Coxofemoral Luxation in the Dog and Cat     

ANTHONY W. P. BASHER BVetMed  mrcvs  MARY C. WALTER dvm  CHARLES D. NEWTON dvm  ms  Diplomateacvs 《Veterinary surgery : VS》1986,15(5):356-362

The medical records from 95 cases of coxofemoral luxation in dogs and cats were reviewed. Unilateral craniodorsal luxation was most common, (78.1% of dogs, 72.7% of cats). Trauma from being struck by an automobile was the most frequent cause (59.0%). Treatment was closed (manual) or open (surgical) reduction. The failure rate following single closed reduction was 64.8%. The surgical reduction procedure included capsular repair (capsulorrhaphy) via a craniolateral approach to the hip or via trochanteric osteotomy or gluteal tenotomy. The success rate following reduction via the craniolateral approach was 82%; no failure was recorded with trochanteric transposition, but reluxa-tion followed the single gluteal tenotomy. The Ehmer sling was the most common external fixation and was kept in place an average of 12.5 days. Thirty-three animals were available for follow-up, and no difference was recorded in limb function between the two groups of animals treated by closed vs surgical reduction. Patients with degenerative joint disease at the time of luxation were less likely to be successfully reduced; 64.3% of these animals were eventually treated by femoral head and neck excision. Thirty-eight patients had associated major injuries. Long-term follow-up results were better in those patients with concomitant orthopedic injuries than in those without other injuries.  相似文献   

Incidence and risk factors for neurological signs after attenuation of single congenital portosystemic shunts in 253 dogs          下载免费PDF全文

Rhiannon Strickland BVetMed  Michael S. Tivers BVSc  PhD  DipECVS  Sophie E. Adamantos BVSc  DACVECC  DECVECC  Tom R. Harcourt‐Brown MA  VetMB  DipECVN  Robert C. Fowkes BSc  PhD  Victoria J. Lipscomb MA  VetMB  DipECVS 《Veterinary surgery : VS》2018,47(6):745-755

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Differentiation between dogs with thrombosis and normal dogs using the overall hemostasis potential assay          下载免费PDF全文

Anna L. Dengate BVSc  BMedSc  Marie‐Christine Morel‐Kopp PhD  Julia A. Beatty PhD  BVetMed  BSc  Vanessa Barrs BVSc  MVetClinStud  Jody A. Braddock BVSc  MVetClinStud  Richard K. Churcher BVSc  Bethany J. Wilson BVSc  PhD  Christopher M. Ward BMedSc  MBChB  PhD 《Journal of Veterinary Emergency and Critical Care》2016,26(3):446-452

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Retrospective evaluation of the use of small-bore wire-guided catheters for the management of peritoneal effusion in cats and dogs     

Jilli Crosby BVetMed  DVM  Karen Humm MA  VetMB  MSc  DACVECC  DECVECC  Simon D. Cook BSc  BVSc  MVetMed  DACVECC  DECVECC 《Journal of Veterinary Emergency and Critical Care》2023,33(1):91-97

Objective

To describe the use of small-bore wire-guided catheters in the management of peritoneal effusion in cats and dogs and to detail any associated adverse events.

Design

Retrospective study.

Setting

University teaching hospital

Animals

Forty-five client-owned animals that had peritoneal catheters placed for management of peritoneal effusion between July 2010 and June 2021.

Interventions

None.

Measurements and Main Results

Forty-five cases were included (25 dogs and 20 cats). Twenty-eight animals had the catheter placed to aid management of a uroabdomen, 8 of which recovered without surgical management, 11 had the catheter placed to allow autotransfusion of hemoabdomen, 3 had peritonitis, and 3 had ascites secondary to cardiac disease. Twenty-seven cases (15 dogs and 12 cats) received sedation (n = 24) or local anesthesia alone (n = 3) to facilitate catheter placement, and 6 cases had the catheter placed while under general anesthesia. Median length of catheter persistence was 24 hours (range: 2–144 h). The most common adverse events reported were impaired drainage (n = 7) and leakage at the insertion site (n = 4).

Conclusions

Peritoneal catheters can be inserted percutaneously for management of peritoneal effusion. Indications include stabilization and conservative management of uroabdomen, and autotransfusion. They can often be placed with minimal or no sedation and adverse events appear infrequent in occurrence.  相似文献   

Humeral condylar fractures and fissures in the French bulldog     

Oliver J. Anderson BVetMed  Sorrel J. Langley-Hobbs MA  BVetMed  DSAS  DECVS  FHEA  Kevin J. Parsons BVSc  PhD  Cert SAS  Diplomate ECVS 《Veterinary surgery : VS》2023,52(1):134-145

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Partial pressure of end-tidal CO₂ sampled via an intranasal catheter as a substitute for partial pressure of arterial CO₂ in dogs     

D. Pang  BVSc    J. Hethey  N. A. Caulkett  DVM  MVetSc  DACVA    T. Duke  BVetMed  DVA  DACVA  DECVA 《Journal of Veterinary Emergency and Critical Care》2007,17(2):143-148

Objective: To demonstrate correlation and clinical usefulness of the partial pressure of end‐tidal CO₂ (ETCO₂) measurement by nasal catheter placement in sedated dogs with and without concurrent nasal oxygen administration as a substitute for partial pressure of arterial CO₂ (PaCO₂). Design: Prospective, cross‐over trial. Setting: University of Saskatchewan veterinary research laboratory. Animals: Six cross‐breed dogs with a mean (±SD) weight of 29.1±4.03 kg. Interventions: All dogs were sedated with 5 μg/kg medetomidine intravenously (IV) and an arterial catheter was placed in a dorsal pedal artery for removal of blood for gas analysis. A nasal catheter was placed in the ventral meatus and connected to a capnometer for ETCO₂ measurements in all dogs. Dogs receiving supplemental nasal oxygen had a second nasal catheter placed in the contralateral naris. Measurements and main results: In the group without nasal oxygen supplementation, the ETCO₂ measurement underestimated (negative bias) the PaCO₂ by ?2.20 mmHg with limits of agreement (95% confidence interval) of ?5.79, 1.39 mmHg. In the group receiving oxygen supplementation, ETCO₂ measurement underestimated (negative bias) the PaCO₂ by ?2.46 mmHg with limits of agreement (95% confidence interval) of ?8.42, 3.50 mmHg. Conclusions: The results of this study demonstrate that ETCO₂ monitoring via a nasal catheter provides a clinically acceptable substitute to arterial blood gas analysis as a means of monitoring ventilation in healthy, sedated dogs. The limits of agreement were within acceptable limits with and without concurrent insufflation of oxygen.  相似文献   

Comparison of Plasma Fentanyl Concentrations by Using Three Transdermal Fentanyl Patch Sizes in Dogs     

CHRISTINE M. EGGER DVM  MVSC    TANYA DUKE BVetMed  DVA  Diplomate ACVA    JOY ARCHER DVM  PhD  Diplomate ACVP  PETER H. CRIBB BSc  MRCVS  Diplomate ACVA 《Veterinary surgery : VS》1998,27(2):159-166

Objective—To compare plasma fentanyl concentrations attained after the application of three transdermal fentanyl patch sizes (50, 75, and 100 μg/hour) in dogs. Design—Repeated Latin square controlled study. Animals—Six intact, mixed-breed adult dogs (2 males, 4 females) weighing 19.9 ± 3.4 kg. Methods—Each dog was randomly assigned to receive each of three treatments: 50 (P50), 75 (P75), or 100 (P100) μg/hour transdermal patches. Patches were left in place for 72 hours. Jugular venous blood was collected at 1,2, 4, 8, 12, 24, 36, 48, 60, and 72 hours after patch application and for 1, 2, 4, 8, and 12 hours after patch removal. Plasma fentanyl concentrations were measured using a radioimmunoassay technique. After a 96-hour washout period, each dog was moved to another treatment group and received a different patch size. Results—The following results were obtained (mean ± SD): average plasma fentanyl concentration from 24 to 72 hours, 0.7 ± 0.2 ng/mL (P50), 1.4 ± 0.5 ng/mL (P75), 1.2 ± 0.5 ng/mL (P100); the total area under the concentration versus time curve (0 hours to infinity), 46 ± 12.2 ng/h/mL (P50), 101.2 ± 41.4 ng/h/mL (P75), 80.4 ± 38.3 ng/h/mL (P100); and the apparent elimination half-life, 3.6 ± 1.2 hours (P50), 3.4 ± 2.7 hours (P75), and 2.5 ± 2.0 hours (P100). There was a high degree of variability in plasma fentanyl concentrations achieved. Plasma fentanyl concentrations declined rapidly after patch removal. Conclusions—The attainment of steady-state plasma concentrations takes up to 24 hours, and there is a great deal of variability in the final concentrations reached in different individuals. In this study, the 100 μg/hour patches did not provide statistically increased plasma concentrations when compared with the 50 μg/hour patches. Clinical Relevance—Because of the interindividual and intraindividual variation in plasma fentanyl concentrations, patches should be applied 24 hours before the anticipated time that analgesia will be required. Adequacy of analgesia and potentially deleterious side effects, such as sedation and respiratory depression, should be monitored while the patches are in place. Skin reactions may occur, and the patches should be removed if such skin irritation is seen. After the patch is removed, it is expected that analgesia will wane rapidly because of the brief elimination half-life.  相似文献   

DETECTION OF PORTAL BLOOD FLOW USING PER-RECTAL ^99mTc-PERTECHNETATE SCINTIGRAPHY IN NORMAL CATS     

Fintan J.  McEvoy  MVB  PhD  Myra A. Forster-van  Hijfte  DVM  Robert N.  White  BSc  BVetMed 《Veterinary radiology & ultrasound》1998,39(3):234-237

This study reports data obtained from per-rectal ^99mTc-pertechnetate portal scintigraphy in normal cats. It examines the effects of chemical restraint and the methods employed in defining regions of interest (ROIs) on the shunt index derived from this data. Six normal cats were used for the study; all six were chemically restrained for imaging using propofol and later four of them were manually restrained for comparison. Portal blood flow was studied and the mean shunt index was found to be 5.9%± 3.9 when ROIs were operator defined and 9.2%± 4.4 when ROIs were defined using an isocontour program. In cats that were restrained using propofol and operator defined ROIs, the mean value for the time between detection of radioactivity in the liver and in the heart was 14 ± 1 seconds.  相似文献   

USE OF INTRAOPERATIVE MESENTERIC PORTOVENOGRAPHY IN CONGENITAL PORTOSYSTEMIC SHUNT SURGERY     

Robert N.  White  BSc  BVetMed  Nicholas J.  Macdonald  BVetMed  Carolyn A.  Burton  BVetMed  PHD 《Veterinary radiology & ultrasound》2003,44(5):514-521

A retrospective study of the use of intraoperative mesenteric portovenography (IOMP) in the surgical management of congenital portosystemic shunts in 100 dogs and cats was performed. Each portovenogram was scored using a subjective visual analogue scale (VAS) and was assessed for the presence of portal atresia or hypoplasia. VAS scores and portal hypoplasia assessments were obtained for portovenogram images obtained for each animal both before shunt manipulation (preligation) and following the temporary, complete ligation of the vessel (postligation). In each patient, surgical records were reviewed to ascertain the degree of shunt attenuation that was achieved at surgery. Hepatic portal vasculature was significantly different on postligation compared with preligation IOMP. Sixty-two percent of animals had apparent portal hypoplasia or atresia on their preligation IOMP. The majority of these (81%) had an improvement in portal vasculature on postligation IOMP. It was concluded that both preligation and postligation IOMP provided valuable information regarding the morphology of congenital portosystemic shunts. An accurate assessment of an animal's portal vasculature could only be made following the interpretation of a postligation portovenogram, and these findings significantly influenced the surgical management of the patient. Although individuals with high postligation VAS scores were more likely to achieve full shunt attenuation at surgery, there was no quantifiable relationship between IOMP findings and the degree of shunt attenuation achieved.  相似文献   

COMPARISON OF VISUAL ANALOG AND NUMERIC SCORING SCALES FOR ASSESSING INTRAOPERATIVE MESENTERIC PORTOVENOGRAPHY     

Nicholas J.  Macdonald  BVetMed  Carolyn A.  Burton  BVetMed  PhD  Robert N.  White  BSc  BVetMed 《Veterinary radiology & ultrasound》2002,43(6):534-540

A visual analog scale and a numeric scoring scale were designed for the assessment of dynamic intraoperative mesenteric portovenography in the dog and cat. Two independent observers evaluated both scoring scales for reproducibility (differences between observers) and repeatability (within-observer differences) in the assessment of 60 trial portovenograms. Agreement (interchangeability) of both scales was evaluated by comparing the scores obtained in the assessment of 200 portovenograms obtained from 100 dogs and cats. There was no statistical difference between the two observers when scoring the same portovenogram for either the visual analog scale (p = .730, reproducibility coefficient = 17.85 units) or the numeric scoring scale (scores identical, reproducibility coefficient = 0). There was no statistical difference, for either of the observers, when the same portovenogram was assessed on two separate occasions using the visual analog scale (observer 1, p = .35, repeatability coefficient = 17.93 units; observer 2, p = .42, repeatability coefficient = 8.27 units) or the numeric scoring scale (scores given by both observers were identical, repeatability coefficient = 0 for both observers). The results of comparison between the visual analog scale and numeric scoring scale confirmed that the two scoring systems were not directly interchangeable. Although both scoring systems demonstrated good reproducibility and repeatability, the numeric scoring scale possessed a number of inherent deficiencies that suggested it was not the method of choice for the assessment of the subjective data obtained from dynamic intraoperative mesenteric portovenography.  相似文献