1. Name of
file - 2012TPV Anaesthesia Record
TP Reference - XXX373
Date of surgery - 24.2.12
Name of owner/representative: Mr XXX |
2. Patient
Name: XXX
Age: 15 months
Weight: 5.8 kg
Temp: 38.6C
Microchip No. XXX |
3. Surgery
Procedure: Spay. Vet: Dr Sing Kong Yuen
Suture type: 2-0 Polysorb (Braided lactomer,
Cutting 3/8 24 mm)
Suture packets used: One packet
Spay certificate No: 1675 |
4.
Anaesthesia
Induction Drugs: Domitor + Ketamine IV
Dose calculation
|
Weight
(kg) |
Age
(yrs) |
Domitor
(ml) |
Ketamine
(ml) |
|
10 |
Young (<5
yrs) |
0.4 |
0.5 |
|
5.8kg |
15 months |
0.23 |
0.29 |
|
Given 50
% |
|
0.1 |
0.15 |
| |
One
syringe with 0.25 ml.
I added 0.15 ml normal
saline = 0.4 ml to give IV |
|
Top up |
Isoflurane + O2 at 0.5-1
% for 21 minutes (C-B)
|
|
REPORT BY
VET
Isoflurane
graph charting % at 5-minute intervals
Summary:
Isoflurane maintained at: 0.5 - 1.0% for 21
minutes |
Route: IV
A. Time of injection of induction drug: 5.07pm
B. Time of isoflurane gas first given: 5.11pm
C. Time of isoflurane gas stopped: 5.32pm
D. Time of first skin incision: 5.17pm
E. Time of completion of skin stitching: 5.33pm |
E-A = 26
minutes
*E-D = 16 minutes (spay surgery)
*C-B = 21 minutes (isoflurane gas used) |
|
|
5. OTHER
MATTERS/COMMENTS
Spay timing done by intern, Mr Lim
Skin incision: 5.17pm
Linea alba incision: 5.17pm
Left ovary hooked out: 5.19pm (3 attempts)
Left ovarian ligament incised: 5.19pm
Left ovary clamped: 5.20pm
Left ovary ligated: 5.21pm.
Right ovary hooked out: 5.21pm
Right ovarian ligament incised: 5.22pm
Right ovary clamped: 5.22pm
Right ovary ligated: 5.23pm
Uterine body (UB) clamped: 5.24pm
UB transfixation ligature right side: 5.25pm
UB transfixation ligature left side: 5.26pm
UB 2nd ligation round UB: 5.27pm
UB incised: 5.29pm
UB checked for bleeding before putting into
abdomen: 5.29pm
Linea alba stitched: 2 simple interrupted sutures:
5.29pm
Finger palpate linea alba (2 cm) for hole: 5.31pm.
Skin stitched: 5.31pm. First horizontal mattress
Isoflurane gas stopped: 5.32pm
Skin stitched: 5.32 pm. Second horizontal mattress
Uterus weight: 26 g. Owner said, not pregnant
before
Spay certificate No. 1675 given to the owner. |
|
|
Dog's surgical
wound bandaged, given baytril 0.6 ml and tolfedine
0.6 ml SC
E-collar. Home Baytril 50 mg x 2 (1/2 tab sid),
Tolfedine 6 mg x 16 tab (4 tab sid)
6.30 pm phoned owner. Take dog home. Awake.
Vet's Signature:
Vet's Name: Dr Sing Kong Yuen
Date: 24.2.12
|
*MY AUDIT OF
VETERINARY SURGERY IS BASED ON:
SURGICAL TIME TO SPAY A DOG IN THIS CASE
It took 16 minutes to spay this dog (E-D).
I took 2 attempts to hook left the ovary out and
had two ligatures (one transfixing and one normal)
done on the uterine body. If I hook the ovary at
the first attempt and ligate the uterine body
once, the timing should be around 13 minutes. No
bleeding seen in this case.
TIPS
The skin incision was around 1.8 cm long and the
location was right, around 2 cm from the umbilical
scar. The 4 legs were stretched very taut as I
find this procedure much easier to hook out the
left ovary. I used the scalpel to cut the ovarian
ligament instead of fingers to snap it. Then I
ligated the ovarian ligament area once. The dog's
head was on my left. I raised the hydraulic table
to suit my height as with too low the table
height, I had to bend down and this would delay
surgery. No swab was needed in this case. 2/0
absorbable suture x 1 packet was used. I seldom
see the owner coming back for stitch removal as
the stitches dissolve in 14-28 days. This saves
the owner one trip and time.
|
TOA
PAYOH VETS
