{"id":35717,"date":"2025-04-14T13:21:21","date_gmt":"2025-04-14T13:21:21","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=35717"},"modified":"2025-04-14T13:21:21","modified_gmt":"2025-04-14T13:21:21","slug":"hiding-in-plain-sight","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/personal-professional-development\/hiding-in-plain-sight\/","title":{"rendered":"Hiding in Plain Sight"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">In 1564, Bartolomeo Eustachius first described the adrenal glands. His contemporaries, however, suggested that they were rare congenital outgrowths of the kidney physically hiding in plain sight. It wasn\u2019t until 1627 that Eustachius\u2019 findings were validated beyond all doubt. Over 200 years later, Addison\u2019s disease was discovered by Dr. Thomas Addison. More recently, this disease gained notoriety when it was confirmed after his death (after long being rumored) that President John F. Kennedy had Addison\u2019s disease. The discovery of cortisol in the 1930s and the development of synthetic glucocorticoids revolutionized treatment. Addison\u2019s disease was first recognized in dogs in the 1950s. Like humans, affected animals experience lethargy, vomiting, and electrolyte imbalances. In this issue, this <\/span><a href=\"https:\/\/todaysveterinarypractice.com\/internal-medicine\/diagnosis-and-long-term-management-of-canine-hypoadrenocorticism\/\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\">\u201cgreat imitator\u201d disease<\/span><\/a><span class=\"s1\"> is discussed in depth by Dr. Sarah M. Schmid, which will hopefully prevent it from clinically hiding in plain sight.<\/span><\/p>\n<hr \/>\n<h3 class=\"p1\"><span class=\"s1\">What We\u2019re Reading<\/span><\/h3>\n<p><i>In each issue, a member of our Editorial Advisory Board will share a recent open access publication of interest.<\/i><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Implementation of a Standard Perioperative Protocol Reduces Postoperative Respiratory Distress Events In Dogs Undergoing Surgical Correction of Brachycephalic Obstructive Airway Syndrome<br \/>\n<\/b><\/span><span class=\"s1\"><i>Hill M, Loria Lepiz M, Ida KK, Rutter C, Mankin KT, Dickerson V.<\/i> JAVMA<i>.<br \/>\n<\/i><\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39879668\/\" target=\"_blank\" rel=\"noopener\"><span class=\"s2\"><i>doi:10.2460\/javma.24.09.0598<\/i><\/span><\/a><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>What was investigated?<\/b><\/span> This retrospective study investigated the incidence of regurgitation, aspiration pneumonia, and respiratory distress in dogs undergoing surgical correction of brachycephalic obstructive airway syndrome (BOAS) after adoption of a standardized perioperative management protocol (sedatives, antiemetics, prokinetics, and techniques to reduce airway swelling).<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>What was found?<\/b><\/span> Over a 4-year period, the study assessed the records of 42\u00a0dogs prior to and 47 dogs after protocol implementation. A significant reduction in respiratory distress episodes was seen in the postprotocol group.<span class=\"Apple-converted-space\">\u00a0 \u00a0<\/span><\/p>\n<p class=\"p2\"><b>Take-Home Points<\/b><\/p>\n<ul>\n<li class=\"p3\">Brachycephalic dogs undergoing BOAS surgery have a high risk of perioperative anesthetic complications (~55%).<\/li>\n<li class=\"p3\">Implementation of a similar standard protocol for patients undergoing BOAS surgery may mitigate some perioperative complications.<\/li>\n<li class=\"p3\">Inclusion of strategies to reduce airway swelling and sedatives to keep patients calm contributes to reducing airway crisis episodes.<\/li>\n<li class=\"p3\">Regurgitation is still very common in BOAS surgery patients.<\/li>\n<\/ul>\n<p class=\"p1\"><i>\u2014 Sarah Shippy, DVM, MPH, MS, DACVAA<\/i><\/p>\n<hr \/>\n<h3 class=\"p1\"><span class=\"s1\">More from the NAVC<\/span><\/h3>\n<p class=\"p1\"><b>Register and Attend the New NAVC SkillShop<\/b><\/p>\n<p class=\"p2\">NAVC SkillShop, formerly known as NAVC Institute, features not only a new name and look but a new venue and lineup of educational programming. Taking place May 25-30 at Disney\u2019s Coronado Springs Resort in Orlando, Florida, NAVC SkillShop is a leading veterinary education workshop with immersive, hands-on learning. Topics are now broken into long- and short-format courses designed to be mixed and matched to form your perfect skills-building week. L<span class=\"s1\">earn more and register for the event at <a href=\"https:\/\/navc.com\/skillshop\/\" target=\"_blank\" rel=\"noopener\">navc.com\/skillshop<\/a>.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The history behind the &#8220;great imitator&#8221; disease, Addison&#8217;s disease; a look at a standardized perioperative management protocol for BOAS surgery; and a reminder to sign up for NAVC SkillShop!<\/p>\n","protected":false},"author":236,"featured_media":16288,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":270,"footnotes":""},"categories":[554],"tags":[],"class_list":["post-35717","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-may-june-2025","column-editors-letter","clinical_topics-personal-professional-development"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- 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