Changes

===Surgical Procedure===

===Surgical Procedure===

*Insert stomach tube to decompress: if it blocks, remove, flush and replace

*Insert stomach tube to decompress: if it blocks, remove, flush and replace

o Procedure of gastric decompression

**Procedure of gastric decompression

 +/- sedation

***+/- sedation

 mouth to last rib

***mouth to last rib

 gentle gastric massage

***gentle gastric massage

 patience

***patience

 minimal suction

***minimal suction

 intermittent retropulsion

***intermittent retropulsion

 if tube is placed inadvertently endotracheally there will be

***if tube is placed inadvertently endotracheally there will be

• a change in breathing pattern  

*a change in breathing pattern  

• the presence of breath sounds at the free end of the tube

*the presence of breath sounds at the free end of the tube

• intraluminal condensation

*intraluminal condensation

• Gastric rupture => euthanasia

*Gastric rupture => euthanasia

• Intestinal rupture => euthanasia

*Intestinal rupture => euthanasia

• Intestinal neoplasm => euthanasia

*Intestinal neoplasm => euthanasia

• Intestinal FB milked through ileocaecocolic junction into the hind gut or perform an  

*Intestinal FB milked through ileocaecocolic junction into the hind gut or perform an  

enterotomy.  

enterotomy.  

• Note small omentum so omentalisation may not be possible

*Note small omentum so omentalisation may not be possible

• Postoperatively give antibiotics, prokinetics, food (force fed with Oxbow Critical Care Formula and baby cereal)

*Postoperatively give antibiotics, prokinetics, food (force fed with Oxbow Critical Care Formula and baby cereal)

 

===Practical approach to exploratory laparotomy in rabbits with intestinal obstruction===  

===Practical approach to exploratory laparotomy in rabbits with intestinal obstruction===