Simini Boards Cast

Chapter 83 - Part E: The Splenic Trap: Why Surgeons Kill Patients After a ‘Successful’ Splenectomy


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In this BoardsCast episode, we tackle one of the most dangerous — and least discussed — realities in small-animal soft tissue surgery: many splenectomy patients don’t die from the spleen… they die from what happens after the spleen is removed.

Using Tobias Chapter 83 – Spleen as our framework, we break down the physiologic traps, hemodynamic crashes, and decision-making failures that turn an apparently successful splenectomy into a fatal outcome.

You’ll learn:

  • Why removing a bleeding organ does not fix the shock state
  • The hemodynamic trap: sudden loss of tamponade → catastrophic hemorrhage
  • How surgeons over-resuscitate and trigger cardiovascular collapse
  • Why post-ligation hypotension is a predictable — and preventable — event
  • The difference between controlled hemorrhage, uncontrolled hemorrhage, and concealed hemorrhage
  • How to anticipate coagulopathy, oxygen debt, and post-op arrhythmias
  • The board-relevant patterns: “the dog died after a routine splenectomy” questions

This episode teaches you the physiology that saves lives — before, during, and after splenic surgery.

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Simini Boards CastBy Simini Podcasts