Audit of the provision of nutritional support to mechanically ventilated dogs and cats

Greensmith, Tom; Chan, Daniel L.

doi:10.1111/vec.13060

Cited by 4 publications

(10 citation statements)

References 23 publications

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“…There are no published guidelines on re-alimentation in mechanically ventilated veterinary patients (91)(92)(93)(94)(95)(96), and the frequency of nutrition provision in mechanically ventilated cats and dogs remains poor (90). Veterinary patients without appropriate nutritional support are at risk of starvation.…”

Section: Nutritionmentioning

confidence: 99%

“…Ensure, Abbott Australasia Pty Ltd., Macquarie Park, Australia. liquid enteral diets with no significant difference in outcome (90,92,100,101). Other diets have been described in two dogs receiving EN at 25% RER (Royal Canin Convalescence Support Instant Diet and Enteral Care KC ) (90).…”

Section: Nutritionmentioning

confidence: 99%

“…Provision of a balanced diet at an appropriate proportion of RER based on individual nutritional assessment is beneficial for patients undergoing MV and should be considered for snake envenomated cats and dogs after 72 h of hospitalization ( 90 ).…”

Section: Ancillary Considerationsmentioning

confidence: 99%

“…Patients who are likely to tolerate EN should be given a balanced, digestible commercially available veterinary diet ( 99 ). One study in hospitalized dogs requiring nasogastric or nasoesophageal feeding described the use of veterinary (Clinicare 2 and Clinicare RF 3 ) and human (Ensure 4 ) liquid enteral diets with no significant difference in outcome ( 90 , 92 , 100 , 101 ). Other diets have been described in two dogs receiving EN at 25% RER (Royal Canin Convalescence Support Instant Diet 5 and Enteral Care KC 6 ) ( 90 ).…”

Section: Ancillary Considerationsmentioning

confidence: 99%

“…One study in hospitalized dogs requiring nasogastric or nasoesophageal feeding described the use of veterinary (Clinicare 2 and Clinicare RF 3 ) and human (Ensure 4 ) liquid enteral diets with no significant difference in outcome ( 90 , 92 , 100 , 101 ). Other diets have been described in two dogs receiving EN at 25% RER (Royal Canin Convalescence Support Instant Diet 5 and Enteral Care KC 6 ) ( 90 ). At the authors' institution, patients undergoing MV are initially fed at 25% RER and increased in 25% increments according to the patients' tolerance to feeding.…”

Section: Ancillary Considerationsmentioning

confidence: 99%

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Mechanical ventilation in snake envenomation of dogs and cats

Morris¹,

Donaldson²

2023

Front. Vet. Sci.

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Envenomation by snakes in Elapidae and Viperidae families have been associated with respiratory failure in dogs and cats. Mechanical ventilation may be required for hypoventilation due to neuromuscular paralysis or hypoxemia due to pulmonary hemorrhage or aspiration pneumonia. Median incidence of dogs and cats with snake envenomation that require mechanical ventilation is 13% (0.06–40%). Standard treatment of snake envenomation in dogs and cats includes prompt administration of appropriate antivenom and management of envenomation complications such as coagulopathy, rhabdomyolysis and acute kidney injury. When mechanical ventilation is required, overall prognosis is good with appropriate treatment. Standard anesthetic protocols and mechanical ventilator settings are generally appropriate, with lung protective ventilation strategies typically reserved for patients with pulmonary disease. Median survival to discharge for cats and dogs with elapid envenomation is 72% (76–84%) with 33 h (19.5–58 h) median duration of mechanical ventilation and 140 h (84–196 h) median hospitalization. This article reviews indications for mechanical ventilation in cats and dogs with snake envenomation, and discusses ventilator settings, anesthetic and nursing considerations, complications and outcomes specific to this disease.

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