Development of dialysis disequilibrium‐like clinical signs during postobstructive management of feline urethral obstruction

Ostroski, Cassandra J.

doi:10.1111/vec.12201

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…etwaigen Azotämie, Verschiebungen im Elektrolyt-und Säure-Basen-Haushalt sowie postobstruktiven Diurese. Empfohlen wird eine konservative Flüssigkeitstherapie, um Risiken wie kardiovaskuläre Komplikationen (insbesondere bei Katzen) oder ein Hämodialyse-Dysäquilibrium zu mindern (13,19,91). Zur Stabilisierung des Patienten werden oft auch die Hämodialyse oder kontinuierliche Nierenersatztherapie herangezogen (13,19,40,60).…”

Section: Ureterolithiasisunclassified

Minimal-invasive interventionelle Verfahren am Urogenitaltrakt von Hund und Katze

Heilmann¹

2016

Tierarztl Prax Ausg K

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KeywordsBypass, stent, endoscopy, interventional radiology, catheter, obstruction, stricture SummaryMinimally invasive interventional techniques are advancing fast in small animal medicine. These techniques utilize state-of-the-art diagnostic methods, including fluoroscopy, ultrasonography, endoscopy, and laparoscopy. Minimally invasive procedures are particularly attractive in the field of small animal urology because, in the past, treatment options for diseases of the urogenital tract were rather limited or associated with a high rate of complications. Most endourological interventions have a steep learning curve. With the appropriate equipment and practical training some of these procedures can be performed in most veterinary practices. However, most interventions require referral to a specialty clinic. This article summarizes the standard endourological equipment and materials as well as the different endourological interventions performed in dogs and cats with diseases of the kidneys/renal pelves, ureters, or lower urinary tract (urinary bladder and urethra). Korrespondenzadresse

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Section: Ureterolithiasisunclassified

Minimal-invasive interventionelle Verfahren am Urogenitaltrakt von Hund und Katze

Heilmann¹

2016

Tierarztl Prax Ausg K

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“…Die Messung der Urinproduktion ist erforderlich, um den Flüssigkeitsbedarf des Patienten abzuschätzen und die intravenöse Flüssigkeitstherapie entsprechend anzupassen. Dabei ist zu beachten, dass die Plasmaosmolalität im Zuge der Flüssigkeitstherapie nicht mehr als 1-2 mOsm/kg/h absinkt, um ein Hämodialyse-Disäquilibrium zu verhindern (24). Hierbei handelt es sich um eine neurologische Komplikation durch zu schnellen Abfall der Osmolalität im Blut bzw.…”

Section: Diskussionunclassified

“…Hierbei handelt es sich um eine neurologische Komplikation durch zu schnellen Abfall der Osmolalität im Blut bzw. den Entzug von Harnstoff (24,26), deren klinische Symptome von Schwäche und Bewusstseinsstörung bis hin zu Anfällen oder Koma reichen können (19,24). Die stationäre Behandlung und strenge Überwachung des Patienten ist daher anzuraten.…”

Section: Diskussionunclassified

Beidseitiger Einsatz eines subkutanen Ureter-Bypass bei einer Katze mit bilateraler Harnleiterobstruktion

Heilmann

Pashmakova²,

Lamb³

et al. 2016

Tierarztl Prax Ausg K

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A 6-year-old female spayed Domestic Shorthair cat was presented with acute lethargy, dehydration, marked azotemia, metabolic acidosis, left-sided renomegaly, and bilateral hydronephrosis. Ureterolithiasis and ureteral obstruction were suspected based on further diagnostics including abdominal sonography. Medical treatment was not successful. Fluoroscopically guided antegrade pyelography confirmed the diagnosis of bilateral ureteral obstruction due to ureterolithiasis. Subcutaneous ureteral bypass (SUB) devices were placed bilaterally, followed by close patient monitoring. Frequent reassessment of patient parameters and blood work served to adjust the fluid needs of the patient and to ensure proper hydration, correction of azotemia at an appropriate rate, and cardiovascular stability. After significant improvement of all patient parameters within 5 days, the patient was discharged from the hospital. Treatment included a dietary change to reduce the risk of stone formation as well as a phosphorus binder. Clinical and clinicopathologic parameters were unchanged at the 1- and 4- and 7-month rechecks (consistent with IRIS CKD stage II-NP-AP0), and both SUB devices continued to provide unobstructed urine flow. Bilateral placement of subcutaneous ureteral bypass devices may be a safe and potentially effective treatment option for acute bilateral ureteral obstruction in cats with ureterolithiasis. Strict patient monitoring and patient-centered postoperative treatment decisions are crucial to successful treatment outcomes.

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Evaluation and triage of the critically ill patient

Reineke¹

2023

Small Animal Critical Care Medicine

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Development of dialysis disequilibrium‐like clinical signs during postobstructive management of feline urethral obstruction

Cited by 3 publications

References 17 publications

Minimal-invasive interventionelle Verfahren am Urogenitaltrakt von Hund und Katze

Minimal-invasive interventionelle Verfahren am Urogenitaltrakt von Hund und Katze

Beidseitiger Einsatz eines subkutanen Ureter-Bypass bei einer Katze mit bilateraler Harnleiterobstruktion

Evaluation and triage of the critically ill patient

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