Abdominocentesis techniques in horses.

Autor: Radcliffe RM; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA., Hill JA; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA., Liu SY; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA., Cook VL; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA., Hurcombe SDA; Emergency Surgery and Medicine, Cornell Ruffian Equine Specialists, Elmont, New York, USA., Divers TJ; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Jazyk: angličtina
Zdroj: Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) [J Vet Emerg Crit Care (San Antonio)] 2022 Jan; Vol. 32 (S1), pp. 72-80.
DOI: 10.1111/vec.13118
Abstrakt: Background: Abdominocentesis is commonly used to evaluate the abdominal cavity of the horse. This technique provides valuable diagnostic information as well as the means to monitor patients with abdominal diseases being managed medically and to determine their need for surgical management. Complications are uncommon and include trauma to the gastrointestinal tract or spleen, septic peritonitis, or abdominal wall infection.
Procedures: This review describes the indications, utility, patient preparation, and instructions for performing abdominocentesis as well as possible complications reported in horses. Step-by-step instructions are provided for the two most commonly used abdominocentesis techniques in horses, which include the use of a needle (18 Ga, 3.8 cm [1.5 in]) and a teat cannula (9.5 cm [3.75 in]).
Summary: Peritoneal fluid collection and fluid analysis can be used to confirm diagnosis of intraabdominal pathology including inflammatory, infectious, neoplastic, obstructive, and bowel strangulation, leading to additional diagnostic and therapeutic plans.
Key Points: Abdominocentesis is useful as a diagnostic procedure in horses suffering from colic, diarrhea, weight loss, or other conditions involving the abdominal cavity and is an integral component of diagnostic testing for colic at referral institutions or in the field. Abdominal fluid collection using an 18-Ga, 3.8-cm (1.5-in) needle is recommended for adult horses because the needle is long enough to penetrate the peritoneal cavity. The teat cannula technique is recommended for use in adult horses, foals, and miniature horses to reduce the risk of enterocentesis, even though this procedure is more traumatic than using an 18-Ga, 3.8-cm needle. Ultrasonography of the abdomen is a valuable tool in the assessment of any horse with signs of colic, but it is not essential for performing an abdominocentesis successfully.
(© Veterinary Emergency and Critical Care Society 2022.)
Databáze: MEDLINE
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