Krista M Cioffi 1 , Chad W Schmiedt , Karen K Cornell , MaryAnn G Radlinsky Show Affiliations »
Abstract
OBJECTIVE: To describe the use of vacuum-assisted peritoneal drainage (VAPD) in dogs and cats with septic peritonitis. DESIGN: Retrospective descriptive study. SETTING: University Veterinary Teaching Hospital. ANIMALS: Six dogs and 2 cats with septic peritonitis. INTERVENTIONS: Application of VAPD after abdominal exploration. MEASUREMENTS: Pre- and post-operative physical and clinicopathologic data, surgical findings, treatment, VAPD fluid production, outcome, and survival are reported. MAIN RESULTS: Eight nonconsecutive cases of septic peritonitis, consisting of 6 dogs and 2 cats, were treated surgically and had VAPD applied post-operatively. The mean duration of clinical signs prior to surgical intervention was 4 ± 3 days. VAPD therapy was applied for a mean of 2 ± 1.1 days and collected a median of 27 mL/kg/d of abdominal effusate. The median time in hospital was 5 days and abdominal closure was completed in 5 of the 8 patients. All specimens collected at surgery cultured positive for bacteria, most commonly Enterococcus spp. The peritoneum of 4 animals was cultured at the time of abdominal closure; 1 was negative and 3 were positive for Escherichia coli, Enterococcus spp. or gram-positive cocci. Cultures before and after surgery differed in 2 patients. Hypoproteinemia was present in all patients postoperatively. Three patients were considered survivors, all of which were dogs. Five patients died or were euthanized due to cardiopulmonary arrest (n = 3), pyothorax (n = 1), and acute, severe, septic peritonitis (n = 1). CONCLUSIONS: VAPD is available for maintaining abdominal drainage for the treatment of septic peritonitis after surgical intervention; however, similar to open abdominal drainage and closed suction drainage, nosocomial infection and hypoproteinemia remain challenges in the treatment of septic peritonitis. © Veterinary Emergency and Critical Care Society 2012.
OBJECTIVE: To describe the use of vacuum-assisted peritoneal drainage (VAPD) in dogs and cats with septic peritonitis . DESIGN: Retrospective descriptive study. SETTING: University Veterinary Teaching Hospital. ANIMALS: Six dogs and 2 cats with septic peritonitis . INTERVENTIONS: Application of VAPD after abdominal exploration. MEASUREMENTS: Pre- and post-operative physical and clinicopathologic data, surgical findings, treatment, VAPD fluid production, outcome, and survival are reported. MAIN RESULTS: Eight nonconsecutive cases of septic peritonitis , consisting of 6 dogs and 2 cats , were treated surgically and had VAPD applied post-operatively. The mean duration of clinical signs prior to surgical intervention was 4 ± 3 days. VAPD therapy was applied for a mean of 2 ± 1.1 days and collected a median of 27 mL/kg/d of abdominal effusate. The median time in hospital was 5 days and abdominal closure was completed in 5 of the 8 patients . All specimens collected at surgery cultured positive for bacteria, most commonly Enterococcus spp. The peritoneum of 4 animals was cultured at the time of abdominal closure; 1 was negative and 3 were positive for Escherichia coli , Enterococcus spp. or gram-positive cocci. Cultures before and after surgery differed in 2 patients . Hypoproteinemia was present in all patients postoperatively. Three patients were considered survivors, all of which were dogs . Five patients died or were euthanized due to cardiopulmonary arrest (n = 3), pyothorax (n = 1), and acute, severe, septic peritonitis (n = 1). CONCLUSIONS: VAPD is available for maintaining abdominal drainage for the treatment of septic peritonitis after surgical intervention; however, similar to open abdominal drainage and closed suction drainage, nosocomial infection and hypoproteinemia remain challenges in the treatment of septic peritonitis . © Veterinary Emergency and Critical Care Society 2012.
Entities: Disease
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Year: 2012
PMID： 22931241 DOI： 10.1111/j.1476-4431.2012.00791.x
Source DB: PubMed Journal: J Vet Emerg Crit Care (San Antonio) ISSN： 1476-4431