Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Andrea Oncken, DVM, DACVECC
The patient with multi-trauma can present a challenging case for a clinician.Damage to the respiratory system, cardiovascular system, or neurologic system can all be fatal by themselves, and a combination of these injuries can present as a resuscitation nightmare.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Andrea Oncken, DVM, DACVECC
Common transfusion types include fresh whole blood, stored whole blood, packed red blood cells, fresh frozen plasma, and frozen plasma. Other, less common transfusion products include cryoprecipitate, cryo-poor plasma, platelet-rich plasma, platelet concentrate, lyophilized albumin, and lyophilized platelets.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
F.A. Mann, DVM, MS, DACVS, DACVECC
A number of respiratory emergencies may ultimately require surgical intervention, but the surgical techniques most likely to be indicated on an emergent basis are tube tracheostomy, tracheal resection/anastomosis, tube thoracostomy, and diaphragmatic hernia repair.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
F.A. Mann, DVM, MS, DACVS, DACVECC
Support of respiratory function in critically ill patients is extremely important because inappropriate oxygenation and/or ventilation can quickly lead to an animal's demise. Also, respiratory infections, especially nosocomial infections, can be quite serious.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Andrea Oncken, DVM, DACVECC
Platelets are essential for normal hemostasis and serve three main functions. They maintain vascular integrity by forming platelet plugs and promoting endothelial vasoconstriction in areas of disrupted endothelium.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
F.A. Mann, DVM, MS, DACVS, DACVECC
Postoperative management of acute abdomen patients includes general supportive measures and monitoring commonly performed with critically ill patients, analgesic medication, nutritional support, and specific interventions based on the underlying cause of the acute abdomen and/or the surgical manipulations employed to treat the condition.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
F.A. Mann, DVM, MS, DACVS, DACVECC
Patients that have undergone emergency surgery to address respiratory distress are routinely supplemented with oxygen in the early recovery period and are monitored for oxygenation status using physical parameters (respiratory rate, respiratory character, and mucous membrane color), pulse oximetry (SpO2), and, when practical, arterial blood gases (PaO2).
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Andrea Oncken, DVM, DACVECC
Adequate nutrition is essential for the critically ill patient. Nutrients are necessary to provide substrates for normal cellular functions, protein synthesis, and daily metabolic processes. The critical patient is often in a hypercatabolic state, so early nutrition is essential to prevent glycogen depletion, immune dysfunction, and loss of body mass, and to provide substrates for wound healing.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Andrea Oncken, DVM, DACVECC
The primary hemostatic system alone is not sufficient to provide hemostasis if a large vessel is injured, or if there is significant vascular wall injury. Fibrin needs to be generated in order to form a stable clot, and this occurs through secondary hemostasis, or the coagulation cascade.
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