High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries

Sara White, DVM, MSc, is Founder and Executive Director of Spay ASAP Inc. and ergovet in Hartland, Vermont, USA.

List of Contributors ix


Preface xiii


Acknowledgments xv


Part One Clinical Techniques and Patient Care 1


Section One Peri-operative Care Associated with Spay and Neuter 3


1 Determination of Patient Sex and Spay-Neuter Status 5
Brenda Griffin


2 Disorders of Sexual Development and Common Reproductive Pathologies 27
Brenda Griffin, Sara White, and Margaret V. Root Kustritz


3 Instrumentation for Spay-Neuter 53
Amber Burton and Sara White


4 Asepsis 65
Brian A. DiGangi


5 Infectious Disease Control in Spay-Neuter Facilities 89
Sara White and Natalie Isaza


6 Strategies to Reduce Stress and Enhance Patient Comfort during the Spay-Neuter Process 103
Brenda Griffin


Section Two Anesthesia for Spay-Neuter Surgery 125


7 Principles of Anesthesia, Analgesia, Safety, and Monitoring 127
Sheilah Robertson


8 Anesthetic Protocols for Dogs and Cats 153
Sheilah Robertson


9 Special Considerations for Anesthesia of Pediatric Patients 193
Emily McCobb and Sheilah Robertson


10 Anesthetic Complications 209
Emily McCobb


11 Cardiopulmonary Resuscitation in Shelter Animal Practice 227
Luisito S. Pablo


Section Three Surgical Techniques for Spaying and Neutering 239


12 Dog Spay/Cat Spay 241
Philip Bushby and Sara White


13 Cesarean Section 267
Sheilah Robertson and Sara White


14 Dog Neuter/Cat Neuter 281
Philip Bushby and Sara White


15 Neutering Procedures and Considerations in Rabbits and Other Small Mammals 295
Natalie Isaza and Ramiro Isaza


16 Tattoo and Ear-Tipping Techniques for Identification of Surgically Sterilized Dogs and Cats 325
Brenda Griffin, Mark W. Bohling, and Karla Brestle


17 Complications in Spay and Neuter Surgery 339
Mark W. Bohling


18 Ovarian Remnant Syndrome 363
G. Robert Weedon and Margaret V. Root Kustritz


Section Four Other Surgical Procedures 371


Introduction to Other Surgical Procedures 373
Philip Bushby


19 Amputation 375
Joseph P. Weigel


19A Amputation: Anesthesia Supplement 387
Lydia Love


20 Surgery of the Eye 395
Susan Nelms


20A Surgery of the Eye: Anesthesia Supplement 411
Lydia Love


21 Rectal and Vaginal Fold Prolapse 415
Kimberly Woodruff


21A Rectal and Vaginal Fold Prolapse: Anesthesia Supplement 423
Lydia Love


22 Dental Extractions in a Shelter Environment 425
Diana L. Eubanks and Lydia Love


Part Two Fundamentals of HQHVSN 437


23 Fundamentals of HQHVSN 439
Sara White


Section Five Spay-Neuter Population Medicine 453


24 Sterilization Programs and Population Control 455
Margaret Slater and Emily Weiss


25 Community Cats 477
Stephanie Janeczko


26 Influence of Spay-Neuter Timing on Health 509
G. Robert Weedon, Margaret V. Root Kustritz, and Philip Bushby


27 Non-surgical Contraception: The State of the Field 521
Jessica Hekman


Section Six Human Resources and Management 529


28 Starting with Why: Know Your Purpose and Name Your Bottom Lines 531
BJ Rogers


29 Hiring for Impact, Hiring for Culture 537
BJ Rogers


30 Recruiting and Hiring HQHVSN Surgeons 545
James Weedon


31 Health Considerations for the HQHVSN Surgeon 553
Sara White


Section Seven Clinic Models 575


32 Stationary Clinics 577
Karla Brestle


33 Profile of the Mobile Spay-Neuter Clinic 589
Kathleen V. Makolinski


34 MASH Clinics 601
Sara White


35 Feral and Free?Roaming Cat Clinics 615
Christine Wilford


36 In?Clinic Clinics 627
Ruth Steinberger


Index 633