Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
Tail Amputation
Tail Amputation
Time for Surgery
By: Shiya McKnight
-22 gauge catheter was placed
-Pre-med with Simbadol (0.5ml) SQ
-Induced with Ketamine (0.2ml) and
Midazolam (0.2ml) IV
-3.5mm ETT and maintained with isoflurane
-Gave 40ml/hr of LRS (during surgery P became hypotensive and was changed to 80ml/hr
-Convenia (0.38ml) and Onsior (0.38ml) SQ as post-operation medication
-Clipped and scrubbed with chlorhexidine solution
Amputation
-Laser surgery (6W)
-Dorsal midline approach from the sacrum (caudally)
-Diverted ventrally at base of tail staying away from the anus
-Used the laser to excise ventral tail muscles
-4-0 Catgut was used for hemostasis of lateral tail veins
Closure:
-Used 3-0 PDS for SQ
-Used 3-0 Proplyglo for skin
Sally's Rush to the Clinic
-Owners made a call into clinic
-tail in the shape of a "J"
-Sally came in weighing 8.16 pounds
-Doctor decided to quickly take x-rays
-No blood work was performed (in this specific case it was not, but typically during amputations blood work is performed (McCurnin, 2014))
-No findings on PE besides tail luxated and patient uncomfortable with pelvis being touched
References
Bassert, J. M., Thomas, J. A., & McCurnin, D. M.
(2014). McCurnin's clinical textbook for veterinary technicians. (pp.1251-53) St. Louis, MO: Saunders/Elsevier.
Tear, M., & Busch, S. J. (2012). Small animal surgical nursing:
skills and concepts. (pp. 188). St. Louis, MO: Elsevier/Mosby.
Thomas, J. A., & Lerche, P. (2017). Anesthesia and analgesia for
veterinary technicians. (pp. 37-39). St. Louis, MO: Elsevier.
The Doctors' Plan for Sally
-Overnight Sally would get IV fluids and be re-evaluated in the AM
-She would be monitored for drainage
-Her pain level would be checked
-Additional Simbadol would be given if needed
-Onsior would be continued
-Sutures would be removed two weeks prior to surgery
-Next day after sx, Sally was rolling around acting like a normal cat and got discharged that day
Recovery
-Domestic Long Hair -2 year old feline
-Female Spayed -Front Paw De-Clawed
The Story of the Sally
**name of patient has been changed for confidentiality reasons**
-Sadly, Sally woke up fast and thrashing and 0.05 ml of Dexdomitor was given IM
-Post-op radiographs were taken and everything was perfect and the pelvic bones were not interrupted
-LRS was given at 12 ml/hr post-op
-Rx- Onsior 1 PO SID
Conclusion:
WEEEEEE!
=
Findings and Decisions
Radiograph finding:
-completely luxated at sacrococcygeal joint
-fractured tail
-fractured pelvis
Doctors' recommendation:
-Amputate at sacrococcygeal joint
Owner consented