Application of Airway Pressure Therapy in Veterinary Critical Care: Part II: Airway Pressure Therapy     

Deborah R. Van  Pelt DVM  MS    Wayne E. Wingfield MS  DVM    Timothy B. Hackett DVM  Linda G. Martin DVM 《Journal of Veterinary Emergency and Critical Care》1993,3(2):71-81

As the specialties of emergency medicine and critical care have grown and evolved in both human and veterinary medicine, so has the need for more advanced care of patients with primary lung disease. Treatment of acute respiratory failure has been the focus of several articles in the human medical literature of the past few years.^1,8 This paper deals with airway pressure therapy and its application in cases of acute respiratory failure in veterinary medicine. The reader is referred to part I of this paper for a reveiw of respiratory mechanics and hypoxemia as they apply to respiratory therapy.  相似文献   

Pasteurella haemolytica A1 and Bovine Respiratory Disease: Pathogenesis     

Laurence O. Whiteley DVM  PhD    Samuel K. Maheswaran BVSc  PhD    Douglas J. Weiss DVM  PhD    Trevor R. Ames DVM  MS  Mathur S. Kannan BVSc  PhD 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》1992,6(1):11-22

The severe fibrinonecrotic pneumonia associated with pneumonic pasteurellosis usually results from colonization of the lower respiratory tract by Pasteurella haemolytica biotype A, serotype 1(A1). Despite recent research efforts, the authors lack a detailed understanding of the interactions and host response to P. haemolytica in the respiratory tract. The authors hypothesize that management and environmental stress factors or viral infection alters the upper respiratory tract (URT) epithelium allowing P. haemolytica to colonize the epithelium. Once the URT is colonized, large numbers of organisms enter the lung where they interact with alveolar macrophages. Endotoxin, released from the bacteria, crosses the alveolar wall where it activates pulmonary intravascular macrophages, endothelium, neutrophils, lymphocytes, platelets, complement, and Hageman factor leading to complex interactions of cells and mediators. It is the progression of this inflammatory response with neutrophil influx that is ultimately responsible for the pulmonary injury. Leukotoxin is a major virulence factor of P. haemolytica that allows it to survive by destroying phagocytic cells. At subcytolytic concentrations it may also enhance the inflammatory response by activating cells to produce mediators and release reactive oxygen metabolites and proteases.  相似文献   

Long-term Outcome of Tooth Repulsion in Horses A Retrospective Study of 61 Cases     

MICHAEL A. PRICHARD DVM    RICHARD P. HACKETT DVM  MS  Diplomate ACVS  HOLLIS N. ERB DVM  PhD 《Veterinary surgery : VS》1992,21(2):145-149

The records of 61 horses undergoing tooth repulsion for treatment of alveolar periostitis were reviewed. Seventeen of 36 horses (47%) in which maxillary teeth were removed had serious postoperative complications, such as infection of a second tooth, bone sequestration, chronic sinusitis, draining tracts, retained dental packing, feed impaction of the alveolus or sinus, suture-line dehiscence, or skin-flap sloughs. Eight horses required at least one additional surgical procedure. Eight of 25 horses (32%) in which mandibular teeth were removed had serious postoperative complications, and four horses required an additional surgical procedure. Hospitalization lasted 2 to 61 days (median, 22 days) for maxillary teeth and 3 to 35 days (median, 8 days) for mandibular teeth. Long-term follow-up (at least 5 months) was possible in 47 horses. Twenty-four of 30 horses (80%) with maxillary tooth repulsion healed without further problems; six horses had persistent nasal discharge. Fourteen of 17 horses (82%) with mandibular tooth repulsion healed with no further problems or with only minor complications; three horses had a chronic draining tract.  相似文献   

Clinical Evaluation of Three Surgical Methods for Treatment of Caudal Cervical Spondylomyelopathy of Dogs     

KENNETH A. BRUECKER DVM  MS    HOWARD B. SEIM III  DVM  DiplomateACVS STEPHEN J. WITHROW DVM  DiplomateACVS 《Veterinary surgery : VS》1989,18(3):197-203

Sixty-four dogs with caudal cervical spondylomyelopathy (CCSM) caused by chronic degenerative disc disease were treated with ventral decompression (n = 20), linear traction and interbody screw stabilization (n = 7), or linear traction and plastic plate stabilization (n = 37). Interbody screw stabilization was ineffective in treating CCSM because of an unacceptably high rate of implant failures. Ventral decompression or linear traction and plastic plate stabilization were effective in the treatment of most patients with mild to moderate neurologic deficits (neck pain, paraparesis, or ambulatory tetraparesis). Although these techniques were also used successfully in some patients with severe neurologic deficits (weakly ambulatory tetraparesis or nonambulatory tetraparesis), variable success rates and prolonged postoperative recovery periods were noted.  相似文献   

Atlas of Approaches for General Surgery of the Dog and Cat By Mark M. Smith and Don R. Waldron     

THERESA W. FOSSUM DVM  MS  PhD 《Veterinary surgery : VS》1994,23(4):289-289

  相似文献   

IOHEXOL AND IOPAMIDOL MYELOGRAPHY IN THE DOG: A CLINICAL TRIAL COMPARING ADVERSE EFFECTS AND MYELOGRAPHIC QUALITY     

William R.  Widmer  DVM  MS  William E.  Blevins  DVM  MS  Samuel  Jakovljevic  DVM  MS  Robert F.  Teclaw  DVM  PhD  Connie M.  Han  RVT  Cheryl D.  Hurd  RVT 《Veterinary radiology & ultrasound》1992,33(6):327-333

In a blind clinical trial, adverse effects after iohexol and iopamidol myelography were evaluated in 151 dogs. Eighty-one dogs were given iohexol (240 mgI/ml) and 70 dogs were given iopamidol (200 mgI/ml) by pre-determined assignment. Each dog was evaluated postmyelographically for seizures, hyperthermia, prolonged recovery from anesthesia and intensification of pre-existing neural signs. Myelographic quality was evaluated with a subjective scoring method. In comparing iohexol and iopamidol groups, there was not a statistically significant difference in the incidence of adverse effects or in myelographic quality. Iopamidol and iohexol appeared to be equally efficacious for routine canine myelography.  相似文献   

Surgical Management of Atlantoaxial Subluxation in 23 Dogs     

WILLIAM B. THOMAS DVM    DONALD C. SORJONEN DVM  MS  Diplomate ACVIM  STEPHEN T. SIMPSON DVM  MS  Diplomate ACVIM 《Veterinary surgery : VS》1991,20(6):409-412

Twenty-eight surgical procedures were performed in 23 dogs with atlantoaxial subluxation. Dorsal stabilization in seven dogs resulted in two recoveries and five failures of fixation. Ventral decompression and stabilization in 18 dogs resulted in eight recoveries and four failures of fixation. Six dogs died or were euthanatized within 7 days of ventral stabilization. Using either technique, four of seven nonambulatory dogs recovered.  相似文献   

Abdominal Wall Reconstruction with a Vascular External Abdominal Oblique Myofascial Flap     

LISA G. ALEXANDER DVM    MICHAEL M. PAVLETIC DVM  Dipiomate ACVS  STEPHEN J. ENGLER VMD 《Veterinary surgery : VS》1991,20(6):379-384

A myofascial island flap for abdominal wall reconstruction was based on the lumbar component of the external abdominal oblique muscle and supplied by a major neurovascular pedicle consisting of branches of the cranial abdominal artery, cranial hypogastric nerve, and a satellite vein. The flap was elevated and sutured into a 10 cm x 10 cm body wall defect in five dogs. The dogs were observed for 26 to 28 days. Abdominal wall contour and function were preserved. All dogs developed seromas, two of which became infected. One dog developed a hernia at the dorsal margin of the flap, which was repaired. At necropsy, there was no evidence of dehiscence in any of the dogs. Loose adhesions of omentum to the inner surface of the flap occurred in four dogs. Results of histologic examination confirmed the clinical impression of flap viability. The myofascial island flap has a wide range of mobility over the ventral and caudal areas of the abdomen and lateral thoracic wall. It has potential clinical use for reconstruction of defects within its arc of rotation.  相似文献   

A Comparison of Surgical Training with Live Anesthetized Dogs and Cadavers     

LARRY G. CARPENTER DVM    DONALD L. PIERMATTEI DVM  PhD  Dipiomate ACVS    MOWAFAK D. SALMAN BVMS  PhD  Dipiomate ACVPM    E. CHRISTOPHER ORTON DVM  PhD  Dipiomate ACVS    A. WENDELL NELSON DVM  PhD  Dipiomate ACVS    DANIEL D. SMEAK DVM  Dipiomate ACVS    PAUL B. JENNINGS Jr.  VMD  MS  Dipiomate ACVS ROBERT A. TAYLOR DVM  MS  Dipiomate ACVS 《Veterinary surgery : VS》1991,20(6):373-378

Cadavers were compared with live anesthetized dogs for their effectiveness as models for surgical training of veterinary medical students. One group of students was trained using cadavers, and a peer group was trained using live anesthetized dogs. Both groups then performed an intestinal anastomosis using a live subject. The time to completion of the procedure was recorded. The anastomoses and celiotomy closures were evaluated. Each anastomosis was isolated and pressure tested. Reviewers blindly scored each surgical team's performance based on actual inspection of the surgical site and on viewing videotapes of the procedure. The participants' attitudes toward the use of live animals in teaching and research were documented before and after training. No statistically significant differences could be detected between the two groups. The results suggest that some substitution of cadavers for live dogs in surgical training might be feasible.  相似文献   

A Comparison of Injectable Anesthetic Combinations in Horses   总被引：4，自引：0，他引：4  

N. S. MATTHEWS DVM  Diplomate ACVA    S. M. HARTSFIELD DVM  MS  Diplomate ACVA    J. L. CORNICK DVM  MS    J. D. WILLIAMS PhD  A. BEASLEY AHT 《Veterinary surgery : VS》1991,20(4):268-273

Six combinations of injectable anesthetic agents were administered to six adult horses in a Latin square design. The drug combinations were xylazine-ketamine, xylazine-butorphanol-ketamine, xylazine-tiletamine-zolazepam, xylazine-butorphanol-tiletamine-zolazepam, detomidine-ketamine, and detomidine-butorphanol-ketamine. Measured variables were heart rate, respiratory rate, systolic blood pressure, arterial pH (pHa), PaCO2, PaO2, recumbency time, and number of attempts necessary to stand. Quality of induction and recovery, muscle relaxation, and response to stimulus were evaluated subjectively. The horses required significantly more attempts to stand after administration of xylazine-tiletamine-zolazepam, xylazine-butorphanol-tiletamine-zolazepam, and detomidine-ketamine than after xylazine-ketamine, xylazine-butorphanol-ketamine, or detomidine-butorphanol-ketamine. Mean recumbency times varied from 23.0 minutes with xylazine-ketamine to 41.3 minutes with xylazine-butorphanol-tiletamine-zolazepam. There were significant differences in mean heart rates at minute 15, mean respiratory rates at minutes 5, 10 and 15, and mean systolic blood pressures at minute 10 of anesthesia. There were no significant differences in pHa, PaCO2 or PaO2.  相似文献