Quiz Question
In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, at which time point did BLIS show significantly lower pain scores?
🔍 Key Findings
- BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
- Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
- BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
- Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
- Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
- Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
- Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
- Results suggest BLIS could reduce opioid reliance post-amputation
Veterinary Surgery
6
2024
Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation
2024-6-VS-paul-1
In Parker 2023 et al., on Locoregional analgesia in TPLO, which locoregional technique was rated as having the fewest adverse effects?
🔍 Key Findings
- Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
- Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
- Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
- PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
- PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
- PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
- LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
- Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.
Veterinary Surgery
4
2023
Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists
2023-4-VS-parker-5
In Sandberg 2024 et al., which joint was most affected by the tactical harness in all planes of motion?
🔍 Key Findings Summary
- Tactical harness use altered kinematics in all forelimb joints
- Elbow most affected: increased extension, internal rotation, abduction at walk and trot
- Carpus: reduced flexion, increased abduction at walk
- Shoulder: least affected, but showed reduced flexion and increased abduction during walk
- Only significant ROM increases:
- Shoulder frontal plane (22%)
- Elbow transverse plane (19%) at walk
- Results suggest potential functional limitations from harness use during duty
Veterinary and Comparative Orthopedics and Traumatology
2
2024
Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics
2024-2-VCOT-sandberg-1
In Simpson 2022 et al., on feline cholecystectomy outcomes, what was the survival rate to hospital discharge?
🔍 Key Findings
- Cholelithiasis was the most common indication for cholecystectomy in cats.
- Perioperative complications were frequent, with intraoperative hypotension in all recorded cases and postoperative anemia in 14 cats.
- Perioperative mortality was 21.7%, lower than historical rates for feline biliary surgery.
- 78.3% of cats survived to discharge, and 83.3% of those lived >6 months; 44.4% survived >3 years.
- Vomiting was the most common short- and long-term complication, though most cats were medically managed.
- Concurrent EHBDO was not a contraindication provided CBD patency was restored.
- Positive bacterial cultures were found in 15 cats, with E. coli and Enterococcus faecalis most common.
- Owner-reported outcomes were excellent in all cats that survived long-term.
Veterinary Surgery
1
2022
Cholecystectomy in 23 cats (2005‐2021)
2022-1-VS-simpson-4
In Welsh 2023 et al., on TTAF fixation methods, what was the estimated quadriceps force at a walk used as a benchmark for load testing?
🔍 Key Findings
- Two-pin fixation had significantly greater strength (639 N) than single-pin fixation (426 N) in TTAF models (p = .003).
- Stiffness was also higher with two-pin constructs (72 N/mm vs 57 N/mm); statistically significant (p = .029).
- Both fixation types withstood loads greater than quadriceps force in dogs at a walk (240 N), indicating clinical viability.
- Failure was most commonly due to pin bending or pullout (82%), with fewer cases of ligament tearing or epiphyseal fracture.
- K-wire insertion angle (KWIA) did not significantly differ between fixation types (p = .13).
- Single larger pins delivered ~68% of the strength and ~83% of the stiffness of two smaller vertically aligned pins.
- Clinical implication: Two vertically aligned pins are biomechanically superior for TTAF fixation in canine models.
- Study used mature cadavers, which may underestimate loads and stiffness compared to immature clinical cases.
Veterinary Surgery
5
2023
Biomechanical comparison of one pin versus two pin fixation in a canine tibial tuberosity avulsion fracture model
2023-5-VS-welsh-5
In Anderson 2024 et al., what recommendation did authors give to help detect this complication early?
🔍 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-5
In Duffy 2022 et al., on barbed suture oversew, what was the **most common leakage site** among all FEESA groups regardless of suture type?
🔍 Key Findings
- Oversewing the transverse staple line using barbed suture showed no difference in initial (ILP) or maximum leakage pressure (MLP) compared to monofilament suture (p = .439 and .644).
- Barbed suture repairs were ~18% faster (25 seconds faster; p < .001) than monofilament suture.
- No difference was found between unidirectional and bidirectional barbed sutures in leakage resistance or repair time (p = .697).
- Mean ILP and MLP were significantly higher in control jejunal segments (6.6x and 5.1x greater respectively; p < .001).
- Leakage consistently occurred at the crotch of the FEESA in all oversew groups (>80%), not the staple line.
- All oversewn techniques leaked at supraphysiologic pressures, indicating clinical safety against in vivo leakage.
- No leakage was observed from barbed suture holes, addressing concerns of tissue trauma due to barb design.
- The study supports barbed suture as a viable alternative to conventional monofilament suture for FEESA oversew in dogs.
Veterinary Surgery
5
2022
Influence of barbed suture oversew of the transverse staple line during functional end-to-end stapled anastomosis in a canine jejunal enterectomy model
2022-5-VS-duffy-2
In Danielski 2024 et al., on PUO effect on HIF, what percentage of elbows demonstrated subjective partial or complete healing on follow-up CT?
🔍 Key Findings Summary
- Sample: 51 elbows from 35 spaniel dogs
- Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
- Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
- Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
- Complications:
- Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
- Minor: 3 cases (5.8%) due to IM pin migration
- Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
- PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
- Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)
Veterinary Surgery
2
2024
Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs
2024-2-VS-danielski-1
In Heikkilä 2024 et al., on COPLA scaffold evaluation, what was the key finding at 1.5 years postoperatively?
🔍 Key Findings Summary
- 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
- At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
- At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
- HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
- Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
- One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
- Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar
Veterinary and Comparative Orthopedics and Traumatology
6
2024
Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs
2024-6-VCOT-heikkila-2
In Antonakakis 2022 et al., on telovelar tumor resection, how long did the dog remain neurologically normal after surgery?
🔍 Key Findings
- Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
- Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
- The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
- Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
- No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
- Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
- The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
- Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.
Veterinary Surgery
8
2022
Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog
2022-8-VS-antonakakis-5
Quiz Results
You answered 7 out of 10 questions correctly
Key Findings