Anaesthesia, neutering, Giant Rabbit

TOA PAYOH VETS
toapayohvets.com
Date: 09 June, 2010

Focus: Small animals - dogs, cats, hamsters, guinea pig & rabbits.

Toa Payoh Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures

CARNAISSAL TOOTH ABSCESS IN AN OLD DOG
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
First written: 09 June, 2010

Script for Ms Daphne Low

Start a new video, with the following picture as a hook:

The 11-year-old Chihuahua keeps scratching her left cheek and rubbing her infected left eye. The young man's mother had to wipe her left nostril everyday as pus spilled out. Could this be sinusitis? In addition, the mother had to put antibiotic powder on the cheek wound. Every day for the past 12 months. She gave antibiotics prescribed by her vet. Yet the facial wound never healed. Why?

Now, introduce the title: CARNAISSAL TOOTH ABSCESS IN AN OLD DOG Then 2 text slides
Then the following slides with narration and appropriate timing
	The dog had a carnaissal tooth abscess. The carnaissal tooth is the largest tooth on the upper jaw. It is also known as the 4th maxillary pre-molar. Its roots had been infected and the bacterial infection went up the sinus and damaged the cheek bone. So, a non-healing wound is seen for the past 12 months.
	"Why didn't mum's vet extract the tooth?" I asked. The solution was to extract this carnaissal tooth and all would be fine. "The vet did not want to do it as the dog is very old and may die on the operating table," the young man said.
	"You are aware that this dog may die today if I do it?" I asked the young man. He did not reply immediately. "Yes," he would take the chance. The dog was given IV drips and antibiotics. Only isoflurane gas anaesthesia was used. 11 loose and decayed teeth extracted.
	The anaesthesia and surgery took less than 10 minutes. The dog recovered. After 3 days, she went home. 7 days later, I phoned the son. He was quite grateful and said: "Mum does not need to wipe away the runny nose (left nostril discharge) or clean the tearing eye (left facial wound, dog rubs itchy wound and eye).

CONCLUSION:
I know I will never see the mother who must be in her sixties. She is now a happy mother and there will be peace in the family after 12 months of worries.

2 text slides to follow. Then,
CREDITS

toapayohvets.com
Be Kind To Pets
Veterinary Education
Project 2010-0007

Written by: Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS

Narrated and video by: Ms Daphne Low
Veterinary undergraduate, Sydney University, Australia

http://www.youtube.com/user/99pups#p/u/2/_IktlG2Rkac - script written by Dr Sing - produced by Ms Daphne. Script is shown above.

http://www.youtube.com/user/99pups#p/u/1/5AWHpWYWgy4 - first version produced by Ms Daphne Low, a veterinary intern at Toa Payoh Vets

Toa Payoh Vets
Clinical Research
More cases are at: Rabbits & Guinea Pigs