Common procedures in other avian species.

Although psittacine species represent the majority of avian patients seen in most exotic animal practices, nonpsittacine species such as passerines and galliformes may be presented as pets, as members of zoo collections, or as injured or ill wildlife. Many features of handling, restraint, sample collection, medicine, and surgery are similar in psittacine and nonpsittacine species. In many cases, the equipment required will be similar as well, with a few modifications.     

Future directions in training of veterinarians for small exotic mammal medicine: expectations, potential, opportunities, and mandates

Small exotic mammals have been companions to people for almost as long as dogs and cats have been. The challenge for veterinary medicine today is to decipher the tea leaves and determine whether small mammals are fad or transient pets or whether they will still be popular in 20 years. This article focuses on pet small-mammal medicine, as the concerns of the laboratory animal are better known and may differ profoundly from those of a pet. Dozens of species of small exotic mammals are kept as pets. These pet small-mammal species have historically served human purposes other than companionship: for hunting, for their pelts, or for meat. Now, they are common pets. At present, most veterinary schools lack courses in the medical care of these animals. Veterinary students need at least one required class to introduce them to these pets. Currently, there are no small-mammal-only residency programs. This does not correspond with current needs. The only way to judge current needs is by assessing what employers are looking for. In a recent JAVMA classified section, almost 30% of small-animal practices in suburban/urban areas were hiring veterinarians with knowledge of exotic pets. All veterinarians must recognize that pet exotic small mammals have changed the landscape of small-animal medicine. It is a reality that, today, many small-animal practices see pet exotic small mammals on a daily basis.     

Anesthesia and Analgesia in Rabbits and Rodents

Rabbits and rodents are popular pets and are often presented to veterinarians for evaluation and medical treatment. Anesthesia in exotic pets is required for many diagnostic and surgical procedures and is associated with a higher perioperative risk in rabbits and rodents when compared with dogs and cats. Inhalation anesthetic agents are commonly used as the sole source of anesthesia in small rodents, whereas injectable agents in combination with inhalation anesthesia are often used for rabbits and larger rodents. Analgesia is an important component of exotic pet medicine. Although it may be difficult to recognize signs of pain in companion exotic mammals, adequate pain management should always be provided. Opioid and nonsteroidal antiinflammatory drugs are the analgesic medications of choice, but others should be considered (e.g., local anesthetic agents). This article provides an update of the current literature regarding anesthesia and analgesia in rabbits and rodents.     

Economic considerations of establishing an exotic pet practice

Written by a veterinarian involved in a private practice at a small animal hospital in Pennsylvania, this article describes a number of the exotic pet cases presented at the hospital and treated as part of the hospital's normal routine. Economic considerations of actively pursuing laboratory animal pets as patients are addressed as well.     

Blood Collection Techniques in Exotic Small Mammals

Blood collection from small exotic pocket pets can be difficult to achieve. The individual collecting the blood must know both the anatomy and behavior of the species to obtain suitable amounts of blood for diagnostic testing. Given the animals' small size, it is often difficult to collect large volumes of blood. A clinician serious in developing an exotic small mammal practice should understand the limitations of blood sample collection and the risks involved with the procedure. Unlike domestic animals, these pets are often not comfortable with being handled and are often prone to induced complications when presented to a veterinary clinic and restrained for examination. For some cases, the clinician will have to determine if the risk of getting the sample is better achieved by anesthetizing the patient, and if doing so will have a detrimental effect on the animal. One will also need to consider the effect of the anesthetic versus the stress the restraint may have on the blood results.     

Skin diseases of rodents and small exotic mammals.

Small exotic mammals and rodents are becoming popular pets in the United States. Like most other exotics, the popularity of these animals has vastly preceded the accumulation of practical husbandry and veterinary information available about them. Several dermatologic conditions have been described in most rodents and small exotic mammals; however, the practitioner can assume that more exist that have not yet been diagnosed or documented. It is not unreasonable to assume that rodents and small exotic mammals could be affected by many of the same dermatologic conditions well described in other animals. Veterinarians are encouraged always to apply the same diagnostic protocols used to work up skin problems in dogs and cats when presented with an exotic pet with a dermatologic disease.     

Clinical Technique: Endoscopic Oophorectomy in the Rabbit (Oryctolagus cuniculus): The Future of Preventative Sterilizations

Laparoscopic surgery is entrenched within human medicine and offers many advantages over traditional laparotomy procedures. Such techniques have filtered down into veterinary medicine, with some practitioners now routinely performing endoscopic oophorectomy in dogs. However, until the recent development of miniature laparoscopy instruments for human pediatrics, such procedures were not possible in small exotic mammals. By combining the commonly used 2.7-mm endoscopic system with 3-mm instruments, laparoscopic surgery has now become a reality in exotic mammal practice. This article summarizes the required equipment and the surgical approach to performing endoscopic oophorectomy in pet rabbits, and serves as a useful model for endosurgery in small exotic mammals.     

Clinical nutrition of exotic pets

SUMMARY Successful nutritional management requires knowledge of the natural history of exotic pets, nutrient contents of foods, and roles of water, calories, and nutrients in optimal health. Unestablished dietary requirements, lack of balanced commercial diets and mismanagement by owners cause nutritional problems that affect health and recovery from illness and trauma. When presented with a sick exotic pet, veterinarians should check for provision of appropriate wholesome water and food in optimal amounts. Malnutrition and dehydration are common in exotic pets and often result from mismanagement. Starvation is common in carnivores eating whole vertebrate prey, whereas specific nutrient deficiencies are more common in herbivores and insectivores. The more common nutritional deficiencies are calcium and vitamin D₃, vitamin A, thiamin, and vitamin E. When treating sick exotic pets, nutrition and fluid support may be critical to recovery.     

Transfusion medicine in exotic pets

The decision to transfuse a patient should always be based on the packed cell volume and clinical status of the patient. This article discusses indications for transfusion and blood substitutes in exotic animal patients. The administration of blood products requires careful donor selection, knowledge of blood groups, cross-matching, and use of anticoagulants. Collection sites, volume, and administration techniques are given for different species of animals including birds, rabbits, and ferrets. Blood-transfusion therapy is not without risk. The frequency with which transfusion reactions occur in exotic pets is unknown. The most common transfusion reactions seen in small animals, along with suggested treatment, are discussed. The availability of blood products is limited in exotic pet medicine; therefore, the use of blood substitutes (Oxyglobin) has the advantage of long storage potential, no need for cross-matching, and no potential for disease transmission. General principles of blood substitutes and administration techniques will be discussed.     

Increasing efficiency and profitability of the exotic pet practice.

Recent surveys indicate the percentage of households owning exotic pets has increased dramatically. Practitioners interested in the development of an exotic animal practice can take advantage of the increased popularity of these pets and apply proven meth-ods that have benefited traditional companion animal practices.This article examines exotic animal practice in light of these changes and tries to determine ways to increase efficiency and profitability as they relate to this unique practice situation.     

Current therapies in exotic animal oncology.

The majority of information on oncology therapies has been reported in humans, canine, and feline patients, and laboratory animals with experimentally induced tumors. A variety of treatments,including radiation therapy, chemotherapy, photodynamic therapy, and others have been used with exotic animals. There are many species of exotic pets, and anatomic differences, as well as husbandry and nutritional requirements, must be taken into account to provide optimal care. By providing a broad overview of therapies and considerations for treatment, this article is intended to provide the practitioner with an overview of approach and options when addressing oncology cases in exotic animals.     

Poisonings in reptiles.

Reptiles are increasingly being kept as pets in American households. The basic principles of emergency medicine are the same for all species, but reptilian species present special diagnostic challenges to veterinary clinicians when they become ill. Reptiles in captivity can become accidentally poisoned in a variety of ways. Veterinarians treating small animal emergencies must make an effort to familiarize themselves with the large body of literature and resources that are developing regarding both nontraditional exotic companion species and advances in toxicology.     

Promoting the exotic pet practice.

The marketing and promotion of an exotic pet veterinary practice allows the use of strategies that are not necessarily available in other veterinary disciplines. The advantage that an exotics practice enjoys is that it is able to capitalize not only on the unique nature of the species being attended but also on the specialized features of the hospital itself that make it specifically appropriate in caring for exotic pets. Before marketing, however, comes the responsibility that the practice live up to the claims made in promotional materials. A practice cannot ethically be presented as an "exotics" practice if it is nothing more than a dog and cat facility that is willing to attend to exotic pets. It is the competence of the veterinary staff and the appropriateness of the facility that determines the suitability of the practice for exotics management.     

Vitamin D and Ultraviolet B Radiation Considerations for Exotic Pets

Vitamin D is an essential hormone that regulates many different functions in vertebrates and can have a protective effect against various disease conditions. Providing exotic pets appropriate access to vitamin D, through the diet, ultraviolet B (UVB) exposure, or a combination of both, is important for veterinarians and exotic pet owners to consider. Although it is commonly thought that most animals derive the vitamin D they need through their diet, there are a number of species that appear to benefit more from UVB exposure. In addition, there has been minimal study to investigate appropriate dietary levels of vitamin D for many of our exotic pets. Although the recommendation of providing UVB lighting has been primarily limited to captive reptiles, research with other species (e.g., birds and small mammals) suggests that these animals may also benefit from this type of lighting. However, the provision of UVB is not without its potential side effects. The purpose of this article is to review the important roles of vitamin D in animals, the different methods animals use to acquire this hormone, the potential clinical signs associated with hypovitaminosis or hypervitaminosis D, the role of artificial UVB lighting in the synthesis of vitamin D, and the potential side effects associated with UVB radiation.     

Reproductive medicine of rabbits and rodents.

The small animal practitioner is likely to be called upon to help nontraditional pets such as rabbits, rodents, and ferrets. The more information veterinarians have regarding normal anatomy, physiology, reproduction, medicine, anesthesia, and surgery of these unusual pets, the more likely they will be able to help their owners. This article presents an overview of routine and emergency reproductive concerns that the small animal practitioner may face when presented with nontraditional mammalian patients.     

Toxic exotics.

The purpose of this article is to familiarize the reader with the basic venom components, the pathophysiologic responses of envenomated dogs and cats, and some brief treatment guidelines for envenomations by various exotic "pets." Representative toxic species of reptiles, amphibians, and arthropods are included. The growing trend toward the collection of exotic animals by private owners increases the likelihood that veterinarians will face the challenge of treating an exotic envenomation.     

Reproductive medicine of companion marsupials.

Marsupials have recently become popular as exotic pets. Marsupial reproduction is considerably different than that of placental mammals. The reproductive parameters and artificial milk formulations specific for marsupials are discussed.     

Suture Materials and Suture Selection for Use in Exotic Pet Surgical Procedures

Exotic animals are becoming increasingly popular and more exotic pet owners are seeking veterinary care. This has led to a demand for properly trained veterinarians who are capable of providing quality, up-to-date medical and surgical treatments. Many surgeries are now performed on exotic pets, and selection of the appropriate suture material is an important part of the treatment protocol. An understanding of different available suture materials, healing times of different tissues, and knowledge of different anatomic and physiologic characteristics in different species is important in the selection of the most appropriate suture material. This review will summarize important aspects of suture selection in exotic animals.     

Emergency and Critical Care Procedures in Sugar Gliders (Petaurus breviceps), African Hedgehogs (Atelerix albiventris), and Prairie Dogs (Cynomys spp).

Less common exotic pet mammals are gaining in popularity. The Australian Sugar Glider, African Hedgehog, and prairie dog are seen regularly in exotic animal practices. They are subject to the same types of medical emergencies as more traditional pets, with the unfortunate addition of all too common underlying nutritional and husbandry-related disorders. Emergency stabilization and critical care are important first steps before collection of diagnostic test samples and administration of definitive medical care.     

Feeding exotic and pocket pets

Nutritional diseases are common in exotic species. Some animals fail to thrive in captivity and may die of inanition. At the other end of the scale obesity is frequently seen. Specific deficiencies and imbalances occur - for example, metabolic bone disease, vitamin C deficiency, thiamine deficiency and vitamin A deficiency. Guidelines for feeding exotic and pocket pets are needed. It is particularly important to know and understand the natural history of the species in question, to take into account the importance of acceptability and palatability of food items and to ensure that the diets offered are as varied as possible.