Table Of ContentHigh-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries
High-Quality, High-Volume Spay and Neuter and
Other Shelter Surgeries
Edited by Sara White
Executive Director and Veterinarian, Spay ASAP Inc.
Founder, ergovet
Member, 2008 and 2016 ASV Veterinary Task Force to Advance Spay-Neuter
This edition first published 2020
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Library of Congress Cataloging‐in‐Publication Data
Names: White, Sara, 1972– editor.
Title: High‐quality, high‐volume spay and neuter and other shelter
surgeries / edited by Sara White.
Description: Hoboken, NJ: Wiley‐Blackwell, 2020. | Includes
bibliographical references and index.
Identifiers: LCCN 2019039394 (print) | LCCN 2019039395 (ebook) | ISBN
9781118517208 (paperback) | ISBN 9781118810927 (adobe pdf) | ISBN
9781118810873 (epub)
Subjects: MESH: Surgery, Veterinary–methods | Sterilization,
Reproductive–veterinary | Animal welfare
Classification: LCC SF911 (print) | LCC SF911 (ebook) | NLM SF 911 | DDC
636.089/7–dc23
LC record available at https://lccn.loc.gov/2019039394
LC ebook record available at https://lccn.loc.gov/2019039395
Cover Design: Wiley
Cover Image: © Cat ovary Photo credit Intraoperative picture Philip Bushby, © Rabbit intubation Photo
credit – Ramiro Isaza, © Feral cat Photo credit – Brenda Griffin, © Puppy in sock Photo credit – Pamela Krausz
Set in 9.5/12.5pt STIXTwoText by SPi Global, Pondicherry, India
10 9 8 7 6 5 4 3 2 1
v
Contents
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
vi Contents
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
Contents vii
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
viii Contents
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
ix
List of Contributors
Mark W. Bohling, DVM, PhD, DACVS Brian A. DiGangi, DVM, MS, DABVP (Canine &
Staff Surgeon Feline Practice, Shelter Medicine Practice)
Animal Emergency and Specialty Center Senior Director, Shelter Medicine
Knoxville, TN, USA Shelter Outreach
Member, 2008 and 2016 ASV Veterinary Task ASPCA
Force to Advance Spay‐Neuter Gainesville, FL, USA
Karla Brestle, DVM Diana L. Eubanks, DVM, MS, DABVP (canine and
Senior Director – Strategic Medical feline), Fellow Academy of Veterinary Dentistry
Operations Clinical Professor
ASPCA Spay/Neuter Alliance Service Chief, Community Veterinary Services
Asheville, NC, USA Department of Clinical Sciences
Member, 2008 and 2016 ASV Mississippi State University College of
Veterinary Task Force to Advance Veterinary Medicine
Spay‐Neuter Mississippi State, MS, USA
Amber Burton, DVM, MBA Brenda Griffin, DVM, MS, DACVIM
Founder and Executive Director Adjunct Associate Professor of Shelter
Wolf Trap Animal Rescue Medicine
Merrifield, VA, USA Department of Small Animal Clinical
Sciences
Philip Bushby, DVM, MS, ACVS College of Veterinary Medicine
Professor Emeritus University of Florida
Marcia Lane Endowed Chair of Humane Gainesville, FL, USA
Ethics and Animal Welfare Member, 2008 and 2016 ASV Veterinary Task
Department of Clinical Sciences Force to Advance Spay‐Neuter
Mississippi State University College of
Veterinary Medicine Jessica Hekman, DVM, PhD
Mississippi State, MS, USA Post‐doctoral Associate
Member, 2008 and 2016 ASV Veterinary Task The Broad Institute of MIT and Harvard
Force to Advance Spay‐Neuter Cambridge, MA, USA
x List of Contributors
Natalie Isaza, DVM, DACVPM Susan Nelms, DVM, MS, DACVO
Clinical Professor – Shelter Medicine Veterinary Eye Care
Veterinary Community Outreach Program Bessemer, AL, USA
College of Veterinary Medicine
University of Florida
Luisito S. Pablo, DVM, MS, DACVA
Gainesville, FL, USA
Clinical Professor, Anesthesiology and Pain
Management
Ramiro Isaza, DVM, MS, DACZM, MPH
Department of Comparative, Diagnostic &
Professor – Zoological Medicine
Population Medicine
Department of Small Animal Clinical Sciences
College of Veterinary Medicine
College of Veterinary Medicine
University of Florida
University of Florida
Gainesville, FL, USA
Gainesville, FL, USA
Stephanie Janeczko, DVM, MS, DABVP Sheilah Robertson, BVMS (Hons), PhD, DACVAA,
(Canine & Feline Practice, Shelter Medicine DECVAA, DACAW, DECAWBM (WSEL),
Practice), CAWA CVA, MRCVS
Vice President, Shelter Medicine Services Senior Medical Director
Shelter & Veterinary Services Lap of Love Veterinary Hospice
ASPCA Member, 2016 ASV Veterinary Task Force to
New York, NY, USA Advance Spay‐Neuter
Lydia Love, DVM, DACVAA BJ Rogers, CAWA, CDET
Clinical Assistant Professor of Anesthesiology Chief Communication Officer
College of Veterinary Medicine Emancipet
North Carolina State University Austin, TX, USA
Raleigh, NC, USA
Margaret V. Root Kustritz, DVM, PhD, DACT
Kathleen V. Makolinski, DVM, DABVP
Assistant Dean of Education, Department of
(Shelter Medicine Practice)
Veterinary Clinical Sciences
Lincoln Memorial University, College of
College of Veterinary Medicine
Veterinary Medicine
University of Minnesota
Harrogate, TN, USA
Minneapolis, MN, USA
Member, 2016 ASV Veterinary Task Force to
Advance Spay‐Neuter
Margaret Slater, DVM, PhD
Emily McCobb, DVM, MS, DACVAA Senior Director, Research
Director, Shelter Medicine Program and Strategy & Research
Lerner Clinic ASPCA
Clinical Associate Professor, Anesthesiology New York, NY, USA
Cummings School of Veterinary Medicine at
Tufts University Ruth Steinberger
North Grafton, MA, USA Executive Director
Member, 2016 ASV Veterinary Task Force to Spay FIRST!
Advance Spay‐Neuter Oklahoma City, OK, USA