[Catheter-associated complications in the horse – diagnosis and treatment in practice].

This research investigates the various complications that occur in horses associated with the use of venous catheters, the diagnostic methods, and the therapeutic measures in a practical manner.

Detailed Explanation

Venous Diseases due to Venous Catheters

• The research begins with an investigation into the different venous diseases that can occur as a result of venous catheters in horses. These include perivenous hematoma, periphlebitis, endophlebitis, phlebothrombosis or septic thrombophlebitis.
• These diseases, according to the research, have variable symptoms and clinical progress, making it crucial to understand their nature and the best approaches for treatment.

Diagnostic of Venous Diseases

• Diagnosing venous diseases involves a two-step approach: a clinical examination and an ultrasonographic examination. The former examines the possibility to distend the vein, swelling, pain, increased skin temperature, and any exudation around the injection site.
• The ultrasonographic examination, on the other hand, focuses on perivenous tissue, venous wall, and venous content.

Treatment of Venous Diseases

• The study explains that the treatment for these diseases depends on the specific etiology and pathogenesis. The typical approach combines the use of anticoagulants (like heparin, phenprocoumon), anti-inflammatory and analgesic substances (specifically, non-steroidal inflammatory drugs).
• Furthermore, depending on the case, antibiotics may also be included in the treatment to combat any underlying infections.

Prevention of Venous Diseases

• Preventing venous diseases in horses involves good catheter management. According to the research, this involves an adequate selection of the catheter system (preferably a long-term catheter made of polyurethane), proper catheter care and intensive monitoring.

Article’s Contribution

• This article contributes to the understanding of the different venous diseases that horses can suffer from as a result of venous catheters, their diagnosis, treatment and prevention.
• It provides practical measures that can be used to ensure better health outcomes for horses in these circumstances.