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GDV - Gastric Trocarization

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Ladan Mohammad-Zadeh, DVM, DACVECC, demonstrates gastric trocarization in a patient presenting with GDV.

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Ladan Mohammad-Zadeh's picture
Ladan Mohammad-Zadeh

DVM DACVECC

Enrolled: 08/2011

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Adrianne Fairbanks's picture

Great Video. Thanks!

Do you guys not use an e-tube anymore? Is that out of favor and why?

--Dr Fairbanks

Megan Brashear's picture

Hi Dr. Fairbanks, we don't normally tube our GDV patients because of the time and anesthesia requirements. Trocarization is fast and relatively simple (just with the pain meds given on admit) and brings about such a quick improvement in their perfusion and comfort without requiring more sedation/anesthesia to pass an orogastric tube. Passing the tube can be challenging in these guys and isn't always successful. We are able to get these dogs to surgery often within an hour of presentation and trocarizing is usually enough relief in that time frame. Unless there are extenuating circumstances we wait to pass the orogastric tube until after the stomach is returned to its normal orientation. In our experience, complications with trocarizing are rare.

Avi Solomon's picture

Debra, the link for the Procedure Checklist has been fixed.

Leilani Saad's picture

What was Meghan holding in the background that she later injected into the peripheral catheter? It looked like blood.

Christy Michael's picture

Hi Leilani - very astute! The blood draw on this patient was done through the peripheral IV catheter so a syringe of blood was pulled out to avoid contamination of the blood sample with our crystalloids, blood was drawn, then fluids were restarted. Megan then returned the syringe of combined blood and crystalloids to the dog once she could sneak her way back in to the IV catheter.

Sarah Harris's picture

Hi Felicia! You are correct, this is the three syringe technique. We use this frequently in our hospitalized patients, especially those that have large bore, central venous or arterial catheters. It allows you to minimize the amount of needle sticks which can be incredibly beneficial in our longer term ICU patients.