Diálise peritoneal em animais de companhia
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2016-06-29
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A diálise peritoneal permite a remoção ou adição de solutos e de água através da administração e posterior drenagem de uma solução de diálise na cavidade peritoneal. É uma terapia exaustiva mas pode ser realizada em qualquer clínica com a aplicação de uma técnica adequada e constante supervisão. É uma opção efetiva no tratamento da insuficiência renal aguda refratária à fluidoterapia, podendo ser utilizada noutras condições.
O objetivo deste trabalho foi fazer uma revisão bibliográfica sobre o tema de modo a, em medicina veterinária, consolidar as indicações para a sua realização, os materiais e métodos necessários e a execução da técnica, bem como identificar as complicações associadas com base nos resultados obtidos em estudos prévios.
Durante o período de estágio, realizado no Hospital Veterinário de Gaia, foram acompanhados os casos nos quais foi realizada diálise peritoneal como terapia adjuvante ao tratamento médico. Foram ainda recolhidos, de forma retrospectiva, dados relativos a tratamentos prévios num período de 3 anos.
Apesar da discrepância apresentada nos artigos publicados sobre dialise peritoneal em cães e gatos, a maioria descreve uma melhoria na função renal associada a uma taxa de sobrevivência baixa. No entanto, a taxa de sucesso deve ser comparada com a taxa de sobrevivência de animais com insuficiência renal aguda tratados com outros meios.
Peritoneal dialysis allows the removal or addition of solutes and water by the administration and then drainage of a dialysis solution into the peritoneal cavity. It’s labor intensive but may be performed in any clinic with adequate technical assistance and supervision. It’s an effective treatment option for acute kidney injury refractory to fluid therapy, and can be used in other conditions. The aim of this dissertation was to review existing literature on the theme in order to consolidate, in veterinary medicine, indications for performing peritoneal dialysis, equipment and methods needed and the exchanges procedure, as well as identify associated complications based on obtained results in previous investigations. During the traineeship, performed at the Hospital Veterinário de Gaia, was possible to follow cases which underwent peritoneal dialysis as adjunctive therapy to medical management. Were also collected, retrospectively, data relating to previous treatments over a period of 3 years. Although published reports about peritoneal dialysis in dogs and cats have found varying outcomes, most described improvement in renal function but survival remained poor. However, the success rate of peritoneal dialysis must be compared to the overall survival rate of animals with acute kidney injury treated with other means.
Peritoneal dialysis allows the removal or addition of solutes and water by the administration and then drainage of a dialysis solution into the peritoneal cavity. It’s labor intensive but may be performed in any clinic with adequate technical assistance and supervision. It’s an effective treatment option for acute kidney injury refractory to fluid therapy, and can be used in other conditions. The aim of this dissertation was to review existing literature on the theme in order to consolidate, in veterinary medicine, indications for performing peritoneal dialysis, equipment and methods needed and the exchanges procedure, as well as identify associated complications based on obtained results in previous investigations. During the traineeship, performed at the Hospital Veterinário de Gaia, was possible to follow cases which underwent peritoneal dialysis as adjunctive therapy to medical management. Were also collected, retrospectively, data relating to previous treatments over a period of 3 years. Although published reports about peritoneal dialysis in dogs and cats have found varying outcomes, most described improvement in renal function but survival remained poor. However, the success rate of peritoneal dialysis must be compared to the overall survival rate of animals with acute kidney injury treated with other means.
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Dissertação de Mestrado Integrado em Medicina Veterinária
Palavras-chave
Soluções para diálise , Diálise peritoneal , Insuficiência renal aguda , Animal de estimação , Dialisado