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Collaborative care in specialty surgery involves working seamlessly with our partner clinics to ensure coordinated, evidence-based treatment and optimal patient outcomes.

TPLO positioning guide

Chill protocol based on our suggestions

We recommend giving Gabapentin, Trazodone and Cerenia the night before surgery, and Gabapentin, Trazodone 2 hours prior to surgery +/- Aceprmazine.

*All medications should be given only under the direction of your Veterinarian https://plumbs.com/blog/fractious-veterinary-patients-tips/

Pre Surgical bloodwork suggestions

While this can be done at our clinic, we always recommend this be done at your clinic. We would like bloodwork done within 1 month of the surgical procedure, or when new medications are started

  • Full CBC
  • Chemistry Panel
  • Lytes
  • Clotting profile to include a PT/PTT

Go home medication suggestions

These can be filled at our location, but can be filled at your clinic prior to the surgery procedure

  • An NSAID
  • Gabapentin
  • A sedative
  • A Gram + antibiotic for all skin or orthopedic procedures

Medication Recommendations for BOAS Surgery

To support a smooth recovery after Brachycephalic Obstructive Airway Syndrome (BOAS) surgery, we provide a tailored medication plan designed to promote gastrointestinal comfort and reduce the risk of post-operative complications.

Preoperative medication recommendation: Cisapride or Metoclopramide & Famotidine or Omeprazole oral for 1 week prior to surgery, continue for 2 weeks post-op. Use to reduce gastric acid and decrease reflux.

  • Cisapride and Famotidine (3–4 Weeks Post-Op)
    Following surgery, pets will typically receive cisapride, a pro-motility medication that helps keep the gastrointestinal tract moving normally, along with famotidine, an acid-reducing medication that minimizes stomach irritation.These medications are continued for 3–4 weeks after surgery to help manage reflux and support overall digestive health during recovery.
  • Transition Phase
    After this initial period, we will recommend discontinuing cisapride. They will then restart cisapride for an additional 1-week course, which helps ensure the GI tract maintains normal motility as they transition back to their regular routine.
  • Discontinuing Famotidine
    At the end of the first 3–4 weeks, famotidine can be discontinued unless otherwise advised based on that pet’s individual needs.