The Royal Veterinary College has carried out the first ever open-heart surgery to treat a stenotic tricuspid valve in a dog.

The three-year-old Labrador, Mabel, suffered from congenital tricuspid dysplasia. She was referred to cardiology specialists at RVC Small Animal Referrals where her tricuspid valve was found to be completely fused in the middle, with just two very small openings for her blood to flow through. 

In a procedure that took a little over an hour, the RVC team examined and worked on the valve. The College reports that Mabel’s surgery was a success and her stenosis was relieved.

Mabel was subsequently found to have a moderate amount of regurgitation into the right atrial chamber, but after a few more days of additional monitoring at the RVC she was able to return home. 

The surgery was carried out by Professor of Small Animal Surgery Dan Brockman at the Queen Mother Hospital for Animals. He was assisted by a team of RVC specialists to provide pre and post-operative care, including a perfusionist, a team of three anaesthetists, two surgery nurses, three surgeons and a cardiology veterinary specialist-in-training. In addition, Professor of Veterinary Cardiology Virginia Luis Fuentes and veterinary specialist-in-training Dr Rosie Payne were members of the Cardiology Service’s investigation into Mabel’s condition.

RVC students were also involved in the Mabel’s initial examinations at the hospital, providing them with an insight into the procedure. The examinations included cardiac ultrasound using the newest generation of cardiac ultrasound equipment, which is able to capture 3D and 4D images. The new ultrasound scanner was funded in part by the RVC’s charity, the Animal Care Trust. 

After the surgery, the emergency and critical care (ECC) team and the Cardiology Service took over Mabel’s care, with Professor Brockman remaining involved. This saw up to four senior ECC clinicians, a number of veterinary specialists-in-training and half a dozen highly trained ECC technicians working in shifts around the clock to care for Mabel and ensure a good recovery.  

According to the RVC, there have been previous attempts by veterinary surgeons to open stenotic valves with balloon valvuloplasty. However, because it is very difficult to tear the stenotic valve, this approach has not proved very successful. There is also a high risk when putting canines onto bypass. Canines have fragile blood vessels, and cannulae need to be inserted into several of these vessels, creating a danger that a major vessel tears. 

Commenting on why the RVC team decided to perform this procedure at this point, and on Mabel, Dan said: "Lots of things fed into this decision. First and foremost, we had a patient whose pathology made surgery the best solution. I explained to the owner and was very honest that this procedure would be really breaking new ground. Based on what the human paediatric cardiac surgeons will do, and our limited experience of balloon-valvuloplasty suggests this is the best approach for these dogs

"The operation itself is risky, much worse than most other operations. In our hands, for this type of disease, we have about an 80% chance of getting them through the procedure. The owner has to gamble what life the dog has left against the promise of a more normal quality of life and life-span following the operation."

In relation to Mabel’s prognosis if the surgery had not been undertaken, Professor Luis Fuentes said: "It is likely that the signs of right-sided heart failure would have been more difficult to control. Her ability to exercise would have become less and less, and she would have also been at risk of having abnormal heart rhythms associated with the enlargement of the right atrium. Generally we expect them to develop more and more signs as the disease progresses. These are difficult cases to manage on a long-term basis with drugs. Her life expectancy would have been substantially reduced.

"I thought Mabel was almost a perfect candidate to have the procedure here as Dan has a lot of experience replacing tricuspid valves in dogs with tricuspid dysplasia. In those cases there is usually leaking, but Mabel’s case was unusual in that she has minimal leaking and she was most affected by the stenosis. That means you may not have to implant any additional valve structure."

Speaking two weeks after the operation, owner Annabelle Meek, from Melton Mowbray, said: "Mabel has just come back in from wandering around the perimeter of my garden for the first time since before the operation. It’s more than half an acre and she has been ambling around happily following a scent.

"I would like to thank absolutely everybody. It’s been an enormous team effort on all sides. Every single person I met at the RVC, from the man on the gate to all the hospital staff, was so friendly. After she came home Dan Brockman phoned me every day to see how she was doing. The RVC should be very proud of what they have done for Mabel."

The RCVS Charitable Trust has teamed up with the Foundation for Social Improvement (FSI) for the launch of the Great Big Small Charity Car Draw 2011.

The draw enables small charities, such as the RCVS Charitable Trust, to sell tickets to supporters which offer a chance of winning a brand new Fiat 500 1.2 Pop. Each ticket costs only £2, and the Trust will receive £1.90 for every ticket it sells.

Tickets can be bought securely online at http://trust.rcvs.org.uk/support-us/get-involved/win-a-fiat-500/ or directly from the Trust office on 020 7202 0721 or by emailing fundraising@rcvstrust.org.uk.  Books of tickets are also available to sell to colleagues, friends and family. The deadline for buying tickets is September 16th 2011 with the draw taking place on 25th October 2011.

Here are a few examples of what reviewers have been saying about the Fiat 500:

"The Fiat 500 is both stylish and fun. The modest running costs complement the engaging handling. So, this nimble little city car can be enthusiastically thrown into corners and it should emerge grinning like a Cheshire Cat." Motoring.co.uk

"I love my Fiat 500 1.2 Pop from the moment I drove off in it. Great fun to drive on the motorway and in town for parking into slots others cannot!" What Car?

"It's absolutely fantastic. It drives like a dream. Everybody admires it." Fiat Forum

For further information on the car draw, please contact Fiona O'Regan on 020 7202 0743 or Rebecca Fellows on 020 7202 0721.  Alternatively email fundraising@rcvstrust.org.uk.

Liz Leece, a European and RCVS Specialist in veterinary anaesthesia and analgesia at Paragon Veterinary Referrals in Yorkshire, is championing a new approach to post-operative pain management.

The traditional approach is to use anatomical knowledge to inject pain relief in the area of the nerves to be blocked.

Liz is leading a move away from this approach to a more precise method which uses ultrasound guidance to visualise the nerves, allowing the local anaesthetic to be placed directly around the nerve itself.

For some nerve blocks, it is possible to block just the sensory branches of nerves, which means pets can walk better immediately after surgery while not feeling any pain.

Liz, a past president of the Association of Veterinary Anaesthetists, said: “Local analgesia is now at the forefront of our post-operative care and reliably improves the quality of a pet’s recovery and reduces the need for opioid pain relief, which can cause side effects.

“We’re using the latest techniques to deliver the nerve-blocking anaesthetics to exactly where they’re needed.

“For many of the nerve blocks, the use of ultrasound guidance allows more precise delivery and a complete blockade of the sensory nerves, which is why, here at Paragon, we’ve invested in state-of-the art ultrasound machine designed specifically for superficial and deep nerve blocks.

“This means we can provide more effective immediate post-operative analgesia for our patients and minimise the need for further pain killers.

“The nerves can be directly visualised and local anaesthetic directly placed around the nerve bundles.”

Liz is keen to highlight the advantages of the increased use of local anaesthesia in the treatment of animals. She added: “We’re hoping we’ll soon be able to publish some clinical research on the use of some of the blocking techniques used to demonstrate our clinical impression of their effectiveness in patient management.”

The BSAVA has published a new factsheet about laparoscopic spaying for pet owners.

BSAVA’s client information leaflets are designed to be used as part of the veterinary consultation and provide information to help owners understand what is involved in a procedure or examination, including the reasons for it, the preparation required, any associated risks and what happens during and after the procedure.

They are available in a PDF format which can be printed and stamped with the veterinary practice details or emailed to clients.

Elise Robertson, ABVS American Board-Certified Diplomate Feline Practice and author of the endoscopic Client Information Leaflets, said: ‘The client information leaflets were created due to the need for accurate and reliable information from reputable sources." 

BSAVA’s Head of Publishing, Ian Mellor, said: "This new factsheet brings our total number of client leaflets to 178. Our client leaflets have been downloaded more than 10,000 times in the past year and are an important part of our drive to improve the health and welfare of small animals by providing practical resources to the veterinary profession.’

The new leaflet is available via the BSAVA Library (https://www.bsavalibrary.com/content/cilgroupprocedures).

Access to the entire range of client information leaflets (including canine and feline behaviour, exotic pets and medicines) is available for an annual subscription of £40; BSAVA members have access to these leaflets as one of their membership benefits. 

BSAVA welcomes suggestions for new topics to cover in its client information leaflets. 

Send your ideas to publications@bsava.com.

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."

Vets that took part in the Vet Charity Challenge 2013 have raised a total of £50,000 which was presented to three animal charities at the London Vet Show. 

The Vet Charity Challenge took place in September, when 53 teams of four spent the day walking, running, cycling, kayaking and orienteering, along with a variety of mental tasks. The money it raised has been distributed between Hearing Dogs for Deaf People, SPANA and Animals Asia

Jason Rogers, BCF Technology Marketing Manager and one of the organisers said: "The response we got for the Challenge this year has been remarkable with double the number of teams we had in 2012. It was quite a sight to see over 200 people at the briefing at the start of the day. Everyone seemed to really enjoy themselves and get into the spirit of the event. The amount raised this year is truly amazing."

One of the participants, Kerry Lambert from Ashworth Veterinary Group, Hampshire said: "The day was both exhilarating and exhausting. It was very well organised and friendly."

Caitrina Harrison from Vétoquinol added: "As one of the sponsors for this year's Vet Charity Challenge, Vétoquinol had three of the 53 teams entered. The amazing team spirit, fun atmosphere and inter-company rivalry all contributed to a fantastic event. The day was well organised and certainly our three teams, had a fantastic time. We'll be back again next year!"

Speaking for the three charities that benefited from the donations, Deborah Bourne, Corporate Fundraiser from Hearing Dogs for Deaf People said: "We would like to say a huge thank you to all the sponsors and competitors who got involved with this year's inspirational Vet Charity Challenge! Thanks to the determination, team spirit and generosity of everyone who took part, the money raised from this fantastic event will enable us to train more life changing hearing dogs to support deaf adults and children across the UK."

A donation of 200 Tracer microchips by Bayer is helping to save one of the world's largest and rarest species of frog against extinction. A deadly fungal disease, responsible for decimating global amphibian populations, is threatening the last known wild population of the 'mountain chicken' frog (Leptodactylus fallax).

The eastern Caribbean island of Montserrat is the last global stronghold for this species - known locally as mountain chicken due to its taste. As recently as 2002, chytridomycosis wiped out the majority of mountain chicken frogs on the island of Dominica. Recent tests on dead frogs found in the west of Montserrat have confirmed the presence of this disease.

The Durrell Wildlife Conservation Trust has been working in Montserrat since the early 1990s to support the local government in the protection of the island's vast biodiversity. The mountain chicken has been an important species, and Durrell holds the largest safety net population at its Jersey headquarters.

In response to the positive identification of the disease, Durrell has launched an emergency plan to rescue healthy frogs and put in place longer treatment and management plans for the protection of the species.

Bayer's donation of 200 Tracer microchips will be used to individually identify the captive mountain chickens held by Durrell to help manage a breeding programme. Durrell is also testing the feasibility of treating the frogs with antifungals in their natural habitat, and the use of the donation of microchips will be essential to allow individual frogs to be monitored to assess the outcomes of treatment regimes.

Durrell's head of veterinary services, Javier López, has worked with mountain chickens for a number of years, and explains that the disease could very quickly wipe out the species. Captive populations of healthy frogs, such as the one in Jersey, could be used to initiate re-introductions back to the wild or in disease-free areas.

A 17-year-old collie cross called Barney picked arguably the best place in the world for an old dog to fall into a canal last Saturday, when it was rescued by one of the teams taking part in the kayaking stage of the Vet Charity Challenge, an event where there were at least 150 vets on hand to help.

Barney had wandered off through an unlocked gate and fallen into the canal where he was spotted by a team from Kruuse UK. They managed to haul the struggling animal onto their kayak and take him down the canal towards a waiting group of vets and nurses. From there he was taken to Drove Vets in Swindon to make a full recovery.

Andrew Groom from Kruuse said, "It was sheer luck that we happened to be paddling past at that point. The poor chap was struggling on the steep banks of the canal and kept slipping back in. He was getting very tired and at risk of drowning, and judging by his gums and heart rate, going into shock."

Karien White from Drove Vets said: "Barney was a bit hypothermic when he was brought into us with a lot of bumps and bruises. We managed to warm him up and get him cleaned and after a little while his tail started wagging and he seemed very happy and friendly."

News of Barney was posted onto a Pewsey Facebook page which helped his worried owners trace him to the vets.

The Vet Charity Challenge took place on Saturday 27th September at St Francis School, Pewsey, near Marlborough, Wiltshire. The day consisted of 50 of teams of four orienteering, cycling and kayaking as well as undertaking mental and physical tasks. The charity raised over £70,000 in its first two years, with this year expected to boost the funds even more.

Gavin Mitchell, from founding sponsors, BCF Technology, said: "We never dreamt that while trying to raise money for our partner charities, that we would end up saving the life of a pet in such a direct fashion. Had Team Kruuse not been passing at that point, the dog would almost certainly have drowned. It highlights the real commitment and passion that the vet profession feels towards helping animals. Through our event we hope to reach out to help even more animals. People can donate directly to Vet Charity Challenge by contacting us via www.vetcharitychallenge.co.uk."

Great Western Exotics is holding a CPD session on how to triage raptors online at 7:00pm on Tuesday 4th April. 

The session will be led by Adam Gregory, Head Nurse, who has experience gained around the world both as a veterinary nurse and a zookeeper. 

Adam will take attendees through the basic triaging steps to assess and review treatment that may be needed, as well as covering a range of common presenting problems.

Great Western Exotics says it will be a great opportunity for first opinion vets and nurses to become more familiar with the needs of these birds to ensure they receive the best treatment possible in emergency situations. 

To sign up to the talk, email Jess: GWEreferrals@vets-now.com.

https://www.gwexotics.com

MSD Animal Health has launched a new range of vaccination equipment to help sheep and cattle producers administer its portfolio of farm animal vaccines as effectively, cleanly and safely as possible.

The new vaccinators all incorporate the Sterimatic system, which is designed to take the worry out of administering injections to livestock by delivering an accurate dose of any given product, whilst also cleaning and protecting the needle automatically. MSD says the Sterimatic system also decreases the potential for disease transmission, minimises the risk of infection and abscessing at the vaccination site, and reduces needle-stick injuries.

The new equipment is colour-coded and ergonomically designed for comfort in the hand and comes in clear, sterile bags that list the recommended vaccines for use with each vaccinator.

The new vaccinators are now available from animal health product wholesalers.

Horses and ponies that gain weight are more than twice as likely to develop laminitis than if they lose or maintain their weight, according to new research published last month in BMC Veterinary Research¹.

Carried out by the Royal Veterinary College (RVC), the Animal Health Trust (AHT) and Rossdales Equine Hospital, the study also revealed that the groups particularly at risk were native pony breeds and their crosses, as well as horses and ponies with a history of laminitis and those with lameness or soreness after routine hoof care.

This research, funded by World Horse Welfare, comes from the first ever online study that collected information on laminitis from a group of owners in real time.

The researchers say that the study is also the second largest to identify weight gain as a risk factor for laminitis. Data was collected from the owners of 1,070 horses and ponies in Great Britain, who reported their animal’s management, health and estimated weight via online questionnaires for 29 months. 

Owners were encouraged to use a custom weight tracking tool designed by the study/research team to help regularly track changes in their animal’s weight and body condition. The uptake of this tool was high, with over half of participating owners using it.

The tool is freely available at: www.aht.org.uk/research/lameness/laminitis.

Other study findings included:

• A high risk of laminitis was present in horses shod or trimmed at intervals of more than 8 weeks, and in those that took a long time to return to soundness after a bout of laminitis. 

• Diet, grazing management and health were factors closely associated with the development of laminitis and will be the subject of future investigation. 

• Researchers also noted that weight gain often occurred unintentionally, even when owners were aiming for their animals to maintain or lose it. This reiterates the need to consistently record weight and body condition in order to prevent undesirable weight gain.

Dr. Dee Pollard of the AHT, one of the study’s chief authors, said: "This is one of the largest, and the first, online laminitis studies where we collected regular information from the same group of owners in real-time. We assessed the relationship between laminitis and many potential management and health factors and identified those more likely to be present before a laminitis episode was reported.

"We now have good evidence to develop laminitis prevention guidelines, and a number of different avenues to explore in the future. We cannot emphasise enough how important systematic and regular weight and body condition monitoring are. It’s very easy to miss weight gain when you are just relying on your eyes and you see your horse or pony every day. You need to get hands on, feel for the fat deposits and take measurements, remember the figures don’t lie!"

Reference

1. BMC Veterinary Research: Pollard, D, Wylie, CE, Verheyen, KLP and Newton, JR (2019) Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach. BMC Veterinary Research 15:59. https://doi.org/10.1186/s12917-019-1798-8

Folkestone-based Vlad Butnaru haș been struck off by the RCVS Disciplinary Committee after it found that he'd dishonestly signed a declaration on a horse passport application.

Dr Vlad Butnaru faced two charges, the first of which was that in May 2021, he had signed a passport and/or passport application for a horse and electronically signed a declaration stating that he “had read the above microchip, which had previously been implanted for the animal” when, in fact, the microchip had not been inserted into any horse and he had not read it.

The second charge was that, in relation to the matters set out in the first charge, Dr Butnaru’s signed declaration was false, and that he had acted dishonestly and misleadingly, he risked undermining procedures designed to promote animal welfare, and failed to take sufficient steps to ensure that the microchip number recorded for the horse was accurate.

Dr Butnaru admitted the first charge on all counts, and that the declaration he had signed was false.

He also admitted that his conduct was misleading and that he had failed to take sufficient steps to ensure that the microchip number recorded for the horse was accurate.

However, he denied that his conduct had been dishonest and that he had risked undermining a procedure designed to promote animal welfare.

In its decision, the committee noted that Dr Butnaru kept introducing new versions of what happened for the first time at the hearing and changed his account as he went along, as well as being evasive when answering questions.

The Committee therefore felt that Dr Butnaru could not be considered to be a reliable witness, and whilst it did not know the true reason why he was prepared to sign a false declaration on a passport application, it was satisfied that he'd made a false declaration dishonestly.

The Committee also found that Dr Butnaru had failed to take sufficient steps to ensure that the microchip number recorded for the horse was accurate as, if the passport had been issued on a false premise because of misleading information provided by Dr Butnaru, then it could not function as it was meant to which, in the Committee’s view, clearly risked undermining procedures designed to protect animal welfare.

The Committee found that Dr Butnaru had breached the parts 6.2 and 6.5 of the Code of Professional Conduct, as well as Principle 1 of the 10 Principles of Certification, namely that ‘a veterinarian should certify only those matters which: a) are within his or her own knowledge; b) can be ascertained by him or her personally; c) are the subject of supporting evidence from an authorised veterinarian who has personal knowledge of the matters in question; or d) are the subject of checks carried out by an Officially Authorised Person (OAP).’

The Committee found there were no mitigating factors.

Aggravating factors, on the other hand, were that Dr Butnaru had participated in premeditated misconduct, made financial gain from his actions as he was paid to make the false declaration, abused his professional position, and showed blatant or wilful disregard of the Horse Passport System and of the role of the RCVS and the systems that regulate the veterinary profession.

The Committee found that all proven charges amounted to Disgraceful Conduct in a Professional Respect.

On considering the sanction, the Committee once again considered the aggravating factors, as well as additional mitigating factors in that Dr Butnaru had no previous disciplinary history, showed limited insight by admitting to some of the charges, showed expressions of remorse, and was provided with a positive testimonial.

Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee was cognisant of the importance of a veterinary surgeon’s signature on any document.

"This should have been obvious to any veterinary surgeon, but particularly someone of Dr Butnaru’s 11 years’ experience (at the time of signing).

"The Committee was well aware of the impact and ramifications for Dr Butnaru of any decision to remove him from the Register, but had to weigh his interests with those of the public.

“In doing so it took account of the context and circumstances of the case, all matters of personal mitigation, Dr Butnaru’s previous unblemished record and the need to act proportionately.

"However, the Committee was of the view that the need to uphold proper standards of conduct within the veterinary profession, together with the public interest in maintaining confidence in the profession of veterinary surgeons and protecting the welfare of animals, meant that a period of suspension would not be sufficient.

"His actions were fundamentally incompatible with remaining on the Register and thus the only appropriate and proportionate sanction in all the circumstances of this case was that of removal from the Register.”

https://www.rcvs.org.uk/concerns/disciplinary-hearings