Refractory Perioperative Hypotension and Hyperlactatemia after the Surgical Repair of a Traumatic Diaphragmatic Hernia in a Cat
-
- SEKI Seri
- Department of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University
-
- YASUDA Akiko
- Veterinary Teaching Hospital, Nippon Veterinary and Life Science University
-
- FUJITA Michio
- Department of Veterinary Radiology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University
Bibliographic Information
- Other Title
-
- 外傷性横隔膜ヘルニア整復後に難治性周術期低血圧と高乳酸血症を示した猫の1例
Search this article
Description
<p>A 2-year-old intact female mixed-breed cat was referred for confirmation and treatment of a traumatic diaphragmatic hernia. Thoracic radiography revealed the prolapse of abdominal organs such as the gastrointestinal tract and liver into the thoracic cavity, and since the cardiac shadow was unclear, a diagnosis of traumatic diaphragmatic hernia was made and reduction of the herniated organs and closure of the diaphragm through a midline abdominal incision were thus performed. After completing the herniated organs reduction during surgery, the peristaltic movements of the intestinal tract and pulsation of the blood vessels were diminished, and the intestines appeared pale. Subsequently, acute hypotension and tachycardia occurred. Fluid boluses of crystalloids and colloids, dopamine, norepinephrine, vasopressin and whole blood were administered for the treatment of hypotension, with no improvement. Postoperatively, the serum lactate levels gradually increased, and hyperkalemia, hypoglycemia and hypercapnia occurred. Catecholamine-resistant circulation insufficiency persisted, and the cat died approximately 9 hours after surgery. Careful perioperative management is required because refractory perioperative hypotension, hyperlactatemia, hyperkalemia and hyperlactatemia may occur after reduction of a traumatic diaphragmatic hernia.</p>
Journal
-
- Journal of Animal Clinical Medicine
-
Journal of Animal Clinical Medicine 31 (3), 106-111, 2022-09-25
Japanese Society of Clinical Veterinary Medicine
- Tweet
Details 詳細情報について
-
- CRID
- 1390016107125980160
-
- NII Book ID
- AN10478688
-
- ISSN
- 18811574
- 13446991
-
- NDL BIB ID
- 032570014
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
-
- Abstract License Flag
- Disallowed