Psittacine Sedation and Anesthesia.

Successful management of sedation/anesthesia of psittacine species relies on familiarity with their specific anatomy and physiology, and detailed knowledge of the recent advancements in applied pharmacology of the anesthetics and perianesthetic monitoring of cardiovascular and respiratory functions. Each sedation/anesthetic plan should be patient-specific, developed based on preexisting conditions, size, species, age, and estimated risk. Other key factors to improve safety, quality of perioperative care, and client satisfaction are anticipation of complications, extension of close monitoring to the recovery phase, multimodal analgesic approach, stress prevention/reduction, and transparent communication with the owner.

Management of nephrolithiasis by pyelotomy and pyeloscopy in an Asian small-clawed otter (Aonyx cinereus).

CASE DESCRIPTION: A captive adult sexually intact female Asian small-clawed otter (Aonyx cinereus) was evaluated because of diarrhea and signs of abdominal discomfort on arrival at the quarantine area of a zoological park. CLINICAL FINDINGS: Radiographic and ultrasonographic examinations revealed the presence of a large nephrolith in the left kidney. Mild nephrolithiasis was detected in the right kidney. Results of hematologic and serum biochemical analyses were within references intervals. Intravenous pyelography was used for functional assessment of the urinary system and revealed normal renal excretory function bilaterally. TREATMENT AND OUTCOME: Unilateral (left-sided) pyelotomy was selected as a treatment option to preserve maximal functional renal tissue. Pyeloscopy was successfully used for detection of some small nephroliths that were not removed by repeated flushing of the renal pelvis. Surgical treatment of the right kidney was not considered necessary. The otter recovered fully from anesthesia and surgery. Renal function was considered normal when assessed at 3 and 7 days and at 1 and 12 months after surgery. CLINICAL RELEVANCE: To the authors' knowledge, pyelonephrotomy in otters has not been reported and may be considered as a potential surgical solution for nephrolithiasis. Pyeloscopy allowed the identification of small uroliths that were not removed by repeated flushing of the left renal pelvis following removal of the large nephroliths.

Advances in Exotic Animal Osteosynthesis.

Exotic animal orthopedics has not incorporated the most recent progress made in small animal surgery or human medicine. Although minimally invasive osteosynthesis has been incorporated as a routinely used alternative in small animals, its use in exotic animals is still in its infancy. This article compliments the reviews of orthopedics in small mammals, birds, and reptiles in the previous issue. It reviews relevant recent studies performed in laboratory animals about new orthopedic materials and techniques showing potential to become incorporated into the routine orthopedic treatment of exotic animals in the coming years.

Technological Advances in Wound Treatment of Exotic Pets.

Although most research about the use of technological advances for wound healing was performed in laboratory animals but oriented to human medicine, recent technological advances allowed its application not only to small animals but also to exotic pets. This article reviews the literature available about some of these techniques (negative wound pressure therapy, photobiomodulation [laser therapy], electrical stimulation therapy, therapeutic ultrasonography, hyperbaric oxygen therapy), and other advances in wound management (skin expanders, xenografts, and bioengineered autologous skin substitutes) in exotic pet species.

Skeletal Bone Structure and Repair in Small Mammals, Birds, and Reptiles.

Bone strength depends on its structure, its composition, and the forces it is subjected to. Bone structure varies greatly between species and these differences may have clinical implications in their assessment or treatment. Fractures occur when the magnitude of the sum of forces affecting it exceeds its ultimate strength. The aim of bone healing is to recover the normal structure of the bone to maintain its normal function, but the mechanisms of bone healing differ greatly among species. This article provides a basic reference for the bone structure of small mammals, birds, and reptiles.

Avian Articular Orthopedics.

In most avian species, luxations occur infrequently compared with other orthopedic conditions. A comprehensive review about avian luxations was published 4 years ago. The aim of this article was to review and describe from an orthopedic point of view the different types of luxations and subluxations reported in birds, their surgical treatment, and, whenever possible, the potential limitations and complications related with these procedures.

Skeletal Cartilage and Bone Formation, Composition, and Function in Small Mammals, Birds, and Reptiles.

Cartilage and bone are the main skeletal tissues in exotic vertebrates and are distinguished by their cells and the extracellular matrices they produce. Differences in cartilage and bone formation and growth exist among small mammals, birds, and reptiles. A basic knowledge of cartilage and bone formation, composition, and function in small mammals, birds, and reptiles commonly kept as pets, and the major differences observed among species, is necessary to correctly evaluate and treat cartilage and bone lesions in these groups of animals.

Reproductive Disorders in Commonly Kept Fowl.

Backyard poultry and other commonly kept fowl species are often kept for their ability to lay eggs. Reproductive disease is common in fowl species. Despite being classified as food-producing species, they can be considered valuable pets, and the demand for adequate veterinary care is constantly increasing. The clinician should be familiar with the different abnormalities and the potential treatment options. Fowl species have been traditionally an anatomic, physiologic, and experimental model for avian medicine; however, information about treatment options is often limited and extrapolated from other species.

Emergencies and Critical Care of Commonly Kept Fowl.

Fowl are birds belonging to one of the 2 biological orders, the game fowl or land fowl (Galliformes) and the waterfowl (Anseriformes). Studies of anatomic and molecular similarities suggest these two groups are close evolutionary relatives. Multiple fowl species have a long history of domestication. Fowl are considered food-producing animals in most countries and clinicians should follow legislation regarding reportable diseases and antibiotic use, even if they are pets. This article reviews aspects of emergency care for most commonly kept fowl, including triage, patient assessment, diagnostic procedures, supportive care, short-term hospitalization, and common emergency presentations.