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Porcine Management and Surgical Procedures
Dr. Dipa Brahmbhatt VMD MPH MS
Chapter 23 and 24
Objectives
• Piglet management• Prepare the surgical patient for surgery. • Perform local anesthesia, or assist the veterinarian in
administering local anesthesia.• Assist or perform induction and maintenance anesthesia. • Provide anesthetic monitoring. • Manage patient recovery and immediate postoperative care. • Discuss the basic risks and possible complications associated
with anesthesia and surgery.• Implement preventive measures when indicated.
Reading Assignment
Chapter 23, 24: Porcine Surgery
Piglet Diseases
• Frequently observe pigs for signs of disease so prompt treatment is possible
• congenital defect seen is herniation (2%), followed by cryptorchidism (1-2%
Diarrhea (scours) and dehydration
Diarrhea (scours)
Normal, bright yellow,solid fecal material
A dehydrated piglet
E. coli
• Should affect < 3% of litters• Mostly 1-5 days of age • Main defense
-Antibiotics in milk• Treat entire litter with antibiotics
-Gentamicin-Spectinomycin
• Access to water
Difficulty walking and standing,trembling or comatose
• Hypoglycemia-Low blood sugar
• Streptococcus suis-Strep suis-Strep meningitis
Swollen hock joint
Swollen joints
• Bacterial infection• Identify/treat early -Penicillin
• Severely swollen -Treatment ineffective -Euthanize
Other conditions
Vomiting Rough hair coat, sluggishness, huddling
Greasy, Sticky and Dirty Skin
• Staphylococcus hyicus invades skin
• Antibiotic therapy when symptoms appear
• Wash piglet; treat topically
• Minimize cuts in skin and dirty equipment
Management
• Day of Birth: clip needle teeth • Day 1: dock tails • Day 2: castrate • Piglets should not be removed from the sow
longer than 1 hour
Neonatal care and procedures
• PE• eyes closed calms the
piglet
Neonatal care and procedures
• injection of iron (usually iron dextran: 150-200mg) IM– Piglet's own reserves and the mother's milk
together supply enough iron for only a week before the piglet becomes anemic
– Naturally from eating soil and plants– Anemia: “baby pig thumps”: tachycardia– Give 1-3 days and 2-3 wks or oral
supplementation creep feed• castrated, teeth and tails are clipped: 1-3 days
Iron injection • Within 3 to 4 days after birth. • Without supplemental
– anemic by 7 days of age,– compromising their well
being– retarding their growth
• given when piglets are handled for other purposes e.g. vaccinations and removing sharp teeth.
• Giving iron shots is an art. – Most people are never 100%
accurate; ie. little or no backflow of the compound
Clinical signs of Anemia
• Lethargic: no energy, sleepy• Rough hair coat• Wrinkled skin• Dyspnea: Hard breathing• Poor growth• Blood hemoglobin level: < 10
mg/dl
Iron injection
• neck. • all air bubbles are
out by holding the syringe vertically, tapping lightly and pushing the plunger.
Iron injection
• skin taut by pulling the ear forward.
• prick the skin, holding the syringe as shown.
• Pull it up, then continue into the muscle.
• Withdraw quickly, allowing skin to cover the site, preventing backflow
Lower (mandibular) permanent teeth of the pig. Note the large canine teeth or “tusks”
Clipping needle teeth
• These teeth are popularly referred to as the canine teeth.• 8 needle teeth• I3 and C1
Clipping of Needle Teeth• Purpose
– to prevent injury to littermates and to the sow’s teats
• Complications– Tongue laceration – Stomatitis
• Equipment– Needle tooth clippers or
cutting pliers– Disinfect between piglets
• Age : 1 to 7 days
Teeth clipping
• above the gum line – Avoid the tongue and
be sure to cut above the gums to prevent bleeding and infection.
• the flat side of the of the nippers is placed parallel to the gum line
• 1-2 mm from gum line
Tail docked
• tend to bite the tails of litter mates• Infection/ abscess > paralysis• tails are docked (clipped) soon after
birth• docking should be done during the
first 24 hours after birth – minimize stress on the piglets– easily held – less likely to investigate a newly
docked tail– Cartilage not hardened
Tail docked
• Side clippers (dull)/ baby pig emasculators
• Hold the pig by the hind feet and cut 1/2 to 1 inch from the ham.– avoids rectal prolapse
• Leave a flap of skin and dip the stub in iodine
Lumbosacral Epidural Anesthesia• C –section: Safe for fetus• Cranial epidural: lidocaine 2%• Location
– Connect wings of Ileum– Vertical line from Patella insert 1 – 1.5 inches caudal to line on dorsal midline
• Sedate• Restrain: hog snare• Clip hair, skin aseptically prepared, 5 ml 2% lidocaine SQ 1-2 inches
Lumbosacral Epidural Anesthesia
Procedure: sterile gloves, 18 – 20G spinal needle, 3 inch: small swine and 100 kg – 4 inch, 200 kg – 5 to 7 inch. Use trocar if they bent. •Lidocaine: 0.5 – 1 ml/ 4.5 kg BW, max 20 ml
• Anesthesia 5 – 10 min after injection• Max at 20 minutes and lasts for 2 hours• Low dose: caudal analgesia and high dose: cranially to lumbar 1
•Xylazine: 2 mg/kg: surgical anesthesia caudal to umbilicus and paralysis HL, begin 20 - 30 min and lasts for 2 – 3 hrs.
• > 3mg/kg HL paresis• With 2% lidocaine lasts for 5 hours
General Anesthesia
• Risks– Hyperthermia
• Do not efficiently sweat
– Malignant hyperthermia• Under general anesthesia
– halothane
• fatal• Rare in potbellied pigs• Porcine stress syndrome
– Halothane gene
General Anesthesia - RISKS– Prone to hypoventilation – Airway obstruction
• Small narrow trachea: dorsal – pharyngeal recess• Laryngospasm
– Spray lidocaine– ET tube ventrally until arytenoid cartilage than 180⁰ turndorsally
• Laryngeal edema
– Respiratory depression: Worse with obesity
Preanesthetic Preparation
• Hx, PE, CBC if possible• Food withdrawn– Adults: 6 – 12 hours– Piglets: 1 – 3 hours
• Atropine: 0.044 mg/kg IM– Caudal to base of ear
Induction Drugs: withdrawal timeRoute Use Recovery
Telazol/Ketamine/Xylazine IM Anesthesia: 20 – 30 min.Induction
60 90 min.
1st: Atropine/Acepromazine followed by Ketamine 20 min. later
IM Anesthesia: 10 – 15 min.Supplement analgesia
1st: Atropine/Xylazine followed by Ketamine 10 min. later
IM Anesthesia: 10 – 15 min Drowsy ~ 24 hr.
1st Xylazine than telazole 5 min. later IM Analgesia and muscle relaxation: good, surgical
anesthesia: light
Sodium Pentobarbital Intra testicular
Anesthesia: 5 min
Inhalant gases: halothane (malignant hyperthermia), isoflurane, sevoflurane
Small or heavily sedated hog
Thiobarbiturates IV Auricular vein, safest choice especially if predisposed to MH
Anesthesia Monitoring
• HR: 50 – 150 bpm.• Pulse assessment: auricular
and femoral artery• Fluids: 10 mg/kg/hr
• Hyperthermia– MH > 107 ⁰F
• d/c inhalant, 100% O2, cool body, DANTROLENE (2.2 mg/kg IV) – muscle relaxant, fluids with bicarb., steroids
– > 103 ⁰F– Muscle rigidity– Tachycardia– Tachypnea– Metabolic acidosis– Ketamine: increase body
temperature
Figure 2. Top panel shows pig anesthetized with medications that do not trigger malignant hyperthermia (note relaxed rear legs). Bottom panel shows the same pig developing an MH reaction after receiving halothane. Please inspect the rigidly extended hind limbs. Modified with permission from Harrison GG. The Discovery of Malignant Hyperthermia in Pigs—Some Personal Recollections. Malignant Hyperthermia: A Genetic Membrane Disease (Ohnishi, ST and Ohnishi, T, eds) Boca Raton, FL: CRC Press, p. 32, 1994.
Anesthesia Recovery
• Cool quiet environment• Extubate: strong attempts to swallow, deflate
cuff• Ventilate• Prepare with tracheostomy– # 10 blade– Hemostats– Cuffed tracheostomy
References
• K Holtgrew-Bohling , Large Animal Clinical Procedures for Veterinary Technicians, 2nd Edition, Mosby, 2012, ISBN: 97803223077323
• http://virtuavet.wordpress.com/• http://edis.ifas.ufl.edu/an025
References
• http://cal.vet.upenn.edu/projects/swine/bio/grow/nursing/hm.html
• http://www.ncsu.edu/project/swine_extension/ncporkconf/2002/lay.htm
• http://www.avma.org/issues/animal_welfare/default.asp