Abdominal trauma in dogs 2. management

Stefano Cortellini,Karen Humm

doi:10.1136/inp.k51

Abstract

Trauma represents a big challenge for emergency doctors both in human and veterinary medicine. There have been great advancements in trauma medicine in people and these often provide an inspiration...

Highlights

Introduction to the condition this article focuses on abdominal trauma, this rarely occurs in isolation (Streeter and others 2009)
While the use of corticosteroids is no longer recommended in any trauma patient, non-steroidal medications are excellent drugs for controlling the inflammation and pain through inhibition of COX-2 and can be given both enterally and parenterally, once the patient is considered cardiovascularly stable and well hydrated
In the situation of active, uncontrollable bleeding, hypotensive resuscitation, defined as targeted mean arterial pressure of 50 mmHg versus a standard normal target of 65 mmHg (Spahn and others 2013), has been considered in the attempt to avoid recurrence or exacerbation of haemorrhage, and reduce the amount of fluid administered and the degree of dilutional coagulopathy. This resuscitative strategy is used in human trauma patients as a temporary solution in cases where haemostatic control is rapidly achieved and is followed by full fluid resuscitation to re-establish an optimal perfusion (Spahn and others 2013)

Summary

Introduction

Introduction to the condition this article focuses on abdominal trauma, this rarely occurs in isolation (Streeter and others 2009). Surgical management is rarely required in dogs with trauma-induced haemoabdomen and appropriate medical management is often sufficient to stabilise the patient and allow the resolution of the haemorrhage.

Results

Conclusion