Indirect measurement of blood pressure as a guide to the efficacy of fluid therapy in equine shock: A case report     

B.W. Parry BVSc  PhD  B.A. Christie BVSc  MACVSc  C.C. Gay DVM  MVSc  FACVSc  R.N. Haywood BVSc   《Journal of Equine Veterinary Science》1983,3(1):24-27

A case of acute circulatory failure in a horse is described. The response to intravenous fluid therapy was monitored by measurement of heart and respiratory rates, and arterial and central venous pressures. Heart rate was an unreliable guide to improved circulatory status. Central venous pressure and indirect arterial blood pressure were valuable guides to the efficacy of fluid therapy.  相似文献   

Wound Healing and Brain Stem Auditory Evoked Potentials After Experimental Total Ear Canal Ablation With Lateral Tympanic Bulla Osteotomy in Dogs     

J. F. MCANULTY DVM  MS  PhD    A. HATTEL DVM  C. E. HARVEY BVSc  FRCVS  Diplomate ACVS  AVDC 《Veterinary surgery : VS》1995,24(1):1-8

Experimental total ear canal ablation with lateral tympanic bulla osteotomy (TECA-LBO) was performed in 13 normal dogs to evaluate healing and retention of brain stem auditory evoked potentials (BSAEP) after surgery. Healing was evaluated by gross and microscopic examination of the surgery sites after 1 (n = 2), 4 (n = 8), 5 (n = 1), and 6 (n = 1) weeks. One dog was eliminated from the study. Brain stem auditory evoked potentials were measured using an air-conducted sound stimulus before and after surgery and before killing. Two dogs had nearly complete obliteration of the tympanic cavity by immature fibrous connective tissue. Eight dogs responded to surgery by either complete or partial re-formation of the tympanic cavity. Retention of the tympanic membrane in three dogs promoted re-formation of the tympanic cavity and blind epithelialized pockets in the surgery site with accumulation of keratinized debris. Granulation tissue formation and extensive proliferation of new bone on the internal surface of the tympanic bulla was seen in 10 dogs. Proliferative bone completely obliterated the tympanic cavity in two of these dogs. Eleven of 13 dogs had no detectable air-conducted BSAEP after surgery. There was no change in BSAEP measurements before killing compared with postoperative measurements in any dog. Two dogs with retained tympanic membranes had measurable BSAEP after surgery. This study shows that healing after TECA-LBO may be highly variable. Retention of the tympanic membrane and small osteotomies appeared to promote reformation of tympanic cavities and prevent ingrowth of granulation tissue. New bone proliferation was frequently observed in response to curettage of the epithelium lining the tympanic bulla. Hearing, as determined by BSAEP measurements, was lost except when the tympanic membrane and ossicles were retained. Retained tympanic membranes promoted accumulation of keratinized cellular debris that could become a nidus for infection or late abscessation in some dogs. These results indicate that resection of as much of the lateral and ventral tympanic bulla as possible and removal of the tympanic membrane may provide consistently improved results after TECA-LBO.  相似文献   

Cervical Intervertebral Disk Protrusion in a Horse   总被引：1，自引：0，他引：1  

ALAN J. NIXON BVSc  MS    TED S. STASHAK DVM  MS  DiplomateACVS    JAMES T. INGRAM DVM  MS    ROBERT W. NORRDIN DVM  PhD  DiplomateACVP  RICHARD D. PARK DVM  PhD  DiplomateACVR 《Veterinary surgery : VS》1984,13(3):154-158

A Hansen type ll intervertebral disk protrusion was diagnosed in an 18-year-old horse with signs of progressive ataxia and paresis. A soft tissue mass dorsal to the C6-C7 intervertebral disk space was identified at myelogram and found to be an intervertebral disk protrusion with enlarged dorsal annulus fibrosis at surgery. Surgical decompression was achieved using a ventral approach to the caudal cervical vertebrae, an approach limited in its application by the vertebral venous sinuses. Neurological signs remained unchanged for 3 days and then deteriorated. The horse was euthanized.  相似文献   

Dorsal Laminectomy in the Horse I. Review of the Literature and Description of a New Procedure     

ALAN J. NIXON BVSc  MS  TED S. STASHAK DVM  MS  DiplomateACVs 《Veterinary surgery : VS》1983,12(4):172-176

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Hemodynamic Function during Neurectomy in Halothaneanesthetized Horses with or without Constant Dose Detomidine Infusion     

ANN E. WAGNER DVM  MS  Diplomate ACVP    COLIN I. DUNLOP BVSc  Diplomate ACVA    R. BRUCE HEATH DVM  MS  Diplomate ACVA    A. SIMON TURNER BVSc  MS  Diplomate ACVS  GAYLE W. TROTTER DVM  MS  Diplomate ACVS 《Veterinary surgery : VS》1992,21(3):248-255

Nine horses were premediated with acepromazine, and anesthesia was induced with guaifenesin and thiamylal. Anesthesia was maintained in four horses with halothane in oxygen, and in five horses with halothane in oxygen plus a constant dose infusion of detomidine. Both maintenance regimens produced a MAC equivalent of 1.4 at the ambient barometric pressure. Hemodynamic and respiratory measurements were made after the horses were anesthetized, during surgical manipulations involving skin or tissues other than nerves, during manipulation and transection of digital nerves, and after surgery while the limbs were being bandaged. Heart rate was significantly higher in horses anesthetized with halothane only than in horses that also received detomidine; there were no other differences in hemodynamic function or recovery characteristics. Respiratory rate was significantly higher than baseline during soft tissue and nerve manipulations; arterial blood pressure was significantly higher after surgery began and highest during neurectomy; cardiac output and cardiac index were significantly decreased during surgery; systemic vascular resistance was significantly increased during neurectomy and bandaging and highest during neurectomy. The data suggest that the increase in blood pressure often associated with surgical stimulation is caused by increased vascular resistance and may be accompanied by a decrease in cardiac output.  相似文献   

The Mesh Expansion Method of Suturing Wounds on the Legs of Horses     

J. V. BAILEY BVSc  MVSc  K. A. JACOBS BVSc 《Veterinary surgery : VS》1983,12(2):78-82

Wound closure utilizing tension-relieving incisions located in the skin adjacent to the wound of horses was evaluated in three experiments. Healing of lower limb wounds was compared in four treatment groups; wounds sutured under tension, wounds sutured with 7 mm and 10 mm tension relieving incisions, and unsutured controls. The wounds sutured using 10 mm tension relieving incisions healed significantly faster than the other three groups (p > 0.05). The mesh expansion technique was further evaluated in four-week-old granulating wounds. The technique was found to be unsuccessful because the tension relieving incisions that were used were too small and postoperative support was inadequate. The technique was evaluated in two clinical patients, both of which had large metatarsal lacerations. Tension relieving incisions of approximately 15 mm were made and full leg walking bar casts were applied. Both wounds had healed almost completely on removal of the casts four weeks postoperatively.  相似文献   

Clinical Vignette     

Anne Peaston BVSc 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》1993,7(1):44-45

This 12-month-old, outdoor intact male cat (Fig. 1) was examined because of an untreated draining nasal lesion. The lesion. initially appeared as small punctures, and progressed ovcr 2 months to an ulcerated draining nodule that gradually enlarged to involve the whole muzzle, extending bilaterally to the medial canthi and having multiple drainage points through overlying necrotic skin. Results of serum feline leukemia virus antigen and feline immunodeficiency virus antibody tests were negative.  相似文献   

RADIOGRAPHIC DIAGNOSIS     

Peter F. Lord  BVSc  Richard R. Dubielzig  DVM  PhD 《Veterinary radiology & ultrasound》1991,32(1):17-18

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Effect of 5 cm of Water Positive End-Expiratory Pressure on Arterial Oxygen Tension in Dogs During and After Thoracotomy     

TINA RUSTOMJEE BVSc  MS    ANN WAGNER DVM  MS  Diplomate ACVP  Diplomate ACVA  E. CHRISTOPHER ORTON DVM  PhD  Diplomate ACVS 《Veterinary surgery : VS》1994,23(4):307-310

Thoracotomy in dogs often is associated with lower than expected arterial oxygen tensions (PaO₂). Pulmonary collapse from opening the thoracic cavity is likely to be responsible for decreased PaO₂ during thoracotomy. To examine whether positive end-expiratory pressure (PEEP) is beneficial to dogs undergoing thoracotomy, PaO₂ and hemoglobin saturation (SaO₂) were measured in dogs randomly assigned to receive 5 cm of H₂O PEEP (n = 7) or no PEEP (n = 9). During surgery in both groups of dogs, PaO₂ progressively decreased ( P < .001), but the decrease in PaO₂ was significantly less in the PEEP group ( P = .027). In both groups, PaO₂ did not decrease enough to have a substantial effect on SaO₂. Furthermore, application of PEEP during thoracotomy did not prevent moderate hypoxemia after surgery and discontinuation of PEEP. Application of 5 cm of H₂O PEEP seems to attenuate the decrease in PaO₂ observed in dogs undergoing thoracotomy, but routine application of PEEP does not seem justified. ©  相似文献   

Pheochromocytoma Presenting as Acute Retroperitoneal Hemorrhage in a Dog     

Jarod E. Williams DVM  Susan G. Hackner BVSc  MRCVS  DACVIM  DACVECC 《Journal of Veterinary Emergency and Critical Care》2001,11(3):221-227

Objective: This report describes the perioperative management of a dog with a right adrenal pheochromocytoma that presented with acute retroperitoneal hemorrhage, cardiac arrhythmia and hypertension. Additionally, a summary of pheochromocytoma and the idiosyncrasies of perioperative management of a pheochromocytoma are provided.
Summary: A 7-year old male, neutered, Dalmation was presented for acute collapse, abdominal pain and tachycardia. Physical examination findings were consistent with hypoperfusion concurrent with multiple cardiac arrhythmias and hypertension. Abdominal ultrasound revealed retroperitoneal effusion and a right adrenal mass intimately associated with the caudal vena cava. Incomplete right adrenalectomy was performed. Histopathology confirmed a pheochromocytoma.
Unique information provided: To the authors' knowledge, this is the first definitive report of acute retroperitoneal hemorrhage as the initial clinical manifestation of histologically confirmed adrenal pheochromocytoma in the dog. ( J. Vet Emerg Crit Care 2001; 11(3): 221–227 )  相似文献