Magomvridning hos hund : akutsjukvård och postoperativ intensivvård

Abstract: The aim of this literature study was to give a clear picture of what gastric dilatation-volvulus is, and how the acute- and postoperative treatment and care is managed. The general aim is to support and help the veterinary technicians in their clinical work. Gastric dilatation volvulus is always an emergency. The primarily goal when these dogs are hospitalized is to establish an adequate cardiovascular function. This is done by immediate intravenous fluid therapy followed by decompression of the dilated stomach. In this acute stage it is important to stay focused and work as a team. Constant reevaluation of the patient and a fast onset of pain management are of great importance. Only when the patient is considered stable enough, surgery can be performed. Regarding patients suffering from gastric dilatation-volvulus the postoperative period is the most important one, concerning the chances for survival. Postoperative complications such as ventricular arrhythmias, different gastric injurys, hypoproteinemi and disseminated intravascular coagulation are commonly seen in this condition. A close and frequent monitoring followed by a, if necessary, fast onset of adequate treatment is the key to success when caring for a dog suffering from gastric dilatation-volvulus. These patients, if any, demands a high-quality intensive-care unit with well educated and devoted staff. This includes both veterinarians and veterinary technicians.