High euthanasia rates and iatrogenic complications limit the ability to accurately prognosticate for affected dogs in this retrospective study, but in dogs with LMND that is severe enough to require IIPV, support may be required days to weeks.
The administration of CSA in dogs with septic peritonitis results in an increase in ALB, COP, and DBP 2 hours after administration. An increase in ALB persisted at 24 hours compared with a CDT group. Administration of this product was not associated with owner-reported delayed adverse events in this population of dogs.
Objective: To describe diagnostics, therapy, and sequelae of acute carbon monoxide (CO) toxicity because of a motor vehicle generator in 4 dogs and 2 cats. Series summary: Four dogs and 2 cats presented for recumbency, disorientation, dyspnea, and stiffness after an estimated 6-8 hour exposure to exhaust from a generator. Diagnostics included a serum carboxyhemoglobin levels evaluation, arterial blood gas analysis, pulse oximetry readings, and blood pressure measurements. Initial therapy included oxygen (O 2 ) administration, intravenous bronchodilators, fluids, and a hemoglobin-based O 2 carrying (HBOC) molecule. Following administration of the HBOC, 4 of the 6 animals showed dramatic clinical improvement. Two weeks after hospital discharge, the owner reported potential hearing deficits in all animals. Brain auditory evoked response (BAER) tests were conducted in all surviving animals and some degree of hearing impairment was documented in all cases, with complete clinical resolution noted 6 weeks later. Unique information provided: This report describes the therapeutic use of an HBOC in acute isolated CO toxicity (i.e. without the complications of smoke inhalation). In addition, delayed nervous system dysfunction was documented in all surviving animals. (J Vet Emerg Crit Care 2005; 15(2): 128-135)
Summary
Medical records of 143 dogs with pulmonary contusion secondary to motor vehicular trauma were evaluated retrospectively to determine length of hospitalization, oxygen supplementation, and associated injuries. Therapeutic interventions, including the dose of intravenous fluid administration, the use of antibiotics, and the use of glucocorticoids were recorded. Initial thoracicradiographs were reviewed, and pulmonary contusion was graded as mild, moderate or severe. Pulmonary contusion severity was compared to use of supplemental oxygen, oxygen administration time, hospitalization time, and the presence or absence of fractures. The length of hospital stay and the survival rate was calculated.
The mean respiratory rate at admission was 55 ± 22 breaths per minute. Concurrent thoracicinjuries were common, and included pneumothorax and pleural effusion. Fifty‐two percent ofdogs received oxygen supplementation for a median of 35 hours. The median hospitalization time was 48 hours. Forty (28%) dogs were treated with antibiotics for a minimum of 5 days, and forty‐ five (31%) were administered glucocorticoids. Two (1%) dogs developed pulmonary infection. Dogs with more severe thoracic radiographic changes on presentation were more likely to receiveoxygen, received oxygen for longer periods of time, and had a longer hospitalization time. Eighty‐two percent of dogs survived to hospital discharge.
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