Comparison of cardiopulmonary responses during sedation with epidural and local anesthesia for laparoscopic-assisted jejunostomy feeding tube placement with cardiopulmonary responses during general anesthesia for laparoscopic-assisted or open surgical jejunostomy feeding tube placement in healthy dogs     

Hewitt SA  Brisson BA  Sinclair MD  Sears WC 《American journal of veterinary research》2007,68(4):358-369

OBJECTIVE: To evaluate the use of laparoscopic-assisted jejunostomy feeding tube (J-tube) placement in healthy dogs under sedation with epidural and local anesthesia and compare cardiopulmonary responses during this epidural anesthetic protocol with cardiopulmonary responses during general anesthesia for laparoscopic-assisted or open surgical J-tube placement. ANIMALS: 15 healthy mixed-breed dogs. PROCEDURES: Dogs were randomly assigned to receive open surgical J-tube placement under general anesthesia (n = 5 dogs; group 1), laparoscopic-assisted J-tube placement under general anesthesia (5; group 2), or laparoscopic-assisted J-tube placement under sedation with epidural and local anesthesia (5; group 3). Cardiopulmonary responses were measured at baseline (time 0), every 5 minutes during the procedure (times 5 to 30 minutes), and after the procedure (after desufflation [groups 2 and 3] or at the start of abdominal closure [group 1]). Stroke volume, cardiac index, and O(2) delivery were calculated. RESULTS: All group 3 dogs tolerated laparoscopic-assisted J-tube placement under sedation with epidural and local anesthesia. Comparison of cardiovascular parameters revealed a significantly higher cardiac index, mean arterial pressure, and O(2) delivery in group 3 dogs, compared with group 1 and 2 dogs. Minimal differences in hemodynamic parameters were found between groups undergoing laparoscopic-assisted and open surgical J-tube placement under general anesthesia (ie, groups 1 and 2); these differences were not considered to be clinically important in healthy research dogs. CONCLUSIONS AND CLINICAL RELEVANCE: Sedation with epidural and local anesthesia provided satisfactory conditions for laparoscopic-assisted J-tube placement in healthy dogs; this anesthetic protocol caused less cardiopulmonary depression than general anesthesia and may represent a better choice for J-tube placement in critically ill patients.  相似文献   

Plethysmographic comparison of breathing pattern in heaves (recurrent airway obstruction) versus experimental bronchoconstriction or hyperpnea in horses     

Hoffman AM  Oura TJ  Riedelberger KJ  Mazan MR 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2007,21(1):184-192

BACKGROUND: Horses with recurrent airway obstruction (heaves) are described as exhibiting "increased abdominal effort," but it is unknown whether this translates to an effective contribution to ventilation. HYPOTHESIS: We hypothesized that heaves is characterized by asynchrony between rib cage and abdominal motions, and that the abdominal component is the major contributor to ventilation. ANIMALS: The rib cage versus abdominal motion in naturally occurring heaves (n = 15) was compared to controls at rest (n = 7) and during hyperpnea because of lobeline treatment, and the effects of histamine-induced bronchoconstriction in controls (n = 10). METHODS: Flow patterns, phase angle (theta) between the rib and abdominal compartments, abdominal (Vabd) contribution to tidal volume (VT), and lung mechanics were measured. RESULTS: Findings unique to the heaves group included the loss of biphasic expiratory flow, severely increased theta with the abdomen consistently lagging behind the rib cage, and a reduced contribution of the abdomen to ventilation. A subgroup of heaves (n = 5) with abdominal paradox showed a significant (P < .05) reduction in tidal volume, and increased respiratory rate. Bronchodilation reduced theta in heaves (P = .06), but theta remained significantly higher after bronchodilation than found in controls. CONCLUSIONS AND CLINICAL IMPORTANCE: We conclude that breathing pattern in horses with heaves is characterized by severe rib cage/abdominal asynchrony, with the rib cage motion in synchrony with flow, therefore dominating ventilation. In a subset of heaves, the abdominal compartment (diaphragm, abdominal muscles) was completely out of synchrony with flow ("abdominal paradox") despite the clinical appearance of "increased abdominal effort."  相似文献   

Citations of plenary-session articles published in the Proceedings of the International Symposium on Veterinary Epidemiology and Economics     

Salman MD  Dewell R  Willeberg P  GrandMaison N  Schoenbaum M  Moothart T 《Preventive veterinary medicine》2007,80(1):82-86

We measured the potential impact of articles representing the International Symposium on Veterinary Epidemiology and Economics (ISVEE) plenary-session presentations in subsequent published literature. Between July 1, 2004 and November 9, 2004, we searched the Web of Science for citations in the scientific literature to all 99 plenary-session articles published in the proceedings of the previous nine ISVEEs (or in journal special issues dedicated to the ISVEE plenary articles). We used a 4-year window around the publication of each of the ISVEE proceedings. We located 187 citations for 37 (of the 99) articles. We infer that the ISVEE proceedings represent an important resource for veterinary epidemiology.  相似文献   

Double-blinded placebo-controlled clinical trial of prophylactic omeprazole in dogs treated surgically for acute thoracolumbar intervertebral disc extrusion     

Jaya M. Mehra  M. Katherine Tolbert  Phillip Guadiano  Jörg M. Steiner  George E. Moore  Melissa J. Lewis 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2023,37(2):586-597

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Effects of Cocoa-Derived Polyphenols on Cognitive Function in Humans. Systematic Review and Analysis of Methodological Aspects     

Barrera-Reyes  Paloma K  de Lara  Josué Cortés-Fernández  González-Soto  Melissa  Tejero  M Elizabeth 《Plant foods for human nutrition (Dordrecht, Netherlands)》2020,75(1):1-11

Plant Foods for Human Nutrition - The effects of cocoa-derived polyphenols on cognitive functions have been analyzed through numerous studies using different interventions (doses, vehicles, time...  相似文献   

The effect of disturbance by Phellinus weirii on decomposition and nutrient mineralization in a Tsuga mertensiana forest     

K. Cromack Jr  J. A. Entry  T. Savage 《Biology and Fertility of Soils》1991,11(4):245-249

Summary Microbial biomass in the upper 7 cm of soil and needle decomposition on the forest floor were measured seasonally for 10 months in a mountain hemlock (Tsuga mertensiana) old-growth forest and in a regrowth forest after Phellinus weirii, a root-rot pathogen infection, had caused disturbance. The microbial biomass was higher in the old-growth forest soil than in the regrowth forest soil. However, T. mertensiana needle decomposition rates were higher in the regrowth than in the old-growth forest. Total N, Ca, Fe, Cu, and Zn concentrations in needles increased during the 1st year of decomposition in both the old and the regrowth forests, but P, K, Mg, Mn, and B concentrations decreased. N, P, K, Mg, Cu, and Zn concentrations were lower in regrowth than in old-growth decomposing needles. During mineralization, needles in the regrowth forests released more N, P, and K as a result of higher needle decomposition rates. Our results suggest that higher needle decomposition rates increased the mineralization of N, P, and K, which may lead to increased soil fertility and faster tree growth rates in the regrowth forest.  相似文献   

Effects of size and temperature on metabolic rate     

Gillooly JF  Brown JH  West GB  Savage VM  Charnov EL 《Science (New York, N.Y.)》2001,293(5538):2248-2251

We derive a general model, based on principles of biochemical kinetics and allometry, that characterizes the effects of temperature and body mass on metabolic rate. The model fits metabolic rates of microbes, ectotherms, endotherms (including those in hibernation), and plants in temperatures ranging from 0 degrees to 40 degrees C. Mass- and temperature-compensated resting metabolic rates of all organisms are similar: The lowest (for unicellular organisms and plants) is separated from the highest (for endothermic vertebrates) by a factor of about 20. Temperature and body size are primary determinants of biological time and ecological roles.  相似文献   

Spatial resilience of forested landscapes under climate change and management     

Melissa S. Lucash  Robert M. Scheller  Eric J. Gustafson  Brian R. Sturtevant 《Landscape Ecology》2017,32(5):953-969

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Putative uremic encephalopathy in horses: five cases (1978-1998)     

Frye MA  Johnson JS  Traub-Dargatz JL  Savage CJ  Fettman MJ  Gould DH 《Journal of the American Veterinary Medical Association》2001,218(4):560-566

OBJECTIVE: To determine historical, physical examination, clinicopathologic, and postmortem findings in horses with putative uremic encephalopathy. Design-Retrospective study. Animals-5 horses with renal failure and neurologic disease not attributable to abnormalities in any other organ system. PROCEDURE: Medical records from 1978 to 1998 were examined for horses with renal disease and neurologic signs not attributable to primary neurologic, hepatic, or other diseases. Signalment, history, physical examination findings, clinicopathologic data, renal ultrasonographic findings, and postmortem data were reviewed. RESULTS: Of 332 horses with renal disease, 5 met selection criteria. Historical findings, physical examination findings, clinicopathologic data, ultrasonographic data, and postmortem findings were consistent with chronic renal failure. Swollen astrocytes were detected in all 4 horses examined at necropsy. CONCLUSIONS AND CLINICAL RELEVANCE: A single criterion was not determined to be pathognomonic for uremic encephalopathy in horses. Uremic encephalopathy should be considered as a differential diagnosis in horses with evidence of chronic renal failure and encephalopathic neurologic sign not attributable to other causes. Astrocyte swelling, which was common to all 4 horses examined at necropsy, may serve as a microscopic indicator of uremic encephalopathy in horses.  相似文献   

Isolation of Cokeromyces recurvatus, initially misidentified as Coccidioides immitis, from peritoneal fluid in a cat with jejunal perforation.     

Cheri Nielsen  Deanna A Sutton  Ilze Matise  Nicole Kirchhof  Melissa C Libal 《Journal of veterinary diagnostic investigation》2005,17(4):372-378

Cokeromyces recurvatus, a zygomycete, was isolated by fungal culture from the peritoneal fluid of a cat with jejunal perforation secondary to intestinal lymphosarcoma. This organism has not been recovered previously from a veterinary patient. The tissue form of C. recurvatus is morphologically similar to those of Coccidioides immitis and Paracoccidioides brasiliensis and may be misdiagnosed as 1 of these organisms on the basis of cytologic or histopathologic specimens, particularly in geographic regions where these organisms are not endemic.  相似文献