is designed to raise awareness of the rising threat from ticks, lungworm and other parasites that can endanger the health of pets and their owners, is reaching millions of pet owners."
A radio day, during which presenter Jenni Falconer and Merial vet Mike Woodhouse (pictured) discussed parasites and called on owners to visit their practice, apparently reached nearly 3 million listeners via 16 radio stations from BBC Radio Guernsey in the south, to Waves radio in Peterhead and Aberdeen.
The campaign has also been promoted with advertising on Newslink, which broadcasts to 287 stations including: Kiss, Capital, Star, Magic, Talk Sport, Classic and Absolute.
Participating practices have been send campaign support packs and Merial has provided educational and competition social media content to share on Facebook and Twitter. According to the company, its campaign Facebook page has reached reached over 1 million unique users in the last 28 days. Over the same period, Merial says 25,000 unique users have received campaign content on Twitter.
Practices can also direct clients to the campaign website www.petparasiteaction.co.uk.
Pet Parasite Action runs throughout June and July, so there's still time to get involved. For more information, contact your Merial Territory Manager, or call the company on 0870 6000 123.
Researchers found that ticks continued to quest in woodlands throughout the year, even during the coldest months and ticks could also be detected on dogs throughout the year.
These observations concur with the results of a recent analysis of practice electronic health records which showed the presence of ticks on pets in all weeks between December and March2.
The study confirms the importance of treating dogs all year round to help reduce the risk of transmission of tick-borne diseases.
Lynda Maris, Product Manager for NexGard Spectra at Merial said: "It’s been thought for some time that ticks are very inactive or even dormant in winter and don’t present a risk. These findings show that they continue to quest in an attempt to find a host and are often successful. If ticks are attaching and feeding during the winter months, the risk of Lyme disease and babesiosis remains a real possibility. If the appropriate product is selected, the same year-round treatment programme that controls fleas and other parasites, will also treat ticks and thus help reduce the risk of tick-borne diseases."
The study recruited nine veterinary practices and monitored tick activity across three woodland sites in Southern Cumbria. In some cases multiple ticks were found on the animals – with one animal hosting an incredible 21.
Post graduate student Jessica Hall has been running the study since 2013, which has also involved running PCR for detection of DNA from Borrelia burdorferi (Lyme disease) on the collected ticks, with this data due to be released early next year. She said: "From the data we have collected in this longitudinal study we have identified questing ticks all year round at some sites and have shown that this pattern of questing activity results in pets being bitten by ticks even during winter."
Photo: Questing tick; Mcvoorhis, Wikipedia, CC BY-SA 3.0
The RCVS has launched a new online form to allow veterinary surgeons to change their Register title to 'Dr'.
You can make the change by logging into the 'My Account' area of the RCVS website (www.rcvs.org.uk/login) where you can access the form. Usernames and passwords for the My Account area were sent to all veterinary surgeons in February as part of the annual renewal process.
The College says an email confirmation is sent once the form is completed and changes should take effect immediately in the My Account area. However, it may take up to 24 hours before the title appears on an individual's Register entry.
The use of 'Doctor' as a courtesy title was approved by RCVS Council at its March meeting, following a public consultation which garnered more than 11,000 responses.
Use of the title is optional and veterinary surgeons who choose to use 'Doctor' or 'Dr' should use it in conjunction with their name and either the descriptor 'veterinary surgeon' or the postnominal letters 'MRCVS'. This ensures that they do not mislead the public by suggesting or implying that they hold a human medical qualification or a PhD.
Nutritional researcher Brian Zanghi from the Purina Institute will also share some of his work, which has focused on nutrient-enriched ‘water supplements’ and the impact on voluntary water intake.1
Purina says various studies have shown an association between increased water intake and improved outcomes in cases of feline lower urinary tract conditions.2,3 Encouraging water intake may also benefit cats with renal disease or chronic constipation, as well as older animals with osteoarthritis who might be less keen to make repeated trips to their water bowls.
Libby Sheridan, MVB, MRCVS, Purina Veterinary Technical Affairs Manager, UK & Ireland, said: "The importance of good hydration is often under estimated and there are so many factors that can influence intake – from the position of the water bowl, to materials used in the bowl construction and even the level of fill. Deciding when and how to promote increased intake can be difficult and we hope this session will help vets and vet nurses to make those decisions.”
The lecture programme will include a review of clinical evidence, discussion of the benefits of increasing water intake and practical case-based advice from Sarah and Andy. The event will be recorded for registrants who cannot attend on the day and registrations are accepted until the event starts on the evening of 9th December.
Registration is now open at https://www.bigmarker.com/closerstill-media/You-can-lead-a-cat-to-water-but-how-do-you-make-them-drink. All registrants will be entered into a prize draw to win one of ten goody bags which will include a premium water bottle.
For more information, contact the Purina Veterinary Nutrition Team on 0800 212161.
As part of its review, the College had planned a series of focus groups of veterinary surgeons and nurses across the UK. However, these have had to be delayed both because of social distancing rules and because of the pressures that practice teams are currently working under. However, the agency tasked with hosting the focus groups is now exploring alternative options and it is hoped there will be a revised timetable soon.
In the meantime, the College says it now plans to commission an additional independent agency to survey veterinary surgeons about their experience of remote prescribing during lockdown.
In March, RCVS Council agreed to temporarily allow veterinary surgeons to prescribe prescription-only veterinary medicines remotely, without first having physically examined the animal, subject to a number of conditions and safeguards being in place.
This position is due for review by 30th June, and the College will be looking for feedback and data from veterinary surgeons about your experience of remote prescribing, in order to determine whether these arrangements can continue, with or without any extra safeguards.
Because remote prescribing is also one of the most important aspects of the planned under care review, feedback gathered now will help inform future discussions too.
RCVS President Niall Connell said: “We recognise the current conditions that veterinary practices are working under in no way represent normal practice life. Most practices will not have been set up to offer remote services and remote prescribing in a way that they might have chosen, given sufficient time and appropriate detailed guidance, if indeed there are any future guidance changes after the review.
"However, we feel it would be remiss of us not to seize the opportunity arising from this current crisis to ask about the experiences – good or bad – of those on the frontline of clinical veterinary practice in providing remote services to their clients.
"Whilst this will be no substitute for the formal evidence gathered by the research agency in due course, whatever data and feedback we can collate from veterinary practices at this unique time for our professions will, I’m sure, be extremely valuable to our ongoing discussions."