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Publikation 3 Publikation 3: Case report: Spinal cord infarct in a calf after aortic catheter implantation Jennifer Offinger a, *, Henning Meyer a , Reiner Ulrich b , Andreas Beineke b , Jessica Fischer a , Cornelia Flieshardt c , Andrea Tipold c , Jürgen Rehage a , a Clinic for Cattle, University of Veterinary Medicine Hannover, Foundation, Bischofsholer Damm 15, D-30173 Hannover, Germany b Department of Pathology, University of Veterinary Medicine Hannover, Bünteweg 17, D-30559 Hannover, Germany c Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, D-30559 Hannover, Germany *Corresponding author: Offinger J Tel.:+49 511 856 7302 Fax: +49 511 856 7693 E-mail address: jennifer.offinger@tiho-hannover.de 56
Publikation 3 An 8-week-old healthy female German-Holstein calf weighing 60 kg underwent aortic catheterization to facilitate an arterial access for continuous monitoring of blood pressure and serial arterial blood sampling. Aortic puncture was carried out under ultrasonographic guidance on the non-sedated, standing animal between the left transverse processes of the third (L3) and fourth (L4) lumbar vertebrae on the lateral border of the longissimus lumborum muscle 1 . In brief, the puncture site was surgically prepared and locally anesthetized. After five minutes the skin was pre-punctured using a 15 G hypodermic needle. Under ultrasonographic guidance, a 120 mm needle a was percutaneously directed into the vessel and a 45 cm long polyethylene catheter b was introduced using a modified Seldinger technique. Finally, the needle was withdrawn, leaving 15 cm of the catheter in the lumen of the abdominal aorta. The catheter was connected to a Luer-lock adapter c and a three-way stopcock. In contrast to Offinger et al. (2010) the catheter and the stopcock were kept in medical ethanol and flushed with saline before use. Approximately 2 minutes after the catheter was successfully implanted in the aorta and flushed with heparinized d (10,000 IU heparin x L -1 ) 0.9% sterile saline, the calf’s hind limbs suddenly collapsed, the calf could not regain an upright position and remained in sternal recumbency. Repeated efforts to assist the calf into a standing position failed, as pelvic limbs could not support the weight. However, if lifted and supported under the trunk, the calf could hop on the thoracic limbs. On clinical examination, the animal was bright, alert and responsive, had a normal appetite and could maintain sternal recumbency. Both pelvic limbs were flexed at the hip joint while the stifle was hyperextended. Heart and respiratory 57
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Tierärztliche Hochschule Hannover
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Meinen Eltern
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Abkürzungsverzeichnis A.a. a Abb.
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p a CO 2 arterieller Kohlendioxidpa
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Einleitung der geringe Wert des Ein
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Einleitung Naturgemäß können Tie
Page 14 and 15: Einleitung abdominalchirurgische Ei
Page 16 and 17: Einleitung Im Rahmen von Studien zu
Page 18 and 19: Literatur ENDENBURG, N., HARDIE, E.
Page 20 and 21: Literatur MATHEWS, K. A. (2000) Pai
Page 22 and 23: Literatur RINGS, D. M. & MUIR, W. W
Page 24 and 25: Publikation 1 Abstract The study de
Page 26 and 27: Publikation 2 Abstract Objective To
Page 28 and 29: Publikation 2 Introduction Abdomina
Page 30 and 31: Publikation 2 water. Daily clinical
Page 32 and 33: Publikation 2 solution (37°C) at a
Page 34 and 35: Publikation 2 Measured parameters A
Page 36 and 37: Publikation 2 • alveolar oxygen t
Page 38 and 39: Publikation 2 set intraoperative pr
Page 40 and 41: Publikation 2 Qs/Qt (Fig. 3) in com
Page 42 and 43: Publikation 2 whether movement by t
Page 44 and 45: Publikation 2 resulting from proced
Page 46 and 47: Publikation 2 As in this study the
Page 48 and 49: Publikation 2 can definitely be reg
Page 50 and 51: Publikation 2 REFERENCES: Amory H,
Page 52 and 53: Publikation 2 Hogan QH, Stadnicka A
Page 54 and 55: Publikation 2 Meyer H, Starke A, Ke
Page 56 and 57: Publikation 2 Stanek B, Schwarz M,
Page 58 and 59: Publikation 2 Figures b 30 INH INJ
Page 60 and 61: Publikation 2 SaO 2 [%] 105 100 95
Page 62 and 63: Publikation 2 Group Stand Parameter
Page 66 and 67: Publikation 3 rates, as well as bod
Page 68 and 69: Publikation 3 On sagittal and trans
Page 70 and 71: Publikation 3 formation of internal
Page 72 and 73: Publikation 3 blood flow 15 caused
Page 74 and 75: Publikation 3 flushing with hepatin
Page 76 and 77: Publikation 3 References: 1. Offing
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Page 80 and 81: Publikation 3 Figure 2: Spinal cord
Page 82 and 83: Publikation 3 Figure 4: Arteria spi
Page 84 and 85: Übergreifende Diskussion Basierend
Page 86 and 87: Übergreifende Diskussion Basalwert
Page 88 and 89: Übergreifende Diskussion diesen Ti
Page 90 and 91: Übergreifende Diskussion Aortenpun
Page 92 and 93: Literatur KOCHS, E., BLANC, I., WER
Page 94 and 95: Zusammenfassung Jennifer Offinger (
Page 96 and 97: Zusammenfassung signifikanter Ansti
Page 98 and 99: Summary applied to monitor intraope
Page 100 and 101: Danksagungen An erster Stelle gilt
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