cystocentesis of georgy porgy!

our surgery patient, george minus 1, or georgy porgy as i like to call him, having his bladder emptied via cystocentesis. We thoguht that he was blocked, hence the cysto, however after he gets a little fractious fowards the end of it, he begins dribbling a little on his own. At this point we tried a manual expression again and were successful.

Category:

Pets & Animals

Tags:

• cystocentesis
• feline
• cat
• urine
• bladder
• george
• minus
• georgy
• porgy

[joannamichelle72]

i was told that the procedure has to be done while an ecografy is being done to check thats its going into the right place....

shouldnt the vets have been using gloves? how is the little darling now???

[peipilot]

Hmm, I'm not sure about the echography?(Ultrasound?) It probably would be the most accurate tool, however not all vet clinics have those resources? As for the gloves I'm sure some people do and some don't. He doused the area in alcohol there before he had the student insert the needle. Not completely aseptic, but not done without SOME consideration either. As for Georgy- He's loving life at my Aunt and Uncle place in the country. Catching mice and bats on a regular basis! :)

[peipilot]

He was awake the whole time, just a little more submissive at the beginning. It can be done with or without a sedative though.

[nakpo0903]

Gloves really wouldn't do much; the cat's fur has tons of bacteria too; you just aren't going to introduce any significant numbers, never heard of a cat getting an infection from a cysto. By the way, that is a huge syringe they are using; we usually use a 3 cc syringe, must have been because they were trying to relieve the pressure

[nakpo0903]

Typically though, if the cat is blocked it probably needs a urinary catheter and IV fluids or at least subq fluids to flush out the bladder until it's not so crystally. Maybe this was just to get a sample and do the initial urinalysis or something? Occasionally we use the ultrasound for cystocentesis if the bladder is small and we're having a hard time visualizing it, but normally we can palpate a bladder and stabilize it with our hands.

[nakpo0903]

I am a veterinary technician. We cysto kitties all the time while awake. Beleive it or not, they tolerate a needle in their abdomen much better than a urinary catheter. In fact, if we have to place a cath, which we really only do on male cats (females are next to impossible in the cat world), we always sedate at my clinic.

[gyrsaker]

I'm a vet student and have just done this. It can be done without ultrasound examination as long as the bladder is reasonably full. However when less full it may be useful. You know it's in the right place because urine is extracted.

Not sure about the gloves!

[arcunnin]

Do you know why he was so awake towards the end? I would think he should be "out" for that, but I'm not a vet.