Critical Care Nutrition for Feline Patients

Perea, Sally

doi:10.1053/j.tcam.2008.08.001

Cited by 13 publications

(17 citation statements)

References 44 publications

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“…O acompanhamento da progressão do CE pode ser feito com exames de imagem, tanto a radiografia simples quanto a ultrassonografia, para avaliação gastrointestinal. Nestes, busca-se por alterações como alças instestinais plisadas, líquido livre abdominal, peritonite, distensão intestinal devido a acúmulo de gás ou fluido, visualização do CE radiopaco e obstrução total intestinal [19,34,36]. Destas, apenas a visualização do CE radiopaco e leve presença de líquido livre abdominal foram observadas.…”

Section: Discussionunclassified

Correction of a Complication of the Use of a Nasoesophageal Feeding Tube in a Southern Tiger Cat (Leopardus guttulus)

Piccoli

Adams

et al. 2019

Acta Scientiae. Vet.

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Background: The southern tiger cat (Leopardus guttulus) is a vulnerable wild felid whose occurrence is restricted to the Atlantic Forest biome of Brazilian South and Southwest regions. Various strategies must be used to improve the conservation of species of felids, including preservation of forests and greater therapeutic support for animals in poor health condition. Enteral nutrition through a nasoesophageal tube is an option for patients in poor or critical condition; however, this procedure carries the risk of accidental ingestion of the tube. The objective of this work is to describe a conservative approach for the management of ingestion of a linear foreign body in a Leopardus guttulus patient.Case: A young female southern tiger cat was taken for veterinary treatment. The patient had an estimated age of nine weeks, 0.846 kg of body weight, and exhibited cachexia, hypothermia, severe dehydration, and apathy. During the examination, blood samples were taken, and initial treatment commenced with fluid therapy, antibiotic therapy, and anti-inflammatory therapy along with administration of analgesics and a gastric protector. Since the patient did not want to eat, it received a nasoesophageal feeding tube under mild sedation. The patient was positioned in sternal recumbency, its head was tilted up, and a no. 6 nasoesophageal tube was ventromedially inserted through the right nostril. The tube was later confirmed to be correctly positioned at the ninth intercostal space by a radiographic study. The feeding tube allowed administration of drugs and microenteral nutrition with a hypercaloric diet; this minimized handling of the patient, which preserved its wild behavior. After the seventh day of treatment, a piece of the tube was found lying at the bottom of the cage. Since ingestion of the remainder of the tube by the patient was suspected, it was taken to the diagnostic imaging division. At the ultrasonographic exam, the stomach exhibited hypermotility and was filled with a moderate amount of mucous content. The stomach wall was thin, and its stratified structure was preserved. Ultrasound imaging did not reveal any alterations suggestive of obstruction or inflammation such as free liquid, thickened wall, or loss of the stratified structure of the layers of the stomach. A hyperechoic tubular structure compatible with the feeding tube used was detected in the fundus of the stomach. After verification of the presence of the tube-derived material in the digestive system, the medical team opted for a conservative therapy consisting of administration of fibers, to increase intestinal motility. The patient was followed up daily by means of imaging exams. The patient did not exhibit signs of intestinal obstruction during the follow-up period. Two days after commencement of the conservative therapy, the remnant of the feeding tube that had been ingested by the patient was expelled along with the feces.Discussion: In spite of the accidental ingestion of the feeding tube by the patient, the use of this device was effective to provide nutritional and pharmacological support to the Leopardus guttulus cub, leading to its recovery. Managing malnutrition is fundamental for the recovery of any patient. Inappetence is alarming especially in felines, which quickly develop hepatic lipidosis during extended periods of anorexia. The conservative approach used, with the aid of serial imaging exams, was enough to treat ingestion of the linear foreign body by the patient.

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Section: Discussionunclassified

Correction of a Complication of the Use of a Nasoesophageal Feeding Tube in a Southern Tiger Cat (Leopardus guttulus)

Piccoli

Adams

et al. 2019

Acta Scientiae. Vet.

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“…1 Feline patients with hepatic lipidosis and those at risk for developing hepatic lipidosis should have nutritional support implemented without delay. 2 In dental and oral surgical patients, placement of a feeding tube in anticipation of anorexia or inability to prehend (e.g., with maxillomandibular stabilization as part of jaw fracture repair) is recommended as part of a comprehensive treatment plan. Client communication and involvement in the decision-making process is paramount and should be started early on, as pet owners will be required to provide at-home feedings and tube care.…”

Section: Figurementioning

confidence: 99%

Esophagostomy Feeding Tube Placement in the Dog and Cat

2014

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“…Nutrición: 116,117,118 la nutrición de estos pacientes es fundamental ya que por un lado el malestar causado por la fiebre y el dolor de las úlceras orales hace que el paciente pierde el apetito De nuevo la administración de antiinflamatorios de tipo no esteroideo 1,2,3 y antibióticos mejoran el dolor y el malestar pero es fundamental la administración de dieta blanda, calentar la comida para aumentar el olor y el gusto de la misma y que sea más apetecible facilitando y aumentando sus propiedades organolépticas. Puede llegar a ser necesaria la colocación de un tubo de alimentación nasogástrica 117 o tubo de esofagostomía para poder administrar nutrición enteral al paciente durante el periodo de convalecencia.…”

Section: Tratamiento De La Infección Agudaunclassified

“…Estimulantes del apetito  Ciproheptadina 15,77,116 : Es un antihistamínico que tiene como efecto secundario la estimulación del apetito en gatos.…”

Section: Tratamiento De La Infección Agudaunclassified

“…Sin embargo y pese a que no hay evidencias científicas que lo corroboren, muchos autores afirman que en su experiencia, los gatos tratados con interferón alfa presentaban una mejoría clínica 103 y vivían más tiempo que los gatos no tratados 2,4,5 . Tiene efectos inmunomoduladores y antivirales siendo más efectivo en las fases no tumorales de la enfermedad 1,2115,116,117 .…”

Section: Inmunomoduladoresunclassified

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Prevalencia y caracterización clínico-lesional de los principales procesos infecciosos de etiología vírica que afectan a las colonias de gatos callejeros en Madrid capital = Prevalence and clinico-pathological characterization of the main viral infections affecting street cat colonies in Madrid

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Critical Care Nutrition for Feline Patients

Cited by 13 publications

References 44 publications

Correction of a Complication of the Use of a Nasoesophageal Feeding Tube in a Southern Tiger Cat (Leopardus guttulus)

Correction of a Complication of the Use of a Nasoesophageal Feeding Tube in a Southern Tiger Cat (Leopardus guttulus)

Esophagostomy Feeding Tube Placement in the Dog and Cat

Prevalencia y caracterización clínico-lesional de los principales procesos infecciosos de etiología vírica que afectan a las colonias de gatos callejeros en Madrid capital = Prevalence and clinico-pathological characterization of the main viral infections affecting street cat colonies in Madrid

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