Rob Davis's Activities

Does anyone have any top tips for catheterising bitches?

a.bardell — Mon, 17 Dec 2018 14:57:38 GMT

Does anyone have any top tips for catheterising bitches? It's the one thing I seem to struggle with for some reason and I have a cystotomy booked in for tomorrow so ideally would like to be able to do it.

thanks

What would you recommend for this mandible fracture in a dog?

Beats — Thu, 10 Oct 2024 21:07:59 GMT

8 year old pug with unstable mandible after suspected low-speed trauma with car. Unable to eat. Limited budget.

What do you do with split hard palate after trauma in cat?

Beats — Fri, 03 May 2024 12:30:14 GMT

I'm thinking of an RTA with presumed maxillary fractures and a midline split hard palate.

Options appear to include:

1) Primary suture apposition

2) Lateral incisions and undermining of hard palate and then primary suture apposition

3) Wire (in some form) from 108 to 208 tightened enough to close gap

4) other materials from 108 to 208 holding together to close gap

5) encircling around maxilla with 40lb nylon leader line

I have done options (2) and (3) before, most recently doing option (2) on Sunday alongside an esophagostomy tube, and has done well (although did take until today to eat voluntarily, possibly mostly due to anosmia?). However I'm conscious that is more oral trauma than option (1), is more effort than option (1), and if option (1) is similarly reliable then perhaps I should try that next time instead. I used 5-0 monocryl plus simple continuous.

Many thanks!

Best haemostatic agents to have on hand for surgery?

Beats — Fri, 29 Mar 2024 13:53:36 GMT

New haemostatic gel claims to transform veterinary surgery - VetSurgeon News - VetSurgeon.org - VetSurgeon.org

Has anyone used this Vetigel themselves to give feedback on? It strikes me that if I have a severe bleed not responding could be useful to have, but would like to have some positive feedback from other vets first.

What other products are there that you can recommend in a haemorrhaging open surgery?

I was reading this report on PDA surgeries and was impressed with the super-low mortality rate in spite of relatively normal rupture rate:

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture - PubMed (nih.gov)

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture - Grimes - 2022 - Veterinary Surgery - Wiley Online Library

They quote use of "a topical hemostatic agent" amongst strategies used to stem bleeding after rupture, and this got me wondering what the best topical hemostatic agents might be to have on hand?

"Digital pressure, hemostatic clamps, hemostatic agents, and suture or vascular clips can all be used to control hemorrhage in the event of rupture. This low mortality rate is encouraging; despite massive hemorrhage, hemorrhage control and survival is possible with proper preparation, including blood typing, access to blood products, access to hemostatic materials, and knowledge of their application."

Thanks in advance!

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(On a side note, can anyone enlighten me on what "hemostatic clamps" and "vascular clips" might mean within this PDA paper?

Does a hemostatic clamp mean something normal like mosquito forceps, or does it mean something like Satinsky forceps, or something altogether different?

Does vascular clips mean something like I already have in the Weck Horizon Medium/Large vascular clips 003200, the green ones on Teleflex Incorporated - Weck Surgical Catalog (teleflexsurgicalcatalog.com) , or are these different sizes / types of vascular clips like these, or indeed something entirely different?)

Deciduous canines - useful kit?

Neil Wheadon — Sat, 17 Feb 2024 11:20:57 GMT

Anyone tried these? They are curved

Looks like a life saver, such a common thing and not a lot of time to do them

https://drbrettspets.com/products/dr-bretts-decidous-canine-extraction-set

Are there correction options for a lingually displaced canine in an adult dog?

Lucy Fleming — Wed, 24 Jan 2024 16:46:10 GMT

Saw a 15 month old springer today for castration and noted at the time of induction that one of his lower canines is lingually displaced, and impacting on the hard palate just medial (mesial?) and rostral to the upper canine. It seems to have made itself a smooth little pit in the mucosa, not currently inflamed or obviously painful.

Are there still options to correct the position of this tooth now that it is fully erupted? I presume that things like ball therapy or even more advanced orthodontics are only useful before this point, but I'm happy to be corrected.

If correction of position isn't possible, should we be offering referral for crown shortening, to prevent issues where the tip of the crown contacts the mucosa? Or to prevent pain? I don't want to presume this isn't painful, just because it's no longer a needle sharp deciduous tooth!

What are your favourite dental suture materials?

Kate Richardson — Wed, 07 Jun 2023 14:19:23 GMT

What are your favourites please (for cats and dogs)

Could I have some dental xray machine recommendations please?

Joyce Whitehead — Tue, 28 Nov 2023 18:51:43 GMT

As a practice that currently does not have dental radiography we are considering investing. So could I have top tips and recommendations Please? We would prefer a stand mounted head that can be moved away for storage and space purposes. DR presumably best (our current xray system is DR). In addition do practices generally charge per image, or whole mouth? Is it included in your standard quotes or as an add on? Obviously we have to work on a price that makes it useable but with some return on investment.

All advice welcome!

Do you want to improve your canine dentistry skills?

Rob Davis — Sun, 26 Nov 2023 18:41:46 GMT

www.vetsurgeon.org/.../Extraction_5F00_course_5F00_2024_5F00_flier_5F00_1_5B00_98_5D00_.pdf

What is the latest advice for lingually displaced canines in a 9 week old WHWT

Sarah Bolt — Sun, 20 Aug 2023 13:29:21 GMT

Hi,

I haven't seen one for a while so hoping to seek advice about the best treatment plan for a 9 week old westie who has lingually displaced mandibular canines as per photo. They are causing an indentation on the apposing maxilla. I only took a photo of one side due to wriggliness of the pup, but both sides are about the same.

The pup is bright and well in himself otherwise, it's not affecting appetite and was eating treats happily in the consult room.

Any advice is much appreciated.

Thanks

Mandibular neoplasia or osteomyelitis or something else- my own cat

Kate Richardson — Fri, 21 Apr 2023 14:33:59 GMT

Monty is a 4 years old DSH, rehomed to me about a year ago and is just lush.

Bit off his food earlier this week so naturally I checked his teeth and found a mass lesion just below 409 and moderate gingivitis 407/408. mass lesion firm to touch. Remainder of his teeth/mouth looks absolutely fine. Fairly regularly check his teeth and he is on t/d (which he was still eating but not his wet food as much) so I think these changes are recent. See photos below. So xrayed and not sure whats going on, but the bony reaction on the mandible is where the mass lesion is and I am concerned it could be early neoplasia (although I really really REALLY hope not )

I think 407 and 408 will need extracting, although neither are mobile, but I also need to biopsy the bony area (unless it resolves as have put him on clavaseptin for the moment in case its osteomyelitis. he definitely seems brighter and is back to his normal appetite now.)

Would appreciate your thoughts on this and also best way to biopsy this? Both mandibular images were on same settings, so definite difference between the affected and non affected side

Will the monarchy survive?

Arlo Guthrie — Tue, 09 May 2023 10:10:22 GMT

Just as I was thinking what a unifying thing the monarchy is, how it beings colour on the rainiest day, how it protects us from despots and how it is adapting to modern life, as demonstrated by the notably inclusive coronation, the PM of Saint Kitts and Nevis says his country will not be free until Charles isn't its head of state. On top of which, various surveys found the young are just not very interested.

So do you think the monarchy will continue to adapt and become more relevant, in enough time to save it?

Or is it in its death throes?

Complicated crown fracture 704 AND malocclusion

emily capes — Mon, 22 May 2023 20:02:55 GMT

Hi guys,

5m old male Malinois supposed to be used for bite work - what do we do- extract 704 and hope 304 moves into correct position or do something more radical for the malocclusion now?

thanks in advance!

Complicated crown fracture or not?

emily capes — Tue, 16 May 2023 09:04:14 GMT

A colleague’s 3 yr old MN DSH chipped his canines a few weeks ago, came in for assessment under GA with radiographs- The radiograph of 104 looks like pulp cavity involved, but there is nothing to see/probe on surface. What are you opinions?

Mandibular labial bone swelling 404

Kate Richardson — Thu, 02 Mar 2023 11:04:18 GMT

What are your thoughts on this swelling- it's a bit like the buccal bone expansion you see with maxillary canines, but more focal around the attached gingiva and doesn't appear to extend beyond the MGJ. Similar appearance on the left side around 304 but to a lesser degree.

It was first noticed when the cat came in for vaccination and it hasn't changed in appearance in the last 2 months. Neither tooth appears painful, O has been monitoring closely and has seen no signs of pain/difficulty prehending food.

I want to xray (obviously!) but the owner isn't keen as it does not appear to be causing the cat any issues