Page 347 - ONLINE PROCEEDING BOOK WSAVA 2017
P. 347

WSVA7-0473
BIRDS, EXOTICS, RABBITS
AVIAN WOUND TREATMENT - OPTIONS FOR SUCCESS
T. Tully1
1Louisiana State University School of Veterinary Medicine, Veterinary Clinical Sciences, Baton Rouge- Louisiana, USA
AVIAN WOUND TREATMENT
Thomas N. Tully, Jr., DVM, MS, DABVP (Avian), ECZM (Avian) Louisiana State University – School of Veterinary Medicine Baton Rouge, Louisiana
Email: ttully1@lsu.edu
TRAUMATIC INJURIES
One of the most common avian presentations at our veterinary hospital is the predator attack. These cases often present with severe lacerations, limb amputations and crushing injuries. Apart from stabilization and concern with blood loss, shock and pain rapid treatment with antibiotics are indicated. With our cases we give the owners a 72 hour window for treatment response and
at least a week of hospitalization before we consider the patient in good condition. Antibiotic therapy consisting of treatment for both anaerobic and aerobic bacteria
is crucial to increasing the chances of a successful
case outcome. Listed below are products used to treat wounds sustained in predator attacks.
PRODUCTS NEEDED TO TREAT TRAUMATIC INJURIES If one is to treat avian species, especially in potentially critical condition, it is important to have the proper equipment and products to improve the veterinarian’s chances for treatment success. Equipment starts out with a digital gram scale (Veterinary Specialty Products, Boca Raton, FL) that can measure up to 6 kg. For smaller birds, a separate digital gram scale (Veterinary Specialty Products, Shawnee, KS USA) measures up to 2 kg will be appropriate. The primary difference between the scales is that the 6kg scale will likely weigh in 5 gram increments while the 2kg scale will have measurements in one gram increments. For larger birds, dog and cat scales are used, while ratites need scales manufactured for large animals. It is not only important to weigh the patient upon presentation to determine the proper therapeutic dosages, but to weigh the bird on a daily basis for patient response to treatment. A temperature controlled critical care unit (Lyon Electric, Co, Inc., Chula Vista, CA USA) is also important. This unit should be  tted for access to supplemental oxygen when needed for patients with respiratory distress. It is desirable to have a unit with humidity control, as dry heat alone may
result in dehydration of smaller patients, especially those with extensive wounds that contribute to  uid loss. Many of the newer intensive care units have digital controls that are easy to adjustment for precise environmental parameters. Iso urane anesthesia is a must for any avian practice.
A pair of binocular loops (Surgitel®, General Scienti c Corp., Ann Arbor, MI USA) and microsurgical instruments should be part of the avian practice. Binocular loops
and microsurgical instruments will be bene cial for
any number of animal species undergoing surgical procedures at a veterinary hospital, including all avian patients. The bene ts of using binocular loops are numerous and only through their use will one truly appreciate the elevation of their surgical skills, especially with smaller patients.
Radiosurgical capabilities will allow the avian practitioner to use this state of the art technology from incision
to closure. Pathology is similar to the cold steel of a scalpel, and the dual frequency technology and digital programming of the radiosurgery (Ellman International Inc., Hicksville, NY USA) unit allows for cutting and coagulation, hemostasis and bi-polar forcep application. There are many applications for the radiosurgery unit in wound management, at a fraction of the cost of LASERs, without compromising surgical quality. Adequate cage space is important for larger birds (e.g., cranes, egrets, ratites and raptors), while hydrotherapy tubs are required for waterfowl.
THERAPEUTIC AGENTS
Therapeutic agents for the critical patient are often available in most hospitals and include catheters (11⁄2” 22-gauge spinal needle for intraosseous catheters), crystalloid and colloidal  uids, iron dextran (Watson
Labs. Inc., Corona, CA USA), and a nutritional critical care formula (Lafeber Co., Cornell, IL USA). Analgesic compounds have been a bene cial addition to most veterinary hospitals and for the avian patient this has been no exception, meloxicam (Metacam, Boehringer Ingelheim, St. Joseph, MO USA) and butorphenol tartrate (Torbugesic®, Zoetis, Parsippany, NJ USA) are two of
the most commonly used analgesic compounds for avian patients. The antibiotic, antifungal and antiparasitic agents used to treat both systemic and topical wounds are similar to those found in most veterinary hospitals. Avian patients often tolerate oral  uid medications better than pill or tablet forms. If a veterinary hospital does not have common antibiotic agents formulated in an oral suspension form, then a compounding pharmacy should be contacted. Metronidazole hydrochloride (Watson Laboratories, Inc., Corona, CA USA) can be dif cult to administer orally because of its poor taste. Metronidazole
An Urban Experience
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