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Journal of veterinary emergency and critical care最新文献

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Jennifer J. Devey 珍妮弗-J-德维
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-10-11 DOI: 10.1111/vec.13409
Elke Rudloff, Alyce D'Amato, Ira Zaslow
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引用次数: 0
Fabio Viganó 法比奥-维加诺
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-10-11 DOI: 10.1111/vec.13419
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引用次数: 0
Issue Information - Prelim 发行信息 - 初稿
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-10-11 DOI: 10.1111/vec.13307
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引用次数: 0
Abstracts from the International Veterinary Emergency and Critical Care Symposium and the European Veterinary Emergency and Critical Care Annual Congress 2024 国际兽医急诊和重症监护研讨会及欧洲兽医急诊和重症监护 2024 年年会摘要
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-09-26 DOI: 10.1111/vec.13420
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引用次数: 0
Abstracts from the International Veterinary Emergency and Critical Care Symposium and the European Veterinary Emergency and Critical Care Annual Congress 2024 国际兽医急诊和重症监护研讨会及欧洲兽医急诊和重症监护 2024 年年会摘要
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-09-26 DOI: 10.1111/vec.13422
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引用次数: 0
Bioreactance noninvasive cardiac output monitoring in euvolemic adult horses subjected with 7.2% saline and 6% hydroxyethyl starch (130/0.4) solution infusions 在输注 7.2% 生理盐水和 6% 羟乙基淀粉(130/0.4)溶液的无水成年马体内进行生物反应无创心排血量监测。
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-09-10 DOI: 10.1111/vec.13418
Alicia E. Long DVM, Samuel Hurcombe BSc, BVSc, MS, DACVIM, DACVECC, Klaus Hopster DrMedVet, PhD, DACVAA

Objective

To compare the ability of bioreactance noninvasive cardiac output (BR-NICO) with thermodilution cardiac output (TDCO) for the measurement of cardiac output (CO) in healthy adult horses receiving 2 different IV volume replacement solutions.

Design

Prospective randomized crossover study from September to November 2021.

Setting

University teaching hospital.

Animals

Six university-owned adult horses.

Interventions

Horses were randomly assigned to receive 7.2% hypertonic saline solution (HSS) or 6% hydroxyethyl starch (130/0.4) solution (HETA). BR-NICO and TDCO were measured simultaneously at baseline, 10, 20, 30, 40, 50, 60, 90, and 120 minutes before fluid administration and again at the same times after starting a bolus infusion of IV volume replacers. All solutions were administered within 10 minutes.

Measurements and Main Results

BR-NICO and TDCO were strongly correlated (Pearson r2 = 0.93; < 0.01). Regression analysis showed the relationship between TDCO and BR-NICO was BR-NICO = 0.48 × TDCO + 0.6. For the corrected BR-NICO values, the Bland–Altman agreement mean bias and lower/upper limits of agreement were −0.62 and −5.3 to 3.9 L/min, respectively. Lin's concordance (95% confidence interval) between methods was 0.894 (0.825–1.097). Compared with baseline, HSS increased the CO at 10 and 20 minutes (TDCO and BR-NICO). Compared with baseline, HETA decreased the CO at 10 and 20 minutes (TDCO and BR-NICO) and increased the CO at 90 (TDCO only) and 120 minutes (TDCO and BR-NICO).

Conclusions

BR-NICO strongly agreed with TDCO in the measurement of CO in healthy unsedated adult horses. HSS administration significantly increased CO in the first 30 minutes, while HETA initially decreased CO at 10 minutes but increased CO to above baseline values by 90 minutes.

目的比较生物反应性无创心排血量(BR-NICO)和热稀释心排血量(TDCO)在健康成年马接受两种不同的静脉注射容量补充溶液时测量心排血量(CO)的能力:设计:2021 年 9 月至 11 月进行的前瞻性随机交叉研究:地点:大学教学医院:干预措施随机分配马匹接受 7.2% 高渗盐水溶液 (HSS) 或 6% 羟乙基淀粉 (130/0.4) 溶液 (HETA)。在输液前的基线、10、20、30、40、50、60、90 和 120 分钟同时测量 BR-NICO 和 TDCO,并在开始静脉注射容量补充剂后的相同时间再次测量。所有溶液均在 10 分钟内输注:BR-NICO 与 TDCO 高度相关(Pearson r2 = 0.93;P 结论:BR-NICO 与 TDCO 高度一致:BR-NICO与TDCO在测量健康未休息成年马的CO方面非常一致。给马服用 HSS 可在前 30 分钟内明显增加 CO,而 HETA 在 10 分钟内会降低 CO,但到 90 分钟时 CO 会增加到基线值以上。
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引用次数: 0
Evaluation of a whole blood point-of-care coagulation analyzer in dogs 评估狗全血护理点凝血分析仪。
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-09-03 DOI: 10.1111/vec.13416
Elizabeth M. Conroy VMD, Bridget M. Lyons VMD, DACVECC, Amie Koenig DVM, DACVIM, DACVECC

Objective

To compare the accuracy of a point-of-care coagulation analyzer (POCCA) with a reference laboratory coagulation analyzer (LabCA) and to evaluate for confounding factors that could alter the performance of the POCCA.

Design

Prospective, observational study.

Setting

Two university veterinary teaching hospitals.

Animals

Forty-three client-owned dogs undergoing coagulation testing between April 2020 and June 2021.

Methods

Samples were obtained from dogs undergoing coagulation testing as part of a diagnostic workup. Prothrombin time (PT) and activated partial thromboplastin time (aPTT) were measured on the POCCA and on the LabCA. PCV, platelet count, total plasma protein, hyperbilirubinemia, hemolysis, lipemia, and autoagglutination were recorded.

Results

Moderate correlation was seen for PT and strong correlation was seen for aPTT between the POCCA and the LabCA (PT: 0.59, P < 0.0001; aPTT: 0.71, P < 0.0001). The POCCA results were consistent with normal or hypocoagulable samples for 30 of 38 PT and 33 of 37 aPTT results, as identified by the LabCA. Samples with PCV of 30%–55% were moderately correlated (PT: 0.63, P = 0.0004; aPTT: 0.63, P = 0.0003), but those outside that range were more likely to register an error message on the POCCA or provide disparate results. When hemolysis was present, there was a weak correlation between the POCCA and the LabCA for PT (rho: 0.38 [95% confidence interval: 0.19–0.76], P = 0.18) and a strong correlation for aPTT (rho: 0.86 [95% confidence interval: 0.62–0.95], P < 0.0001). Samples with hyperbilirubinemia were strongly correlated for PT (0.97, P = 0.002) but not for aPTT. Lipemia and autoagglutination were not observed.

Conclusion

There was an acceptable correlation in patients with PCV within the manufacturer's recommended reference range; however, measurements on samples with PCV outside the reference range were inconsistent with the LabCA. Caution should be used when using the POCCA in patients with coagulopathy and anemia or other potential confounders.

目的比较床旁凝血分析仪(POCCA)与参考实验室凝血分析仪(LabCA)的准确性,并评估可能改变床旁凝血分析仪性能的混杂因素:设计:前瞻性观察研究:地点:两所大学兽医教学医院:在 2020 年 4 月至 2021 年 6 月期间接受凝血检测的 43 只客户自养犬:作为诊断工作的一部分,从接受凝血检测的狗身上采集样本。在 POCCA 和 LabCA 上测量凝血酶原时间(PT)和活化部分凝血活酶时间(aPTT)。记录 PCV、血小板计数、血浆总蛋白、高胆红素血症、溶血、脂血和自身凝集素:结果:POCCA 和 LabCA 之间的 PT 呈中度相关,aPTT 呈高度相关(PT:0.59,P 结论:POCCA 和 LabCA 之间的 PT 和 aPTT 呈高度相关:对于 PCV 在制造商推荐参考范围内的患者,其相关性是可以接受的;但对于 PCV 超出参考范围的样本,其测量结果与 LabCA 不一致。在有凝血病、贫血或其他潜在混杂因素的患者中使用 POCCA 时应谨慎。
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引用次数: 0
Clinical features and outcome of dogs and cats with gastrointestinal pneumatosis: 30 cases (2010–2021) 患有胃肠道积气症的猫狗的临床特征和预后:30 个病例(2010-2021 年)。
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-08-26 DOI: 10.1111/vec.13417
Nadine Jones BVMedSci (Hons), BVM, BVS, MVetMed, DACVECC, DECVECC, Karen Humm MA, VetMB, DACVECC, DECVECC, Helen Dirrig BVetMed (Hons), MVetMed, DACVR, DECVDI, Melissa Beth Glenn Espinoza MS, Igor Yankin DVM, DACVECC, Rachael Birkbeck DVM, MVetMed, DACVECC, Laura Cole MA, VetMB, MVetMed, DACVECC, DECVECC

Objectives

To describe the presentation, etiology, and outcome of dogs and cats diagnosed with gastrointestinal pneumatosis (GP).

Design

Retrospective study.

Setting

Three referral institutions.

Animals

Twenty-six dogs and 4 cats.

Interventions

None.

Measurements and Main Results

The most common sites of GP were the stomach (= 19), followed by the colon (= 8) and small intestine (= 2). One case had pneumatosis of both the stomach and the colon. GP was most commonly associated with gastrointestinal disease in dogs (18/26 [69%]) and cats (3/4 [75%]), with common diagnoses including gastric dilatation and volvulus (n = 5), acute hemorrhagic diarrhea syndrome (n = 4), and gastrointestinal ulceration (n = 4). Of the 4 cases of gastrointestinal ulceration, 3 were dogs with a history of glucocorticosteroid or nonsteroidal anti-inflammatory drug administration and vomiting and diarrhea. Six of 30 cases (20%), all of which were dogs, were determined to have a surgical indication for exploratory celiotomy, although not solely on the basis of diagnosis of GP. Five cases underwent exploratory celiotomy, of which 1 (20%) survived to hospital discharge. Of the medically managed cases, 13 of 24 (54%) survived to hospital discharge. Overall, 14 of 30 cases (47%) survived to hospital discharge.

Conclusions

GP is an uncommon diagnostic imaging finding that is associated with a variety of disease processes. Its development is often related to primary gastrointestinal diseases. In the absence of other surgical disease, exploratory celiotomy based solely on the diagnosis of GP is unlikely to be indicated.

目的描述被诊断为胃肠道积气(GP)的猫狗的表现、病因和结果:设计:回顾性研究:动物:26 只狗和 4 只猫干预措施:无:测量和主要结果最常见的GP部位是胃(19例),其次是结肠(8例)和小肠(2例)。有一个病例同时患有胃和结肠气肿。狗(18/26 [69%])和猫(3/4 [75%])的GP最常见于胃肠道疾病,常见诊断包括胃扩张和胃内卷(5例)、急性出血性腹泻综合征(4例)和胃肠道溃疡(4例)。在4例胃肠道溃疡病例中,有3例犬曾服用糖皮质激素或非类固醇抗炎药物,并有呕吐和腹泻病史。在 30 个病例中,有 6 个病例(20%)被确定为有手术指征进行探查性腹腔切开术,但并非仅以 GP 诊断为依据,所有病例均为犬。5 例病例接受了探查性腹腔切开术,其中 1 例(20%)存活出院。在接受药物治疗的病例中,24 例中有 13 例(54%)存活出院。总体而言,30 例病例中有 14 例(47%)存活出院:GP是一种不常见的影像诊断结果,与多种疾病过程有关。其发病通常与原发性胃肠道疾病有关。在没有其他外科疾病的情况下,仅凭 GP 诊断而进行探查性开腹手术的可能性不大。
{"title":"Clinical features and outcome of dogs and cats with gastrointestinal pneumatosis: 30 cases (2010–2021)","authors":"Nadine Jones BVMedSci (Hons), BVM, BVS, MVetMed, DACVECC, DECVECC,&nbsp;Karen Humm MA, VetMB, DACVECC, DECVECC,&nbsp;Helen Dirrig BVetMed (Hons), MVetMed, DACVR, DECVDI,&nbsp;Melissa Beth Glenn Espinoza MS,&nbsp;Igor Yankin DVM, DACVECC,&nbsp;Rachael Birkbeck DVM, MVetMed, DACVECC,&nbsp;Laura Cole MA, VetMB, MVetMed, DACVECC, DECVECC","doi":"10.1111/vec.13417","DOIUrl":"10.1111/vec.13417","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe the presentation, etiology, and outcome of dogs and cats diagnosed with gastrointestinal pneumatosis (GP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Retrospective study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Three referral institutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Twenty-six dogs and 4 cats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>None.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>The most common sites of GP were the stomach (<i>n </i>= 19), followed by the colon (<i>n </i>= 8) and small intestine (<i>n </i>= 2). One case had pneumatosis of both the stomach and the colon. GP was most commonly associated with gastrointestinal disease in dogs (18/26 [69%]) and cats (3/4 [75%]), with common diagnoses including gastric dilatation and volvulus (<i>n</i> = 5), acute hemorrhagic diarrhea syndrome (<i>n</i> = 4), and gastrointestinal ulceration (<i>n</i> = 4). Of the 4 cases of gastrointestinal ulceration, 3 were dogs with a history of glucocorticosteroid or nonsteroidal anti-inflammatory drug administration and vomiting and diarrhea. Six of 30 cases (20%), all of which were dogs, were determined to have a surgical indication for exploratory celiotomy, although not solely on the basis of diagnosis of GP. Five cases underwent exploratory celiotomy, of which 1 (20%) survived to hospital discharge. Of the medically managed cases, 13 of 24 (54%) survived to hospital discharge. Overall, 14 of 30 cases (47%) survived to hospital discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>GP is an uncommon diagnostic imaging finding that is associated with a variety of disease processes. Its development is often related to primary gastrointestinal diseases. In the absence of other surgical disease, exploratory celiotomy based solely on the diagnosis of GP is unlikely to be indicated.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 5","pages":"487-496"},"PeriodicalIF":1.1,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uroabdomen secondary to spontaneous bladder rupture in a dog with dystocia 一只患有难产的狗因自发性膀胱破裂而继发尿腹症。
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-08-26 DOI: 10.1111/vec.13415
Sukjung Lim DVM, Geoffrey Stuart Hennig DVMMS, DACVS, Alicia Niedzwecki DVM, DACVECC, Igor Yankin DVM, DACVECC

Objective

To describe the development of uroabdomen secondary to spontaneous bladder rupture in a dog with dystocia.

Case Summary

A 2-year-old intact female Boston Terrier was referred for prolonged labor of 72 hours. At presentation, the dog had delivered 8 puppies at home, with the last pup being stillborn. The dog was in hypovolemic shock and had free abdominal effusion. Abdominal radiographs showed no evidence of remaining fetuses. Abdominal fluid analysis revealed a fluid potassium that was 1.8 times higher than the peripheral blood potassium. Retrograde positive contrast cystography identified leakage of contrast into the abdomen, consistent with uroabdomen secondary to bladder rupture. Bloodwork abnormalities included a mild monocytic leukocytosis with a left shift, moderate azotemia, mild hyperbilirubinemia, mild increase of alkaline phosphatase activity, moderate hyponatremia, and moderate hypochloremia. The dog was resuscitated with IV fluids and received IV antimicrobials out of concerns for septic peritonitis and sepsis. An exploratory laparotomy revealed a moderate volume abdominal effusion, uterine enlargement with no identifiable fetuses, and a small rupture of the urinary bladder wall apex. The bladder wall defect was repaired, and the dog underwent an ovariohysterectomy. Perioperative systemic hypotension was treated with a norepinephrine constant rate infusion and resolved within 24 hours. The dog was discharged 5 days later. The combined peritoneal fluid and uterine fluid culture and sensitivity testing revealed Enterococcus spp. and Staphylococcus pseudintermedius, both susceptible to amoxicillin/clavulanic acid and enrofloxacin. Bladder wall histopathology revealed severe mural congestion, edema, and hemorrhage, without evidence of neoplasia, cystitis, or urolithiasis.

Unique Information Provided

This is the first case report of a dog with uroabdomen secondary to a bladder wall rupture associated with dystocia. Early recognition of this rare phenomenon and vigilance in treatment is essential for a good prognosis and outcome.

目的:描述一只患有难产的犬因自发性膀胱破裂而发生尿崩症的情况:病例摘要:一只两岁大的完好无损的雌性波士顿梗犬因产程延长 72 小时而被转诊。就诊时,该犬已在家中产下 8 只幼犬,最后一只幼犬胎死腹中。该犬处于低血容量休克状态,并有游离性腹腔积液。腹部 X 光片显示没有剩余胎儿的迹象。腹腔积液分析显示,积液中的血钾是外周血钾的 1.8 倍。逆行造影剂阳性膀胱造影发现造影剂渗入腹腔,与膀胱破裂引起的尿腹症一致。血常规异常包括轻度单核细胞白细胞左移、中度氮质血症、轻度高胆红素血症、碱性磷酸酶活性轻度升高、中度低钠血症和中度低氯血症。出于对化脓性腹膜炎和败血症的担忧,医生对该犬进行了静脉输液抢救,并静脉注射了抗菌素。探查性开腹手术发现了中等量的腹腔积液、子宫增大(无法辨认胎儿)以及膀胱壁顶端的小破裂。对膀胱壁缺损进行了修补,并对该犬进行了卵巢切除术。围手术期使用去甲肾上腺素恒速输注治疗全身性低血压,并在 24 小时内缓解。该犬 5 天后出院。腹腔液和子宫液的联合培养和药敏试验显示,该犬感染了肠球菌属和假中间葡萄球菌,这两种球菌对阿莫西林/克拉维酸和恩诺沙星均敏感。膀胱壁组织病理学检查显示有严重的壁层充血、水肿和出血,但没有肿瘤、膀胱炎或尿路结石的证据:这是首例因膀胱壁破裂并伴有子宫收缩而继发尿崩症的病例报告。要想获得良好的预后和治疗效果,及早发现这种罕见现象并保持警惕至关重要。
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引用次数: 0
Issue Information - Prelim 发行信息 - 初稿
IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2024-08-08 DOI: 10.1111/vec.13306
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引用次数: 0
期刊
Journal of veterinary emergency and critical care
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