| ACCIM provides long-term medical management for internal medicine and critical care patients, and is available to provide intensive medical care for your pet 24-hours daily, especially when your family veterinarian is closed for the day. We have the capability to stabilize your critically ill pet before they undergo surgery or other necessary diagnostic procedures, and we work closely with your family veterinarian when your pet’s medical condition requires our services. In-house laboratory services: - Blood gas
- CBC, electrolytes, ionized calcium and magnesium, lactate
- Biochemistry
- Coagulation
- Viral serology
Laboratory sample collection: - Venous and arterial blood collection
- Cystocentesis, Thoracocentesis, Pericardiocentesis, Abdominocentesis, and Arthrocentesis
- Bone marrow aspiration and core biopsy
- Percutaneous (ultrasound-guided) aspiration and needle biopsy
- Surgical Biopsy Collection
- Cerebral spinal fluid collection
Monitoring: - Invasive cardiac output monitoring
- Invasive and noninvasive blood pressure monitoring
- Telemetric continuous ECG
- Capnometry, oximetry, Doppler and sphygnomanometry, anesthesia gas monitors with phleythsmography
Imaging: - Digital radiography
- Radiography contrast studies
- Ultrasound including echocardiogram
- Fluoroscopy
Fiber optic scope: - Endoscopy, Colonoscopy, Bronchoscopy, Rhinoscopy
- Cystoscopy, Vaginoscopy, Laparoscopy
- Thoracoscopy
Therapy: - Cardiopulmonary and cerebral resuscitation
- Intravenous and arterial catheterization
- Intermittent and indwelling urethral catheterization
- Tracheal and urethral indwelling stent placement
- Oxygen and respiratory therapy and mechanical ventilation
- Enteral and perenteral nutrition support and feeding tube placement
- Emergency surgical procedures
- Continuous Renal Replacement Therapy (dialysis in the ICU)
- Blood transfusions including blood typing and cross matches
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