Gastric dilation and volvulus workshop Flashcards
which way do GDV tend to twist
90% twist clockwise
List the risk factors of GDV
breed- deep chested dogs
- GSD
- Lab
- Greyhounds
- Dachshunds
Aerophagia - exercise after eating
List the clinical signs of GDV
pale mm
tachycardia
prolonged CRT
low rectal temp
collapse
poor pulse quality
Describe how to stabilise GDV patient
un-obstruct the stomach
IV fluids
Place ECG - arrhythmias
Oxygen
Analgesia
Describe how to un-obstruct the stomach in cases of GDV
stomach tube
percutaneous decompression
naso-gastric tube
Why do you need to place ECG in cases of GDV
due to reperfusion injury - can cause V tach
this will kill
what analgesia should you give to a case of GDV
methadone
because has minimal cardiac effects
describe how to diagnose GDV
radiograph - only take 1- right lateral
will see smuft hat
describe how to pre-med GDV for surgery
midazolam/ methadone (may have already used for analgesia)
What surgery is performed to treat GDV
incisional gastroplexy
If stomach has necrosis when opened for GDV surgery what do you do
Consider PTS
cut out necrotic bits but do slowly- and sew back together
if spleen has necrosis when open for GDV surgery what do you do
remove the spleen
if spleen has torsion when open for GDV surgery what do you do
remove
do not untwist or untwist stomach before taking out - as this increases risk of repersuion injury –> arrythmias –> V Tac –> Dead
what do you do to treat V Tac
lidocaine
why do you give GDV patient lidocaine CRI
because risk of reperfusion injury –> arrythmias –> V Tac –> DEATH
keep on lidocaine for 24 hours because this can happen at any point with 24 hours after surgery
