Galae, Dominic Barfield here, and this is the RVC clinical podcast.

Thank you for listening and thank you for subscribing on your smartphone or generic fruit-based device. We're really grateful for you taking the time to download and listen to this obviously podcast. Do you actually download them now if you're listening on Spotify? Anyway, but we really be incredibly grateful if you could pop to Apple podcast, A-Kar, and Leave us review. Obviously, a five-star review

would be great, but really appreciate a couple of moments for your time to do that. Today, joining

Brian and myself in the actual studio is Chris Gutter, Dr. Chris Gutter, one of our senior lecturers

in internal medicine here at the RVC. Welcome, Chris. Thank you. Thanks for having me.

And we thought we would discuss. I mean, I think I heard on a rival podcast could such a thing

exist that you spoke about catheters because actually we published a recent paper on complications

of catheters. And you gave a talk internally about it today and I thought actually

there's a lot of valuable information in there that we should sort of talk about so can I ask you

I know you're very more interested in what last time we spoke to you I think it was about

oral hyperclycemic agents and obviously you're very into your endocrine diseases in general

but diabetes being particularly panchant because that's what you did your PhD in but um so

catheters where did this come from Chris why are you starting to look at this I I'm intrigued about

asking questions why we do things and nothing crops up as commonly as placing IV catheters, I think, in clinical practice.

And I've always had a bit of a frustration with, we do this because we've always done it like this here,

or that is our standard operating procedure, and that has never really asked the question or answered the question, why.

So I've always tried to get the whys out of why behaviours happen within any clinical environment.

And if we can behave in an evidence-based way, hopefully we're behaving in the best possible way at that time. It also, in part, particularly

IV catheters stems from a clinical case I looked after, and it was a dog who presented to us

with a gastrointestinal upset who had an IV catheter and later developed an IV catheter complication locally in the limb

that the IV catheter was in, but the dog actually also developed a pyothorax or an infection

within the chest. And it was somewhat interesting that the same bacteria were present locally

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