Thursday, January 12, 2012

819. Performance of the vet surgeon: Urinary stone surgery

I am collecting data to improve the processes and system and the productivity of vet surgery by an associate vets at Toa Payoh Vets. Timings depend on the complexity of the surgical case and therefore there is no fixed period of time.

Ferocious biting Shih Tzu, Male, 8 years. 13 urinary stones inside the bladder

TP 16915
Op Date: Jan 12, 2012
Surgeon: Associate vet

A. Sedation injection 3.11 pm
Skin prep, Isoflurane gas
B. Skin incision 3.38pm
C. Skin stitched up 4.11 pm

B-A = 27 minutes. Dog was ferocious and therefore prep had to be done after sedation
C-B = 33 minutes. This is acceptable for an experienced vet doing cystostomy alone. All 13 stones were inside the bladder and accounted for. Therefore there was no need to do urethrostomy. The stones must have been flushed back into the bladder under anaesthesia by Vet 1 during the after midnight visit.

Blood test by Vet 1 - Significant findings, 12.40am Jan 12, 2012
MCV high 79 (60-77)
WBC high 26 (5.5 -17)
NEU high 21 (2-12)
MONO high 3 (0.3-2)
BASO high 0.16 (0-1)
PLT high 660 (175-500)

BUN high 31 (7-27)
ALKP high 233 (23-212)
K high 6.5 (3.5-5.8)

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