Veterinary Special Procedures
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Veterinary Special Procedures
vettech vet procedures
Vet Special Proceures
What is a thoracocetesis?
Placeent of needle/catheter into thoracic cavity to remove air or fluid from the chest cavity.
What are your indications for performing a throracocentesis?
Pleural effusion, pneumothorax, hemothorax, pyothorax, chylothorax
What is the preferred position for a thoracocentesis?
Lateral recumbancy or sternal recumbancy
T/F With thoracocentesis, the site of the tap depends on the location of the air/fluid that is to be removed.
You will continue to aspirate with a thoracocentesis until what is achieved?
Until all fluid is removed or negative pressure is restored.
What are some complications of a thoracocentesis?
pneumothorax, lung laceration, laceration of the intercostal vessels
What is a thoracostomy tube?
What are some indication to place a chest tube?
When the patient has a significant amount of pleural effusion or a pneumothorax
What position should a patient be in for a chest tube placemet?
What type of suture pattern is used to seal the skin around the chest tube?
Chinese finger trap
What type of suture pattern is used to anchor the chest tube?
What are your 2 types of aspiration with a chest tube?
Continuous suction or manual aspiration
What is the purpose of a chest tube?
Re-establish negative pressure
What is a pericardiocentesis?
Placing a needle through the thoracic cavity into the pericardial sac around the heart to remove fluid
What are some indications for a pericardiocentesis?
Pericadrial effusion and cardiac tamponade
What are the 2 most common causes of pericarial effusion?
neoplasia and pericarditis
What is cardiac tamponade?
Pressure on the heart that occurs when blood or fluid build-up in the space between the myocardium and the pericardium
What is your number 1 diagnostic tool for pericardial effusion?
What is the preferred postion for a pericardiocentesis?
Lateral or sternal recumbancy
What is the best monitoring tool to use during a pericardiocentesis?
What is an abdominocentesis?
Aspiration of fluid from the abdominal cavity
What is an abdominocentesis used to diagnose?
Hemoabdomen, uroabdomen, ascites
An abdominocentesis is contraindicated in what types of situations?
Pyometra, a penetrating abdominal wound
T/F You can redirect the needles as often as needed in an abdominocentesis.
What is a tracheostomy?
Procedure for inserting a tube through the neck inot the trachea to create an airway
What are your 2 types of tracheostomies?
Controlled and slashed
What are some indications for a tracheostomy?
Airway obstruction, swelling, neoplasia, oral sx, long term mechanical ventilation
T/F: In life threatening situations, during a slash tracheostomy, attention to sterility anatomy may be abandoned in order to secure an airway.
With which type of tracheostomy would you give abx and why?
Slash, because sterility has become abandoned
At what location would you perform a tracheostomy?
Between 3rd and 5th tracheal ring