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There is limited literature regarding wing tip edema (WTE) in raptors, and much of our current understanding of the condition is based on anecdotal reports. The aims of this retrospective study were to describe the clinical features of WTE in birds of prey, to identify prognostic factors for return to flight and patient survival following diagnosis, and to develop and assess the clinical significance of a novel WTE grading system. Between 2004 and 2022, 41 cases of WTE were identified in 39 captive birds. No cases were found in wild birds. Harris's hawks ( Parabuteo unicinctus ), lanner falcons ( Falco biarmicus ), and peregrine falcons ( Falco peregrinus ) had the highest frequencies of WTE, and all cases presented between October and May. Increasing days of air frost per month and colder median monthly temperatures were significant risk factors for the development of WTE. Of the cases where patient outcomes were known, 23/31 (74.2%) cases returned to normal flight and 29/34 (85.3%) cases survived. End-stage disease, represented by primary flight feather loss and metacarpal ischemic (dry) gangrene, and enalapril use were associated with poor patient outcomes. Presentation within 24 hours of disease onset, isoxsuprine use, and physiotherapy were associated with improved patient outcomes. This study showed that WTE is an infrequently encountered but clinically significant condition in captive raptors and is associated with an overall high morbidity and moderate mortality risk.

Air sac cannulation is used both as an emergency procedure in avian patients with severe upper respiratory compromise, as well as a means of routine ventilation for surgery of the head and neck. The objective of this retrospective study was to describe and quantify the complications associated with air sac cannulation in birds. Medical records were retrieved for all patients that underwent caudal thoracic or abdominal air sac cannulation at a single center between August 2004 and October 2020. Patient signalment, indication for air sac cannulation, location of air sac cannula (ASC) placement, occurrence and category of complications encountered, and survival data were recorded. Eighty-four ASCs were placed in 68 birds across 6 orders; 95.2% (80/84) of cases survived general anesthesia for initial ASC placement. The side and position of ASC placement were known in 33.3% (28/84) and 21.4% (18/84) of cases, respectively. Survival to ASC removal was known in 91.3% (73/80) of cases; 43 (58.9%) of these 73 cases survived to ASC removal. Complications were observed in 32.5% (26/80) of cases, and 11.5% (3/26) of cases died as a direct result of the complication. The most common reported ASC complication was loss of patency in 23.8% (19/80) of cases. Increased likelihoods for complications were seen in cases where exercise intolerance ( P = 0.04) or abnormal respiratory sounds ( P = 0.04) were reported at presentation. Increased likelihoods for survival to ASC removal were seen with intercostal placements ( P = 0.049) and peri-interventional antibiotic therapy ( P = 0.005). Decreased likelihood for survival to ASC removal was seen in cases where voice change was reported at presentation ( P = 0.02). This study demonstrates a moderate risk of ASC complication, with a guarded overall prognosis for survival to ASC removal.

Egg binding is one of the most commonly diagnosed reproductive disorders in avian medicine. Often, egg binding is caused by multiple factors, including inappropriate diet and husbandry, reproductive tract pathology, and/or systemic disease. Treatment of egg binding can include medical management or egg removal either percloacal or through surgical means. Percloacal ovocentesis is a commonly described technique in avian practice. The aim of this study was to consider the signalment, success of facilitating egg removal, associated complications, and outcome when percloacal ovocentesis was performed. Data were obtained from an avian first-opinion and referral center in the United Kingdom over a 10-year period. Of the 20 cases that met the inclusion criteria, the following orders were represented (Psittaciformes (n = 15; 75%), Anseriformes (n = 1; 5%), Accipitriformes (n = 2; 10%), and Strigiformes (n = 2; 10%) were represented. Patient age ranged from 2 to 26 years, with an average age of 9.4 years. Percloacal ovocentesis successfully facilitated egg removal in 16 of 20 cases (80%) with no complications observed in 14 of 20 cases (70%). Percloacal ovocentesis is not without potential complications; eggs fragmented in 2 of 20 (10%) cases, with coelomic penetration and coelomitis suspected in a single case (5%). Careful risk assessment and case selection should be performed before the use of this technique. In cases that are refractory to medical management, and in which surgical intervention is high risk or not a feasible option, percloacal ovocentesis can facilitate successful resolution of egg binding in an avian patient and should be considered as a viable treatment option.