Wednesday, October 24, 2012

1157. KPI - Uroliths surgery. Audit of one calcium oxalate case

Date of Audit: Oct 25, 2012
Urolithiasis - bladder stones calcium oxalate removed by an associate vet, Dr Vanessa

Owner has financial constraints
Oct 2.2012
Maltese, Male, 9 years, 3.1 kg, 38.5C
Straining to urinate. Blood in the urine

Anaesthesia & Surgery Record No. 207
Declined urine analysis
X-rays done
Cystotomy -  several uroliths
Stone analysis - Calcium oxalate
Sutures - monosyn 3/0 x 2 packets

C-B:  Isoflurane + O2 on to switched off  - 46 minutes
E-D: Skin stitched up from lst skin incision - 43 minutes
E-A:  Sedation injected to skin stitched - 66 minutes


COMPARISON TO ONE CASE OF EXPLORATORY LAPAROTOMY & CYSTOSTOMY DONE ON A MINIATURE SCHNAUZER BY ME (DR SING KONG YUEN) IN OCT 2012

ANAESTHESIA
A: Inject sedation drug 10.20am
B: Isofl first given 10.27 am. Mask, then intubate. Dog vomited again.
C: Isofl stopped 11.37 am
D: First skin incision 10.39 am
E: Completion of skin stitching 11.37 am

E-A = 57 min
E-D = 58 min (time taken to check out stomach, kidneys visually and remove >10 bladder stones)
C-B = 64 min



No post-op complaints as at Oct 25, 2012. Phoned owner at 11.30 am today. No response from phone. Phoned home number. Spoke to a lady. Dog is OK. No urination problems. Had stitched removed. This urination problem existed for some months. Advised to see associate vet who operated on this dog, regarding the feeding of U/D diet and stop feeding dry food presently given.




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