LATEST UPDATE ON ISOFLURANE SHORTAGE
Wednesday 12th December 2018
With the recent Isoflurane shortage and the official statement yesterday from Zoetis, “We would suggest practices prioritise any existing supplies of IsoFlo for emergency procedures”, the anaesthesia team at Cave Veterinary Specialists would like our referring practices to know that they can contact them for advice on how to minimise isoflurane usage; on a general or case specific basis. They can talk through the use of low flow anaesthesia, continuous rate infusions, locoregional techniques and also total intravenous anaesthesia. We have a team of four experienced anaesthetists who are more than happy to offer advice and help.
With Intubeaze supplies also running low, we would also take this opportunity to highlight the difference between this and the suggested alternative Xylocaine. Each depression of Xylocaine spray delivers five times the dose of lidocaine compared to Intubeaze. With the rapid absorption across the laryngeal mucosa and potential for local anaesthetic toxicity in cats care should be taken when using this product. The risk of laryngeal oedema from the preservative in Xylocaine spray also poses a significant risk to our patients. An alternative is to use 0.1-0.2ml of 2% lidocaine for injection applied directly to the larynx of the cat, please call our team to discuss this technique. It should be highlighted that this is an unlicensed drug
We would also suggest that veterinary practices keep an eye out for updates from the Association of Veterinary Anaesthetists, the Veterinary Medicine Directorate, and the veterinary press in general.
To speak to one of our Anaesthesia team please call 01823 653510