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Validation of a human paper-based blood typing method for use in pet pigs 用于宠物猪的人类纸基血液分型方法的验证。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-25 DOI: 10.1111/vec.13323
Chiara E. Hampton DVM, MS, DACVAA, Xiaojuan Zhu PhD, Luca Giori DVM, PhD

Background

Evidence-based medical practices for pet pigs are needed. EldonCard is a human blood-typing card shown to be rapid and reliable in identifying blood phenotypes of pet pigs. The objective of this study was to validate EldonCard by determining its reliability, reproducibility, and robustness for its routine use in the clinical setting.

Key Findings

Twenty-four venous blood samples from pet pigs were collected for a prospective in vitro study. Blood genotypes (“EAAA0” and “EAA00”) were identified in 15 samples via polymerase chain reaction (PCR). All samples were phenotyped (“A,” “Aweak,” and “0” or “–”) via EldonCard. Kappa (κ) statistics measured the level of agreement between 2 raters, and between EldonCard and PCR. McNemar's test determined if an association between the blood types and EldonCard or PCR exists, with significance at P < 0.05. Agreement between raters and methods was perfect (60/60 [100%], κ:1, P < 0.001; 15/15 [100%], κ:1, P < 0.001). There was no difference in the proportions of blood groups based on method.

Significance

In conjunction with previous data, EldonCard is a rapid, accurate, reliable, precise, and robust in-clinic blood-typing method for the A0 system of pet pigs. EldonCard is now a validated blood-typing tool for the A0 system of pet pigs and maybe used for pretransfusion screenings and identification of donors and recipients.

背景:宠物猪需要循证医学实践。EldonCard是一种人类血型卡,被证明可以快速可靠地识别宠物猪的血液表型。本研究的目的是通过确定EldonCard在临床环境中常规使用的可靠性、再现性和稳健性来验证其有效性。主要发现:从宠物猪身上采集了24份静脉血样本,用于前瞻性体外研究。通过聚合酶链式反应(PCR)在15个样本中鉴定了血液基因型(“EAAA0”和“EAA00”)。所有样本均通过EldonCard进行表型分析(“A”、“Aweak”和“0”或“-”)。Kappa(κ)统计数据测量了2名评分者之间以及EldonCard和PCR之间的一致性水平。McNemar的测试确定了血型与EldonCard或PCR之间是否存在关联,其显著性为P显著性:结合之前的数据,EldonCard是一种快速、准确、可靠、精确且稳健的宠物猪A0系统临床血型分型方法。EldonCard现在是一种经过验证的宠物猪A0系统血型工具,可能用于移植前筛查和捐赠者和接受者的识别。
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引用次数: 0
Microorganism colonization of peripheral venous catheters in a small animal clinical setting 小动物临床环境中外周静脉导管的微生物定植。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-16 DOI: 10.1111/vec.13328
Erica Matula VMD, Alicia Mastrocco DVM, DACVECC, Jennifer Prittie DVM, DACVIM, DACVECC, Joel Weltman DVM, DACVECC, PhD, Christine Keyserling DVM, DACVECC

Objective

To compare the incidence of microorganism colonization of peripheral venous catheters (PVCs) placed in the Emergency Department (ED) to those placed in a routine preoperative setting. The relationship between catheter tip colonization and patient urgency (as assessed by triage priority) was also evaluated.

Design

Prospective, observational study from January 2021 to October 2021.

Setting

Emergency room and clinical areas of a large, urban, tertiary referral center.

Animals

Three hundred dogs and 94 cats with a PVC in place for a minimum of 24 hours were enrolled in the study.

Interventions

None.

Measurements and Main Results

Two hundred and eighty-eight PVCs were placed in the ED and 106 were placed preoperatively. The overall colonization rate was 10.4% (41/394). Sixteen bacterial and 1 fungal genera were cultured. Eight of these bacterial genera (25/51 [49%] bacterial isolates) were resistant to at least 1 antimicrobial class. Twenty-nine of 288 (10.1%) catheters positive for colonization were placed in the ED, whereas 12 of 106 (11.3%) were placed preoperatively. There was no association between microorganism growth on catheters and clinical area of catheter placement. There was also no association between ED patient urgency and positive catheter tip culture. No significant risk factors were identified predisposing to colonization of PVCs.

Conclusions

The overall incidence of microorganism colonization of PVCs in this study population was equivalent to, or lower than, previously reported in veterinary literature. There was no statistical difference between the catheters placed in the ED and those placed for routine surgical procedures. Patient urgency did not affect the incidence of positivity of peripheral catheter tip cultures.

目的:比较急诊科和常规术前放置的外周静脉导管的微生物定植发生率。还评估了导管尖端定植与患者紧急程度之间的关系(通过分诊优先级评估)。设计:2021年1月至2021年10月的前瞻性观察性研究。设置:大型城市三级转诊中心的急诊室和临床区域。动物:300只狗和94只猫在PVC放置至少24小时后参与了这项研究。干预措施:无。测量和主要结果:在ED中放置了288个PVC,术前放置了106个。总定植率为10.4%(41/394)。培养了16个细菌属和1个真菌属。这些细菌属中有8个属(25/51[49%]的细菌分离株)对至少1类抗菌药物具有耐药性。288根定植阳性导管中有29根(10.1%)置入ED,而106根导管中有12根(11.3%)置入术前。导管上的微生物生长与导管放置的临床区域之间没有关联。ED患者的紧迫感与导管尖端培养阳性之间也没有关联。没有发现导致硬聚氯乙烯定植的显著危险因素。结论:本研究人群中PVC微生物定殖的总体发生率与兽医文献中报道的相当或更低。放置在ED中的导管与放置在常规外科手术中的导管之间没有统计学差异。患者的紧迫感并不影响外周导管尖端培养阳性的发生率。
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引用次数: 0
Possible development and resolution of dilated cardiomyopathy phenotype secondary to atypical hypoadrenocorticism in a dog 犬继发于非典型肾上腺皮质功能减退的扩张型心肌病表型的可能发展和解决。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-14 DOI: 10.1111/vec.13321
Alexandra H. Riggs DVM, Jaylyn Rhinehart DVM, MS, DACVIM, Edward S. Cooper VMD, MS, DACVECC

Objective

To report the possible occurrence of dilated cardiomyopathy phenotype associated with atypical hypoadrenocorticism and subsequent marked improvement with treatment in a mixed breed dog.

Case Summary

A 4.5-year-old, neutered male mixed breed dog was evaluated for a history and clinicopathological changes consistent with atypical hypoadrenocorticism. The dog was being fed a grain-free diet. While hospitalized for supportive care and diagnostics, the patient developed and was diagnosed with biventricular congestive heart failure secondary to dilated cardiomyopathy phenotype and IV fluid administration. The left-sided congestive heart failure resolved with discontinuation of IV fluid therapy and short-term administration of diuretics. After treatment of atypical hypoadrenocorticism with glucocorticoid supplementation, and while continuing to be fed varying grain-free diets, the patient's dilated cardiomyopathy phenotype largely resolved. The patient fully recovered and did not require any long-term cardiac medications.

New or Unique Information Provided

Development of dilated cardiomyopathy phenotype has not been described in dogs as a sequela of untreated hypoadrenocorticism but has been reported in human literature. Given the fact that standard management of hypoadrenocorticism typically involves aggressive fluid resuscitation, awareness of this potential sequela is important for patients that fail to respond or develop signs consistent with volume overload.

目的:报道一只混合品种犬可能出现的扩张型心肌病表型与非典型肾上腺皮质功能减退相关,并随后通过治疗得到显著改善。病例总结:对一只4.5岁的绝育雄性混合品种犬的病史和临床病理变化进行了评估,其与非典型肾上腺皮质功能减退症一致。这只狗正在接受无谷物饮食。在住院接受支持性护理和诊断期间,患者发展并被诊断为双心室充血性心力衰竭,继发于扩张型心肌病表型和静脉输液。左侧充血性心力衰竭通过停止静脉输液治疗和短期服用利尿剂而得到解决。在补充糖皮质激素治疗非典型肾上腺皮质功能减退症后,在继续喂食不同的无谷物饮食的同时,患者的扩张型心肌病表型基本上得到了解决。患者完全康复,不需要任何长期的心脏药物治疗。提供了新的或独特的信息:扩张型心肌病表型的发展尚未在狗身上被描述为未经治疗的肾上腺皮质功能减退的后遗症,但在人类文献中已有报道。鉴于肾上腺皮质功能减退症的标准治疗通常涉及积极的液体复苏,对这种潜在后遗症的认识对于那些没有反应或出现与容量过载一致的体征的患者来说很重要。
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引用次数: 0
Evaluation of compressor fatigue at 150 compressions per minute during cardiopulmonary resuscitation using a large dog manikin 使用大型犬模型评估心肺复苏过程中每分钟150次按压的压缩机疲劳。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-14 DOI: 10.1111/vec.13331
María Reyes-Martínez GdaVet, Vicente J. Herrería-Bustillo LV MVetMed, DACVECC, DECVECC

Objective

To determine whether CPR providers can perform chest compressions (CC) appropriately at a rate of 150 compressions per minute during a 2-minute cycle and to identify the presence of rescuer fatigue.

Design

High fidelity simulator study.

Setting

University veterinary teaching hospital.

Subjects

Sixty subjects, 30 women and 30 men.

Interventions

Subjects performed CC at 150 compressions per minute on a dog manikin for 2 minutes. Real-time depth of compressions, compression release, and compression rate were measured using a CPR training device. Demographic data from the subjects were analyzed alongside data obtained from the monitoring device.

Measurements and Main Results

Only 38.3% of participants were able to perform CC with appropriate depth and release at 150 compressions per minute during a 2-minute cycle. There was a decay in the quality of CC between the first and the second minute. The number of compressions and percentage of compressions with correct release were similar among various genders, ages, and professions. In contrast, the percentage of compressions with correct depth was significantly higher among individuals with higher body mass index (correlation coefficient [r] = 0.293; P = 0.023) and higher biceps brachii muscle circumference during muscle contraction (r = 0.423; P = 0.001).

Conclusions

This study suggests that increasing the compression rate to 150 compressions per minute in large dogs using the thoracic pump technique might not be viable because most participants were not able to sustain enough appropriate CC. Rescuer fatigue affects compression depth at this rate, leading to a decay in CPR quality.

目的:确定心肺复苏术提供者是否能够在2分钟的周期内以每分钟150次的速度进行适当的胸外按压,并确定救援人员是否存在疲劳。设计:高保真度模拟器研究。单位:大学兽医教学医院。受试者:60名受试者,30名女性和30名男性。干预措施:受试者在狗模型上以每分钟150次按压的速度进行CC,持续2分钟。使用CPR训练设备测量按压的实时深度、按压释放和按压率。受试者的人口统计学数据与从监测设备获得的数据一起进行分析。测量和主要结果:只有38.3%的参与者能够在2分钟的周期内以适当的深度进行CC,并以每分钟150次按压的速度进行释放。CC的质量在第一分钟和第二分钟之间有所下降。不同性别、年龄和职业的按压次数和正确按压的百分比相似。相反在肌肉收缩过程中,体重指数较高(相关系数[r]=0.293;P=0.023)和肱二头肌周长较高(r=0.423;P=0.001)的个体中,正确深度的按压百分比显著较高胸腔泵技术可能不可行,因为大多数参与者无法维持足够适当的CC。救援人员的疲劳会以这种速度影响按压深度,导致CPR质量下降。
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引用次数: 0
Retrospective evaluation of hypersensitivity reactions and anaphylaxis in dogs (2003–2014): 86 cases 犬超敏反应和过敏反应的回顾性评价(2003-2014):86例。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-14 DOI: 10.1111/vec.13319
Fabrice T. J. Fosset DVM, MS, Benjamin E. G. Lucas PharmD, PhD, Cassandra L. Wolsic DVM, MS, Audrey C. Billhymer DVM, DACVR, Sidonie N. Lavergne DVM, PhD

Objective

To characterize anaphylactic reactions in dogs, including clinical signs, severity, treatments, prognosis, and estimated incidence. To determine whether glucocorticoids influence clinical recovery and survival.

Design

Retrospective study between January 1, 2003 and April 28, 2014.

Setting

University teaching hospital.

Animals

Eighty-six dogs treated for a type I hypersensitivity reaction. Nineteen dogs fulfilled the criteria for anaphylaxis, and 67 dogs had mild cutaneous reactions.

Interventions

None.

Measurements and Main Results

The estimated incidence was 0.04% for anaphylaxis and 0.15% for mild hypersensitivity reactions. The female:male ratio (2.3:1) was significantly higher (P = 0.032) compared to our source population (ratio of 1:1.158). Vaccines were the most frequent trigger for anaphylaxis (57.9%) and mild hypersensitivity reactions (28.4%). Seventy-four (86%) dogs had cutaneous signs, and 11 (57.9%) dogs with anaphylaxis had no cutaneous signs reported. Forty-two (48.8%) dogs received both an H1 antagonist and a glucocorticoid, 34 (39.5%) dogs received an H1 antagonist only, and 6 (6.9%) dogs received a glucocorticoid only. The majority of the dogs survived, and 1 was euthanized due to complications. Clinical signs associated with nonsurvival included respiratory signs (P = 0.006), particularly respiratory distress (P < 0.00001) and cyanosis (P < 0.00001), and circulatory shock (P = 0.005). The analysis of the interaction between etiology, clinical signs, treatment, and outcome did not show any association between pairs of variables.

Conclusions

In the current study, anaphylaxis had a relatively good prognosis, and cutaneous signs were not always present. Based on the present data, the use of glucocorticoids to treat mild type I hypersensitivity reactions and anaphylaxis in dogs was not associated with clinical improvement or survival.

目的:描述狗的过敏反应,包括临床症状、严重程度、治疗、预后和估计发生率。确定糖皮质激素是否影响临床恢复和生存。设计:2003年1月1日至2014年4月28日的回顾性研究。地点:大学教学医院。动物:86只接受I型超敏反应治疗的狗。19只狗符合过敏反应标准,67只狗出现轻度皮肤反应。干预措施:无。测量和主要结果:过敏反应的估计发生率为0.04%,轻度过敏反应的预计发生率为0.15%。与我们的来源人群(比例为1:1.158)相比,雌性与雄性的比例(2.3:1)显著更高(P=0.032)。疫苗是过敏反应(57.9%)和轻度过敏反应(28.4%)的最常见诱因。74只(86%)狗有皮肤症状,11只(57.9%。42只(48.8%)狗同时接受了H1拮抗剂和糖皮质激素治疗,34只(39.5%)狗只接受了H1阻断剂治疗,6只(6.9%)狗只服用了糖皮质激素。大多数狗幸存下来,其中1只因并发症被安乐死。与非存活相关的临床体征包括呼吸体征(P=0.006),特别是呼吸窘迫(P结论:在目前的研究中,过敏反应的预后相对较好,皮肤体征并不总是存在。根据目前的数据,使用糖皮质激素治疗狗的轻度I型超敏反应和过敏反应与临床改善或生存无关。
{"title":"Retrospective evaluation of hypersensitivity reactions and anaphylaxis in dogs (2003–2014): 86 cases","authors":"Fabrice T. J. Fosset DVM, MS,&nbsp;Benjamin E. G. Lucas PharmD, PhD,&nbsp;Cassandra L. Wolsic DVM, MS,&nbsp;Audrey C. Billhymer DVM, DACVR,&nbsp;Sidonie N. Lavergne DVM, PhD","doi":"10.1111/vec.13319","DOIUrl":"10.1111/vec.13319","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To characterize anaphylactic reactions in dogs, including clinical signs, severity, treatments, prognosis, and estimated incidence. To determine whether glucocorticoids influence clinical recovery and survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Retrospective study between January 1, 2003 and April 28, 2014.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>University teaching hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Eighty-six dogs treated for a type I hypersensitivity reaction. Nineteen dogs fulfilled the criteria for anaphylaxis, and 67 dogs had mild cutaneous reactions.</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 estimated incidence was 0.04% for anaphylaxis and 0.15% for mild hypersensitivity reactions. The female:male ratio (2.3:1) was significantly higher (<i>P</i> = 0.032) compared to our source population (ratio of 1:1.158). Vaccines were the most frequent trigger for anaphylaxis (57.9%) and mild hypersensitivity reactions (28.4%). Seventy-four (86%) dogs had cutaneous signs, and 11 (57.9%) dogs with anaphylaxis had no cutaneous signs reported. Forty-two (48.8%) dogs received both an H1 antagonist and a glucocorticoid, 34 (39.5%) dogs received an H1 antagonist only, and 6 (6.9%) dogs received a glucocorticoid only. The majority of the dogs survived, and 1 was euthanized due to complications. Clinical signs associated with nonsurvival included respiratory signs (<i>P</i> = 0.006), particularly respiratory distress (<i>P</i> &lt; 0.00001) and cyanosis (<i>P</i> &lt; 0.00001), and circulatory shock (<i>P</i> = 0.005). The analysis of the interaction between etiology, clinical signs, treatment, and outcome did not show any association between pairs of variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In the current study, anaphylaxis had a relatively good prognosis, and cutaneous signs were not always present. Based on the present data, the use of glucocorticoids to treat mild type I hypersensitivity reactions and anaphylaxis in dogs was not associated with clinical improvement or survival.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10362727","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
Suspected systemic gas embolism associated with lung tissue perforation caused by a previously inserted chest drain in a dog 疑似全身性气体栓塞与肺组织穿孔有关,该穿孔是由一只狗先前插入的胸腔引流管引起的。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-12 DOI: 10.1111/vec.13318
Iago Asorey DVM, DECVAA, Federico Corletto DVM, PhD, DECVAA

Objective

To report a case of systemic gas embolism associated with removal of a chest drain perforating a lung lobe in a dog undergoing sternotomy under general anesthesia and intermittent positive pressure ventilation.

Case Summary

An 8-year-old Cocker Spaniel underwent an exploratory thoracotomy via median sternotomy for surgical management of pyothorax that was treated conservatively for 7 days prior to referral following bilateral chest drain placement. The surgical procedure consisted of a subphrenic mediastinectomy and pericardiectomy. During surgery, it became apparent that the right drain was perforating the right middle lung lobe. Sudden desaturation and rapid hemodynamic deterioration occurred after the drain was removed. A systemic gas embolism was suspected on the basis of clinical signs and results of an arterial blood gas analysis, and immediate supportive treatment was started with an adequate response. Once the surgical procedure was completed, a clear “mill wheel” sound was audible on cardiac auscultation and point-of-care cardiac ultrasound confirmed the presence of gas bubbles in the cardiac chambers. The dog recovered from anesthesia and was managed in the intensive care unit where arterial blood gas analyses were nearly normal and the dog made a full recovery.

New or Unique Information Provided

In people, there are reports of fatal air embolism related to the use of chest drains. To our knowledge, this is the first case report in dogs of a systemic gas embolism during open-chest surgery caused by a chest drain perforating a lung lobe. Immediate recognition and aggressive treatment of this life-threatening condition should be provided in order to achieve a favorable outcome.

目的:报告一例全身性气体栓塞,并在全身麻醉和间歇性正压通气下对一只狗进行胸骨切开术,取出穿过肺叶的胸腔引流管。病例总结:一只8岁的可卡犬通过正中胸骨切开术进行了探索性开胸术,用于脓胸的外科治疗,在双侧胸腔引流术后转诊前进行了7天的保守治疗。手术包括膈下纵隔切除术和心包切除术。在手术过程中,右侧引流管明显穿透了右中肺叶。引流管移除后出现突然的去饱和和快速的血液动力学恶化。根据临床症状和动脉血气分析结果,怀疑系统性气体栓塞,并立即开始支持性治疗,反应良好。手术完成后,在心脏听诊中可以听到清晰的“磨轮”声,护理点心脏超声证实心腔内存在气泡。这只狗从麻醉中恢复过来,在重症监护室接受治疗,动脉血气分析几乎正常,狗完全康复。提供的新的或独特的信息:在人身上,有与使用胸腔引流管有关的致命空气栓塞的报告。据我们所知,这是第一例因胸腔引流管穿透肺叶而导致犬在开胸手术中全身性气体栓塞的病例报告。应立即识别并积极治疗这种危及生命的情况,以获得有利的结果。
{"title":"Suspected systemic gas embolism associated with lung tissue perforation caused by a previously inserted chest drain in a dog","authors":"Iago Asorey DVM, DECVAA,&nbsp;Federico Corletto DVM, PhD, DECVAA","doi":"10.1111/vec.13318","DOIUrl":"10.1111/vec.13318","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To report a case of systemic gas embolism associated with removal of a chest drain perforating a lung lobe in a dog undergoing sternotomy under general anesthesia and intermittent positive pressure ventilation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Summary</h3>\u0000 \u0000 <p>An 8-year-old Cocker Spaniel underwent an exploratory thoracotomy via median sternotomy for surgical management of pyothorax that was treated conservatively for 7 days prior to referral following bilateral chest drain placement. The surgical procedure consisted of a subphrenic mediastinectomy and pericardiectomy. During surgery, it became apparent that the right drain was perforating the right middle lung lobe. Sudden desaturation and rapid hemodynamic deterioration occurred after the drain was removed. A systemic gas embolism was suspected on the basis of clinical signs and results of an arterial blood gas analysis, and immediate supportive treatment was started with an adequate response. Once the surgical procedure was completed, a clear “mill wheel” sound was audible on cardiac auscultation and point-of-care cardiac ultrasound confirmed the presence of gas bubbles in the cardiac chambers. The dog recovered from anesthesia and was managed in the intensive care unit where arterial blood gas analyses were nearly normal and the dog made a full recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> New or Unique Information Provided</h3>\u0000 \u0000 <p>In people, there are reports of fatal air embolism related to the use of chest drains. To our knowledge, this is the first case report in dogs of a systemic gas embolism during open-chest surgery caused by a chest drain perforating a lung lobe. Immediate recognition and aggressive treatment of this life-threatening condition should be provided in order to achieve a favorable outcome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9982280","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
Evaluation of red blood cell distribution width, neutrophil-to-lymphocyte ratio, and other hematologic parameters in canine acute pancreatitis 犬急性胰腺炎红细胞分布宽度、中性粒细胞与淋巴细胞比率及其他血液学参数的评估。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-12 DOI: 10.1111/vec.13325
Meghan M. Johnson DVM, CVA, DACVECC, John C. Gicking DVM, DACVECC, Deborah A. Keys PhD

Objective

To determine if RBC distribution width (RDW), neutrophil-to-lymphocyte ratio (NLR), and other hematological parameters are associated with increased odds of in-hospital mortality, increased length of hospitalization (LOH), or disease severity as measured by the Canine Acute Pancreatitis Severity (CAPS) score in dogs with acute pancreatitis (AP).

Design

Retrospective, multicenter study from January 2016 to August 2020.

Setting

Four private emergency and specialty referral centers.

Animals

On initial case search, 118 client-owned dogs were identified with a clinical diagnosis of AP. Out of these cases, 114 dogs met inclusion criteria, defined as sudden onset of ≥2 compatible clinic signs (lethargy, anorexia, vomiting, or abdominal pain), a specific canine pancreatic lipase concentration >400 μg/L, hospital admission, as well as CBC and serum biochemistry run within 48 hours of initial hospitalization. Disease severity was calculated and measured using the CAPS score, in addition to LOH and in-hospital mortality.

Interventions

None.

Measurements and Main Results

Clinical endpoints were in-hospital mortality, LOH, and disease severity, as evaluated by the CAPS score. Overall in-hospital mortality was 36.8%. NLR was significantly associated with survival, with a higher percentage being associated with an increased likelihood of nonsurvival (odds ratio: 1.1, 95% confidence interval: 1.0–1.2; P = 0.006, adjusted P = 0.04). Increased NLR was found to be significantly associated with a longer LOH based on the unadjusted P-value (P = 0.02) but was not statistically significant based on a P-value adjusted for multiple comparisons (P = 0.12). No significant associations were noted when RDW, platelet-to-lymphocyte ratio, WBC count, mean platelet volume, RDW-to-platelet ratio, or RDW-to-total serum calcium ratio was evaluated against outcome measures.

Conclusions

This study retrospectively evaluated the prognostic utility of several readily available hematological parameters in dogs hospitalized for AP. Dogs with an increased NLR may have a higher risk of in-hospital mortality and increased LOH, alth

目的:通过犬急性胰腺炎(AP)的犬急性胰腺炎严重程度(CAPS)评分,确定红细胞分布宽度(RDW)、中性粒细胞与淋巴细胞比率(NLR)和其他血液学参数是否与住院死亡率、住院时间(LOH)或疾病严重程度的增加有关,2016年1月至2020年8月的多中心研究。设置:四个私人急诊和专科转诊中心。动物:在最初的病例搜索中,118只客户拥有的狗被确认为AP的临床诊断。在这些病例中,114只狗符合纳入标准,定义为突然出现≥2种兼容的临床症状(嗜睡、厌食、呕吐或腹痛),特定的犬胰脂肪酶浓度>400μg/L,入院,以及首次住院后48小时内的CBC和血清生物化学检查。除了LOH和住院死亡率外,还使用CAPS评分计算和测量疾病严重程度。干预措施:无。测量和主要结果:根据CAPS评分评估,临床终点为住院死亡率、LOH和疾病严重程度。住院总死亡率为36.8%,较高的百分比与不存活的可能性增加有关(比值比:1.1,95%置信区间:1.0-1.2;P=0.006,调整后P=0.04)当RDW、血小板与淋巴细胞的比率、WBC计数、平均血小板体积、RDW与血小板的比率或RDW与血清总钙的比率与结果指标进行评估时,注意到显著的相关性。结论:本研究回顾性评估了几种容易获得的血液学参数对AP住院犬预后的影响。NLR增加的狗可能有更高的住院死亡率和LOH增加的风险,尽管未来的前瞻性研究有必要证实这些发现。
{"title":"Evaluation of red blood cell distribution width, neutrophil-to-lymphocyte ratio, and other hematologic parameters in canine acute pancreatitis","authors":"Meghan M. Johnson DVM, CVA, DACVECC,&nbsp;John C. Gicking DVM, DACVECC,&nbsp;Deborah A. Keys PhD","doi":"10.1111/vec.13325","DOIUrl":"10.1111/vec.13325","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine if RBC distribution width (RDW), neutrophil-to-lymphocyte ratio (NLR), and other hematological parameters are associated with increased odds of in-hospital mortality, increased length of hospitalization (LOH), or disease severity as measured by the Canine Acute Pancreatitis Severity (CAPS) score in dogs with acute pancreatitis (AP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Retrospective, multicenter study from January 2016 to August 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Four private emergency and specialty referral centers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>On initial case search, 118 client-owned dogs were identified with a clinical diagnosis of AP. Out of these cases, 114 dogs met inclusion criteria, defined as sudden onset of ≥2 compatible clinic signs (lethargy, anorexia, vomiting, or abdominal pain), a specific canine pancreatic lipase concentration &gt;400 μg/L, hospital admission, as well as CBC and serum biochemistry run within 48 hours of initial hospitalization. Disease severity was calculated and measured using the CAPS score, in addition to LOH and in-hospital mortality.</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>Clinical endpoints were in-hospital mortality, LOH, and disease severity, as evaluated by the CAPS score. Overall in-hospital mortality was 36.8%. NLR was significantly associated with survival, with a higher percentage being associated with an increased likelihood of nonsurvival (odds ratio: 1.1, 95% confidence interval: 1.0–1.2; <i>P</i> = 0.006, adjusted <i>P</i> = 0.04). Increased NLR was found to be significantly associated with a longer LOH based on the unadjusted <i>P</i>-value (<i>P</i> = 0.02) but was not statistically significant based on a <i>P</i>-value adjusted for multiple comparisons (<i>P</i> = 0.12). No significant associations were noted when RDW, platelet-to-lymphocyte ratio, WBC count, mean platelet volume, RDW-to-platelet ratio, or RDW-to-total serum calcium ratio was evaluated against outcome measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study retrospectively evaluated the prognostic utility of several readily available hematological parameters in dogs hospitalized for AP. Dogs with an increased NLR may have a higher risk of in-hospital mortality and increased LOH, alth","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984944","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
Prevalence and factors associated with initial and subsequent shockable cardiac arrest rhythms and their association with patient outcomes in dogs and cats undergoing cardiopulmonary resuscitation: A RECOVER registry study 在接受心肺复苏的狗和猫中,与最初和随后的可电击心脏骤停节律相关的患病率和因素及其与患者结局的关系:一项RECOVER注册研究。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-12 DOI: 10.1111/vec.13320
Laura Vega Suarez DVM, Steven E. Epstein DVM, DACVECC, Linda G. Martin DVM, MS, DACVECC, Elizabeth B. Davidow DVM, DACVECC, Sabrina N. Hoehne Dr. med. vet., DACVECC, DECVECC, the RECOVER CPR Registry Consortium

Objective

To report the prevalence of initial shockable cardiac arrest rhythms (I-SHKR), incidence of subsequent shockable cardiac arrest rhythms (S-SHKR), and factors associated with I-SHKRs and S-SHKRs and explore their association with return of spontaneous circulation (ROSC) rates in dogs and cats undergoing CPR.

Design

Multi-institutional prospective case series from 2016 to 2021, retrospectively analyzed.

Setting

Eight university and eight private practice veterinary hospitals.

Animals

A total of 457 dogs and 170 cats with recorded cardiac arrest rhythm and event outcome reported in the Reassessment Campaign on Veterinary Resuscitation CPR registry.

Measurements and Main Results

Logistic regression was used to evaluate association of animal, hospital, and arrest variables with I-SHKRs and S-SHKRs and with patient outcomes. Odds ratios (ORs) were generated, and significance was set at P < 0.05. Of 627 animals included, 28 (4%) had I-SHKRs. Odds for I-SHKRs were significantly higher in animals with a metabolic cause of arrest (OR 7.61) and that received lidocaine (OR 17.50) or amiodarone (OR 21.22) and significantly lower in animals experiencing arrest during daytime hours (OR 0.22), in the ICU (OR 0.27), in the emergency room (OR 0.13), and out of hospital (OR 0.18) and that received epinephrine (OR 0.19). Of 599 initial nonshockable rhythms, 74 (12%) developed S-SHKRs. Odds for S-SHKRs were significantly higher in animals with higher body weight (OR 1.03), hemorrhage (OR 2.85), or intracranial cause of arrest (OR 3.73) and that received epinephrine (OR 11.36) or lidocaine (OR 18.72) and significantly decreased in those arresting in ICU (OR 0.27), emergency room (OR 0.29), and out of hospital (OR 0.38). Overall, 171 (27%) animals achieved ROSC, 81 (13%) achieved sustained ROSC, and 15 (2%) survived. Neither I-SHKRs nor S-SHKRs were significantly associated with ROSC.

Conclusions

I-SHKRs and S-SHKRs occur infrequently in dogs and cats undergoing CPR and are not associated with increased ROSC rates.

目的:报告在接受心肺复苏术的狗和猫中,初始可电击性心脏停搏节律(I-SHKR)的发生率、随后可电击性心动停搏节律的发生率以及与I-SHKRs和S-SHKRs相关的因素,并探讨它们与自发循环恢复率(ROSC)的关系。设计:回顾性分析2016年至2021年多机构前瞻性病例系列。设置:八所大学和八所私人执业兽医医院。动物:共有457只狗和170只猫记录了心脏骤停节律和事件结果,并在兽医复苏CPR登记处进行了重新评估。测量和主要结果:Logistic回归用于评估动物、住院和停搏变量与I-SHKRs和S-SHKRs以及患者结局的相关性。产生了比值比(OR),显著性设定为P。结论:I-SHKR和S-SHKR在接受心肺复苏术的狗和猫中很少发生,与ROSC率的增加无关。
{"title":"Prevalence and factors associated with initial and subsequent shockable cardiac arrest rhythms and their association with patient outcomes in dogs and cats undergoing cardiopulmonary resuscitation: A RECOVER registry study","authors":"Laura Vega Suarez DVM,&nbsp;Steven E. Epstein DVM, DACVECC,&nbsp;Linda G. Martin DVM, MS, DACVECC,&nbsp;Elizabeth B. Davidow DVM, DACVECC,&nbsp;Sabrina N. Hoehne Dr. med. vet., DACVECC, DECVECC,&nbsp;the RECOVER CPR Registry Consortium","doi":"10.1111/vec.13320","DOIUrl":"10.1111/vec.13320","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To report the prevalence of initial shockable cardiac arrest rhythms (I-SHKR), incidence of subsequent shockable cardiac arrest rhythms (S-SHKR), and factors associated with I-SHKRs and S-SHKRs and explore their association with return of spontaneous circulation (ROSC) rates in dogs and cats undergoing CPR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Multi-institutional prospective case series from 2016 to 2021, retrospectively analyzed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Eight university and eight private practice veterinary hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>A total of 457 dogs and 170 cats with recorded cardiac arrest rhythm and event outcome reported in the Reassessment Campaign on Veterinary Resuscitation CPR registry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>Logistic regression was used to evaluate association of animal, hospital, and arrest variables with I-SHKRs and S-SHKRs and with patient outcomes. Odds ratios (ORs) were generated, and significance was set at <i>P</i> &lt; 0.05. Of 627 animals included, 28 (4%) had I-SHKRs. Odds for I-SHKRs were significantly higher in animals with a metabolic cause of arrest (OR 7.61) and that received lidocaine (OR 17.50) or amiodarone (OR 21.22) and significantly lower in animals experiencing arrest during daytime hours (OR 0.22), in the ICU (OR 0.27), in the emergency room (OR 0.13), and out of hospital (OR 0.18) and that received epinephrine (OR 0.19). Of 599 initial nonshockable rhythms, 74 (12%) developed S-SHKRs. Odds for S-SHKRs were significantly higher in animals with higher body weight (OR 1.03), hemorrhage (OR 2.85), or intracranial cause of arrest (OR 3.73) and that received epinephrine (OR 11.36) or lidocaine (OR 18.72) and significantly decreased in those arresting in ICU (OR 0.27), emergency room (OR 0.29), and out of hospital (OR 0.38). Overall, 171 (27%) animals achieved ROSC, 81 (13%) achieved sustained ROSC, and 15 (2%) survived. Neither I-SHKRs nor S-SHKRs were significantly associated with ROSC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>I-SHKRs and S-SHKRs occur infrequently in dogs and cats undergoing CPR and are not associated with increased ROSC rates.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.13320","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9982283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of a standing position during abdominal point-of-care ultrasound on abdominal fluid score in dogs 腹部护理点超声检查中站立姿势对犬腹腔积液评分的评估。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-12 DOI: 10.1111/vec.13329
Christy Buckley DVM, Marc Seitz DVM, DACVR, DABVP, Robert W. Wills MS, DVM, PhD, DACVPM, Alison M. Lee DVM, MS, DACVR

Objective

To assess the use of a standing position during abdominal point-of-care ultrasound (POCUS) examination when evaluating dogs for peritoneal effusion.

Design

Randomized prospective study over 17 months.

Setting

Single-center, university veterinary teaching hospital.

Animals

Thirty dogs presenting for acute abdominal disease. Eligibility included suspicion for free peritoneal effusion and the ability to stand.

Interventions

Dogs underwent standing abdominal POCUS, right lateral abdominal POCUS, and a full abdominal ultrasound. We originally had nothing listed. It now includes all three ultrasound evaluations that were performed for each patient.

Measurements and Main Results

Patients underwent both a right lateral and standing abdominal POCUS via a previously described abdominal focused assessment with sonography for trauma (A-FASTrl and A-FASTs, respectively) technique in a randomized and sequential order followed by a full abdominal ultrasound (AUS-full). The A-FASTs examination included a right flank location in addition to the following standard views: subxiphoid, left flank, urinary bladder, and umbilicus. Five-second cine loops were obtained at each location for each examination and reviewed in the order they were obtained. Locations for both A-FAST exams were interrogated in the same order every time. The cine loops were scored for the degree of peritoneal effusion based on a previously published abdominal fluid scoring system by a board-certified radiologist, radiology resident, and radiology intern. The overall abdominal fluid score (AFS) was compared to a subjective full abdominal ultrasound score given by a board-certified radiologist. Six dogs had no peritoneal effusion, 13 had a small volume (AFS 1 or 2), and 11 had a moderate to large volume (AFS 3 or 4). Excellent agreement (intraclass correlation coefficient) was found between the A-FASTs and A-FASTrl techniques (0.95, 0.93, 0.94), good agreement between A-FASTs and AUS-full (0.80, 0.77, 0.82), and good agreement between A-FASTrl and AUS-full (0.80, 0.82, 0.84). The interobserver agreement was good (0.87) for the A-FASTs technique and excellent (0.91) for the A-FASTrl technique. Mean observer agreement score was excellent (0.94) when evaluating A-FASTrl to A-FASTs, good (0.86) when ev

目的:评估在评估犬腹腔积液时,在腹部护理点超声(POCUS)检查中站立姿势的使用。设计:为期17个月的随机前瞻性研究。设置:单一中心,大学兽医教学医院。动物:30只患有急性腹部疾病的狗。资格包括怀疑有游离腹膜积液和站立能力。干预措施:狗接受了站立腹部POCUS、右侧腹POCUS和全腹部超声检查。我们最初没有列出任何内容。现在,它包括为每位患者进行的所有三次超声评估。测量和主要结果:患者通过先前描述的腹部创伤超声聚焦评估(分别为a-FASTrl和a-FASTs)技术,按照随机和顺序进行右侧和直立腹部POCUS,然后进行全腹部超声(AUS-full)。除了以下标准视图外,A-FASTs检查还包括右侧位置:剑突下、左侧、膀胱和脐。每次检查在每个位置获得5秒的电影回放,并按照获得的顺序进行审查。每次都以相同的顺序询问两次A-FAST考试的地点。由委员会认证的放射科医生、放射科住院医师和放射科实习生根据先前公布的腹腔积液评分系统,对电影回放的腹膜积液程度进行评分。将总腹腔液评分(AFS)与委员会认证的放射科医生给出的主观完整腹部超声评分进行比较。6只狗没有腹腔积液,13只体积较小(AFS 1或2),11只体积中等至较大(AFS 3或4)。A-FASTs和A-FASTrl技术之间有很好的一致性(组内相关系数)(0.95,0.93,0.94),A-FAST和AUS完全一致性(0.80,0.77,0.82),A-FASTrl和AUS全一致性(0.8,0.82,0.84)。当评估A-FASTrl至A-FASTs时,平均观察者一致性得分为优秀(0.94)、当评估A-FASTs至AUS时为良好(0.86),结论:在无法进行更传统的右侧入路的情况下,进行站立腹部POCUS检查可能是识别和量化腹膜积液的有效选择。
{"title":"Assessment of a standing position during abdominal point-of-care ultrasound on abdominal fluid score in dogs","authors":"Christy Buckley DVM,&nbsp;Marc Seitz DVM, DACVR, DABVP,&nbsp;Robert W. Wills MS, DVM, PhD, DACVPM,&nbsp;Alison M. Lee DVM, MS, DACVR","doi":"10.1111/vec.13329","DOIUrl":"10.1111/vec.13329","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the use of a standing position during abdominal point-of-care ultrasound (POCUS) examination when evaluating dogs for peritoneal effusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Randomized prospective study over 17 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Single-center, university veterinary teaching hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Thirty dogs presenting for acute abdominal disease. Eligibility included suspicion for free peritoneal effusion and the ability to stand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>Dogs underwent standing abdominal POCUS, right lateral abdominal POCUS, and a full abdominal ultrasound. We originally had nothing listed. It now includes all three ultrasound evaluations that were performed for each patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>Patients underwent both a right lateral and standing abdominal POCUS via a previously described abdominal focused assessment with sonography for trauma (A-FASTrl and A-FASTs, respectively) technique in a randomized and sequential order followed by a full abdominal ultrasound (AUS-full). The A-FASTs examination included a right flank location in addition to the following standard views: subxiphoid, left flank, urinary bladder, and umbilicus. Five-second cine loops were obtained at each location for each examination and reviewed in the order they were obtained. Locations for both A-FAST exams were interrogated in the same order every time. The cine loops were scored for the degree of peritoneal effusion based on a previously published abdominal fluid scoring system by a board-certified radiologist, radiology resident, and radiology intern. The overall abdominal fluid score (AFS) was compared to a subjective full abdominal ultrasound score given by a board-certified radiologist. Six dogs had no peritoneal effusion, 13 had a small volume (AFS 1 or 2), and 11 had a moderate to large volume (AFS 3 or 4). Excellent agreement (intraclass correlation coefficient) was found between the A-FASTs and A-FASTrl techniques (0.95, 0.93, 0.94), good agreement between A-FASTs and AUS-full (0.80, 0.77, 0.82), and good agreement between A-FASTrl and AUS-full (0.80, 0.82, 0.84). The interobserver agreement was good (0.87) for the A-FASTs technique and excellent (0.91) for the A-FASTrl technique. Mean observer agreement score was excellent (0.94) when evaluating A-FASTrl to A-FASTs, good (0.86) when ev","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984950","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
Comparison of 4 point-of-care techniques to detect correct positioning of nasogastric tubes in dogs (2020–2021) 4种护理点技术检测犬鼻胃导管正确定位的比较(2020-2021)。
IF 1.3 3区 农林科学 Q2 Veterinary Pub Date : 2023-08-10 DOI: 10.1111/vec.13327
Meera Ramesh DVM, Aimee C Brooks DVM, MS, DACVECC, Elizabeth Thomovsky DVM, MS, DACVECC, Paula Johnson DVM, DACVECC, Carrie Fulkerson DVM, Nollie Parnell DACVIM, Hsin-Yi Weng BVM, MPH, PhD

Objective

To compare 4 point-of-care (POC) techniques to assess nasogastric (NG) tube placement versus radiographs as a reference standard. POC methods included air inflation with auscultation, fluid aspiration with pH measurement, ultrasonography, and capnography.

Design

Prospective observational study in hospitalized dogs between 2020 and 2021.

Setting

University teaching hospital.

Animals

Fifty-one dogs requiring NG tube placement as part of their normal care.

Interventions

After standard blind NG tube placement, each POC method was performed following standardized instructions. All POC methods were scored as to whether the investigator believed the tube to be in the gastrointestinal tract (as indicated by positive auscultation of borborygmus during insufflation, positive fluid aspiration with pH ≤5, presence of hyperechoic shadow in the esophagus, or absence of capnographic waveform). Subsequently, radiographs were taken to determine NG tube position as a gold standard. The sensitivity, specificity, and accuracy of each test as compared to 2-view thoracic radiographs were determined.

Measurements and Main Results

Sensitivity, specificity, and accuracy for each POC technique were as follows: air auscultation (84.4%, 50.5%, and 80.4%, respectively), neck ultrasound (95.6%, 83.3%, and 94.1%, respectively), capnography (91.1%, 33.3%, and 84.3%, respectively), and fluid aspiration with pH measurement (22.2%, 100%, and 31.4%, respectively).

Conclusions

Among the 4 techniques evaluated, neck ultrasound had the best overall performance for assessing NG tube placement. Fluid aspiration with pH measurement might also have potential due to perfect specificity, but its clinical utility may be limited by low sensitivity and accuracy. Nonetheless, 2-view thoracic radiography should still be considered the standard method for confirmation of NG tube placement as none of the 4 POC techniques investigated showed both high sensitivity and perfect specificity.

目的:比较作为参考标准的4点护理(POC)技术评估鼻胃(NG)管放置与射线照片。POC方法包括听诊充气、pH测量液体抽吸、超声检查和脑电图检查。设计:2020年至2021年间对住院狗进行的前瞻性观察性研究。背景:大学教学医院。动物:51只狗需要放置NG管作为其正常护理的一部分。干预措施:在标准盲NG管放置后,按照标准说明进行每种POC方法。对所有POC方法进行评分,以确定研究者是否认为导管在胃肠道中(如吹入过程中的波眼听诊阳性、pH≤5的液体抽吸阳性、食道中存在高回声阴影或无心电图波形)。随后,拍摄射线照片以确定NG管的位置,作为金标准。与2视图胸部x线片相比,确定了每项测试的敏感性、特异性和准确性。测量和主要结果:每种POC技术的敏感性、特异性和准确性如下:空气听诊(分别为84.4%、50.5%和80.4%)、颈部超声(分别为95.6%、83.3%和94.1%)、二氧化碳描记术(分别为91.1%、33.3%和84.3%)和pH测量液体抽吸(分别为22.2%、100%和31.4%)。结论:在评估的4种技术中,颈部超声在评估NG管放置方面具有最佳的整体性能。由于具有完美的特异性,pH测量的液体抽吸也可能具有潜力,但其临床应用可能因灵敏度和准确性低而受到限制。尽管如此,2视野胸部放射线照相术仍应被视为确认NG管放置的标准方法,因为所研究的4种POC技术均未显示出高灵敏度和完美的特异性。
{"title":"Comparison of 4 point-of-care techniques to detect correct positioning of nasogastric tubes in dogs (2020–2021)","authors":"Meera Ramesh DVM,&nbsp;Aimee C Brooks DVM, MS, DACVECC,&nbsp;Elizabeth Thomovsky DVM, MS, DACVECC,&nbsp;Paula Johnson DVM, DACVECC,&nbsp;Carrie Fulkerson DVM,&nbsp;Nollie Parnell DACVIM,&nbsp;Hsin-Yi Weng BVM, MPH, PhD","doi":"10.1111/vec.13327","DOIUrl":"10.1111/vec.13327","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To compare 4 point-of-care (POC) techniques to assess nasogastric (NG) tube placement versus radiographs as a reference standard. POC methods included air inflation with auscultation, fluid aspiration with pH measurement, ultrasonography, and capnography.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Prospective observational study in hospitalized dogs between 2020 and 2021.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>University teaching hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Fifty-one dogs requiring NG tube placement as part of their normal care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>After standard blind NG tube placement, each POC method was performed following standardized instructions. All POC methods were scored as to whether the investigator believed the tube to be in the gastrointestinal tract (as indicated by positive auscultation of borborygmus during insufflation, positive fluid aspiration with pH ≤5, presence of hyperechoic shadow in the esophagus, or absence of capnographic waveform). Subsequently, radiographs were taken to determine NG tube position as a gold standard. The sensitivity, specificity, and accuracy of each test as compared to 2-view thoracic radiographs were determined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>Sensitivity, specificity, and accuracy for each POC technique were as follows: air auscultation (84.4%, 50.5%, and 80.4%, respectively), neck ultrasound (95.6%, 83.3%, and 94.1%, respectively), capnography (91.1%, 33.3%, and 84.3%, respectively), and fluid aspiration with pH measurement (22.2%, 100%, and 31.4%, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Among the 4 techniques evaluated, neck ultrasound had the best overall performance for assessing NG tube placement. Fluid aspiration with pH measurement might also have potential due to perfect specificity, but its clinical utility may be limited by low sensitivity and accuracy. Nonetheless, 2-view thoracic radiography should still be considered the standard method for confirmation of NG tube placement as none of the 4 POC techniques investigated showed both high sensitivity and perfect specificity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9966947","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
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Journal of veterinary emergency and critical care
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