Characteristics of arterial catheter use and related complications in dogs and cats in an intensive care unit

Hagley, Matthew J.; Hopper, Kate; Epstein, Steven E

doi:10.1111/vec.13084

Cited by 8 publications

(17 citation statements)

References 18 publications

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“…In dogs, there were 21 instances of swollen paws and 3 instances of cold paws. Taken together, the instances of loss of function, swollen paw and cold paw might all indicate thrombosis, but this cannot be confirmed 308 …”

Section: Peco Question: Arterial Catheters (Dogs)mentioning

confidence: 94%

“…The association between arterial catheters and dwell time was partially explored in these 3 studies. The dwell times were median (mix‐max) 12 h (3.5‐35); 308 3 h (1‐117); 312 and 7.7 h (0.9‐42.5, dogs and cats combined) 309 . Complication rates were related to dwell time, but the exact nature of the complications was not characterized.…”

Section: Peco Question: Arterial Catheterization (Cats)mentioning

confidence: 99%

“…Four studies (LOE 5, fair) were identified that evaluated the function of arterial catheters in dogs and reported subsequent complications such as thrombosis 308–311 . None of these reports included a relevant control population (dogs without arterial catheters); hence, all 4 studies were considered neutral to the PECO question.…”

Section: Peco Question: Arterial Catheters (Dogs)mentioning

confidence: 99%

“…In a study that included 29 arterial catheters in cats, 2 catheters (7%) were removed due to a complication 308 . Loss of catheter function where the catheter could not be flushed and failed to aspirate occurred 8 times (28%), while for 4 catheters (14%), a complication of “cold paw” was noted.…”

Section: Peco Question: Arterial Catheterization (Cats)mentioning

confidence: 99%

“…Four studies (LOE 5, fair) were identified that evaluated the function of arterial catheters in dogs and reported subsequent complications such as thrombosis. [308][309][310][311] None of these reports included a relevant control population (dogs without arterial catheters); hence, all 4 studies were considered neutral to the PECO question. Additionally, the complication defined as 'catheter occlusion' was not characterized in all cases to distinguish potential causes such as intraluminal thrombosis, catheter kinking, arterial spasm or thromboembolism.…”

Section: Evidence Summarymentioning

confidence: 99%

See 4 more Smart Citations

2022 Update of the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) Domain 1‐ Defining populations at risk

deLaforcade

Bacek

Blais

et al. 2022

J Vet Emergen Crit Care

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Objectives: To expand the number of conditions and interventions explored for their associations with thrombosis in the veterinary literature and to provide the basis for prescribing recommendations. Design: A population exposure comparison outcome format was used to represent patient, exposure, comparison, and outcome. Population Exposure Comparison Outcome questions were distributed to worksheet authors who performed comprehensive searches, summarized the evidence, and created guideline recommendations that were reviewed by domain chairs. The revised guidelines then underwent the Delphi survey process to reach consensus on the final guidelines. Diseases evaluated in this iteration included heartworm disease (dogs and cats), immune-mediated hemolytic anemia (cats), protein-losing nephropathy (cats), protein-losing enteropathy (dogs and cats), sepsis (cats), hyperadrenocorticism (cats), liver disease (dogs), congenital portosystemic shunts (dogs and cats) and the following interventions: IV catheters (dogs and cats), arterial catheters (dogs and cats), vascular access ports (dogs and cats), extracorporeal circuits (dogs and cats) and transvenous pacemakers (dogs and cats).Results: Of the diseases evaluated in this iteration, a high risk for thrombosis was defined as heartworm disease or protein-losing enteropathy. Low risk for thrombosis was defined as dogs with liver disease, cats with immune-mediated hemolytic anemia, protein-losing nephropathy, sepsis, or hyperadrenocorticism. Conclusions:Associations with thrombosis are outlined for various conditions and interventions and provide the basis for management recommendations. Numerous knowledge gaps were identified that represent opportunities for future studies.

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Section: Peco Question: Arterial Catheters (Dogs)mentioning

confidence: 94%

Section: Peco Question: Arterial Catheterization (Cats)mentioning

confidence: 99%

Section: Peco Question: Arterial Catheters (Dogs)mentioning

confidence: 99%

Section: Peco Question: Arterial Catheterization (Cats)mentioning

confidence: 99%

Section: Evidence Summarymentioning

confidence: 99%

See 3 more Smart Citations

2022 Update of the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) Domain 1‐ Defining populations at risk

deLaforcade

Bacek

Blais

et al. 2022

J Vet Emergen Crit Care

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Care of Indwelling Device Insertion Sites

Philp¹

2023

Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care

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Arterial blood pressure. Part 1: physiology and measurement in cats and dogs

Rollet,

Auckburally,

Elsom

2024

In Practice

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Background: Arterial blood pressure (ABP) is essential to provide adequate perfusion pressure and blood flow to tissues. Usually, ABP is tightly controlled through a variety of complex physiological mechanisms, and significant deviation of ABP from normal may result in end‐organ damage. Measurement of ABP is relatively straightforward and can be used to assess cardiovascular function and guide therapeutic decisions. Challenges in the interpretation of ABP may arise due to individual patient factors and may be dependent on the method of measurement.Aim of the article: This article is the first in a two‐part series and aims to review the physiology and measurement of arterial blood pressure in small animal practice. The second article, to be published in a subsequent issue of In Practice, will focus on the pathophysiology of hypotension and the options for treatment.

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Characteristics of arterial catheter use and related complications in dogs and cats in an intensive care unit

Abstract: Objective: To identify characteristics of arterial catheter use, including indwelling times and reasons for removal, and analyze potential risk factors for complications based on patient-and catheter-related variables.

Cited by 8 publications

References 18 publications

2022 Update of the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) Domain 1‐ Defining populations at risk

2022 Update of the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) Domain 1‐ Defining populations at risk

Care of Indwelling Device Insertion Sites

Arterial blood pressure. Part 1: physiology and measurement in cats and dogs

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