Over the Christmas period I found myself performing a caesarian section on a Pug, with the result being four healthy young pups. Thankfully the anaesthetic was stable and we had more than one nurse who was able to step in and help to receive and revive the puppies as I delivered them. It did, however, get me thinking about those situations where you might find yourself with just you, the surgeon, and one nurse – a common situation in out-of-hours (OOH) emergency work. What would happen if the anaesthetic was unstable or there were simply more puppies than the nurse could manage on their own?
The idea for the Caesarian Companion thus came to mind. The principle is that the surgeon can drop the newly delivered puppy/ kitten into one of the flexible ‘slings’ (flexible and clear to allow easy breathing, be comfortable and enable close visual monitoring), which can be detached, replaced and even come in different sizes, depending on the expected size of the delivered babies. The slings could be suspended within a frame that is gently vibrating to encourage tactile stimulation of the new pup/ kittens, with their heads poking out of the end into a chamber delivering the optimal amount of oxygen. The chamber would be heated to keep the puppies warm and made out of a clear, easily cleaned material to maximise hygiene. The idea behind carefully suspending and ‘agitating’ the newborns is to help any fluid that may be present on their chests to drain and to gently stimulate the newborns to start breathing on their own. Once suitably awake and when the nurse, or other staff member, is free then the newborns could be removed and transferred to a standard heated incubator, with the Caesarian Companion potentially doubling as one, with the newborns being placed on a heated, padded mat inside.
NB: This is simply an idea & the design is certainly not complete. Please feel free to comment/ suggest changes/ improvements.