
Your Custom Quiz
In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what future direction did the authors recommend regarding helmet CPAP use?
🔍 Key Findings
- CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
- CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
- Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
- CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
- Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
- The study found no cases of hyperthermia; temperatures normalized over time in both groups.
- Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
- Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.
Veterinary Surgery
5
2024
Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs
2024-5-VS-araos-5
In Oramas 2025 et al., on laparoscopic liver lobectomy, what factor was strongly correlated with increased lobectomy time?
🔍 Key Findings
- 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
- All lobectomies were successful, regardless of dog size.
- Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
- ITT port enhanced visualization and access to hilus.
- No correlation between body weight and hilus access (p = .78).
- Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
- Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
- Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.
Veterinary Surgery
4
2025
Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population
2025-4-VS-oramas-2
In Ferreira 2025 et al., on tibial torsion measurement, which of the following best describes the intraobserver agreement of the new method?
🔍 Key Findings
Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.
Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).
Repeatability (intraobserver):
- New method: ICC = 0.99 → excellent agreement
Reproducibility (interobserver):
- New method: ICC = 0.83 → high agreement
- Traditional method: ICC = 0.52 → moderate agreement
Torsion angle measurements:
- New method avg: 16.00° ± 8.77
- Traditional method avg: 8.76° ± 4.92
Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.
Veterinary Surgery
3
2025
Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation
2025-3-VS-ferreira-2
In Dekerle 2022 et al., on ectopic ureter correction, which surgical technique was associated with the **lowest rate of minor complications**?
🔍 Key Findings
- Cystoscopic-guided laser ablation (CLA) was associated with significantly fewer minor complications (13%) than neoureterostomy (100%) (P < .01)
- CLA resulted in significantly fewer recurrences of incontinence compared to neoureterostomy (0/7 vs 5/12; P < .05)
- 80% of dogs achieved continence within 1 month postoperatively, with a median continence score of 10
- Long-term continence was achieved in 88% of dogs, with or without adjunctive treatment, over a median of 66 months
- Major complications occurred in only 8% of dogs, and all were successfully managed with surgical revision
- Persistent ureteral remnants were seen only in neoureterostomy dogs, potentially contributing to incontinence recurrence
- All dogs with incontinence recurrence responded to medical treatment, while only 1/5 with persistent incontinence after surgery did
- CLA is recommended over open surgery for iEU correction, due to lower complication and recurrence rates
Veterinary Surgery
4
2022
Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation
2022-4-VS-dekerle-1
In Gollnick 2024 et al., on TCTF risk with Arthrex STS in TPLO, what strategy is recommended to reduce risk of TCTF with angled STS screws?
🔍 Key Findings
- 42% of dogs (33/78) treated with Arthrex 3.5 mm STS during TPLO developed radiographic TCTF
- TCTFs occurred exclusively distal to the osteotomy
- 14% of screws (36/250) distal to the osteotomy were associated with TCTFs
- 6% of dogs with TCTFs developed major complications (e.g., complete tibial fracture requiring surgical revision)
- Angulation of cortical STS screws, especially in the distal plate holes, was a key contributor to complications
- Locking screws were also involved, but cortical screws angled improperly were overrepresented in serious outcomes
- Revision recommendations included preemptive fixation for large TCTFs or angulated screw placements
- Use of non-self-tapping screws (NSTS) previously showed a <1% TCTF rate, supporting higher risk with STS
Veterinary Surgery
6
2024
Tibial fracture associated with use of Arthrex self‐tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture
2024-6-VS-gollnick-5
In Mihara 2024 et al., on mitral valve repair in dogs, which technique was used during MVP?
🔍 Key Findings
- Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
- MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
- Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
- Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
- Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
- The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
- Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.
Veterinary Surgery
3
2024
Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease
2024-3-VS-mihara-3
In Matz 2022 et al., on stapler size comparison, which of the following factors was NOT significantly associated with ILP?
🔍 Key Findings
- No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
- All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
- Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
- Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
- No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
- Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
- One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
- Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.
Veterinary Surgery
4
2022
Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers
2022-4-VS-matz-3
In Glenn 2024 et al., on infection timing, what was the most common time frame for diagnosed SSIs?
🔍 Key Findings Summary
- Population: 754 soft tissue or orthopedic procedures in dogs and cats
- SSI Rate: 62/754 (8.2%)
- Algorithms Evaluated:
- Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
- Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
- Algorithm 3: Highest overall accuracy (95.5%)
- Active vs. Passive Surveillance:
- Active surveillance detected 12 additional SSIs (19.4%) missed by passive
- Active surveillance increased detection rate by 24%
- Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
- Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes
Veterinary Surgery
1
2024
Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system
2024-1-VS-glenn-5
In Lemmon 2025 et al., on synovitis severity scoring, what was concluded about the impact of bucket handle meniscal tears on synovitis severity?
🔍 Key Findings
Synovitis was present in 100% of canine stifles with CCL disease (n = 163).
The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).
Higher synovitis scores were significantly associated with:
- Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
- Longer duration of clinical signs (p < .001, OR = 1.27 per month)
Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.
Bucket handle meniscal tears were not associated with synovitis severity.
Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.
Veterinary Surgery
3
2025
Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease
2025-3-VS-lemmon-4
In Anderson 2024 et al., what radiographic feature was common among all cases of fibular nerve injury post-TPLO?
🔍 Key Findings Summary
- 3 dogs developed permanent fibular nerve dysfunction following TPLO
- Common findings:
- Drill hole or screw in caudal tibial cortex just distal to osteotomy
- Caudal malpositioning of TPLO plate (esp. right limb of case 3)
- Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
- One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
- Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key
Veterinary and Comparative Orthopedics and Traumatology
3
2024
Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy
2024-3-VCOT-anderson-1
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings
