9: Complications in large animal surgery Flashcards Preview

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Flashcards in 9: Complications in large animal surgery Deck (21):
1

Hypotension complication

susceptible to the negative ionotropic and vasodilatory effects of inhaled anesthetics

2

How to correct hypotension complication

Decrease anesthetic delivery
increase IV fluids
administer inotropic drugs
administer vasopressors

3

Hypercapnia complication

susceptible to respiratory effect of inhalant anesthetics
leads to hypoventilation

4

Hypoxemia complication

arterial PO2 < 60mmHg

5

Bradycardia/AV block

A2 agonists increase chances of AV block in horses
Dobutamine- cause bradycardia

6

How to treat hemorrhage in a horse

Colloids
Blood transfusions
hypertonic saline
pain relief

7

Myopathy/neuropathy

facial and radial nerves subject to damage due to recumbency

8

Acute airway obstruction signs

snoring
no air through nostrils
increased abdominal effort
Nostril flare
panic when trying to stand

9

Treatment for airway obstruction

remove obstruction
Lasix
oxygen therapy
corotcosteroids

10

how much blood can you take from a donor horse

1.6% of body weight

11

Herniation

exteriorization of internal organs through a defect or opening in abdominal wall

12

what happens in acute incisional dehiscence

brown serosanguious fluid discharges from incision
Ventral swelling

13

How to reduce incidence of impaction colic post surgery

watch diet, water, and poops

14

How to treat laminitis post surgery

icing all feet
analgesics
antiendotoxic drugs
solar support

15

clinical signs of postoperative myopathy

difficulty in recovery
lameness
localized swelling
hardness of muscles
sweating

16

Treatment of postop myopathy

support with sling
fluid therapy
muscle relaxant
NSAID
analgesia

17

How to avoid myopathy

decrease recumbency time
adequate padding

18

What is postop neuropathy

anesthetic related nervous system injury

19

What nerves are affected with postop neuropathy

peripheral (radial, femoral, facial)

20

Clinical signs of postop neuropathy

inability to bear weight on affected forelimb
Dropped elbow
drooping of lip

21

Treatment of postop neuropathy

supportive care
bandaging
sling
massage
DMSO
NSAID
fluid therapy