QUARTERLY BEAT
APRIL 2026
JANUARY 25, 2026
JANUARY 26, 2026
Canine Urinary Incontinence Dr. Laura Rayhel, MS, DACVIM (SAIM)
In and Out of Consciousness: Optimizing Inductions and Recovery Amanda Shelby , RVT, VTS (Anesthesia & Analgesia) • Thorough patient evaluation and premedication planning - including appropriate analgesia and sedation - are key to producing good quality anesthetic induction and recovery. • Having a dedicated anesthetist knowledgeable in not just your patient, but in your hospital's anesthetic drugs choices and their patient effects can improve the anesthetic experience for all. • A solid understanding of a drug's vein-to-brain onset and duration of action for intravenous induction agents can help the anesthetist prepare for a smooth induction, and for an optimal recovery experience.
• Not all bacteriuria warrants a course of antibiotics – after all, urine isn’t truly sterile. Before reaching into your antimicrobial arsenal, work with your client to determine whether your patient is exhibiting clinical signs; otherwise it’s better antimicrobial stewardship to watch and wait. • Recurrent UTI in an incontinent dog? Don’t panic and switch to a different antibiotic just yet. Even if culture shows the same bacteria again, the recurrence of infection is most likely caused by the ongoing leakage, and not necessarily an antibiotic “failure”. Stick with the same antibiotic unless culture/susceptibility tells you otherwise (documented resistance). • Does my urine-dribbling dog have a storage disorder or a voiding disorder? Check the post-void residual volume after urination: no urine left: storage disorder (can’t hold it in!); urine left over: voiding disorder (can’t pee it out!). • How do I know if that post residual volume is a normal amount? Measure the post-voiding residual volume on urologic ultrasound (both sagittal and transverse views) using bladder length x width x height x 0.52 to estimate residual volume (mL). Urine retention is diagnosed when the post-voiding residual volume is > 3 mL/kg.
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