EQ surgical colic

Question 1

What are the indications for surgical intervention in a colic case?

Answer 1

Severe unrelenting pain, recurrent pain, >60 bpm HR, reflux >2L, deteriorating CV parameters, reduced intestinal motility, increasing abdominal distension, deteriorating peritoneal fluid values

Question 2

Describe how to initiate referral with owner and centre.

Answer 2

Discuss with owner/ carer, organise transport, contact referral centre, ensure owner knows how to get there and how to contact centre

Question 3

Discuss different surgical options for colic cases.

Answer 3

Exploration, decompression, enterotomy, resection, anastamoses.

Question 4

Describe post-surgical management of colic cases.

Answer 4

Stabling, belly bandage, medication (analgesia/ antibiotics), fluids, colic checks every 4 hours, decompression of stomach (NGI), complication monitoring, in-hand walking every 4 hours, increased feeding once oral fluids are started

Question 5

Describe a colic check.

Answer 5

Observation - signs of pain, attitude, defecation, urination. Clinical parameters, TPR, GIT sounds, digi pulses, PCV/TP, incision site check, catheter site check (patency)

Question 6

What complications may occur post-surgery?

Answer 6

Thrombophlebitis, ileus, incisional infection, laminitis, salmonellosis

Question 7

Describe a protocol for post-op care once a surgical case goes home.

Answer 7

1. 6-8 weeks box rest with in-hand working,
2. 10-14 days suture removal,
3. 8 weeks turnout in a small paddock,
4. Normal turnout/ return to exercise 6-8 weeks