A dog drops dead in recovery from gross negligence after surgery on a cyst

Complaint: Complaint 22-61
Respondent: Matthew Reed
Premises: AZPetVet Sarival Animal Hospital

The complainant says he brought his dog to the vet for a cyst on the back. The vet initially suggested treating with antibiotics but upon closer examination found the dog would require surgery. Two hours later he received a call stating that the dog had a reaction to the anesthesia but CPR had been initiated; when he arrived he was told the dog had died. Among other things, he was told the dog did okay during surgery but they noticed the dog was having problems in recovery; it also appeared they had trouble giving the dog medications because they couldn't find a vein to insert an IV, nor was any blood work performed prior to anesthesia. He says another vet reviewed the necropsy report and questioned whether the dog had been intubated.

Reed's response details the background on the dog and the motivation for the surgery. He says that while sedated the dog kept moving around, so he concluded the sedation was too light. The remainder of the procedure was uneventful; the first sign of trouble was when the he couldn't hear the dog's heart while putting the dog in recovery. They were unable to place an IV cathether so they gave intratracheal epinephrine. However, the dog still died; he suggests a bad reaction to anesthesia and points out that Midwestern's necropsy couldn't find a cause of death.

The Investigative Committee found a lot of problems on this one; they note that the dog was brachycephalic and had tiny nostrils, thus making the dog more likely to have a problem. They point out the dog was not intubated, multiple doses of propofol were administered, and they even had concerns about whether the complainant actually signed off on things that the clinic claimed he did. They also note problems with the recorded information for the CPR attempts not matching up with standard procedures or what was found on the dog's body. The Investigative Committee voted to find gross negligence as well as a violation for withholding the dead dog's records. The board kept the gross negligence violation, rewording it, while dropping the medical records violation.

Motions

Investigative Motion: Find violation

Source: May 5, 2022 AM Investigative Committee Meeting
People:
Matthew Reed Respondent
David Stoll Respondent Attorney
Roll Call:
Robert Kritsberg Absent
Christina Tran Aye
Carolyn Ratajack Aye
Jarrod Butler Aye
Steven Seiler Aye
Violations:
ARS § 32-2232 (11) Gross negligence; for failure to intubate the dog, administer general anesthesia, and place an IV catheter prior to the procedure which caused unnecessary suffering or death
ARS § 32-2232 (18) as it relates to AAC R3-11-501 (8) for failure to provide copies of the dog's medical records within 10 days from the animal owner's request.
Result: Passed

Board Motion: Schedule informal interview

Source: June 6, 2022 Board Meeting
People:
Matthew Reed Respondent
David Stoll Respondent Attorney
Proposed By: Melissa Thompson
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Absent
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Aye
Result: Passed

Board Motion: Find violation

Source: July 7, 2022 Board Meeting
People:
Matthew Reed Respondent
David Stoll Respondent Attorney
Proposed By: Melissa Thompson
Seconded By: Craig Nausley
Roll Call:
Craig Nausley Aye
Darren Wright Absent
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Absent
Violations:
ARS § 32-2232 (11) Gross negligence: failure to intubate a brachycephalic pet while sedated for a surgical procedure.
Result: Passed

Board Motion: Issue board order

Source: August 8, 2022 Board Meeting
Proposed By: Melissa Thompson
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Absent
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Aye
Result: Passed

Board Order: Order 22061 MATTHEW REED, DVM

Source: Order 22061 (August 8, 2022)
Violations:
A.R.S. § 32-2232 (11) Gross negligence: failure to intubate a brachycephalic pet while sedated for a surgical procedure.
Penalties:
Probation (1 year)
Continuing education (3 hours in anesthesia)
Continuing education (3 hours in brachycelphalic disease syndrome)

The primary source for the above summary was obtained as a public record from the Arizona State Veterinary Medical Examining Board. You are welcome to review the original records and board meeting minutes by clicking the relevant links. While we endeavor to provide an accurate summary of the complaint, response, investigative reports and board actions, we encourage you to review the primary sources and come to your own conclusions. In some cases we have also been able to reach out to individuals with knowledge of specific complaints, and where possible that information will be included here.