Diagnosis, anesthesia and operative repair of urinary bladder rupture in foals

Abstract

This study describes methods for the diagnosis, anesthesia and operative repair in 4 neonatal foals with urinary bladder rupture. Diagnosis was based on case history, clinical signs, changes in serum chemistry analyzes (hyponatremia, hyperkalemia, hypochloremia, metabolic acidosis and increased serum creatinine and urea nitrogen levels), abdominocentesis, ultrasound and electrocardiographs. As electrolyte abnormalities and acid-base derangement can lead to the development of cardiac arrhythmia during general anesthesia, surgical treatment of urinary bladder rupture in neonatal foals should be performed when the animal's condition has been stabilized. This includes infusion of physiological saline solution, 5 % glucose infusion with insulin (0.1U/kg) and 1.4% sodiumdrogencarbonate.

Ova studija opsuje dijagnostikovanje, anesteziju i operativni tretman pri rupturi mokraćne bešike novorođene ždrebadi. Dijagnoza je zasnovana na istoriji bolesti, kliničkim simptomima, promenama u serumu ustanovljenim biohemijskim analizama (hiponatrijemija, hipokalijemija, hipohloremija, metabolička acidoza sa porastom nivoa serumskog kreatinina i ureje), abdominocintezi, ultrazvuku i elektrokardiografiji. Kao što poremećaji elektrolita i acido-bazne ravnoteže mogu dovesti do pojave srčane aritmije u toku opšte anestezije, hirurški tretman rupture bešike kod novorođene ždrebadi može biti primenjen kada je stabilizovano zdravstveno stanje životinje. Ovo uključuje infuziju fiziološkog rastvora, 5% glukoze sa insulinom (0,1 U/kg) i 1,4% Na-bikarbonat.