Tales from a Young Vet: Part 2 of 3: Mad cows, crazy kittens, and all creatures big and small. Jo Hardy

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СКАЧАТЬ time I left for home at nine o’clock that night Butch was fast asleep in a comfortable kennel in the ICU department and on his way to recovery.

      At the start of my second week we had an equine seminar in which we were taught how to anaesthetise horses. I asked Haidar if I could do an equine case and the following day he sent me over to the Equine Centre to help with a stifle arthroscopy – keyhole surgery on the stifle joint in the horse’s hind leg. Keyhole surgery with an arthroscope, performed under general anaesthetic, is becoming more common for horses with joint problems and the success rate is good.

      I arrived early in the morning and had the chance to place my first venous catheter in a horse (a catheter or tube placed into the jugular vein in the horse’s neck). I did it first time and was really pleased with myself. The catheter is used to attach the horse to plenty of fluids during surgery to keep its blood pressure up and to provide immediate intravenous access should we need to administer any emergency drugs.

      It was a busy morning. I had to record even more information for the horse under anaesthetic than I had for smaller animals. I also had to take blood gases to measure the horse’s heart function, but I felt awful because I spilt some blood into the blood gas analyser, a very delicate machine, and broke it. I apologised profusely, but there wasn’t time to deal with it because the horse was still under.

      The operation was a success, the horse was soon back on its feet and I was told not to worry about the machine – though I did, of course. But there wasn’t a lot of time to feel bad about it because I had to rush back to the QMH to help with the complicated case of a Russian terrier, a huge dog a bit like a black bear, which had potentially fatal arrhythmia, or irregular heart beat. The clinicians were concerned that he had a mass, or possibly a clot, in his heart. It was a high-stress situation – no one was sure that the dog would pull through or what they were going to find, so we had plenty of crash drugs on hand and a portable defibrillator in case his heart stopped. But, almost miraculously, it went well. There was a clot, not a mass, it was removed and the dog recovered well. This was great news for the owners as things could have been far worse – the clot could easily have dislodged at any time and formed an embolism in the lungs, or blocked a large vessel. Or it could have been a cancerous mass in his heart.

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