Life-threatening perianaesthetic complications in five cats undergoing biliary tract surgery: case series and literature review.
Case series summary The aim of this case series was to describe the intra- and early postanaesthetic complications occurring in five cats undergoing major surgeries involving the gallbladder and the biliary tree. The five cases of this series were admitted to the Queen Mother Hospital for Animals between June and December 2015, and were all overseen by the same senior anaesthesist. Pre-existing pancreatitis was a common finding. Observed life-threatening events were persistent, unresponsive hypotension in the absence of major blood loss, which occurred mainly during surgical manipulation of the biliary tract, and postoperative renal failure. Relevance and novel information Biliary surgery carries the potential for life-threatening complications in cats. The pathogenesis of such morbidities is likely to be multifactorial. The perianaesthetic use of haemoglobin-based oxygen-carrying solution may be considered as an alternative treatment option when hypotension is unresponsive to fluids and traditional positive inotropes and vasopressors.
Royal Veterinary College, University of London, Hatfield, UK.
Paolo
P
Monticelli
Royal Veterinary College, University of London, Hatfield, UK.
Thaleia Rengina
TR
Stathopoulou
Royal Veterinary College, University of London, Hatfield, UK.
Karla
K
Lee
Royal Veterinary College, University of London, Hatfield, UK.
Chiara
C
Adami
D000758:Anesthesia / Q000009:adverse effects / Q000662:veterinary*; D000818:Animals; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects / Q000662:veterinary; D002371:Cat Diseases / Q000601:surgery*; D002415:Cats; D002769:Cholelithiasis / Q000601:surgery / Q000662:veterinary*; D003937:Diagnosis, Differential; D005260:Female; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000662:veterinary*; D008297:Male