Perfusión intravenosa regional de sulfato de amikacina en el tratamiento de una herida perforante en la ranilla de un equino: Reporte de caso

Abstract

A 42-month-old Colombian Creole horse suffers a deep wound in the paracuneal sulcus of the frog on the left hind limb (LHL) causing an infection in the back of the hoof because of a screw perforation. At the clinical examination, the horse showed a claudication 5/5 of the LHL, member in clamp, decreased flight arc, increased temperature over the coronary band, positive digital pulse, bulb inflammation and presence of fester content. Prior to perfusion, field anesthesia protocol was performed: pre-medication with acepromazine (0.04 mg / Kg IM), and after 30 minutes a total intravenous anesthesia (TIVA) was administered with triple drip KXG (ketamine 1 g + xylazine 250 mg in 0.5 liter of 5% guaifenasin), administered at a rate of 2-3 ml / kg / h. A tourniquet was placed in the proximal part of the metatarsal. Distal to the tourniquet, prior disinfection and depilation, a 22-gauge butterfly catheter was fixed to the digital middle vein and 2 grams of amikacin diluted in 10 ml of 0.9% saline solution were administered. Regional intravenous infusion and bandage change were performed for 3 consecutive days using in these sessions an anesthetic protocol of ketamine (3 mg / kg IV) and xylazine (1 mg / kg IV) and the same amount of amikacin. The horse achieved full recovery and returned to training one month after the injury.

Keywords:

Surco de la ranilla

amikacina

perfusión intravenosa regional

sulcus of the frog

amikacin

regional intravenous perfusion

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