8 a.m. to 12:30 p.m.
How to Handle Hypotension During Anesthesia of the Critical Patient; Anesthesia for Neonatal and Geriatric Patients; Anesthetic Protocols: Taking on the GI Patient
Andre Shih, DVM, DACVAA, DACVECC
Hypotension During Anesthesia: General anesthesia requires a balance of providing sensory deprivation to noxious surgical stimuli and muscle relaxation while simultaneously maintaining adequate tissue perfusion and oxygen delivery throughout the body. Hypotension is the most common perianesthetic complication observed in veterinary patients. Although blood pressure alone is not an exact indicator of tissue perfusion, it provides the most reliable and least invasive means of assessing cardiovascular well-being. This session will provide protocols for handling a hypotension crisis when administering anesthesia.
Neonatal, Pediatric and Geriatric Patients: These patients represent a clinical and therapeutic challenge for anesthesia. Although age is not a disease, it is an important independent risk factor of morbidity and mortality and can be used as a predictor of perioperative outcome for anesthetized patients. The odds for perioperative mortality in small animal anesthesia are age-dependent. More importantly than age alone, the combination between life stage and physical status needs to be considered by the anesthesiologist while designing anesthetic protocols. This session will review the common physiological and pharmacological peculiarities for the neonatal patients, pediatric patients and geriatric patients associated with abnormal responses to anesthetic therapies and how to deal with them.
Anesthetic Considerations in GI Patients: These include weighing the relative effects of different anesthetic agents on GI motility, their effect on GI sphincter tone and their emetic effects as well as the need for appropriate pain management. This session will review the main concerns and options for these patients.
8 a.m. to 12:30 p.m.
WVLDI/TVMA Leadership Track: Paying It Forward—Volunteering in the Veterinary Profession • Why Leadership Diversity in Our Profession is Important? • Speed Roundtable Discussions: So You Wanna Be..?
Whitney Miller, DVM • Doug Aspros, DVM • Kimberly-Ann Therrien, DVM • Bridget Heilsberg, DVM
Are you interested in seeking and achieving leadership and policy and decision-making positions within all areas of the professional veterinary community? The Woman’s Veterinary Leadership Development Initiative and TVMA are committed to providing meaningful programming to help develop future leaders. This track is two days of invaluable information on how you can step out of your comfort zone and into the role of a confident leader in your professional career and in your personal life.
8 a.m. to 12:30 p.m.
Colitis: Diagnosis of Acute Diarrhea, Insulin Resistance and Septicemia and Laminitis, EPM Diagnosis: What’s New and How to, Equine Metabolic Syndrome
Anne Wooldridge, DVM, MS, PhD, DACVIM (Auburn University, AL)
Acute colitis can cause diarrhea and systemic illness in horses and is typically an emergency. Causes, diagnostic testing and treatment of acute colitis in adult horses will be discussed in this presentation. Insulin resistance (IR) is typically associated with obesity and metabolic syndrome in horses, but transient IR can also occur in septicemic horses. Learning the mechanisms involved in insulin resistance in horses may lead to a better understanding of the links between laminitis and insulin. Mechanisms of insulin resistance will be discussed as well as clinical case scenarios. Equine protozoal myelitis (EPM) is a frustrating disease to diagnose and to treat. Understanding the different diagnostic tests is frequently confusing. This presentation will go over different clinical presentations of EPM, diagnostic testing and the latest research on treatment and outcome. Insulin dysregulation and the Equine Metabolic Syndrome (EMS) is a rising problem in horses and is a common cause of laminitis. New research is constantly coming out about diagnostics and management of this problem. This presentation will cover what is new in EMS research, and clinical cases will be discussed.
8 a.m. to 12:30 p.m.
The Art of Communication: How to Succeed When Things Are Left Unsaid and Recognizing Personality Types, Emotional Intelligence, Generational Differences and the Three Pillars of Effective Communication
Wendy Hauser, DVM
The TVMA Public Relations Committee is proud to bring you this highly interactive CE session designed to build upon fundamental communications skills to promote a strong communication platform, teaching attendees the art of communication. By gaining an understanding of individual strengths and identifying areas for improvement, the participant will learn how to tailor their communication style to most effectively interact with others. Conference attendees will participate in interactive learning activities, roundtable discussions and individual worksheets. This course encompasses the role personality (of the self and of others) plays in communication and training on recognizing and interacting with different personality types. Attendees will also learn about emotional intelligence, generational differences, exam room communication, team communication, feedback and critical conversations.
ASPCA PET HEALTH INSURANCE
TECHS & HOSPITAL STAFF
8 a.m. to 12:30 p.m.
How to Deal with Common Anesthetic Complications; Play Nice! Drug Interactions Every Veterinary Technician Should Know; PICC Lines and Jug Caths and IOs, Oh My! Advanced Vascular Access for Veterinary Technicians; and If the Gut Works, Use It! Indications and Use of Feeding Tubes
Liz Hughston, Med, RVT, CVT, VTS
Common Anesthetic Complications: In the practice of anesthesia, no matter the procedure, there is always the possibility for complications to arise. The mark of a critical thinking anesthetist is how we react to those complications. In this talk, we will cover some of the most common anesthetic complications, how to approach them and when we should be really worried! In addition, we will talk about what your monitors are actually telling you about what’s going on with your patient and what they’re not telling you. Learning objectives include troubleshooting low pulse oximetry readings, how to interpret capnometer readings (risks associated with abnormal values, approaches to addressing), identifying attributes of hypercapnia and hypocapnia and methods for addressing hypotension and hypertension during anesthesia.
Play Nice!: The number of medications we use every day in practice is astounding and increasing every day. Technicians are instrumental in both administering medications and ensuring the safety of patients receiving them so it’s important to know how drugs interact with each other. Learning objectives include basic principles of pharmacology, what are common medications used in practice, how do these medications interact, can we use these interactions to the benefit of our patient and how can these interactions harm our patients.
PICC Lines and Jug Caths and IOs: Technicians have, or should have, the primary responsibility for obtaining vascular access in the small animal patient. Have you ever been confronted with a case where you couldn’t use your preferred IV catheter site? Learn new techniques for accessing the vascular space of your patients. These techniques include central line placement, jugular catheters, intraosseous catheters and maintenance of these catheters.
If the Gut Works: Nutrition is of vital importance in the healing process of our sickest patients. While calories and nutrients can be supplied parenterally, most non-specialty veterinary practitioners are not equipped to provide total parenteral nutrition. Enteral nutrition is more economical, more cost-effective, and, in most cases, better for our patients. This lecture will discuss GI tract physiology, indications for various feeding tubes and the use and maintenance of feeding tubes.
8 a.m. to 12:30 p.m.
The Foundation of Clinical Neurology: The Neurologic Examination and Localization, Is This a Seizure, What Now?, Why Does My Dog Walk Funny?
Carissa Reese, BD, CVT, RVT, VTS
The Foundation of Clinical Neurology: The Neurologic Examination and localization will explore the complete neurologic examination including the complete cranial nerve examination, postural reactions and reflexes. Based on the examination findings, how to localize if the lesion is in the brain, spinal cord or neuromuscular system will be described. At the end of this session, the participant should be able to identify the twelve cranial nerves and describe where a lesion may be located intracranially. They should also recognize the difference between upper and lower motor neuron localization in the spinal cord and be familiar with how to localize utilizing postural reactions and reflexes.
Is This A Seizure? What Now? This session will explain the different classifications of seizures as well as the stages of seizures. It will also discuss treatment options and finally there will be videos of diseases that are commonly mistaken for seizures. At the end of this session, the participants should be able to recognize the different types of seizures and be familiar with anti-epileptic medications and how to perform treatments. They should also be able to interpret between a seizure and a variety of other diseases that may appear like seizures.
Why Does My Dog Walk Funny? This session will describe a variety of myelopathies commonly appreciated in general practice. The pathophysiology, diagnostics and treatments of each will be discussed. At the end of this session, the participants should be able to differentiate between the pathophysiology behind a variety of myelopathies. They should also be able to understand the diagnostics and treatment options of each.
Neuromuscular Diseases will explore the neuromuscular junction and the pathophysiology of a variety of neuromuscular diseases. At the end of this session, participants should be able to recognize how to localize to the neuromuscular system on examination. They should also be able to identify when a lesion is a neuropathy, junctionopathy or myopathy.