Author Archives: mikebrampton

Capnography for small patients, how low can you go?

Capnography is an essential element when anaesthetising  patients to help you achieve a positive outcomes for your patients and especially those more dangerous neonatal or small ones. This was highlighted in a recent article in the Veterinary Times (Vol 46 No5) by Carrington-Brown and Walsh.

VM-2500-M mainstream capnography with low dead space low resistance airway adapter

The article states “Capnography can be used to aid the monitoring of ventilation and cardiac output”, both of which are critical parameters.
It continues, “There may be some inaccuracy because of the small tidal volume of neonatal patients when side- stream monitoring is used”.

We absolutely agree; when your patient has a small tidal volume, you have to question the value of removing a constant sample of 125ml/minute for a monitor that probably won’t give you accurate data.

Then comes the contentious bit: “mainstream monitors will be more accurate but the size of the sampling unit may increase dead space and produce physical drag”.This is where we disagree.

The older human capnographs (2nd hand) and the cheaper Chinese units sold as “veterinary monitors” certainly do suffer from this problem, but the VM-2500-M mainstream capnograph from Thames Medical has a neonatal dead space of just 0.6ml. With such low resistance, even the author (90kg with a tidal volume of 620ml) can breathe through it without too much discomfort.

To ease the minds of the nursing and veterinary staff that I work with, I ask them to breathe through the airway adapter themselves and I haven’t lost one yet!

The logic is simple; we want to monitor our smaller patients because they are the risky ones, they are the ones that can have problems and so we need to buy a Capnograph. So lets buy the cheapest we can find….NO……spend the extra £500, buy the piece of kit that will actually work properly on these very small patients that you need to be really careful with, from the people who actually know their subject and can support both your equipment and your staff. Buy a  VM-2500-M mainstream Capnograph from Thames Medical.

The VM-2500-M is not the cheapest but the best and probably the only piece of kit that can actually accurately monitor the small risky patients.

Ask yourself which would you want for your own pet’s anaesthetic? The cheaper one, that might, if you are lucky, get some (all-be-it inaccurate) data? or the top-of-the-range unit that will capture accurate data for all sizes and species?

Why settle for anything less? Buy a VM-2500-M mainstream Capnograph from Thames Medical. or call us for details.

 

Tour De Vet2 closes

Last day of Just Giving Tour de Vet2 page

Last day of Just Giving Tour de Vet2 page

It took Dr Margie Scherk and Mike Brampton, hours of toil, planning, researching, riding, teaching, sleeping and meeting so many fabulous people and we can now bring Tour De Vet to a close having put £12,740.33 into Cats Protection.

Thank you everyone for whatever part you played or however much you donated.

Now for Tour de Vet 3, ideas please.

 

Tour de Vet goes on TV!

It had been a cold wet and windy day from the Bath Vet Referrals day at Blagdon to Emersons Green. Followers of Tour de Vet will know this seems to be standard weather, but this time we were also told to be prepared not just to discuss Feline Medicine with the fabulous team at Emersons Green Vet Practice (last year’s Tour de Vet departure practice) but to do interviews with local TV!

Margie prepared herself for her lecture, whilst Mike stayed wet and in kit, to film the arrival shots you can see the results here:

Nearly there, Tour de Vet2 closes in on all targets

We are nearly there, final destinations in sight, Cats Protection headquarters, and target monies nearly there

Closing in on all targets

Closing in on all targets


Some fabulous days riding recently, without the trailers, but some seriously high quality CPD with Dr Margie Scherk.
A couple of snapshots in the meantime, enjoy:
Felix from Purina, checks the map on the Isle of Wight

Felix from Purina, checks the map on the Isle of Wight

A momentary diversion before a lively evening lecture on the Isle of Wight

A momentary diversion before a lively evening lecture on the Isle of Wight

No wheel on our trailer……but Tour de Vet2 keeps rolling along

Day 13 and the remaining wheel on the remaining trailer, comes off. Bearing and axle failure and on closer inspection tyre failure was probably not far behind!imageimage
We are re-evaluating the detail but will still be delivering our unique brand of bespoke, specialist CPD and will still be travelling by bike.
RIP trailer #trailerlove

RIP Trailer

RIP Trailer

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Tour de Vet rolls on and we are, thanks to our supporters generosity well on target to smash our fund raising goals, thank you, www.justgiving.com/tour-de-vet2/

Day 9
Sunny and warm all day at Bath Vet Referrals Feline Medicine Day, where Dr Margie Scherk did 3 lectures as part of the day to a very warm and very generous audience.

Riding into Coombe Lodge for Bath Vet Referrals

Riding into Coombe Lodge for Bath Vet Referrals

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Then as is its want, nature turned against us, cold wet and windy as we battled to Emersons Green Vets for teaching sessions and in a first for Tour de Vet; TV interviews!image

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