Peritoneal Dialysis in a Dog Performed with a Blake Drain
World Small Animal Veterinary Association Congress Proceedings, 2017
A.N. Le Sueur Vieira1; S. Salgueiro Geraldes1; J.F. Antunes Ribeiro1; R. Kiomi Takahira1; F Brandão2; J. Gomes Quitzan3; P.R. Rodrigues Ramos1; A. Melchert1; P.T. Chalfun Guimaraes Okamoto1
1Veterinary Clinic Department, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu, Brazil; 2Facultad de Medicina Veterinaria de La Universidad Lusófona de Humanidades e Tecnologias, Departamento de Cirurgia Veterinária, Lisboa, Portugal; 3Veterinary Surgery and Anesthesiology Department, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu, Brazil

Introduction

Peritoneal dialysis (PD) is a modality of renal replacement therapy that uses the peritoneum as a membrane across which fluids and uremic solutes or toxins are exchanged. The technique of PD requires the implantation of a catheter which is the transporter of the dialysate fluid to be delivered and drained in the abdominal cavity. Today, there are many different types of PD catheters, however, most of them are designed for human patients which may bring complications or malfunction in small animals.

Objectives

The aim of this study was to confirm if the Blake drain has a good performance as possible substitute of the traditional catheters for PD.

Methods

The dog was placed in dorsal decumbency, and the abdomen was shaved and scrubbed for a surgical aseptic procedure. The Blake drain, BL-11 (Fig 1) was inserted in the abdominal cavity with its tip oriented toward the pelvis. The drain was fixed with suture in the abdominal musculature and tunneled subcutaneously with an exit of 3 cm laterally in the right from the linea alba based 2 cm above the umbilical scar. Omentectomy was not executed.


 

Results

The performance of PD with Blake drain presented excellent results compared to the traditional catheters implanted for peritoneal dialysis, without signs of occlusions or leakage and with an effective infusion and rapid drainage. The patient underwent to 6 cycles of 7 sessions each in 6 days without any complication.

Conclusions

The Blake drain can be a great alternative material to be substituted as a catheter in patients undergoing PD.

 

Speaker Information
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J.F. Antunes Ribeiro
Department of Veterinary Clinics
School of Veterinary Medicine and Animal Science,
São Paulo State University (UNESP)
Botucatu, Brazil

F. Brandao
Department of Veterinary Surgery
Faculty of Veterinary Medicine
Lusófona University of Humanities and Technology
Lisbon, Portugal

J. Gomes Quitzan
Department of Veterinary Surgery and Anesthesiology
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil

P.T.C. Guimarães-Okamoto
Department of Veterinary Clinics
Faculty of Veterinary Medicine and Animal Science
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil

R. Kiomi Takahira
Department of Veterinary Clinics
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil

A.N. Le Sueur Vieira
Department of Veterinary Clinics
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil

A. Melchert
Department of Veterinary Clinics
Faculty of Veterinary Medicine and Animal Science
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil

P.R. Rodrigues Ramos
Department of Veterinary Clinics
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil

S. Salgueiro Geraldes
Department of Veterinary Clinics
School of Veterinary Medicine and Animal Science
São Paulo State University (UNESP)
Botucatu, Brazil


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