Happy Holidays CARES Welcomes Andrea Caniglia, VMD, Head of

2010 Cabot Blvd. West Suite D
Langhorne, PA 19047
www.vetcares.com
Fall / Winter 2011
Happy Holidays
In this issue of VETnews, we’re pleased to announce the hiring of Andrea Caniglia,
VMD to our full time staff. We are excited about her extensive background
in anesthesiology and pain management and the level of advanced anesthetic,
analgesic and monitoring techniques she can provide for your referral patients. To
coincide with Dr. Caniglia’s arrival, CARES will be adding new and advanced
monitoring equipment. Please see all the details below and we welcome your calls,
at any time!
Also in this issue, you’ll meet Gigi, a young German Shepherd with a Vascular
Ring Anomaly. CARES Surgeon, Brian Bretz, DVM, DACVS outlines common
warning signs for this condition, as well as diagnosis and treatment.
Thank you very much for taking the time to read our newsletter. We are grateful
that you entrust us with the care of your clients. We appreciate the opportunity to
serve you with a gold standard of care. Our wishes go out to you and your staff for
a very happy and safe holiday season.
Sincerely,
Jon M. Rappaport, VMD
Director, CARES
CARES Welcomes Andrea Caniglia, VMD,
Head of Anesthesiology and Pain Management
The Center for Animal Referral and Emergency Services
(CARES) is pleased to welcome Andrea Caniglia, VMD to
our full time staff. Dr. Caniglia, who recently completed
an anesthesia residency at Penn, is trained in the most
advanced techniques in both anesthesiology and pain
management.
“This is an exciting time for veterinary medicine,” says
Dr. Caniglia. “CARES is a premier emergency and
referral hospital with a state of the art surgical center, and
board certified doctors in many specialties. In conjunction
with the highly trained specialists and knowledgeable
support staff, I will have the opportunity to provide cutting
edge anesthesia and pain control for all patients, not just
the surgical or critical cases. Once again, CARES is
working to set the standard of care in veterinary medicine
to that found with our human counterparts.”
CARES Welcomes Andrea Caniglia, VMD . . . Continues on page 2
CARES Fall Winter 2011 Newsletter.indd 1-2
Andrea Caniglia, VMD
12/15/11 10:10 AM
CARES Welcomes Andrea Caniglia, VMD . . . Continued from page 1
CARES Welcomes Additional Staff Members
There are many advantages to having a specialty trained doctor administer and monitor anesthesia. Most
importantly, each patient will have an individualized anesthetic plan to meet their needs which can lead to fewer
anesthetic complications and better patient outcomes. Additionally, the use of advanced regional anesthetic
techniques results in better pain control, faster recovery, and quicker return to function. All of which translate to
more happy, healthy patients and more satisfied clients.
CARES is pleased to welcome
Molly Malloy, DVM to our
Emergency and Critical Care
team.
In addition to her role in patient care, Dr. Caniglia will be further developing advanced regional anesthetic
techniques and advanced specialty training in anesthesia for all of the nurses at CARES. As a result, CARES’
patients will receive anesthesia and pain management at the most advanced level. As an integral part of this
continued commitment to patients, anesthesia monitoring will include ECG, SPO2, ETCO2, BP monitoring
(Direct/Arterial or NIBP) and we will add monitoring of inhaled anesthetic gas (sevo and 02 concentration). These
advanced measures will become the standard here at CARES, and the standard you can depend upon. It is our
privilege to extend these services to the patients you entrust to our care.
Please join us in welcoming Dr. Caniglia! To learn more about anesthesiology and pain management at CARES,
please call Dr. Caniglia at 215-750-2774.
Follow CARES on
ANESTHESIOLOGY AND PAIN
MANAGEMENT
Andrea Caniglia, VMD
THE CANCER CENTER AT CARES
Jennifer L. Baez, VMD, DACVIM
(Oncology and Internal Medicine)
Beth Overley, VMD, DACVIM (Oncology)
CARES would also like to
welcome Sandra Schneider,
DVM to our family as our
Outreach Coordinator.
Please join us in rolling out the
red carpet for Drs. Malloy and
Schneider, the newest members
of the CARES family!
CARDIOLOGY
Megan K. King, VMD, DACVIM
(Cardiology)
CLINICAL PATHOLOGY
Liz K. Little, VMD, DACVP
Molly Malloy, DVM
at: www.Facebook.com/CARESvet
Case Report: Vascular Ring Anomaly
By: Brian Bretz, DVM, DACVS
Gigi is a young German Shepherd puppy who originally
presented to CARES for evaluation of a persistent
regurgitation after being
recently acquired by
the owners. She was
the smallest of the litter
and was very thin/
undernourished. X-rays
from her referring
veterinarian showed the
portion of her esophagus
in front of her heart was
extremely dilated which
is indicative of a vascular
ring anomaly.
Brian Bretz, DVM, DACVS
Vascular ring anomaly
is the broad term used
to describe the congenitally abnormal growth of the
major blood vessels around the heart. There are several
different types of this condition but they all result in
narrowing of the esophagus which prevent the animal
from swallowing food normally and leads to distension
of the esophagus. This distension can be permanent if
the cause of the constriction is not corrected.
In a normal fetus, there are branches of the aorta
CARES Fall Winter 2011 Newsletter.indd 3-4
The CARES Team
DERMATOLOGY
Noel E. Radwanski, DVM, DACVD
INTERNAL MEDICINE
Jennifer A. Adler, MSc, VMD, DACVIM
(Small Animal Internal Medicine)
Samantha C. Murray, VMD, DACVIM
(Small Animal Internal Medicine)
NEUROLOGY
Ed Darrin, VMD, DACVIM (Neurology)
that surround the esophagus however these branches
normally regress. Vascular ring anomalies occur when
one or more of these arches fails to regress. These
abnormal vessels can occur on different sides of the
heart and esophagus. They may occur in cats and dogs
and some breeds that are more commonly affected,
include: German Shepherds, Irish Setters and Boston
Terriers.
Common warning signs of vascular ring anomaly include:
• Difficulty swallowing/regurgitation when weaned onto solid food
• Smaller size/runt of the litter
• Large appetite with no apparent weight gain
• Coughing/lethargy if pneumonia results from the regurgitation
Diagnosis:
Generally the diagnosis of this type of problem is noted on x-rays which
show an enlarged esophagus, although contrast material (barium) may be
used to better visualize the size of the esophagus.
Endoscopy can also be used to look inside the esophagus and determine its
shape and size.
Once the abnormality was diagnosed in Gigi, a thoracotomy (incision
between the ribs into the chest) was recommended to remove the site of
the constriction. She was taken to surgery and the band of tissue that was
constricting the esophagus was cut to allow the esophagus to expand back
to its normal position. She tolerated anesthesia well and recovered from
the procedure without any complications.
Follow-up:
Since surgery, Gigi has started to gain significant amounts of weight and
now weighs more than 50 pounds. She currently is tolerating feedings with
liquid/blender food but is not yet tolerating solid food. Some dogs with
this condition may never tolerate normal feedings with kibble. It remains
to be seen whether Gigi will continue to improve in the type of food she is
able to eat.
OPHTHALMOLOGY
Robert L. Peiffer, DVM, PhD, DACVO
Martha Low, DVM
*Resident in Ophthalmology
RADIOLOGY
Lisa S. Ziemer, VMD, DACVR
SURGERY
David A. Puerto, DVM, DACVS
Brian Bretz, DVM, DACVS
EMERGENCY AND CRITICAL CARE
Morgan Callahan, VMD
Jennifer Chabot, DVM
Karlin Erk, VMD
Jessica L. Frankel, DVM
Erin Koster, DVM
Ashley Kruegl, VMD
Molly Malloy, DVM
DIRECTOR
Jon M. Rappaport, VMD
CARES
2010 Cabot Blvd. West Suite D
Langhorne, PA 19047
Tel (215) 750-2774
Fax (215) 750-3623
www.vetcares.com
12/15/11 10:10 AM