• Rabbits are different – how rabbits differ in relation to anaesthesia compared to cats and dogs
• Considerations when booking in and admitting rabbits – ensuring an optimal outcome for your rabbit patients starts at the time of making the appointment
• Pre-anaesthetic planning and induction - how important pre-anaesthetic planning is in rabbits and best practice induction
• Considerations for supporting anaesthetised patients - maintaining anaesthesia in the rabbit is not as straightforward as often thought. This presentation goes through the best way to support rabbits during maintenance
• Considerations when recovering and discharging rabbits - recovery is considered to be one of the most critical stages of anaesthesia -particularly in the rabbit. Find out why and what to do in this short presentation.

Vetoquinol has announced the launch of Enisyl-F^TM, the first L-Lysine supplement developed for veterinary use in the UK and Ireland.

Vetoquinol says a unique distributing pump and paste formulation will aid compliance in cats that require L-Lysine supplementation and make administration of L-Lysine much easier.  Each pump action delivers 1ml of Enisyl-F paste at each press, which can be applied directly into the cat's mouth or on the paw to be licked off.  It can also be added to food. 

Zorica Agbaba, Enisyl-F's Product manager said: "We are delighted to have launched Enisyl-F and I am sure it will prove very useful to veterinary surgeons, especially when it comes to aiding compliance in cats that require L-Lysine supplementation."

To try Enisyl-F or for more information about the product, contact your local Vetoquinol representative or call Vetoquinol main office on 01280 814 500 (UK) or 1800 406 117 (ROI free phone number).  Alternatively visit http://www.vetoquinol.co.uk/ website.

Professor Steve Dean MRCVS has been elected as the 14th Chairman of the Kennel Club. He is the first veterinary surgeon to hold the post.

Professor Dean has been a Member of the Kennel Club since 1992 and has been a member of the General Committee since 2005. He has served on the Crufts and Finance & General Purposes Sub-Committees for the past two years and previously spent four years on the Disciplinary Sub Committee.

Professor Dean said: "I am honoured to be elected as Chairman of the Kennel Club and to be given the opportunity to help improve the lives of dogs by ensuring that they live healthily and happily with responsible owners.

"I am aware of the scale of some of the challenges that we face but am excited about the opportunities that exist to help us make a real difference for dogs. I look forward to supporting and working with the millions of responsible dog breeders and owners that there are in this country, and to standing shoulder to shoulder with vets and other individuals and organisations, who are dedicated to improving the health and welfare of dogs."

Professor Dean, who turns 60 in August, is currently the Senior Veterinary Surgeon at Crufts each year. He is a breeder, exhibitor and judge of Border Terriers and has been involved in the breed for 30 years. He is currently Chairman of the Southern Border Terrier Club as well as the overall breed health co-ordinator for all seven breed clubs. He is also President of Windsor Dog Show Society.

Away from the world of dogs, Professor Dean is a keen reader and gardener and is an avid supporter of rowing, treasuring his Henley Regatta medal equally to his achievements in the show ring.

The British Veterinary Association has opened Through the eyes of vets, an exhibition in the House of Commons of the diverse work carried out by veterinary surgeons, depicted in a series of photographs by its members.

The exhibition comprises 22 photographs showing a range of subjects from across the UK and overseas, including cattle during a TB testing day on the island of Arran, a surprising find during surgery, a look down the microscope at feline myofiber disarray and a practical session of bee veterinary medicine.

The photographs were selected from around 1,000 that were submitted to the association's photo competitions by its members in 2016 and 2017.

The exhibition was officially opened today by Neil Parish MP, Chair of the Environment, Food and Rural Affairs Committee (EfraCom) and BVA Honorary Member, at an opening ceremony attended by parliamentarians as well as many of the veterinary surgeons whose photographs feature in the exhibition.

Neil said: "These photos show the diverse range of things that vets are involved in. What we respect from BVA is that we get good clear, evidence-based advice when we need it."

BVA member and Director of Cambridge Veterinary Group Lucy Crosby was commended for her snake intubation picture last year. She said: "The exhibition is a really exciting opportunity for vets to show that their skills extend beyond the operating room to the arts.

"I personally feel privileged to have my photo shown here. The veterinary profession and what we do is diverse and it's important to broadcast to the general public just how important the profession’s contribution is to the country."

BVA President, John Fishwick said: "It's an honour to have the opportunity to exhibit our members’ photographs in the Palace of Westminster. Vets work in practices across the UK, in government policy, public health and food safety, industry and technology, the armed forces, and beyond.

"As a profession, we play a significant role in many areas of personal and political life; an issue that EU exit has brought into sharp relief. With the political landscape shifting so rapidly, it’s apt that we’re showcasing vets’ work to parliamentarians to make sure it’s at the forefront of their minds as they return for the New Year."

The exhibition will be open daily until Thursday 11 January in the Upper Waiting Room of the House of Commons, an area open to Members of Parliament, Peers and visiting members of the public.

To view the photographs exhibited, and many others from BVA’s photo competitions, visit BVA’s Flickr account: www.flickr.com/photos/britishvets/albums/

Unite and the British Veterinary Union (BVU) have written to the government asking for the Professional Standards Authority (PSA), which  regulates such governing bodies as the General Medical Council,  General Dental Council, and Nursing and Midwifery Council (NMC), to have 'scrutiny' of the RCVS.

In a letter to junior minister at the Department for Environment, Food and Rural Affairs, George Eustice, the BVU chair  Dr Shams Mir cited the case of Munhuwepasi Chikosi struck off the register of veterinary surgeons by the RCVS in June 2013.

Dr Mir said that this case was "widely seen by the veterinary profession as blatant miscarriage of justice and many expressions of 'outrage' were published in the veterinary press and online.

"One popular online veterinary forum recorded over a thousand posts criticising and challenging various aspects of the decision."

The current statutory duties of the RCVS, established by Royal Charter in 1844, are determined by the Veterinary Surgeons Act (VSA) of 1966, which Unite says is now 'outdated.

Dr Mir said: "BVU petitions the government to extend the remit of the PSA to incorporate the RCVS to ensure appropriate overview and scrutiny.

"The RCVS proposed new Royal Charter could be exploited by the RCVS to give itself proxy powers to introduce incontestable new regulatory measures."

Unite has asked for an urgent meeting with Mr. Eustice. 

Unite professional officer Jane Beach said: "Our initiative is designed to safeguard the interests of both the public, and practicing vets and veterinary nurses in the UK.

"Basically, the way that the RCVS is presently constituted means that it is both judge and jury in disciplinary matters. It sets the rules and hands down the judgements - and we believe that an extra layer of scrutiny needs to be introduced which we would like to be the PSA."

Noel Fitzpatrick of Channel 4 Supervet fame has been presented with an award by Guinness World Records after performing the world's first double 'bionic' leg implant on a cat. 

The procedure, which was carried out on a cat called Oscar in 2009, was also the first time such implants had been placed into a moving joint.

The award was presented to Noel by Craig Glenday, Editor In Chief of Guinness World Records, at the London Pet Show.

Noel said: "The Guinness Book of Records was the first book I ever had, so receiving this award is a real honour! I'm very humbled, you're only as good as your next operation - you only ever think about providing hope to pets and their owners and doing your best. To be able to help them through the toughest times and see pets like Oscar make a full recovery is the most rewarding feeling and I'm thrilled that the work we carry out at Fitzpatrick Referrals has been recognised by Guinness World Records."

A final year Bioveterinary Science student at Harper Adams University is carrying out some new research into Onchocerca Cervicalis, otherwise known as neck threadworm, and is asking equine vets to take part. 

The research is being conducted by Sarah Mansell under the supervision of Dr. Malgorzata Behnke. They say this parasite hasn't been studied in depth in the UK since the 1970's, because the symptoms can be controlled by routine worming measures. However, as the industry moves away from routine worming as a measure of reducing the risk of parasites developing resistances to treatments, a condition such as this which is now considered to be quite rare in the UK can start to re-emerge.

Sarah is asking vets to fill out a short questionnaire to assess awareness of Onchocerca Cervicalis in veterinary practices. The survey includes specific questions about the parasite as well as questions about cases of unresponsive skin conditions because a similarity in symptoms can lead to misdiagnoses that could, in fact, turn out to be Onchocerca Cervicalis.

Sarah said: "Hopefully the findings will raise awareness of this problem and help shape future research in this area."

She added: "I want to get vets thinking about this issue much more than perhaps they are at the moment."

To take part in the survey, visit: https://harper-adams.onlinesurveys.ac.uk/assessing-the-awareness-of-onchocerca-cervicalis-amongst-e-2

The RCVS Disciplinary Committee has reprimanded one veterinary surgeon and suspended another for four months, following a joint hearing regarding their professional conduct while they were in practice in Slough, Berkshire in August 2016.

The Disciplinary Committee considered a number of charges against Javier Salas Navarro MRCVS and Roman Kristin over 35 days.

The charges against Dr Navarro concerned his treatment of a kitten named Marnie. They included: 

• In August 2016, failing to read the anaesthesia consent form in relation to a surgical spay he performed;

• When Marnie was readmitted for surgery, failing to read the anaesthesia consent form, failing to undertake adequate assessment of Marnie’s condition; performing surgery without adequately considering her condition; subjecting Marnie to anaesthesia without recognising the seriousness of her illness; failing to obtain informed consent from the owners; administering medication which was contra-indicated; and failure to make an adequate record of his involvement in Marnie’s care.

The charges against Dr Kristin also related to his treatment of Marnie. They included:  

• In August 2016, failing to undertake an adequate assessment of her condition; failure to recognise and record the fact that Marnie could not pass urine; failure to refer or offer her for specialist treatment; and failure to ensure Marnie received care and treatment overnight. 

• When admitting Marnie for surgery, that he made a number of clinical mistakes including failure to gain informed consent; and failure to recognise the seriousness of her illness;

• that there were a number of failings in relation to Marnie’s care, including failure to arrange adequate overnight care, failure to monitor and record her condition, and failure to gain informed consent for the overnight care.

• that he failed to advise Marnie’s owners that he suspected her uterers had been ligated during the spay, failed to advise Marnie’s owners that she required specialist veterinary treatment; and advised that Marnie undergo further surgery at the practice in spite of this meaning her having to undergo further anaesthesia in a week and with poor chances of survival;

• that the above conduct was misleading and dishonest.

The Disciplinary Committee found a number of the facts in the charges against both Dr Navarro and Dr Kristin proven (the full details can be found in the documentation at www.rcvs.org.uk/disciplinary). 

The Committee found that Dr Navarro breached a number of aspects of the Code of Professional Conduct for Veterinary Surgeons including: making animal health and welfare the first consideration when attending to animals; the provision of appropriate and adequate veterinary care; responsible prescription, supply and administration of medicines; communication with professional colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; effective communication with clients; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals. 

Of the proven charges, the Committee found that his initial failure to read Marnie’s anaesthesia consent form on 5 August did not amount to disgraceful conduct in a professional respect, but that the repetition of this failure on 9 August did amount to disgraceful conduct. It also found that Dr Navarro’s failure to undertake adequate assessment and perform surgery without this assessment amounted to serious professional misconduct. Furthermore, the Committee found that subjecting Marnie to anaesthesia in spite of her being unwell, failure to obtain informed consent and failure to keep adequate records also amounted to serious professional misconduct. 

For Dr Kristin, in summary, the Committee found not proven the allegation that he had failed to respond on 5 August 2016 to concerns from Marnie’s owners about her condition while she was recovering from a surgical spay and also all the allegations relating to Dr Kristin’s admission of Marnie to the practice on 9 August on the basis that it was not satisfied so as to be sure that Dr Kristin had been the veterinary surgeon who admitted Marnie on that day. 

The Committee found proven the remaining charges and found he breached the following parts of the Code of Professional Conduct for Veterinary Surgeons: making animal health and welfare the first consideration when attending to animals; keeping within area of competence and referring responsibly; providing appropriate and adequate veterinary care; responsible prescribing, supply and administration of medicines; communication with colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; communicating effectively with clients and obtaining informed consent; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.

Of the proven charges, the Committee determined that his failure to adequately assess Marnie’s health, to obtain a clinical history, to undertake blood tests and recognise that she was seriously ill, amounted to disgraceful conduct in a professional respect and led to “Marnie’s underlying condition going undetected and undoubtedly contributed to her eventual death two days later”. 

The Committee also found that Dr Kristin’s decision to hospitalise Marnie without adequate overnight care, place her on IV fluids without monitoring the treatment or her condition, and failure to obtain adequate informed consent – among other things – amounted disgraceful conduct in a professional respect.

Stuart Drummond, chairing the Committee and speaking on its behalf, said: "As a direct result of Dr Kristin’s acts and omissions, Marnie was left alone overnight on fluids when those fluids had nowhere to go. Had he done his job properly he would have known that and Marnie could have avoided the prolonged suffering caused by the chosen course of treatment that did not address the underlying condition. Every element of Dr Kristin’s behaviour was catastrophic for Marnie, and yet he took no personal responsibility for her welfare and just went home.” 

Following its findings on disgraceful conduct in a professional respect, the Committee then went on to consider its sanction for both Dr Navarro and Dr Kristin.

In respect of Dr Navarro, the Committee considered the mitigating factors including previous good character, admissions to some of the facts of the case from the outset; genuine insight and remorse into the seriousness of the actions; his youth and inexperience; and relevant and good-quality testimonials from colleagues. The Committee noted that the testimonials were universally positive and demonstrated that Dr Navarro had reflected on his conduct, had become more mature and confident in his practice and made efforts to rectify the areas in which he had fallen below standards. 

Stuart Drummond said: “Although the consequences for Marnie and her owners were clearly devastating, the Committee considered that Dr Navarro’s part in her demise has to be seen in the context of all the evidence. In light of the extensive mitigation, including significant evidence of insight and remediation, the Committee was able to conclude that Dr Navarro did not represent a future risk to animals or the public. In such circumstances, the Committee considered that it was not necessary to restrict Dr Navarro’s registration and that a reprimand was the appropriate and proportionate sanction in his case.”

In relation to Dr Kristin, the Committee took into account positive character evidence from Mr Karel Daniel, a semi-retired veterinary surgeon and Vice-President of the Czech Republic Veterinary Chamber, a similar body to the RCVS in that country, as well as other testimonials on his behalf. In mitigation, the Committee considered Dr Kristin’s previously unblemished career, the fact that it was a single case involving a single animal; some development of insight into his conduct; no evidence of repetition; expressions of remorse; the impact of a family bereavement during the course of proceedings; and his financial position.

However, the Committee also took into account aggravating factors including a lack of candour from Dr Kristin when he was giving evidence, demonstrated by a tendency to blame others rather than take responsibility, as well as his recklessness in suggesting a third operation on Marnie that was not in her interests, rather than referring her into specialist care.

The final decision of the Committee on the sanction for Dr Kristin was that, given the seriousness of the misconduct, it was satisfied that this warranted a six-month suspension period. However, given the mitigating factors, the Committee decided that four months was appropriate and proportionate. 

Commenting on the sanction Stuart Drummond said: “The Committee determined that it was important a clear message be sent that this sort of behaviour is wholly inappropriate and not to be tolerated. It brings discredit upon the respondent and discredit upon the profession and, most importantly, caused harm to Marnie and great distress to her owners.

"The Committee did consider whether to remove Dr Kristin from the Register. However, in light of the mitigation in this case, the fact that this was a single case in an otherwise unblemished career, together with the unlikelihood he would repeat his disgraceful conduct, the Committee decided that, in all the circumstances, to remove him from the Register would be disproportionate.

"The Committee therefore decided to order that the Registrar suspend Dr Kristin’s registration…. The Committee was satisfied that a period of four months was appropriate and proportionate in all the circumstances."

The full facts and findings from the case can be found at www.rcvs.org.uk/disciplinary 

The RCVS has launched a new College honour, the RCVS Queen's Medal.

RCVS President Col Neil Smith said: "The Queen's Medal will be the most prestigious honour that the RCVS can bestow upon a veterinary surgeon and will be reserved for those whose distinguished careers and outstanding lifetime achievements deserve wider recognition."

The honour was created following a review of the RCVS honours system, which demonstrated the need for a new aspirational award.

The RCVS wrote to the Cabinet Office last year, together with letters of support from Peers and MPs, many of whom attended the reception, to request permission to name this new honour after Her Majesty the Queen.

Col Smith said: "We are honoured that Her Majesty has supported the proposal and allowed the College to name the award after her, and express our sincere thanks to those Parliamentarians who supported our endeavour."

The first RCVS Queen's Medal will be presented at RCVS Day in July 2014. The nomination form for the Queen's Medal can be found at www.rcvs.org.uk/Queensmedal.

ioLight, the world's first portable high resolution digital microscope, which premiered at the London Vet Show last year, has won a European Product Design Award 2017 and raised a further £320K in equity funding on the Crowdcube platform.

In 2014 ioLight co-founders, Oxford physicists Andrew Monk and Richard Williams, filed a patent application for a pocket-sized digital microscope with a performance that compares with expensive laboratory microscopes. They asked Cambridge Industrial Design to realise the product, briefing them that the device would need to deliver images with one micron resolution (required to view human or animal cells) onto a smartphone or tablet, be pocket-sized, easy to use, and economical to build in medium to high volumes.

One of the biggest challenges was in making the unit pocket-sized, which meant it had to be foldable, something which could have led to a loss in the rigidity needed to achieve high resolution images. This challenge was overcome with the use of a single hinge which the company says makes the ioLight both portable and robust.

Alex Jones, Managing director of Cambridge Industrial Design said: "We recognised immediately this was a great idea but the design brief was certainly a challenge. Fortunately, challenges can sometimes bring out the best in designers. The final design is a real success both aesthetically and ergonomically, and this award is a fantastic acknowledgement for the design process and the final product that we have created together with ioLight."

ioLight is also celebrating another success: closing its second round of equity funding after raising £320k from 335 investors on the Crowdcube platform (128% of the initial target). 

The company says the new funding will allow it to promote the microscope to a wide range of target markets including veterinary surgeons, education, laboratory and field research, museums and public engagement as well as to international markets. 

Andrew Monk, ioLight’s co-founder said: "The product is so simple to use that it is the ideal communication tool for explaining science to the public, students and customers. The microscope lets everyone see the same image so the discussion is about the picture not the tools. It’s a perfect fit for government public engagement campaigns, which are well funded at the moment. We are absolutely delighted that this funding provides us with the opportunity for both product development and to reach out and make microscopy available to so many more people."

Dechra and VetSurgeon.org have joined forces to offer veterinary surgeons the peri-operative analgesia CPD event of the year, which also marks the launch of a new Anaesthesia Group on VetSurgeon.org.

The CPD event is in two parts. The first is a webinar on Tuesday 30th April at 7:30pm by Dr Jo Murrell DipECVAA (pictured right) entitled: Analgesia for ovariohysterectomy in dogs and cats and the role of Comfortan.

Jo will present the results of studies she has conducted to investigate which opioid provides optimum analgesia for the procedure in both dogs and cats. In one study, she compared the analgesic effect of peri-operative methadone with peri-operative buprenorphine in dogs. In the other, she compared the analgesic effects of methadone with buprenorphine in cats undergoing ovariohysterectomy using the QUAD anaesthetic protocol.

You can register now for Dechra’s webinar, here.

The webinar will be followed by the opportunity to put follow-up questions to Jo in a special forum in the new Anaesthesia group on VetSurgeon.org, where she has become a VetSurgeon Contributing Expert.

The webinar entitles you to one hour of CPD, which you can supplement with any additional time spent discussing the issue with Jo in the forum, using the ‘Claim CPD’ button.

The event also marks the official launch of the new Small Animal Anaesthesia Group on VetSurgeon.org, and I would like to invite all members of VetSurgeon.org with an interest in anaesthesia to come and join the group here (press the ‘Join’ button on the left hand side; you may need to rotate your mobile phone to see it).

In addition, you may wish to subscribe to the digest which will alert you to any new anaesthesia discussions on a daily or weekly basis, as you prefer.

Vets Now is expanding its referral service with the acquisition of Great Western Referrals, a referral hospital in Swindon.  

The acquisition is Vets Now Referrals' second permanent site to complement its original referral service in Glasgow and its first operation in England, allowing it to extend its specialised veterinary services across the South West.

Vets Now Referrals says it plans to enhance its new acquisition by improving the premises and extending the current referral team, beginning with the appointment of a new orthopaedic surgeon who will support the current RCVS and European Specialist in Veterinary Surgery:  Hannes Bergmann DrVetMed DipECVS MRCVS.

As part of the acquisition, Great Western Referrals will be renamed Vets Now Referrals. It will offer a full small animal referral service with specialists trained in Surgery (Orthopaedics, Soft-Tissue, Spinal), Internal Medicine, Dermatology, Cardiology, Diagnostic Imaging, as well as Avian and Exotic Medicine. In addition, an independent out of hours emergency service will also be available from Vets Now at the hospital for all member practices in the area.

Vets Now Referrals will incorporate the specialist care currently offered for exotic pets, Great Western Exotic Vets. This service will continue to be run as Great Western Exotics and will retain the expertise of Neil A Forbes BVEtMed DipECZM(avian) FRCVS, an RCVS and European Recognised Specialist in Avian Medicine.

Richard Dixon, Founder of Vets Now Ltd said: "We are very excited to be extending our Referrals network and will be working hard with the local referring practices and their clients in the surrounding area. We want the local practices to have a strong and genuine say in how the business operates, and some of the early changes already planned have come from discussions with those practices."

"We have been hugely impressed by the exceptional levels of clinical experience within the existing team at Great Western Referrals, as well as their energy and commitment to deliver the best level of specialist care to pets. We will be building on this team and tailoring the service to individual practice needs.  Through our acquisition we will also bring resources to help the service grow, bringing added security to the clinical team in Swindon."

"In addition to the referral service, we are very pleased that Vets Now will be operating its highly regarded and well established out of hours emergency service, which we believe will continue to benefit local member practices and their clients."

For further information about the service, visit www.vetsnowreferrals.com/ or call 01793 603 800.

Richard Dixon and Neil Forbes announce Vets Now's acquisition of Great Western Referrals.

Researchers at the University of Liverpool are asking veterinary surgeons to take part in a survey to explore the reporting of Adverse Drug Reactions (ADRs).

It is hoped the survey will capture the experiences vets have had reporting ADRs, as well as identifying barriers to the current process which could be used to improve the ease with which ADRs are reported in the future.

PhD student Heather Davies (pictured right), who is leading the research project, said: "The survey is an important opportunity to gain insights into the issues that vets  face when dealing with ADRs.

"We want to make the process easier in order to improve the safety of veterinary medicines, and ultimately, we need the help of professionals on the front line in order to do that."

She added: "The survey is relatively short and can be completed anonymously. 

"We’re really keen to gather as many of your experiences as possible so we’d like to encourage veterinary professionals to complete it."

The research is being carried out as part of a PhD project funded by the Veterinary Medicines Directorate (VMD) in collaboration with the Small Animal Veterinary Surveillance Network (SAVSNET), based at the university.

The survey is now open and you can take part here: https://liverpool.onlinesurveys.ac.uk/adrs-vet

Any questions about the survey can be addressed directly to the researchers: Heather Davies (PhD student): H.H.Davies@liverpool.ac.uk and/or Dr David Killick (Supervisor): David.Killick@liverpool.ac.uk.