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Geoffroy de la Rebière de Pouyade DVM MSc ; Sigrid Grulke DVM PhD DECVS ; Johann Detilleux DVM MSc PhD DECVPH ; Alexandra Salciccia DVM MSc ; Denis R. Verwilghen DVM MSc ; Isabelle Caudron DVM PhD DECVS ; Monika Gangl MV MSc DECVS Didier D.A. Serteyn DVM PhD DECVA 《Journal of Veterinary Emergency and Critical Care》2009,19(1):113-119
Objectives – The aim of this study is to describe the prevalence of postoperative laminitis in colic cases and to determine if low-molecular-weight heparin (LMWH) is effective in preventing this complication.
Design – Retrospective clinical study.
Animals – Client-owned horses.
Interventions – SC administration of enoxaparin during the postoperative period.
Measurements and Main Results – Medical records of 360 horses undergoing surgery for colic and surviving at least 3 days were evaluated. Fifty-six horses admitted before 1995 did not receive LMWH (control group) and 304 admitted after 1995 received LMWH as a prophylaxis for laminitis (treatment group). Three grades of severity were defined for laminitis. Prevalence and severity of laminitis were compared between the 2 groups. Several parameters recorded on admission (sex, age, breed, site and nature of the disease, heart rate, PCV, gravity score, and shock score) and the administration of LMWH were tested as risk factors in the development of laminitis in a logistic regression procedure. Prevalence and grade of laminitis were significantly lower in the treatment group. Only the absence of LMWH was recognized as a significant risk factor in the logistic regression model.
Conclusions – The administration of LMWH appears to be effective in the prophylaxis of laminitis following colic surgery and may be useful in the postoperative management of these horses. 相似文献
Design – Retrospective clinical study.
Animals – Client-owned horses.
Interventions – SC administration of enoxaparin during the postoperative period.
Measurements and Main Results – Medical records of 360 horses undergoing surgery for colic and surviving at least 3 days were evaluated. Fifty-six horses admitted before 1995 did not receive LMWH (control group) and 304 admitted after 1995 received LMWH as a prophylaxis for laminitis (treatment group). Three grades of severity were defined for laminitis. Prevalence and severity of laminitis were compared between the 2 groups. Several parameters recorded on admission (sex, age, breed, site and nature of the disease, heart rate, PCV, gravity score, and shock score) and the administration of LMWH were tested as risk factors in the development of laminitis in a logistic regression procedure. Prevalence and grade of laminitis were significantly lower in the treatment group. Only the absence of LMWH was recognized as a significant risk factor in the logistic regression model.
Conclusions – The administration of LMWH appears to be effective in the prophylaxis of laminitis following colic surgery and may be useful in the postoperative management of these horses. 相似文献
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Retrospective evaluation of 155 adult equids and 21 foals with tetanus in Western,Northern, and Central Europe (2000–2014). Part 1: Description of history and clinical evolution 
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下载免费PDF全文 Gaby van Galen DVM PhD DECEIM DECVECC Claude Saegerman DVM PhD DECVPH Joke Rijckaert DVM Helene Amory DVM PhD DECEIM Lara Armengou DVM PhD DECEIM Barbora Bezdekova DVM PhD DECEIM Inge Durie DVM DECEIM Rikke Findshøj Delany DVM Nathalie Fouché DVM DVM Laura Haley MVB Michael Hewetson BVSc DECEIM Rene van den Hoven DVM PhD DECEIM Anna Kendall DVM DECEIM Fernando Malalana DVM DECEIM MRCVS Jessika Muller Cavalleri DVM DECEIM PhD Tresemiek Picavet DVM DECEIM PhD Katja Roscher DVM DECEIM Denis Verwilghen DVM PhD DECVS Meret Wehrli Eser DVM DECEIM Cornélie Westermann DVM PhD DECEIM Tim Mair BVSc PhD DECEIM 《Journal of Veterinary Emergency and Critical Care》2017,27(6):684-696
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Assessment of systemic inflammation by time‐trends of blood granulocyte count and plasma myeloperoxidase and elastase concentrations following colic surgery in horses 下载免费PDF全文
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Nadja E. Sigrist Dr med vet DACVECC Katja N. Adamik Dr med vet Marcus G. Doherr Dr med vet PhD DECVPH David E. Spreng Dr med vet DECVS DACVECC 《Journal of Veterinary Emergency and Critical Care》2011,21(1):13-23
Objective ? To describe clinical respiratory parameters in cats and dogs with respiratory distress and identify associations between respiratory signs at presentation and localization of the disease with particular evaluation between the synchrony of abdominal and chest wall movements as a clinical indicators for pleural space disease. Design ? Prospective observational clinical study. Setting ? Emergency service in a university veterinary teaching hospital. Animals ? Cats and dogs with respiratory distress presented to the emergency service between April 2008 and July 2009. Interventions ? None. Measurements and Main Results ? The following parameters were systematically determined at time of admission: respiratory rate, heart rate, temperature, type of breathing, movement of the thoracic and abdominal wall during inspiration, presence of stridor, presence and type of dyspnea, and results of thoracic auscultation. Abdominal and chest wall movement was categorized as synchronous, asynchronous, or inverse. Diagnostic test results, diagnosis, and outcome were subsequently recorded. Based on the final diagnoses, animals were assigned to 1 or more of the following groups regarding the anatomical localization of the respiratory distress: upper airways, lower airways, lung parenchyma, pleural space, thoracic wall, nonrespiratory causes, and normal animals. One hundred and seventy‐six animals (103 cats and 73 dogs) were evaluated. Inspiratory dyspnea was associated with upper airway disease in dogs and expiratory dyspnea with lower airway disease in cats. Respiratory noises were significantly associated and highly sensitive and specific for upper airway disease. An asynchronous or inverse breathing pattern and decreased lung auscultation results were significantly associated with pleural space disease in both dogs and cats (P<0.001). The combination is highly sensitive (99%) but not very specific (45%). Fast and shallow breathing was not associated with pleural space disease. Increased or moist pulmonary auscultation findings were associated with parenchymal lung disease. Conclusions ? Cats and dogs with pleural space disease can be identified by an asynchronous or inverse breathing pattern in combination with decreased lung sounds on auscultation. 相似文献
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Retrospective evaluation of 155 adult equids and 21 foals with tetanus from Western,Northern, and Central Europe (2000–2014). Part 2: Prognostic assessment 下载免费PDF全文
下载免费PDF全文 Gaby van Galen DVM PhD DECEIM Joke Rijckaert DVM Tim Mair BVSc PhD DECEIM Helene Amory DVM PhD DECEIM Lara Armengou DVM PhD DECEIM Barbora Bezdekova DVM PhD DECEIM Inge Durie DVM DECEIM Rikke Findshøj Delany DVM Nathalie Fouché DVM Laura Haley MVB Michael Hewetson BVSc DECEIM Rene van den Hoven DVM PhD DECEIM Anna Kendall DVM DECEIM Fernando Malalana DVM DECEIM MRCVS Jessika Muller Cavalleri DVM DECEIM PhD Tresemiek Picavet DVM DECEIM Katja Roscher DVM DECEIM Denis Verwilghen DVM PhD DECVS Cornélie Westermann DVM PhD DECEIM Claude Saegerman DVM PhD DECVPH 《Journal of Veterinary Emergency and Critical Care》2017,27(6):697-706
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Nadja E. Sigrist Dr. med. vet. FVH Marcus G. Doherr PD Dr. med. vet. Ph.D. DECVPH David E. Spreng PD Dr. med. vet. DECVS DACVECC 《Journal of Veterinary Emergency and Critical Care》2004,14(4):259-268
Objective: To characterize the clinical findings in dogs and cats that sustained blunt trauma and to compare clinical respiratory examination results with post‐traumatic thoracic radiography findings. Design: Retrospective clinical study. Setting: University small animal teaching hospital. Animals, interventions and measurements: Case records of 63 dogs and 96 cats presenting with a history of blunt trauma and thoracic radiographs between September 2001 and May 2003 were examined. Clinical signs of respiratory distress (respiratory rate (RR), pulmonary auscultation) and outcome were compared with radiographic signs of blunt trauma. Results: Forty‐nine percent of dogs and 63.5% of cats had radiographic signs attributed to thoracic trauma. Twenty‐two percent of dogs and 28% of cats had normal radiographs. Abnormal auscultation results were significantly associated with radiographic signs of thoracic trauma, radiography score and presence and degree of contusions. Seventy‐two percent of animals with no other injuries showed signs of thoracic trauma on chest radiographs. No correlation was found between the radiographic findings and outcome, whereas the trauma score at presentation was significantly associated with outcome and with signs of chest trauma but not with the radiography score. Conclusion: Thoracic trauma is encountered in many blunt trauma patients. The RR of animals with blunt trauma is not useful in predicting thoracic injury, whereas abnormal chest auscultation results are indicative of chest abnormalities. Thorough chest auscultation is, therefore, mandatory in all trauma animals and might help in the assessment of necessity of chest radiographs. 相似文献
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