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- W2022505810 abstract "The goals of postoperative management of horses with abdominal disorders are to treat pain, support the cardiovascular system, treat endotoxemia, identify and treat surgical infection, restore gastrointestinal function, and manage secondary complications (diarrhea, thrombophlebitis, laminitis). Problems encountered in the postoperative period usually represent a natural progression of events triggered by the primary lesion. To maintenance fluids in adult horses (approximately 2.5 ml/kg/hr) are added the estimate of dehydration and the estimated ongoing losses. Electrolyte derangements, specifically hypocalcemia, hypokalemia, and hypomagnesemia, can become significant in postoperative patients. Synthetic colloids can be used when fluid loss is compounded by a decreasing oncotic pressure, but are not a substitute for plasma or blood products when RBC, platelets, antithrombin or coagulation factors are needed. Potential strategies for endotoxemia are to prevent absorption, chelate and eliminate the endotoxin molecule, and manage the cascade of mediators triggered by endotoxin. Drugs used for pain management should provide a good clinical response and minimally affect gastrointestinal motility. Treatment of postoperative ileus with prokinetic agents has met with limited success in horses, and the primary focus for treatment includes fluid and electrolyte therapy and gastrointestinal decompression. Prevention of recurrence of large colon displacements includes colopexy and large colon resection, and some postoperative complications may require repeat celiotomy. Perioperative antimicrobial therapy should be broad spectrum and have minimal effects on gastrointestinal flora." @default.
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- W2022505810 date "2002-09-01" @default.
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- W2022505810 title "Postoperative management for colics" @default.
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- W2022505810 doi "https://doi.org/10.1053/ctep.2002.35580" @default.
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