Vet Professionals: Using The Service

Radiographic Reporting

Verbal Radiographic Reporting is offered as a free service without obligation. Written reports are available on request (fees apply). An x-ray report form should be submitted for each set of radiographs. We recommend submitting digital radiographs as DICOM files via the UPLOAD FILES buttons of this website.

Scheduling Surgery

It is preferable to initiate contact by phone rather than email for urgent cases. For non-urgent cases, phone or email as you wish.

Referring veterinary surgeon to submit the following:

  1. Referral Form
  2. Radiographs - please submit all radiographs relevant to the case. We recommend submitting digital radiographs as DICOM files via the UPLOAD buttons of this website.

Owner to submit the following:

  1. Patient Information form (under Pet Owners menu) - complete online > 48 hours prior to surgery
  2. Procedure Information sheet - owner to sign & email scanned/photographed copy > 48 hours prior to surgery

Preparing For Surgery

Prior to a visit please review Practice Requirements and ensure all staff to be involved have familiarised themselves with Perioperative Protocols and the Perioperative Drugs Record (PDF download links on this page).

The Perioperative Drugs Record lists premedicant drugs and antibiotics including dose rates and intervals, in addition to highlighting key points relating to perioperative patient safety. All drugs administered in the perioperative period should be recorded on this form.

Y-fracture bilateral LCPs
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Practice Requirements:

•   Infusion pump

•   Oesophageal stethoscope of appropriate size for patient

•   Pulse oximeter and/OR capnograph OR multi-parameter monitor. An oesophageal temperature probe is recommended.

•   Electric heat mats AND microwavable heat retaining bean bags or similar. Insulating material e.g. bubble wrap to wrap patient in (especially extremities). Warm air or warm water blankets are recommended.

•   Anaesthesia should be monitored at all times by a suitably experienced veterinary nurse (RVN)

•   A broad spectrum intravenous antibiotic; either clavulanate-potentiated amoxicillin (Augmentin) or cefuroxime (Zinacef)

•   Chlorhexidine-alcohol tincture spray; Vetasept® chlorhexidine spray or Hydrex® chlorhexidine spray

•   Tramadol or Pentazocine (patients are typically discharged with an oral opioid)

•   Bupivacaine in sterile pack (Marcain® 0.5% Steripack) is desirable for all joint procedures

•   Bupivacaine & preservative free morphine are required if an epidural is to be performed

•   Please have a minimum of 3 rolls (two large, one small) of recently sterilised Vetrap® available for each procedure

•  Sterile disposable wrap-around surgical gowns are desirable should a staff member wish (or be required) to scrub-in

•  Options for peri & post-operative pain management may include epidural (preservative-free morphine + bupivacaine), opioid (or combination) constant rate infusions (CRI), serial injections of methadone or morphine, fentanyl (Durogesic) patches, fentanyl spot-on (Recuvyra) and buprenorphine patches (cats). Click the link below for more information.

 

Peri-operative analgesia - clinical guide

Pre-Surgery Examination

For elective procedures, the patient should be checked the day prior to surgery. Pay particular attention to the following:

•     Examine for evidence of infections such as pyoderma, otitis externa, cystitis or severe gingivitis **.

•     Ideally, perform any pre-anaesthetic blood testing at this time to avoid unnecessary delays the day of surgery.

•     Auscultate the heart and lungs.

** Infection present anywhere in the body at the time of orthopaedic surgery may increase the risk of post-surgical sepsis at the surgical site. If an infection is detected treatment should be instigated. Surgery should be delayed until all infection is eliminated. In some cases – e.g. chronic atopy/pyoderma, elimination of infection may not be achievable and “adequate control” is a more realistic objective; in these cases, it may still be in the patient’s best interests to proceed with surgery albeit with some increased risk of post-surgical sepsis. Please discuss this with me and ensure the client understands potential implications of proceeding in these circumstances.

Post-Surgery Recheck and X-rays

Physical examinations and follow-up radiographs may be performed by the practice in the first instance; case information may then submitted to us for remote assessment.

Comparison between current and previous radiographs is an integral component of any radiographic assessment. It is, therefore, important to replicate the positioning of the radiographs taken immediately post-surgery as accurately as possible when taking follow-up radiographs. When submitting follow-up radiographs for review please be sure to submit all images including the post-surgical views.

Please complete a recheck form and ask your client to complete a patient progress form at the time of follow-up radiographs/check-ups, or anytime progress is not as anticipated. The forms provide information necessary for me to advise appropriately on case management.

Pre-surg-exam
Bonevet performing examination

We Value Your Opinion

We are always striving to improve our service and are extremely appreciative of all comments and suggestions received. If at any time you wish to provide feedback please do so via the feedback form or alternatively, you may contact us directly.

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