Page 63 - Manual of Equine Field Surgery

Distal Limb Perfusion 59

venous perfusion requires less equipment than 4. Butt TD, Bailey N, Dowling PM, et al: Comparison

intraosseous perfusion but can be difficult to of 2 techniques for regional antibiotic delivery to

perform in limbs with significant swelling or in the equine forelimb: intraosseous perfusion vs.

veins tl1at have had multiple perfusions. Sites for intravenous perfusion, Can Vet] 42:617, 2001.

intraosseous perfusion can be used multiple times 5. Mattson S, Boure L, Pearce S: Intraosseous gen-
tamicin perfusion of the distal metacarpus in
after the original hole is drilled. standing horses, Vet Surg 33(2):180, 2004.

Additionally, a study comparing intraarticular 6. Werner LA, Hardy J, Bertone AL: Bone gentamicin

injection of gentamicin with regional intraven- concentration after intra-articular injection or

ous perfusion of gentamicin in normal horses regional intravenous perfusion in the horse, Vet

found the techniques produced similar bone Surg 32(6):559, 2003.

concentrations and that intraarticular injection 7. Orsini JA, Elce Y, Kraus B: Management of severely

produced greater synovial fluid concentrations infected wounds in the equine patient, Clin Tech Eq

than regional intravenous perfusion.13 111 clinically Pract 3(2):225, 2004.

affected horses, the increased hydrostatic pressure 8. Santschi EM, Adams SB, Murphey ED: How to

achieved :iJ.1 regional perfusion techniques 111ay perform equine intravenous digital perfusion, Proc

Am Assoc Equine Pract 44:198, 1998.
result in better perfusion of capillaries obstructed 9. Kettner NU, Parker JE, Watrous BJ: Intraosseous

by debris or fibrin, but this has not been objec-
regional perfusion for treatment of septic physitis
tively evaluated. in a two week old foal, J Am Vet Med Assoc

222(3):346, 2003.

10. Whitehair KJ, Blevins WE, Fessler JF, et al: Regional

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