What should the internal diameter of a temporary tracheostomy tube be in relation to the diameter of the trachea?
1/2 of diameter of trachea
Why should you extend a dog's neck over a rolled towel when preparing to place a tracheostomy tube?
To get the trachea closer to the skin
Where is the incision usually made for a temporary tracheostomy?
Between 3rd and 4th OR 4th and 5th rings, through the annular ligament
For how long should you suction the trachea and at what level, after placing a trach tube?
<10 sec (to prevent hypoxia)
What wound classification is used when you remove a trach tube? How do you close this?
Don't close, allow to heal by second intention
What start and end point do you use to pre-measure a thoracostomy tube?
Start: Dorsal third of thoracic wall at 7-9 ICS
End: Around point of elbow
How far from the desired intercostal entry point do you make your incision for a thoracostomy tube?
2-3 rib spaces caudal
Why is this hemostat placement for a thoracostomy tube incorrect?
Hemostat tips should extend beyond the end of the tube (otherwise difficult to get through hole)
How do you secure a thoracostomy tube? (incl suture type)
Mattress or purse-string suture and fingertrap suture
You take an x-ray to evaluate the placement of a thoracostomy tube and notice that it is not deep enough in the thorax. Can you reposition the tube?
No, must re-place tube
(can back out but not insert further into thorax)
In what position do you place a dog for pericardiocentesis? How should you position your patient to clip the area which you will insert the needle? Where is this area?
Left lateral recumbency (left side down)
Mid-ventral right 5th-6th ICS (point of elbow)
Why do you need to advance a catheter before removing th stylette?
Stylette extends beyond the catheter
What is the least invasive enteral feeding tube?
Which side of the stomach do you place a feeding tube for nutritonal support?
What layer must you include when securing a gastrostomy tube?
Fascia (not just skin)
What is one of the most important things to do when placing an enterostomy tube to prevent food accumulating in case of gastro/interstinal paresis?
Advance tube down further into the GIT
What type of approach is a laparotomy?
What is gossypiboma? How do you prevent it?
Retained foreign object during surgery
Sponge and instrument counts pre- and post-op
(Also: Radioopaque sponges, but $$$)
What is a common reason to use a paramedian approach for a neuter?
When would you do a flank approach?
To access ovaries, kidneys or adrenals
What must you ID and ligate when you deviate your incision laterally from ventral midline?
Branches of caudal superficial epigastric vessels
Which muscle do you want to avoid when making a ventral midline approach?
Rectus abdominis muscle
How can you deal with the falciform ligament when doing a ceiliotomy?
1. Push it out of the way
2. Ligate and remove
3. Cauterize and remove
What is almost always indicated with an exploratory ceilotomy even if no gross lesions are identified?
What is found in the cranial quadrant?
Left limb of pancreas
What is found in the right quadrant?
Right limb of pancreas
Adrenal gland (right)
What is found in the left quadrant?
Adrenal gland (left)
Left uterine horn
What is found in the central quadrant?
Transverse, ascending colon
What is found in the caudal quadrant?
Ventral ligament of bladder
Until when do you lavage the abdomen with warm saline before closing?
Until what you're taking out looks like what you're putting in