@article{love_patten_hofmeister_schoenfeld-tacher_mclaughlin_2024, title={The Veterinary Student Survey on Patient Safety Culture (VSSPSC): A Quantitative and Qualitative Exploration of American Veterinary Students’ Perceptions of Patient Safety Culture}, volume={8}, ISSN={0748-321X 1943-7218}, url={http://dx.doi.org/10.3138/jvme-2024-0038}, DOI={10.3138/jvme-2024-0038}, abstractNote={Patient safety culture (PSC) is a multidimensional construct that reflects the way healthcare organizations promote safe patient care. Veterinary students are explicitly and implicitly indoctrinated into organizational cultures and will carry these attitudes and behaviors into their future work. In this study, we evaluated the psychometric properties of a PSC survey among veterinary students in the United States and investigated their attitudes toward PSC. Exploratory factor analysis identified factors that explained portions of the variance in responses. Importantly, the measures derived from those factors predicted the likelihood of a student mentioning a negative experience/opinion regarding error reporting. Most students reported receiving explicit training in communication, but coursework in other areas, such as human factors and safety culture, was uncommon. Veterinary students generally reported high levels of agreement with the tenets of patient safety science, though some items demonstrated wide variation in responses, underscoring the need for more uniform incorporation of education in veterinary PSC.}, journal={Journal of Veterinary Medical Education}, publisher={University of Toronto Press Inc. (UTPress)}, author={Love, Lydia and Patten, Trevor and Hofmeister, Erik H. and Schoenfeld-Tacher, Regina M. and McLaughlin, Anne C.}, year={2024}, month={Aug} } @article{hofmeister_steagall_love_reed_cremer_2024, title={Veterinary Anaesthesia Curricula Beliefs and Practices}, url={https://doi.org/10.1016/j.vaa.2024.12.001}, DOI={10.1016/j.vaa.2024.12.001}, journal={Veterinary Anaesthesia and Analgesia}, author={Hofmeister, Erik H. and Steagall, Paulo and Love, Lydia and Reed, Rachel and Cremer, Jeannette}, year={2024}, month={Dec} } @article{dowgos_mccobb_osterhoudt_costa_cremer_griffenhagen_love_mandsager_pang_sage_et al._2024, title={Veterinary students' attitudes toward anesthesiology as a specialty}, volume={51}, ISSN={["1467-2995"]}, DOI={10.1016/j.vaa.2024.05.008}, number={5}, journal={VETERINARY ANAESTHESIA AND ANALGESIA}, author={Dowgos, Nicole M. and McCobb, Emily and Osterhoudt, Devin and Costa, Renata S. and Cremer, Jeannette and Griffenhagen, Gregg and Love, Lydia and Mandsager, Ronald and Pang, Daniel and Sage, Adrianna M. and et al.}, year={2024}, pages={417–425} } @article{wallace_love_gensler_jacob_robertson_messenger_2023, title={Comparative growth dynamics of bacterial and fungal contaminants in bupivacaine liposomal injectable suspension, bupivacaine 0.5%, and propofol}, volume={18}, ISSN={["1932-6203"]}, url={http://europepmc.org/abstract/med/36795683}, DOI={10.1371/journal.pone.0281768}, abstractNote={ Objective To determine whether bupivacaine liposomal injectable suspension (BLIS) supports microbial growth when artificially inoculated and to evaluate liposomal stability in the face of this extrinsic contamination as evidenced by changes in free bupivacaine concentrations. Study design A randomized, prospective in vitro study in which three vials of each BLIS, bupivacaine 0.5%, and propofol were individually inoculated with known concentrations of Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, and Candida albicans (n = 36) to quantify bacterial and fungal growth was conducted. Over 120 hours, aliquots from contaminated vials were withdrawn, plated, and incubated to determine microbial concentrations. High-pressure liquid chromatography (HPLC) was used to evaluate free bupivacaine concentrations over time in BLIS. Data were analyzed using a mixed effects model with multiple comparisons. Sample population Twelve vials of each BLIS, bupivacaine 0.5%, and propofol. Results BLIS did not support significant growth of Staphylococcus aureus or Candida albicans at any time. BLIS supported significant growth of Escherichia coli and Pseudomonas aeruginosa beginning at the 24 hour time point. Bupivacaine 0.5% did not support significant growth of any organisms. Propofol supported significant growth of all organisms. Free bupivacaine concentrations changed minimally over time. Conclusion Bacterial and fungal contaminant growth in artificially inoculated BLIS is organism dependent. BLIS supports significant growth of Escherichia coli and Pseudomonas aeruginosa. Extra-label handling of BLIS should only be undertaken with caution and with adherence to strict aseptic technique. }, number={2}, journal={PLOS ONE}, author={Wallace, Amber and Love, Lydia and Gensler, Catherine and Jacob, Megan and Robertson, James and Messenger, Kristen}, editor={Nevárez-Moorillón, Guadalupe VirginiaEditor}, year={2023}, month={Feb} } @article{hofmeister_love_2023, title={Patient safety culture is needed in veterinary medicine}, volume={261}, ISSN={["1943-569X"]}, url={http://europepmc.org/abstract/med/37669751}, DOI={10.2460/javma.23.07.0370}, abstractNote={Abstract Studies in human medicine indicate that between 22,000 and 400,000 people die every year as a direct result of medical errors. In veterinary medicine, 42% of human-caused incidents caused harm to the patient, including 5% resulting in death. In a university veterinary teaching hospital, there were 5.3 errors/1,000 patient visits, and 4 of these resulted in death. Veterinary medicine falls far behind other safety-critical industries in adopting a culture of patient safety. Organizations should respond in a just and effective way when errors occur. Psychological safety for team members to identify and speak up about areas of concern must be created and the results of improvements made based on these concerns shared within the professional group. If veterinary medicine is going to embrace patient safety culture, it needs to be included in the curriculum. Accrediting and licensing bodies need to require the teaching and application of principles of patient safety culture. Faculty must be trained to deliver patient safety–oriented care. Experts in human systems engineering should be brought in to educate veterinarians on how the systems we work in impact patient outcomes. If we are going to fulfill the promise of the Veterinarian’s Oath, we must embrace patient safety culture and all the difficult changes it requires of our professional culture.}, number={12}, journal={JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION}, author={Hofmeister, Erik H. and Love, Lydia}, year={2023}, month={Dec}, pages={1908–1912} } @article{hovda_graham_love_2024, title={Ventricular arrhythmias during anesthesia in a juvenile German Shepherd Dog}, volume={262}, ISSN={["1943-569X"]}, url={http://europepmc.org/abstract/med/38041948}, DOI={10.2460/javma.23.09.0529}, number={2}, journal={JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION}, author={Hovda, Tyne and Graham, Lynelle and Love, Lydia}, year={2024}, month={Feb}, pages={263–265} } @article{enomoto_love_madsen_wallace_messenger_2022, title={Pharmacokinetics of intravenous, oral transmucosal, and intranasal buprenorphine in healthy male dogs}, volume={7}, ISSN={["1365-2885"]}, url={http://europepmc.org/abstract/med/35445748}, DOI={10.1111/jvp.13056}, abstractNote={AbstractEffective management of pain in animals is of critical importance but options are limited for treating acute pain in dogs on an outpatient basis. The objective of this study was to compare the plasma concentrations and pharmacokinetics of a concentrated solution of buprenorphine, 1.8 mg/ml (Simbadol™) administered intravenously, intranasally, and via the oral transmucosal (OTM) route in healthy male dogs. Five healthy castrated adult male Beagle‐cross dogs were included in this randomized blocked crossover study. The dogs received 0.03 mg/kg body weight buprenorphine intravenously, intranasally, or via the OTM route, with a minimum 72‐h washout period between treatments. Blood samples were collected at multiple intervals up to 24 h post administration and buprenorphine plasma concentrations were determined by liquid chromatography tandem mass spectrometry. Non‐compartmental pharmacokinetic analysis revealed that the area under the curve of intravenous, intranasal, and OTM routes were 28.0 (15.1–41.3) h × ng/ml, 16.1 (3.4–28.7) h × ng/ml and 10.8 (8.8–11.8) h × ng/ml, respectively. The bioavailability of intranasal and OTM routes were 57.5 (22.7–93.7)% and 41.1 (25.5–69.4)%, respectively. Intranasal and OTM routes of administration of concentrated buprenorphine in dogs may allow for the provision of analgesic care at home.}, journal={JOURNAL OF VETERINARY PHARMACOLOGY AND THERAPEUTICS}, author={Enomoto, Hiroko and Love, Lydia and Madsen, Melanie and Wallace, Amber and Messenger, Kristen M.}, year={2022}, month={Apr} } @article{love_hedgpeth_robertson_marks_schoenfeld-tacher_2021, title={Assessment of Safety Culture at a Veterinary Teaching Hospital in the United States}, volume={8}, ISSN={["2297-1769"]}, url={http://europepmc.org/abstract/med/33791353}, DOI={10.3389/fvets.2021.638764}, abstractNote={This study assessed the fidelity of an existing questionnaire regarding attitudes toward safety culture in an academic veterinary hospital setting and gathered baseline data on these attitudes in a local population. A cross-sectional study design was used to evaluate perceptions held by veterinary teaching hospital employees. An established veterinary safety culture survey was modified and administered as a confidential online survey to faculty, house officers, and professional staff of a veterinary teaching hospital in the United States. Confirmatory and exploratory factor analysis were conducted to compare the adapted survey to the established version. Descriptive statistics were used to characterize baseline safety culture. The adapted survey exhibited factor groupings that were mostly in agreement with, but slightly different from, the original instrument. In general, survey respondents outlined positive attitudes toward the various domains of safety culture, though we identified opportunities for improvement in some areas. An adapted veterinary safety culture survey can be applied to a veterinary teaching hospital in the United States to assess baseline data surrounding the culture of safety and to identify opportunities for focused improvement efforts.}, journal={FRONTIERS IN VETERINARY SCIENCE}, author={Love, Lydia C. and Hedgpeth, Mari-Wells and Robertson, James B. and Marks, Steven L. and Schoenfeld-Tacher, Regina M.}, year={2021}, month={Mar} } @article{hovda_love_chiavaccini_2021, title={Risk factors associated with hypoxaemia in horses undergoing general anaesthesia: A retrospective study}, volume={11}, ISSN={["2042-3306"]}, url={http://europepmc.org/abstract/med/34796547}, DOI={10.1111/evj.13541}, abstractNote={SummaryBackgroundHypoxaemia is a common concern during equine general anaesthesia. The prevalence and predictors of hypoxaemia in horses undergoing elective anaesthesia in particular are poorly documented.ObjectivesTo determine and compare the prevalence of hypoxaemia (defined as PaO2 ≤ 80 mm Hg, on the lowest value recorded) in horses undergoing anaesthesia for exploratory laparotomy and elective procedures, and to identify risk factors in both subpopulations.Study designRetrospective cohort study.MethodsData were collected from 774 records of 708 horses undergoing general anaesthesia between April 2017 and August 2020. Potential predictors of hypoxaemia in horses undergoing anaesthesia for exploratory laparotomy or elective procedures were investigated separately by univariable penalised maximum likelihood logistic regression, followed by multivariable analysis. The lowest recorded PaO2was used as a single data point for the determination of hypoxaemia and arterial oxygen partial pressure to fractional inspired oxygen ratio analysis.ResultsHypoxaemia was recorded in 23% horses undergoing exploratory laparotomy compared with 3.8% horses undergoing elective anaesthesia (P < .001). Multivariable analysis showed that weight above 550 kg, large intestinal lesions, and peak inspiratory pressure (PIP) above 30 cmH2O were significantly associated with hypoxaemia in horses undergoing exploratory laparotomy. Soft tissue procedures and PIP >30 cmH2O were significantly associated with hypoxaemia during elective anaesthesia.Main limitationsThis study only considered the minimum PaO2recorded during anaesthesia. Duration and treatment of hypoxaemia were not considered.ConclusionsBased on the lowest PaO2value during anaesthesia, in our population, horses undergoing anaesthesia for exploratory laparotomy were over six times more likely to become hypoxaemic than horses undergoing elective procedures. Bodyweight, type of procedure, and high PIP were predictors of hypoxaemia.}, journal={EQUINE VETERINARY JOURNAL}, author={Hovda, Tyne and Love, Lydia and Chiavaccini, Ludovica}, year={2021}, month={Dec} } @article{love_cline_2014, title={Perioperative physiology and pharmacology in the obese small animal patient.}, volume={3}, url={http://europepmc.org/abstract/med/25131820}, DOI={10.1111/vaa.12219}, journal={Veterinary anaesthesia and analgesia}, author={Love, L and Cline, MG}, year={2014}, month={Aug} } @article{love_singer_2013, title={Anesthesia case of the month. Methemoglobinemia.}, volume={3}, url={http://europepmc.org/abstract/med/23445283}, DOI={10.2460/javma.242.6.753}, journal={Journal of the American Veterinary Medical Association}, author={Love, L and Singer, M}, year={2013}, month={Mar} } @article{voulgaris_egger_seddighi_rohrbach_love_doherty_2013, title={The effect of nitrous oxide on the minimum alveolar concentration (MAC) and MAC derivatives of isoflurane in dogs.}, volume={4}, url={http://europepmc.org/abstract/med/24082405}, journal={Canadian journal of veterinary research = Revue canadienne de recherche veterinaire}, author={Voulgaris, DA and Egger, CM and Seddighi and Rohrbach, BW and Love, LC and Doherty, TJ}, year={2013}, month={Apr} } @article{kelmer_love_declue_cohn_bruchim_klainbart_sura_merbl_2012, title={Successful treatment of acute respiratory distress syndrome in 2 dogs.}, volume={2}, url={http://europepmc.org/abstract/med/22851778}, journal={The Canadian veterinary journal = La revue veterinaire canadienne}, author={Kelmer, E and Love, LC and Declue, AE and Cohn, LA and Bruchim, Y and Klainbart, S and Sura, PA and Merbl, Y}, year={2012}, month={Feb} } @article{love_2011, title={Anesthesia case of the month. Hypoxemia during anesthesia.}, volume={8}, url={http://europepmc.org/abstract/med/21838581}, DOI={10.2460/javma.239.4.442}, journal={Journal of the American Veterinary Medical Association}, author={Love, LC}, year={2011}, month={Aug} } @article{love_egger_rohrbach_cox_hobbs_doherty_2011, title={The effect of ketamine on the MACBAR of sevoflurane in dogs.}, volume={7}, url={http://europepmc.org/abstract/med/21627754}, DOI={10.1111/j.1467-2995.2011.00616.x}, journal={Veterinary anaesthesia and analgesia}, author={Love, L and Egger, C and Rohrbach, B and Cox, S and Hobbs, M and Doherty, T}, year={2011}, month={Jun} } @article{love_gompf_egger_2010, title={Anesthesia case of the month. Multiform ventricular premature contractions and nonsustained ventricular tachycardia during anesthesia.}, volume={4}, url={http://europepmc.org/abstract/med/20392178}, DOI={10.2460/javma.236.8.840}, journal={Journal of the American Veterinary Medical Association}, author={Love, LC and Gompf, R and Egger, C}, year={2010}, month={Apr} } @article{kelmer_scanson_reed_love_2009, title={Agreement between values for arterial and end-tidal partial pressures of carbon dioxide in spontaneously breathing, critically ill dogs.}, volume={12}, url={http://europepmc.org/abstract/med/19951100}, DOI={10.2460/javma.235.11.1314}, abstractNote={Abstract Objective —To determine agreement between arterial partial pressures of carbon dioxide (Pa CO 2 ) and end-tidal partial pressures of carbon dioxide (P ETCO 2 ) measured with a nasal catheter in spontaneously breathing, critically ill dogs. Design —Validation study. Animals —26 client-owned dogs admitted to an intensive care unit for various conditions. Procedures —Pa CO 2 was measured with a commercial blood gas analyzer, and P ETCO 2 was measured with a sidestream capnograph attached to a nasal catheter. Measurements were obtained twice (ie, with and without supplemental oxygen). Paired values were compared by means of the Pearson correlation method. Level of agreement was assessed by means of the Bland-Altman method. Results —Mean difference between Pa CO 2 and P ETCO 2 when dogs did not receive supplemental oxygen (mean ± SD, 3.95 ± 4.92 mm Hg) was significantly lower than mean difference when dogs did receive supplemental oxygen (6.87 ± 6.42 mm Hg). Mean difference in dogs with a condition affecting the respiratory system (8.55 ± 5.43 mm Hg) was significantly higher than mean difference in dogs without respiratory tract disease (3.28 ± 3.23 mm Hg). There was a significant linear correlation and good agreement between measured values of Pa CO 2 and P ETCO 2 . Catheter size, ventilatory status, and outcome were not significantly associated with mean difference between Pa CO 2 and P ETCO 2 . Conclusions and Clinical Relevance —Results suggested that nasal capnography is a clinically relevant method of estimating Pa CO 2 in spontaneously breathing, critically ill dogs, but that values should be interpreted with caution in dogs receiving supplemental oxygen and in dogs with conditions affecting the respiratory system.}, journal={Journal of the American Veterinary Medical Association}, author={Kelmer, E and Scanson, LC and Reed, A and Love, LC}, year={2009}, month={Dec} } @article{christine_lydia_2009, title={Local and regional anesthesia techniques, Part 3. Blocking the maxillary and mandibular nerves.}, volume={6}, url={http://europepmc.org/abstract/AGR/IND44228696}, journal={Veterinary medicine.}, author={Christine, Egger and Lydia, Love}, year={2009}, month={Jun} } @article{christine_lydia_2009, title={Local and regional anesthesia techniques, Part 4. Epidural anesthesia and analgesia.}, volume={10}, url={http://europepmc.org/abstract/AGR/IND44276316}, journal={Veterinary medicine.}, author={Christine, Egger and Lydia, Love}, year={2009}, month={Oct} } @article{christine_lydia_2009, title={Local and regional anesthesia techniques. Part 1. Overview and five simple techniques.}, volume={1}, url={http://europepmc.org/abstract/AGR/IND44161586}, journal={Veterinary medicine.}, author={Christine, Egger and Lydia, Love}, year={2009}, month={Jan} } @article{christine_lydia_2009, title={Local and regional anesthesia techniques. Part 2. Stifle, intercostal intrapleural, and forelimb techniques.}, volume={3}, url={http://europepmc.org/abstract/AGR/IND44182151}, journal={Veterinary medicine.}, author={Christine, Egger and Lydia, Love}, year={2009}, month={Mar} } @article{love_egger_2008, title={Improving analgesia and monitoring in sterilization clinics.}, volume={6}, url={http://europepmc.org/abstract/med/18700318}, journal={Compendium (Yardley, PA)}, author={Love, L and Egger, C}, year={2008}, month={Jun} } @article{whalen_love_mordes_rossini_greiner_1999, title={Intravital dye-labeled diabetogenic rat T cells retain dye, home to the pancreas, and induce diabetes.}, volume={5}, url={http://europepmc.org/abstract/med/10331021}, DOI={10.1016/s0041-1345(99)00057-3}, journal={Transplantation proceedings}, author={Whalen, BJ and Love, LC and Mordes, JP and Rossini, AA and Greiner, DL}, year={1999}, month={May} }