Because nothing in life is certain except for death.
The one procedure I was worried about (brachycephalic soft palate and nares), wasn't the one I should have lost sleep over.
Unfortunately, even our most "routine" and healthy patients are the ones we should worry about too.
We are so accustomed to using the word "routine" and I am just as guilty with that term as is the next person. But, we need to face the facts that even with modern day medicine, the immense decades of knowledge among our staff members and all those extra letters behind our names, doesn't mean shit against death.
This was our #tplo patient from this morning with his chest cracked open after #cpr. Pre-operative work up normal, premed was dexdomitor and hydromorphone and propofol for induction. An extremely safe protocol for the patient and procedure. This patient was "routine" until he wasn't.
Appropriate life-saving measures were taken. The patient was intubated for surgery, but not ventilating, resistance present with every intended breath. So many cycles of CPR that we lost count. Chest rads clear. Epinephrine, Naloxone, Antisedan, Dextrose, Glyco, Mannitol, IVF's; you name it. Owner updated and authorized opening the chest to manually massage the heart.
Suspect bronchospasm, vasovagal response and underlying condition- unknown.
Owner was further briefed on their pets status. Agonal, paradoxical breathing presented, fixed pupils, absent pulses and waxing and waning fibrillation.
At the request of the Owner the patient was humanely euthanized. Declined necropsy.
Thanks to our amazing coworkers for allowing us to help you, and helping us attempt to save our patient.
#teamwork#mentorshipovercensorship#veterinarymedicine#vettech#veterinarian#vettechlife#veterinary#vetnurse#vetmed#veterinarystudent#veterinarytechnician#veterinario#surgery#surgeon#doctor#prevet#vetschool#veterinarynurse#vet#vetlife#lvt#rvt#cvt#veterinaria#ortho#orthopaedic#orthopedic **This post is not intended to be a case summary**
L'EEB recevait l'ACQ Métropolitaine cette semaine pour la formation « Se connaître pour mieux performer » !
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I have said it before and I will continue to say it: PARTNER WORKOUTS ARE MY FAVORITE!! 🥰💪🏻
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Dr Wentz and his team of over 60 incredible Research and Development Scientists have helped me as well as many family and friends with various concerns. It was an honour to get to meet and speak with Dr Wentz.
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