| Evaluation of Postceliotomy Peritoneal Drain Fluid Volume, Cytology, and Blood-to-Peritoneal Fluid Lactate and Glucose Differences in Normal Dogs. | |
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MedLine Citation:
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PMID: 21466565 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: To describe peritoneal drain fluid volume, fluid cytology, and blood-to-peritoneal fluid lactate and glucose concentration differences after exploratory celiotomy in normal dogs. Study Design: Prospective study. Animals: Healthy Beagle dogs (n=10). Methods: After exploratory celiotomy, a peritoneal drain was placed, and peritoneal fluid was recorded every 6 hours for 7 days. Fluid was submitted for cytologic examination, and fluid and blood glucose and lactate concentrations were recorded every 12 hours. On day 7, drains were removed and drain tips submitted for aerobic bacterial culture. Results: Mean peritoneal fluid volume decreased from 2.8 mL/kg/day (day 1) to 0.6 mL/kg/day (day 7). All dogs had degenerate neutrophils in peritoneal fluid throughout the 7 days. Four dogs developed contaminated drains. Blood-to-peritoneal glucose concentration differences>20 mg/dL occurred after day 4. By day 7, 5 of 7 dogs with patent drains had blood-to-peritoneal lactate concentration differences<-2 mmol/L. Conclusion: After day 4, blood-to-peritoneal glucose concentration differences were consistent with septic effusion based on previously reported values used to diagnose septic peritonitis in dogs. Blood-to-peritoneal lactate concentration differences varied but after day 4, >70% of dogs had differences consistent with septic peritonitis each day. Postoperative blood-to-peritoneal fluid glucose and lactate difference may not be reliable indicators of septic peritonitis when evaluating abdominal fluid collected with closed suction drains. |
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Authors:
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Stephanie D Szabo; Kieri Jermyn; Jennifer Neel; Kyle G Mathews |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-5 |
Journal Detail:
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Title: Veterinary surgery : VS : the official journal of the American College of Veterinary Surgeons Volume: - ISSN: 1532-950X ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-6 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8113214 Medline TA: Vet Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© Copyright 2011 by The American College of Veterinary Surgeons. |
Affiliation:
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Department of Clinical Sciences, North Carolina State University School of Veterinary Medicine, Raleigh, NC Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, NC. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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