Peer-reviewed veterinary case report
Anesthesia risks and care for cats getting ureteral bypass surgery
By Luca, Geneviève C et al.·Published in The Journal of veterinary medical science·2017·Department of Clinical Sciences, Canada·View original on PubMed →
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Original publication title: A retrospective study of anesthesia for subcutaneous ureteral bypass placement in cats: 27 cases.
- Species:
- cat
Plain-English summary
A group of 27 cats with ureteral obstruction underwent surgery to place a subcutaneous ureteral bypass (SUB) to help with their condition. During the procedure, some cats experienced complications like low blood pressure and hypothermia, but these were managed with medications. After the surgery, the cats showed improvement in kidney function, with lower creatinine levels, and no deaths occurred during recovery. However, some cats did experience pain and other issues afterward. Overall, careful monitoring and treatment during anesthesia were crucial for a successful outcome.
People also search for: cat ureteral obstruction treatment · subcutaneous ureteral bypass surgery cats · cat kidney function improvement after surgery
Abstract
The goals of this retrospective clinical case series study were to describe the management of anesthesia, and to report perioperative complications in cats undergoing subcutaneous ureteral bypass (SUB) placement due to ureteral obstruction. Medical records of client-owned cats with ureteral obstruction and anesthetized for SUB placement between 2012 and 2015 in a veterinary teaching hospital were reviewed. Twenty-seven cases were identified. Duration of anesthesia and surgery (mean ± standard deviation) were 215 ± 42 min and 148 ± 36 min, respectively. Hypothermia was the most common intraoperative complication. Hypotension, hypocapnia, hypertension and bradycardia were also frequently observed. Out of 22 cats who experienced intraoperative hypotension, 17 received inotropes and vasopressors. There was a significant decrease in creatinine (P=0.008) and total solids (P=0.007) after SUB placement when compared with baseline values. Postoperative complications included pain, anorexia, nausea, hypertension, and urinary tract-related problems. No death occurred in the postoperative period. Successful management of anesthesia for SUB placement involves rigorous anesthetic monitoring and immediate treatment of complications. Perioperative complications appear to be common. This study could not identify risk factors associated with this procedure.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28428483/