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Tiny Talk – GDV The First 15 Minutes
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Megan Brashear, CVT, VTS (ECC), talks about gastric dilatation volvulus and how to approach these patients in the first few minutes of their arrival at the hospital. Shock, perfusion, pain management, and basic diagnostics are covered with the goal being a better anesthetic candidate.
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Megan Brashear
CVT VTS(ECC)
Enrolled: 07/2011
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Just one comment. At our emergency hospital, our doctors request a right lateral abdominal radiograph immediately upon arrival for confirmation of GDV so that GD and other acute abdomen problems are ruled out before trochar is performed. Is there a reason for this difference of order? (Note: Next would be IVCs, pain injection,trochar, fluids, etc. for stabilization.)
Lisa, most of that decision may depend on how the patient is doing. If they seem relatively stable, then getting that radiograph can help with next steps. However, if the patient is unstable with the physical and clinical signs of GDV, we will treat as if and then work through the diagnostics when the patient is doing better. Alternatively, using an ultrasound on the abdomen can help you determine the issue and next steps.
Megan, I agree completely. Thank you for your quick response.