Capnographic documentation of nasoesophageal and nasogastric feeding tube placement in dogs   总被引：1，自引：0，他引：1  

Paula A. Johnson  DVM    F. A. Mann  DVM  MS  DACVS  DACVECC    John Dodam  DVM  MS  PhD  DACVA    Keith Branson  DVM  MS  DACVA    Colette Wagner-Mann  DVM  PhD    Mark A. Brady  DVM    Elizabeth Dunphy  DVM 《Journal of Veterinary Emergency and Critical Care》2002,12(4):227-233

Objective: To evaluate the ability of capnography to document proper placement of nasoesophageal (NE) and nasogastric (NG) feeding tubes. This study was conducted in 3 phases. Phase I of this study was designed in order to test the efficacy of capnography to distinguish placement of a feeding tube in the alimentary tract versus the respiratory tract. Phase II was designed in order to document that carbon dioxide (CO₂) could be measured through a polyvinyl chloride (PVC) feeding tube. Phase III was performed in order to evaluate the technique of continuous monitoring during insertion of the feeding tube into the esophagus and stomach as would be performed during a clinical‐tube placement. Design: Prospective study. Setting: Research laboratory. Animals: 24 adult dogs. Interventions: In Phase I, sedated dogs were instrumented with an intratracheal catheter and an 8 French feeding tube placed nasally into the distal esophagus and later advanced into the stomach. In Phase II, dogs were anesthetized and an 8 French feeding tube was placed down the endotracheal tube, then into the esophagus and later advanced into the stomach. In Phase III, sedated dogs were instrumented with an 8 French feeding tube inserted intranasally and then advanced to the level of the nasopharynx, distal esophagus and, lastly, the stomach. Fluoroscopy was used in order to determine location of the feeding tube. Measurements and main results: Phase I measurements included respiratory rate and CO₂ from the trachea, esophagus, and stomach and pH of gastric fluid sample. Phase II measurements included respiratory rate and CO₂ from the endotracheal tube, feeding tube in the endotracheal tube, feeding tube in the distal esophagus, and feeding tube in the stomach. Phase III data collection included respiratory rate and CO₂ as the tube was passed through the nasal cavity, nasopharynx, esophagus and stomach. Phase I fluid samples were collected from 5 of the 9 dogs and had pH values from 1.68 to 4.20. In both phases, values for the respiratory rate and CO₂ from the esophagus and stomach were 0 ± 0, significantly lower (P < 0.001) than the values from the trachea. In Phase II, there was no significant difference between the respiratory rates (P = 0.886) and CO₂ (P = 0.705) readings obtained from the endotracheal tube compared to readings from the feeding tube in the endotracheal tube. In Phase III, there was a significant difference (P < 0.001) between the respiratory rates and CO₂ readings obtained from the nasal cavity and the nasopharynx when compared to those readings obtained from the esophagus and stomach. Measurement of CO₂ and respiratory rate resulted in a reading of 0 every time the feeding tube was in the esophagus or stomach. Conclusions: Capnography may be used in order to detect airway placement of NE and NG tubes.  相似文献   

Hematology and serum biochemistry values of captive Attwater's prairie chickens (Tympanuchus cupido attwateri).     

Gary D West  Vicky L Haines 《Journal of zoo and wildlife medicine》2002,33(2):122-124

Hematology and serum biochemistry values are reported for 33 Attwater's prairie chickens (Tympanuchus cupido attwateri) that were captive-reared at the San Antonio Zoo as part of a federal reintroduction program in Texas. Hematologic values include packed cell volume, and total and differential white blood cell counts. The biochemical values include concentrations of serum calcium, total protein, albumin, phosphorus, glucose, uric acid, and cholesterol. Mathematic computation of globulin concentration and albumin: globulin ratios were conducted. Also, determination of the serum activities of creatine kinase and aspartate aminotransferase was done.  相似文献   

Epidemiology and diagnosis of Mycobacterium tuberculosis in captive Asian elephants (Elephas maximus).     

S K Mikota  L Peddie  J Peddie  R Isaza  F Dunker  G West  W Lindsay  R S Larsen  M D Salman  D Chatterjee  J Payeur  D Whipple  C Thoen  D S Davis  C Sedgwick  R J Montali  M Ziccardi  J Maslow 《Journal of zoo and wildlife medicine》2001,32(1):1-16

The deaths of two Asian elephants (Elephas maximus) in August 1996 led the United States Department of Agriculture to require the testing and treatment of elephants for tuberculosis. From August 1996 to September 1999. Mycobacterium tuberculosis infection was confirmed by culture in 12 of 118 elephants in six herds. Eight diagnoses were made antemortem on the basis of isolation of M. tuberculosis by culture of trunk wash samples; the remainder (including the initial two) were diagnosed postmortem. We present the case histories, epidemiologic characteristics, diagnostic test results, and therapeutic plans from these six herds. The intradermal tuberculin test, enzyme-linked immunosorbent assay serology, the blood tuberculosis test, and nucleic acid amplification and culture are compared as methods to diagnose M. tuberculosis infection in elephants.  相似文献   

National Board Examination revisited     

R L West 《Journal of the American Veterinary Medical Association》1989,195(2):188-189

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Observations on an outbreak of foot abscess in sheep     

West DM 《New Zealand veterinary journal》1983,31(5):71-74

An outbreak of ovine interdigital dermatitis and foot abscess in which approximately a third of 300 Perendale ram hoggets had acute lameness was investigated. Both foot infections occurred simultaneously in the flock, and ovine interdigital dermatitis preceded the occurrence of foot abscess in seven instances. It was suggested that the behaviour pattern and sexual activity of the young rams predisposed them to ovine interdigital dermatitis and foot abscess. Although no controlled trials were conducted, the lame sheep responded well following the combined therapeutic measures of dry surroundings, formalin footbathing and selected antibiotic therapy.  相似文献   

A study of naturally occurring cases of ovine foot abscess in New Zealand     

West D 《New Zealand veterinary journal》1983,31(9):152-156

A study was made of various aspects of 53 naturally occurring cases of foot abscess in sheep in New Zealand. Radiographic techniques were used to follow the progress of the lesion and from this it was concluded that foot abscess could be defined as an infection of the distal interphalangeal joint. The term foot abscess was considered preferable to the term "infective bulbar necrosis". The attack rate of foot abscess was reported to be higher for rams than for ewes and the condition was less prevalent during summer. Once infection was established in the distal interphalangeal joint a relatively uniform and thus predictable series of events took place that inevitably resulted in some permanent damage and deformity to the digit. If rupture of the axial collateral ligaments occurred, the joint became unstable and the degree of permanent deformity was greater. Treatment with antibiotics did not appear to markedly affect the progress of the lesion or the outcome, once infection had become established in the joint. Although the prognosis for complete recovery was poor, in most cases the foot healed sufficiently after a period of about two months to allow the animal to walk normally.  相似文献   

Observations on three outbreaks of Leptospira interrogans serovar pomona infection in lambs     

Vermunt JJ  West DM  Cooke MM  Alley MR  Collins-Emerson J 《New Zealand veterinary journal》1994,42(4):133-136

Sickness and deaths associated with leptospirosis were reported in three lamb flocks in the Manawatu region. The clinical, pathological and serological features of Leptospiru interrogans serovar pomona infection are described. The mucous membranes of affected animals were pale and jaundiced. Haemoglobinuria, haemoglobinaemia and centrilobular hepatocellular necrosis were also consistent findings. All clinically sick lambs had very high titres in the microscopic agglutination test for L. pomona. Circumstantial evidence of pigs being the source of infection was found in one of the three cases.  相似文献   

Suspected photosensitisation in lambs grazing birdsfoot trefoil (Lotus corniculatus)     

Stafford KJ  West DM  Alley MR  Waghorn GC 《New Zealand veterinary journal》1995,43(3):114-117

Suspected photosensitisation occurred in three groups of lambs grazing birdsfoot trefoil (Lotus corniculatus c.v. Grasslands Goldie). In one group, sucking lambs aged about 10 weeks, grazing birdsfoot trefoil, developed skin lesions while lambs of a similar age and from the same flock grazing lucerne (Medicago sativa) or a mixed sward of both species showed no signs of photosensitisation. Affected lambs had lesions on their backs and ears. In a few animals the tips of the ears were shortened by 2-3 cm. In the affected lambs, serum liver enzymes (gamma-glutamyltransferase, glutamate dehydrogenase), bilirubin and serum Vitamin B12 levels were within the normal range. At necropsy, no significant pathological changes were detected in the liver and histological changes in the skin were consistent with primary photosensitisation. In the second group, three of 80 weaned lambs grazing the same birdsfoot trefoil at a restricted intake were affected in the same manner as the first group. In the third group, 15 animals from 28 sets of sucking twin lambs were also affected. In only two sets of twins were both lambs affected. None of the ewes grazing with the lambs in the first or third groups showed any clinical signs of photosensitisation.  相似文献   

A syndrome of dental abnormalities of sheep: II. The pathology and radiology.     

M B Orr  M W O'Callaghan  D M West  A N Bruere 《New Zealand veterinary journal》1979,27(12):276-278

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A syndrome of dental abnormalities of sheep: I. Clinical aspects on a commercial sheep farm in the Wairarapa.     

A N Bruère  D M West  M B Orr  M W O'Callaghan 《New Zealand veterinary journal》1979,27(8):152-158

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