scholarly journals Efeitos da nutrição parenteral total associada à glutamina e da fluidoterapia enteral, associada ou não à glutamina, sobre os parâmetros hematológicos de equinos submetidos à inanição / Effects of total parenteral nutrition associated with glutamine and enteral fluid therapy, associated or not with glutamine, on the hematological parameters of horses subjected to starvation

2021 ◽  
Vol 4 (4) ◽  
pp. 5768-5781
Author(s):  
Ubiratan Pereira De Melo ◽  
Maristela Silveira Palhares ◽  
Cintia Ferreira ◽  
Fabíola Oliveira Paes Leme ◽  
Valentim Arabicano Gheller ◽  
...  

Apetite diminuído ou incapacidade de alimentar-se são achados clínicos comuns em muitas enfermidades na espécie equina, levando rapidamente a desnutrição e comprometimento da função imune e reparação tecidual. Este estudo teve por objetivo avaliar os efeitos da nutrição parenteral total associada a glutamina ou fluidoterapia enteral, associada ou não à glutamina, sobre os parâmetros hematológicos de equinos submetidos à inanição. Foram utilizados 16 equinos adultos hígidos, sem raça definida, de ambos os sexos, quatro machos e 12 fêmeas, com idade variando entre quatro e 14 anos e peso corporal médio de 248,40 + 2,28 kg, divididos em quatro grupos, quatro animais por grupo: Grupo I (ENTGL): fluidoterapia enteral com eletrólitos associada a glutamina; Grupo II (PARGL): Nutrição parenteral total (NPT) associada a glutamina; Grupo III (ENTFL): fluidoterapia enteral com eletrólitos; Grupo IV (PARFL): fluidoterapia parenteral. Para a realização do hemograma, amostras de sangue foram colhidas por venopunção na jugular externa esquerda, em tubos a vácuo, contendo EDTA (sal dissódico do ácido etilenodiamino tetra-acético). O hemograma foi constituído do eritrograma e do leucograma. As amostras para realização da hematologia foram obtidas a cada 24 horas durante todo o período experimental, totalizando sete amostras. O delineamento experimental foi inteiramente ao acaso, em esquema fatorial 4x12 (grupos x tempo de colheita), para cada fase, e suas médias comparadas pelo teste de Duncan ao nível de 5% de significância. Não foram observadas alterações significativas para a maioria dos parâmetros avaliados.

2018 ◽  
Vol 24 ◽  
pp. 215-216
Author(s):  
Tariq Alrasheed ◽  
Gaurav Bhalla ◽  
Naveen Kakumanu ◽  
George Hebdon ◽  
Saleh Aldasouqi

1983 ◽  
Vol 1 (3) ◽  
pp. 633-646
Author(s):  
Wiley W. Souba ◽  
Douglas W. Wilmore

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Saeed Mohammed AlZabali ◽  
Abdulkarim AlAnazi ◽  
Khawla A. Rahim ◽  
Hassan Y. Faqeehi

Abstract Background Encapsulating peritoneal sclerosis is a rare but potentially lethal complication of long-term peritoneal dialysis that is associated with significant morbidity and mortality. The occurrence of encapsulating peritoneal sclerosis varies worldwide, but is increased in patients maintained on peritoneal dialysis for 5–8 years. The etiology of encapsulating peritoneal sclerosis remains unidentified, and a high index of clinical suspicion is required for diagnosis. Case presentation We report a 5-year-old Saudi female with end-stage renal disease secondary to nephronophthisis type 2. She underwent peritoneal dialysis for 30 months, with four episodes of peritonitis. She presented with clinical signs of peritonitis. Three days later, she developed septic shock, which required pediatric intensive care unit admission. The peritoneal dialysis catheter was removed because of refractory peritonitis. Her course was complicated by small bowel perforation, and severe adhesions were revealed on abdominal ultrasound and computed tomography, consistent with a diagnosis of EPS. This finding was later confirmed by diagnostic laparotomy performed twice and complicated by recurrent abdominal wall fistula. She received total parenteral nutrition for 6 months and several courses of antibiotics. The patient received supportive treatment including nutritional optimization and treatment for infection. No other treatments, such as immunosuppression, were administered to avoid risk of infection. Following a complicated hospital course, the patient restarted oral intake after 6 months of total parenteral nutrition dependency. Her abdominal fistula resolved completely, and she was maintained on hemodialysis for few years before she received a kidney transplant. Conclusion When treating patients using peritoneal dialysis, it is important to consider encapsulating peritoneal sclerosis with refractory peritonitis, which is not always easy to identify, particularly if the patient has been maintained on peritoneal dialysis for less than 3 years. Early identification of encapsulating peritoneal sclerosis and appropriate conservative treatment, including nutritional optimization and treatment of infections, are essential to achieve a better prognosis.


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