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Equine Reproduction and Stud Medicine Q&A 20 (view source)
Revision as of 16:01, 9 June 2011
, 16:01, 9 June 2011no edit summary
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|q4= What post-operative complications can occur and how would you manage them?
|q4= What post-operative complications can occur and how would you manage them?
|a4= A retained placenta: (1) IV drip oxytocin 50 IU in 1 litre of saline solution over 1 hour if the placenta is not passed during the anaesthetic recovery period or use 20–40 IU oxytocin IM every hour.
|a4= A retained placenta:
(1) IV drip oxytocin 50 IU in 1 litre of saline solution over 1 hour if the placenta is not passed during the anaesthetic recovery period or use 20–40 IU oxytocin IM every hour.
(2) Contamination infection of the vagina, cervix and uterus: where trauma to the vagina, cervix, etc. has occurred prior to caesarean section, and with prolonged placental retention, use gentle uterine lavage with warm normal saline commencing 24 hours post-operatively; avoid over-distension.
(2) Contamination infection of the vagina, cervix and uterus: where trauma to the vagina, cervix, etc. has occurred prior to caesarean section, and with prolonged placental retention, use gentle uterine lavage with warm normal saline commencing 24 hours post-operatively; avoid over-distension.
(3) Postsurgical dehydration and infection: use IV fluids, parenteral antibiotics and NSAIDs for 3–5 days. Reassess the need for further treatment each day.
(3) Postsurgical dehydration and infection: use IV fluids, parenteral antibiotics and NSAIDs for 3–5 days. Reassess the need for further treatment each day.
(4) Post-surgical ileus and/or constipation: use a laxative diet and make sure the mare drinks water or is given IV fluids.
(4) Post-surgical ileus and/or constipation: use a laxative diet and make sure the mare drinks water or is given IV fluids.
(5) Swelling of limbs: increase hand walking exercise or turn out in a small paddock 3–4 times daily.
(5) Swelling of limbs: increase hand walking exercise or turn out in a small paddock 3–4 times daily.
(6) Post-surgical complications related to any abdominal surgery: incisional infection, wound dehiscence, colic due to bowel injury during parturition or during surgery and laminitis.
(6) Post-surgical complications related to any abdominal surgery: incisional infection, wound dehiscence, colic due to bowel injury during parturition or during surgery and laminitis.
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