High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries PDF
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High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries Edited by Sara White Executive Director and Veterinarian, Spay ASAP Inc. Founder, ergovet Member, 2008 and 2016 ASV Veterinary Task Force to Advance Spay-Neuter This edition first published 2020 © 2020 John Wiley & Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions. The right of Sarah White to be identified as the author of the editorial material in this work has been asserted in accordance with law. 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Title: High‐quality, high‐volume spay and neuter and other shelter surgeries / edited by Sara White. Description: Hoboken, NJ: Wiley‐Blackwell, 2020. | Includes bibliographical references and index. Identifiers: LCCN 2019039394 (print) | LCCN 2019039395 (ebook) | ISBN 9781118517208 (paperback) | ISBN 9781118810927 (adobe pdf) | ISBN 9781118810873 (epub) Subjects: MESH: Surgery, Veterinary–methods | Sterilization, Reproductive–veterinary | Animal welfare Classification: LCC SF911 (print) | LCC SF911 (ebook) | NLM SF 911 | DDC 636.089/7–dc23 LC record available at https://lccn.loc.gov/2019039394 LC ebook record available at https://lccn.loc.gov/2019039395 Cover Design: Wiley Cover Image: © Cat ovary Photo credit Intraoperative picture Philip Bushby, © Rabbit intubation Photo credit – Ramiro Isaza, © Feral cat Photo credit – Brenda Griffin, © Puppy in sock Photo credit – Pamela Krausz Set in 9.5/12.5pt STIXTwoText by SPi Global, Pondicherry, India 10 9 8 7 6 5 4 3 2 1 v Contents List of Contributors ix Preface xiii Acknowledgments xv Part One Clinical Techniques and Patient Care 1 Section One Peri-operative Care Associated with Spay and Neuter 3 1 Determination of Patient Sex and Spay–Neuter Status 5 Brenda Griffin 2 Disorders of Sexual Development and Common Reproductive Pathologies 27 Brenda Griffin, Sara White, and Margaret V. Root Kustritz 3 Instrumentation for Spay–Neuter 53 Amber Burton and Sara White 4 Asepsis 65 Brian A. DiGangi 5 Infectious Disease Control in Spay–Neuter Facilities 89 Sara White and Natalie Isaza 6 Strategies to Reduce Stress and Enhance Patient Comfort during the Spay–Neuter Process 103 Brenda Griffin Section Two Anesthesia for Spay–Neuter Surgery 125 7 Principles of Anesthesia, Analgesia, Safety, and Monitoring 127 Sheilah Robertson 8 Anesthetic Protocols for Dogs and Cats 153 Sheilah Robertson vi Contents 9 Special Considerations for Anesthesia of Pediatric Patients 193 Emily McCobb and Sheilah Robertson 10 Anesthetic Complications 209 Emily McCobb 11 Cardiopulmonary Resuscitation in Shelter Animal Practice 227 Luisito S. Pablo Section Three Surgical Techniques for Spaying and Neutering 239 12 Dog Spay/Cat Spay 241 Philip Bushby and Sara White 13 Cesarean Section 267 Sheilah Robertson and Sara White 14 Dog Neuter/Cat Neuter 281 Philip Bushby and Sara White 15 Neutering Procedures and Considerations in Rabbits and Other Small Mammals 295 Natalie Isaza and Ramiro Isaza 16 Tattoo and Ear-Tipping Techniques for Identification of Surgically Sterilized Dogs and Cats 325 Brenda Griffin, Mark W. Bohling, and Karla Brestle 17 Complications in Spay and Neuter Surgery 339 Mark W. Bohling 18 Ovarian Remnant Syndrome 363 G. Robert Weedon and Margaret V. Root Kustritz Section Four Other Surgical Procedures 371 Introduction to Other Surgical Procedures 373 Philip Bushby 19 Amputation 375 Joseph P. Weigel 19A Amputation: Anesthesia Supplement 387 Lydia Love 20 Surgery of the Eye 395 Susan Nelms Contents vii 20A Surgery of the Eye: Anesthesia Supplement 411 Lydia Love 21 Rectal and Vaginal Fold Prolapse 415 Kimberly Woodruff 21A Rectal and Vaginal Fold Prolapse: Anesthesia Supplement 423 Lydia Love 22 Dental Extractions in a Shelter Environment 425 Diana L. Eubanks and Lydia Love Part Two Fundamentals of HQHVSN 437 23 Fundamentals of HQHVSN 439 Sara White Section Five Spay–Neuter Population Medicine 453 24 Sterilization Programs and Population Control 455 Margaret Slater and Emily Weiss 25 Community Cats 477 Stephanie Janeczko 26 Influence of Spay–Neuter Timing on Health 509 G. Robert Weedon, Margaret V. Root Kustritz, and Philip Bushby 27 Non-surgical Contraception: The State of the Field 521 Jessica Hekman Section Six Human Resources and Management 529 28 Starting with Why: Know Your Purpose and Name Your Bottom Lines 531 BJ Rogers 29 Hiring for Impact, Hiring for Culture 537 BJ Rogers 30 Recruiting and Hiring HQHVSN Surgeons 545 James Weedon 31 Health Considerations for the HQHVSN Surgeon 553 Sara White viii Contents Section Seven Clinic Models 575 32 Stationary Clinics 577 Karla Brestle 33 Profile of the Mobile Spay–Neuter Clinic 589 Kathleen V. Makolinski 34 MASH Clinics 601 Sara White 35 Feral and Free‐Roaming Cat Clinics 615 Christine Wilford 36 In‐Clinic Clinics 627 Ruth Steinberger Index 633 ix List of Contributors Mark W. Bohling, DVM, PhD, DACVS Brian A. DiGangi, DVM, MS, DABVP (Canine & Staff Surgeon Feline Practice, Shelter Medicine Practice) Animal Emergency and Specialty Center Senior Director, Shelter Medicine Knoxville, TN, USA Shelter Outreach Member, 2008 and 2016 ASV Veterinary Task ASPCA Force to Advance Spay‐Neuter Gainesville, FL, USA Karla Brestle, DVM Diana L. Eubanks, DVM, MS, DABVP (canine and Senior Director – Strategic Medical feline), Fellow Academy of Veterinary Dentistry Operations Clinical Professor ASPCA Spay/Neuter Alliance Service Chief, Community Veterinary Services Asheville, NC, USA Department of Clinical Sciences Member, 2008 and 2016 ASV Mississippi State University College of Veterinary Task Force to Advance Veterinary Medicine Spay‐Neuter Mississippi State, MS, USA Amber Burton, DVM, MBA Brenda Griffin, DVM, MS, DACVIM Founder and Executive Director Adjunct Associate Professor of Shelter Wolf Trap Animal Rescue Medicine Merrifield, VA, USA Department of Small Animal Clinical Sciences Philip Bushby, DVM, MS, ACVS College of Veterinary Medicine Professor Emeritus University of Florida Marcia Lane Endowed Chair of Humane Gainesville, FL, USA Ethics and Animal Welfare Member, 2008 and 2016 ASV Veterinary Task Department of Clinical Sciences Force to Advance Spay‐Neuter Mississippi State University College of Veterinary Medicine Jessica Hekman, DVM, PhD Mississippi State, MS, USA Post‐doctoral Associate Member, 2008 and 2016 ASV Veterinary Task The Broad Institute of MIT and Harvard Force to Advance Spay‐Neuter Cambridge, MA, USA x List of Contributors Natalie Isaza, DVM, DACVPM Susan Nelms, DVM, MS, DACVO Clinical Professor – Shelter Medicine Veterinary Eye Care Veterinary Community Outreach Program Bessemer, AL, USA College of Veterinary Medicine University of Florida Luisito S. Pablo, DVM, MS, DACVA Gainesville, FL, USA Clinical Professor, Anesthesiology and Pain Management Ramiro Isaza, DVM, MS, DACZM, MPH Department of Comparative, Diagnostic & Professor – Zoological Medicine Population Medicine Department of Small Animal Clinical Sciences College of Veterinary Medicine College of Veterinary Medicine University of Florida University of Florida Gainesville, FL, USA Gainesville, FL, USA Stephanie Janeczko, DVM, MS, DABVP Sheilah Robertson, BVMS (Hons), PhD, DACVAA, (Canine & Feline Practice, Shelter Medicine DECVAA, DACAW, DECAWBM (WSEL), Practice), CAWA CVA, MRCVS Vice President, Shelter Medicine Services Senior Medical Director Shelter & Veterinary Services Lap of Love Veterinary Hospice ASPCA Member, 2016 ASV Veterinary Task Force to New York, NY, USA Advance Spay‐Neuter Lydia Love, DVM, DACVAA BJ Rogers, CAWA, CDET Clinical Assistant Professor of Anesthesiology Chief Communication Officer College of Veterinary Medicine Emancipet North Carolina State University Austin, TX, USA Raleigh, NC, USA Margaret V. Root Kustritz, DVM, PhD, DACT Kathleen V. Makolinski, DVM, DABVP Assistant Dean of Education, Department of (Shelter Medicine Practice) Veterinary Clinical Sciences Lincoln Memorial University, College of College of Veterinary Medicine Veterinary Medicine University of Minnesota Harrogate, TN, USA Minneapolis, MN, USA Member, 2016 ASV Veterinary Task Force to Advance Spay‐Neuter Margaret Slater, DVM, PhD Emily McCobb, DVM, MS, DACVAA Senior Director, Research Director, Shelter Medicine Program and Strategy & Research Lerner Clinic ASPCA Clinical Associate Professor, Anesthesiology New York, NY, USA Cummings School of Veterinary Medicine at Tufts University Ruth Steinberger North Grafton, MA, USA Executive Director Member, 2016 ASV Veterinary Task Force to Spay FIRST! Advance Spay‐Neuter Oklahoma City, OK, USA
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