Anesthetized with Iso/O2 via mask.  Monitored HR/RR throughout.  Tech ausculted arrhythmia during PT, but had normalized by the time doctor ausculted. Recovered uneventfully. Rads showed callus formation at mid-diaphyseal fracture site and continued remodelling of calluses at the previous fracture sites.  No new concerns or suspicion of infection. AMS

Took VD and caudocranial radiographs of right radius/ulna as it was reported that 276 was holding wing abnormally in aviary. On capture, it was noted that there was some crepitus mid-ulna. On radiographs there is a new oblique moderately displaced fracture of the middle fragment of the previous segmental fracture (new fracture, not at the two previous fracture sites of the segmental fracture). 
Radiographs taken on machine in treatment area, cannot be uploaded. 

Induced under 5%iso, maintained around 2% iso.
VD and skyline/craniocaudal projections obtained. There is bridging bone callus formation across both fracture sites of segmental ulnar fracture. There is proliferation of bone at all pin sites. There is displacement of the middle portion of the segmental fracture that is worse compared to initial radiographs and this has led to proliferation of bone on distal portion of middle fragment that is very close to the radius but not yet causing synostosis. This is visible ventrally as a large bony nodule near the radius on physical exam. Right now, supination/pronation appear intact. Based upon radiographs, fully healed and fixator can be removed, need to monitor for synostosis between radius and ulna, removal of pins may aid in reduction of further bone hypertrophy and reduce chances of synostosis, remodeling of bone expected with flight may do the same. Recommend recheck rads of wing if flight does not return to expected ability to determine if synostosis present

1. Whole body radiographs
2. Brachial plexus block with 6 mg bupivacaine
3. Identified leak in ventilation system, extubated and switched
to 7.0 mm ET tube
4. Ulnar fracture repair

- Fracture Repair - 
The patient was placed in sternal recumbency. The ulna had been
fractured in 2 places (mid-diaphysis and distal diaphysis). A
fibrous callus had formed at each fracture site. A 1.5 cm skin
incision was made over the distal ulna using a #15 blade scalpel.
Tonometry scissors were used to bluntly dissect down to the ulna.
A closed reduction was attempted, and adequate apposition of
the distal fracture fragments was confirmed via fluoroscopy.
The same steps were performed for the mid-diaphyseal fracture.
A 1.5 cm skin incision was made over the mid-diaphysis of the
ulna using a #15 blade scalpel. Tonometry scissors were used
to bluntly dissect down to the ulna. A closed reduction was attempted,
and adequate apposition of the mid-diaphyseal fracture fragments
was confirmed via fluoroscopy. Five 2.0 mm transfixation pins
were placed through both cortices unilateral/uniplanar along
the length of the ulna. Positioning of the pins was confirmed
via fluoroscopy. The skin incisions were closed with 4.0 PDS
in a simple continuous pattern.

2 fractures in right wing. One fx close to right carpus and one mid diaphyseal fx on right ulna. Bullet fragments/pellets noted on film.