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.”

Vets Now and the PDSA are recruiting candidates for an initiative which lets Vets Now staff observe and work on elective surgical cases at PDSA Pet Hospitals, while PDSA’s new graduate vets get a taste of frontline Emergency and Critical Care medicine.

The initiative was first launched in 2018 as a small-scale pilot. 

Following a hiatus during Covid, and subsequent adaptations and expansion, the 2022 programme saw 12 new graduate vets from PDSA and 22 from Vets Now take part.

Dr Aoife Reid, Head of Edge programmes and Clinical Career Progression at Vets Now said: “We recognised that within ECC practice, surgical cases are less common.

“When they do happen, though, they are high-stakes and are usually lifesaving.

"So, it’s important to maintain the surgical skills of our veterinary surgeons.”

Meanwhile, while each of PDSA Pet Hospital’s perform hundreds of surgical procedures every week, working in collaboration with Vets Now’s 60-plus clinics and hospitals gives new graduates exposure to more intensive and time-critical emergencies.

They encountered case presentations that are more commonly seen in emergency situations, including dystocia, seizures and dyspnoea; and developed their skills utilising point of care ultrasound and blood gas analysis with more critical patients.

Gemma Renwick, PDSA Area Veterinary Manager said: “This a scheme has really positive mutual benefits and provides a greater level of understanding of how each other works.

“It makes for a smooth transition between the day and the night service; which results in a much better experience for both clients and pets.”

Before attending, vets get a taster of what to expect through short webinar-style videos. They each then spend three shifts working alongside the other veterinary teams.

The Vets Now clinicians perform several surgeries in one shift, something that would rarely happen in all but the busiest of emergency clinics.

They also benefit from discussing cases when they may be more used to working in a solo environment and receive feedback from an experienced PDSA Clinical Coach.

Vets Now says feedback from both sides has been hugely positive, with participating vets saying they felt welcomed and supported.

 Aoife said: “Within the veterinary industry, although it’s a small and close-knit community, we rarely see organisations collaborating in this way.“

"So, it’s great to work together to help benefit both our vets and the clients.”

Petplan has launched nominations for its Petplan Insurance Advisor of the Year Award.

The award is to recognise the hard work and dedication that Pet Insurance Advisors (PIAs) do to highlight the importance of insurance to pet owners as a means of financial protection. To nominate your PIA visit http://www.petplan.co.uk/piaaward/

Petplan works with nearly 2000 vet practices to promote pet insurance within practice. Once a practice has received Appointed Representative status, employees can train to become a dedicated Pet Insurance Advisor by registering on http://www.petplan.co.uk/piaaward/  

Petplan says that since pet owners often look to vets for advice about where they stand on insurance matters, having a dedicated member of staff there to explain insurance benefits can give an added value service to your practice. Also the PIA scheme can contribute to staff's CPD, and help them develop transferable skills such as confidently promoting products and handling client objections.  

Kelly Cummings, the winner of the 2008 Petplan Insurance Advisor of the Year award said: "Encouraging owners to invest in pet insurance early on in their pet's life can help to ensure a stress-free future. The PIA scheme offers good advice about the basics of insurance which are easy to understand for vet staff.  This information can then be simply conveyed to clients."

The PIA of the Year will receive a new laptop and their practice will receive £100 in vouchers!  Nominations close on 31^st August 2009 and the nominees will be judged by industry professionals.  The winner will be announced at the annual BVNA Congress on 10^th October.

Please note: due to insurance regulation, the PIA scheme is only available to veterinary staff employed at Petplan Appointed Representative practices.

Hertfordshire-based Davies Veterinary Specialists has produced guidelines for conserving oxygen during anaesthesia, in order to help preserve this limited resource during the coronavirus pandemic. 

The anaesthesia team has produced a fact sheet, infographic and CPD webinar to help practices minimise the oxygen and volatile anaesthetic agent used in animals safely.

The resources can all be found at: https://vetspecialists.co.uk/oxygen-conservation 

Anaesthetist Sarah Gibson will be following up the webinar with a live online Q&A on Low Flow Anaesthesia on Tuesday 7th April at 2pm; to book your place please email CPD@vetspecialists.co.uk.

Managing Director Tim Richardson said: "By sharing our practical information on oxygen conservation, we hope we can help our colleagues safely use less oxygen during general anaesthesia and sedation, thus ensuring more of this valuable resource remains available."

Davies Veterinary Specialists' premises remain open for urgent and emergency cases. For all other cases, assistance is being provided via remote consultation, be that either telephone or video.

Marc Abraham MRCVS, the Paul O’Grady Show’s resident vet is setting up a new website for pet owners www.thepet.net, described as being the first to use the power of social networks (think Facebook), to bring pet owners together to share and rate pet experiences, and help each other find the best their pet can get.

I think it'll fly, and if it does, it will be one for many in the profession to keep a close eye on. Reputations can (and have) be made or lost on these kinds of websites.

What's more, previous community sites for pet owners based on the more simple forum model have shown the danger of attracting, well, the nutters. I've seen at least two populated almost entirely by raw meaty bones evangelists firing false (or at least unproven) accusations at everyone from pet food manufacturers to individual vets. Worse than that, the same people seem to advocate alternative therapy for just about every medical condition under the sun. 'Heart failure you say? Wave some of these crystals over its tail'.

I can see pet owners flocking to this kind of site in their hordes. But for it to have any kind of credibility within the profession, I fear Mr Abraham will have to be absolutely ruthless in weeding out those who will inevitably try to use the site as a soapbox for extremist viewpoints. That'll be a challenge. I have first hand experience of just how tenacious some of these people are!

Hill’s Nurse Roadshows return in May with a 4 venue tour of the southern region. The theme is weight management and mobility and the organisers promise fun-filled, fact-packed events.

The evenings will address a broad ranging syllabus that includes setting up a weight management clinic using the latest dietary innovations alongside sessions on how to effectively promote it to your clients. It also will explain how to develop an individual exercise plan for both overweight but mobile animals, and for those overweight pets with mobility impairment.

Guest speakers include vet Lowri Davies who runs her own sports medicine and rehabilitation veterinary clinic in Swansea and is a holder of Certificates in both Veterinary Acupuncture and Canine Rehabilitation and Julie Corey Dip AVN (Med) Cert AAB MBIPDT (Adv) who qualified as a veterinary nurse in 1994 and has a Certificate in Applied Animal Behaviour as well as an Advanced Grade from the British Institute of Professional Dog Trainers (BIPDT).

The roadshows are being held at Milton Keynes on 12th of May, Tunbridge Wells on 13th of May, Exeter on 14th of May and Cheltenham on 15th of May. All the roadshow events run from 7.00 pm for an 8pm start and include a buffet meal and refreshments.

To book a free place at any of the roadshows including the practice based event in Cardiff call Jane Quail, Education Coordinator at Hill’s on 01923 814454.

Norbrook Laboratories has launched Cefimam DC intramammary ointment, a new dry cow preparation containing the 4th generation cephalosporin, cefquinome.

The company has also released a Polish language version of its Best Practice Guide for On-Farm Mastitis Control, in response to demand from producers with non-English speaking farm-hands.

Norbrook vet Chris Geddes said: "I believe this is the first time that such a guide has been produced to cater for farm-hands of a different nationality working within the UK. Good mastitis management starts with good education; giving everyone on the farm the same opportunity for learning the best techniques for prevention means that we help minimise incidences of mastitis, which costs the dairy industry millions of pounds in lost revenue every year.

"This prevention includes a thorough and consistent approach to dry cow management. The early drying off period is often a risky time, when pre-existing subclinical infections can bed-in. The cow is also at increased risk of gaining new infections due to lack of udder hygiene procedures that would normally occur at milking, and weakened immunity as she approaches calving. Our new cefquinome preparation is a valuable addition to have in the treatment armoury for dry cow management. It has broad-spectrum activity and high cellular penetration to help tackle hard-to-manage cases with the aim of returning to maximum productivity by the start of the milking season."

Cefimam DC will be available at all veterinary wholesalers in packs of 24x and 120x 8g intramammary tubes. Vets can obtain both English and Polish versions of the Best Practice Guide for On-Farm Mastitis Control from Territory Managers.

For further information or copies of the Best Practice Guide for On-Farm Mastitis Control in English or Polish, contact your Territory Manager or call Norbrook GB head office on 01536 741 147.

Mossman Farming, a dairy farm on the west Welsh coast which has been stricken by bovine TB, has become the first to gain permission to trial PBD Biotech’s rapid Actiphage blood test for Mycobacterium bovis (M. bovis). 

PBD Biotech says the Actiphage test offers the potential to revolutionise control of bovine TB by allowing detection of the disease within hours from a blood or milk sample.

Last November, the Welsh Government announced a new policy that allowed the use of non-validated tests such as Actiphage in herds affected by a TB breakdown. It followed a similar protocol to one authorised by the UK Government last year for cattle herds in England after the test was used as part of a successful private eradication plan on a Devon dairy farm.

Mossman Farming, in Ceredigion, is located in an area of chronic breakdown. It is a spring-calving milking herd with a total stock of 529, to date 312 dairy cows have been slaughtered. Farmer Chris Mossman agreed to trial Actiphage after hearing about the Gatcombe pilot.

Chris said: "TB is a massive problem in Ceredigion, so when I heard about Actiphage’s use at Gatacombe, helping to clear that dairy herd for the first time in six years, I wanted to try and replicate those findings here. Me – and many other farmers – are losing large numbers of animals. I’m trying to do all I can to get rid of this disease from my herd."

In Spring 2019, The Office of the Chief Veterinary Officer for Wales granted permission for Robert Price-Jones MRCVS to use Actiphage to screen high-risk cattle for M. bovis.

Robert, who has been leading the trial, said: "Actiphage is able to identify the presence of relatively low numbers of M. bovis in the blood stream of infected cattle. It is not dependent upon an immune system response to the pathogen - in contrast to current validated tests - and so has greater sensitivity than such as the official Tuberculin SICCT skin test.

"The benefit of using Actiphage is that it offers the potential for eradicating the disease from the farm; as early identification of animals at risk of bovine TB enables heightened disease management and control."

Under the terms of the Welsh Government’s protocol, cattle not condemned for slaughter can be tested with Actiphage. Those that give a positive result are identified with a ‘management’ marker, monitored and milked separately.

To prevent further contamination of the environment and to minimise risk to uninfected cattle, animals found to be ‘shedders’ are removed from the farm.

Although a decision to remove cattle based on a non-validated test will be at the farmers’ own expense, the APHA (Animal and Plant Health Agency) has confirmed that during the trial, where a positive result is confirmed with statutory tests, the animals will be removed with compensation as normal.

So far, 100 animals from Mossman Farming have been tested with Actiphage and Robert Price-Jones is preparing a paper to publish the findings in early 2020.

PBD Biotech is now seeking more farms to trial Actiphage in order to gain the World Organisation for Animal Health (OIE) validation. The company is offering reduced cost testing to support trials where the findings are made available to support validation of the test.

Bayer Animal Health has announced it'll be running the 'Be Lungworm Aware' campaign in April 2011. The campaign is targeted at dog owners to raise awareness of the risks associated with the lungworm Angiostrongylus vasorum. 

A Bayer spokesman said: "Over the past years, the spread of A. vasorum has been cited by independent experts, and disease caused by this parasite is increasingly diagnosed. Previous lungworm awareness campaigns have been successful in increasing dog owner awareness of A. vasorum and how their dogs can become infected. However, there is still a lack of recognition as to the signs associated with this infection, so the continuing education of dog owners is extremely important."

The national 'Be Lungworm Aware' activity for April includes TV, radio and print advertising in the form of an educational 'public information' style feature. A national awareness day is also planned for 6 April, which will include radio broadcast and web chat TV, and feature veterinary surgeon Luke Gamble and TV presenter Jenni Falconer.

Bayer has produced a package of veterinary support materials to allow practices to take part in the campaign and raise awareness at a local level. Materials include: an educational waiting room wall display and DVD, and client leaflets. A PR pack has also been produced which contains useful images and information which can be used on websites and in newsletters, as well as a press release for issuing to the local media and radio stations. To order these support materials, practices should contact their local Bayer representative or ring 0845 2574798 quoting 'Be Lungworm Aware'.

The RCVS Disciplinary Committee has dismissed a charge against Nicholas Robert William Horniman MRCVS, a veterinary surgeon from Cinderford, Gloucestershire, that alleged he was guilty of pet insurance fraud, along with one of his clients, and of dishonestly altering clinical records.

The charge was that, between December 1 2008 and June 30 2014, in relation to Cassy, a Labrador retriever belonging to Jayne Bowkett, Mr Horniman:

• suggested to Mrs Bowkett that she take out an insurance policy for the dog using owner's details that were different from those used for its current insurance policy;
• dishonestly arranged for or allowed practice records for the dog in the name of Bowkett to be discontinued and separate records to be started in the name Griffiths;
• and, dishonestly maintained practice records for the dog as if she were different from the one for which previous practice records had been maintained.

The Committee heard that Cassy, who had previously been diagnosed with hip dysplasia, had been registered with Pets Barn Veterinary Group in Gloucestershire in May 2008 when Mr Horniman was the Principal and owner of the three-practice group. Cassy was treated at the Cinderford branch of the practice where she received regular prescriptions for her condition.

At some point in 2008/2009, Mrs Bowkett had relayed concerns to Mr Horniman that her current pet insurance policy needed to be renewed, that the renewed policy would not cover Cassy's existing hip problems and that she would be unable to pay for any future operations herself. It was alleged that, in response to Mrs Bowkett's concerns, Mr Horniman told her that they could take Cassy off the practice computer and put her back on under a different insurance policy in a different name.

Mrs Bowkett took out a policy with Petplan, beginning on 13 August 2009, using her father's details instead of her own. It was alleged that Mr Horniman then arranged for new practice records to be set up in the name 'Cassy Griffiths'. These new records were first used substantively in May 2010 when Cassy returned to the practice with hip problems, following which two separate records were maintained for the dog under 'Cassy Bowkett' and 'Cassy Griffiths'.

In August 2010 Dariusz Drozdz MRCVS, a vet who had treated Cassy several times, had been told by Mrs Bowkett that the dog had two separate records. He told the Disciplinary Committee that he queried this with Mr Horniman who suggested that it was a mistake and that they 'RIP' the name Cassy Bowkett. Mr Drozdz disagreed on this course of action but was told by Mr Horniman to 'leave it to me' and the records were then changed to say that Cassy Bowkett had died.

Mrs Bowkett alleged that, at some point in 2011, Mr Horniman explained to her that it would no longer be possible to claim for treatment for Cassy's hip dysplasia under the Petplan policy in her father's name. However, the policy remained active, and was transferred into Mrs Bowkett's name upon her father's death.

In July 2011 Cassy Griffiths was seen by Jennifer Jones MRCVS, a part-time locum vet at the Cinderford practice, who told the Committee that she was puzzled about why there were very few clinical records relating to the animal. A receptionist explained to her that there were two sets of records for the same dog and that Mr Horniman had instructed her to mark the original pet as having been euthanased and close its records and create a second new record for the dog. Ms Jones tendered her resignation shortly afterwards citing concerns that a pet had been 'reincarnated to ensure continued income from insurance claims'. In November 2011 Ms Jones submitted a formal complaint to the RCVS.

During the course of the hearing the Committee heard evidence from Mrs Bowkett, Mr Drozdz and Ms Jones, amongst others.

In giving evidence Mrs Bowkett admitted that she had knowingly engaged in fraud but maintained that at all times she had acted with the knowledge and on the advice of Mr Horniman. However, the Committee found that she was unable to remember any relevant material dates and was unclear about the chronology of events. It was suggested on several occasions that she was lying to the Committee, which she denied. However, the Committee believed that she took no responsibility for her own fraudulent actions but merely blamed Mr Horniman and that she had a strong motive to engage in the insurance fraud.

In regards to the evidence given by Mr Drozdz the Committee noted that he did not record his suspicions of possible fraud, that he continued to treat Cassy Griffiths after he raised his concerns, and that he appeared to have accepted Mr Horniman's assurance that he had dealt with the issue.

The Committee found that Ms Jones was correct in her suspicions that there was only one dog. However, it felt she offered no evidence to support her suspicion that this was part of Mr Horniman's 'scheme to maximise income for the practice' as she alleged in her witness statement.

The Committee also heard oral evidence from and on behalf of Mr Horniman who categorically denied suggesting to Mrs Bowkett that she commit insurance fraud and attempting to cover this up through the maintenance of two separate records. He maintained that it was not until Ms Jones voiced her concerns that he realised that Cassy Bowkett and Cassy Griffiths were the same dog.

The Committee voiced a number of concerns about Mr Horniman's actions and behaviour and, at times, found his evidence to be unsatisfactory. For example, the Committee found it difficult to understand why 'alarm bells' did not ring that he was dealing with only one dog when he prescribed medication for two almost identical dogs in May 2010 when only one was presented for examination. It also queried why, when he became aware that the insurance policy for Cassy Griffiths was fraudulent, practice records were not updated and no attempt was made to contact Petplan to inform them of this, as is clearly advised by the RCVS Code of Professional Conduct.

Furthermore, the Committee was concerned that, in his correspondence with the RCVS, he was less than transparent, candid and honest. The Committee considered this to be unacceptable behaviour from a professional in dealings with investigations undertaken by the regulatory body.

In making its judgment, the Committee had to make a decision on whose account it felt to be more reliable in regards to the first element of the charge.

Noreen Burrows, chairing the Committee and speaking on its behalf, said: "In coming to its conclusion ... the Committee is faced with conflicting evidence from Mrs Bowkett, who is an admitted fraudster, admits to acting dishonestly and to lying to Petplan. This is in contrast to the evidence from the Respondent, who is of good character, had an unblemished personal record over 23 years and is supported by impressive character references."

The Committee found the evidence of Mrs Bowkett to be "vague, lacking in clarity and inconsistent with the facts" and therefore rejected her evidence concerning the first element of the charge. In regards to the second element of the charge, the Committee was not satisfied that Mr Horniman had arranged for or allowed the records to be changed as was alleged. In regards to the third element it found that, since it had already rejected the charge that Mr Horniman suggested to Mrs Bowkett that she embark upon insurance fraud, it was unlikely that Mr Horniman would have acted dishonestly in the manner alleged.

Noreen Burrows added: "In the light of the above findings, all charges against the Respondent are dismissed."

Royal Canin is offering three free places on 'Video-making for social media', a CPD training course organised by the VPMA and SPVS.

Advances in mobile phone technology, combined with the simplification of video-editing software and the adoption of video in social media, have led to an explosion in the use of the medium over the past 12 years. YouTube, which had its first video posted in April 2005, now counts over a billion users.

To help veterinary professionals gain the skills needed to make the most of this increasingly important medium, 'Video-making for social media' will teach you how to use your mobile phone to create engaging video, in particular looking at script-writing, voice-overs, editing and mixing soundtracks.  

The course takes place in Preston, Lancashire on 17th May. 

To be in with a chance of receiving one of three free places on the course, send an email with 'Video-making for social media' in the subject line, followed by your details and why you would like to attend to: royalcaninvet.gbr@royalcanin.com. Entries will close 10 working days before the event.

Alternatively, places on the courses can be booked by calling 01453 872731 or by visiting www.spvs-vpma-events.co.uk. Workshops cost £275 plus VAT for non-members and £195 plus VAT for VPMA and SPVS members (discounts offered on group/ bulk bookings). Cost includes CPD certificates, lunch and refreshments.

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

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