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71.
Erik H. Hofmeister DVM Brian F. Thompson MS Benjamin M. Brainard VMD DACVECC DACVA Samantha Kegge DVM Stephanie Kube DVM DACVIM Christine M. Egger DVM MVSc DACVA CVA Carl Jehn DVM Brad Green DVM 《Journal of Veterinary Emergency and Critical Care》2008,18(2):142-152
Objective: To document the clinical practice of cardiopulmonary–cerebral resuscitation (CPCR) among academic veterinarians. Design: Survey. Setting: Eight colleges of veterinary medicine in the United States. Subjects: Two hundred and one academic veterinarians. Interventions: The survey was distributed by hand by the authors into the mailboxes of small animal faculty, residents, and interns. Demographic variables, questions regarding number of cardiopulmonary arrests (CPA) supervised and number successful, do not attempt resuscitation discussions, and Likert‐style questions about client presence during CPCR, appropriateness of CPCR, and CPCR decision‐making were included. Multiple linear regression models were constructed to determine the effect of multiple questions on different target variables of interest. Measurements and main results: Numerous differences were noted based on institution, gender, specialty, and position. Most institutions did not have a standard resuscitation consent form. Most respondents believed the client, house officer, and senior clinician should determine whether to perform resuscitation or not. Quality of life was the most significant determinant of whether to resuscitate or not, followed by long‐term prognosis, then short‐term prognosis. Conclusions: Veterinarians differ in many aspects of their approach to CPA and resuscitation. Creating consensus within the veterinary profession would benefit client service and patient care. 相似文献
72.
Ada To Eric T. Hostnik Jaylyn D. Rhinehart Brian A. Scansen 《Veterinary radiology & ultrasound》2019,60(2):145-158
Pulmonary valve stenosis (PS) is one of the most commonly diagnosed congenital heart defects in dogs. Currently, transthoracic echocardiography (TTE) is the standard modality used to evaluate PS. Image acquisition by TTE can be challenging in some brachycephalic breeds of dogs. The use of echocardiographic‐gated CT angiography (ECG‐gated CTA) in veterinary medicine is limited. This retrospective method comparison study investigated right and left ventricular outflow diameters by sedated ECG‐gated CTA and unsedated TTE in 14 brachycephalic dogs with PS and 12 brachycephalic dogs without PS. Measurements of ventricular outflow structures were made in early systole and end diastole for both modalities and then compared for significance between systolic and diastolic phases, as well as between the two modalities. Ratios of the pulmonary trunk diameter to the aorta at different locations (aortic valve, aortic annulus, and ascending aorta) and in different planes (transverse, sagittal) were compared between dogs with PS and without PS, as well as within dogs, by both TTE and ECG‐gated CTA. Transthoracic echocardiography and ECG‐gated CTA both detected significantly greater pulmonary trunk to aorta ratios in dogs with PS at all aortic locations (P < 0.05). Pulmonary valve to aortic valve ratios were significantly smaller in dogs with PS (P < 0.05). Pulmonary trunk to aorta and pulmonary valve to aorta ratios were achieved with good anatomic detail using ECG‐gated CTA. Ratios of the pulmonary trunk and pulmonary valve relative to the aorta may be useful to evaluate for PS using a modality that is underutilized for cardiac assessment. 相似文献
73.
Elizabeth R. Carvalho Tatiana Champion Francielli Ambrosini Gabrieli A. da Silva Gabrielle C. Freitas Ricardo G. D’Otaviano de Castro Vilani 《Veterinary anaesthesia and analgesia》2019,46(1):43-54
Objective
To investigate the effects of a low dose of dexmedetomidine (DEX) followed by constant rate infusion (CRI) and reversal with atipamezole on systolic and diastolic functions in isoflurane-anesthetized healthy cats.Study design
Prospective cohort study.Animals
A group of 11 client-owned adult cats.Methods
Baseline transthoracic echocardiography (TTE) was performed, followed by intramuscular (IM) administration of DEX (5 μg kg?1). After 10 minutes, sedation was scored, adverse effects were recorded and another TTE performed. Approximately 40 minutes after DEX administration, anesthesia was induced by isoflurane mask and maintained with 1.2% end-tidal isoflurane and DEX CRI (1 μg kg?1 hour?1) for 80 minutes. Physiological variables were recorded every 10 minutes, and TTE was repeated 10, 30 and 60 minutes after the start of anesthesia. CRI was stopped, atipamezole (30 μg kg?1) was administered IM and a final TTE was performed after 10 minutes. Repeated measures over time were submitted to one-way analysis of variance or Kruskal–Wallis test according to data distribution; significance was assumed at p < 0.05.Results
After DEX premedication, mild sedation and a slight but significant increase in systolic arterial pressure occurred, and vomiting was a common adverse effect. The cardiac output (CO) and heart rate decreased during anesthesia, with no changes after administration of atipamezole. Trivial valvular insufficiencies were commonly seen after DEX premedication and during CRI. Myocardial radial and longitudinal systolic functions were not affected by sedation or by anesthesia. The late phase of diastole on both right and left ventricles was affected by isoflurane–DEX CRI. Global left ventricular myocardial performance was not impaired.Conclusions
and clinical relevance Decreased CO and late diastolic impairment were observed in healthy cats administered a low dose of DEX for premedication followed by anesthesia with isoflurane and DEX CRI. 相似文献74.
75.
Evaluation of agreement and trending ability between transpulmonary thermodilution and calibrated pulse contour and pulse power cardiac output monitoring methods against pulmonary artery thermodilution in anesthetized dogs 下载免费PDF全文
76.
77.
Federica Marchesotti Vincenzo Rondelli Marco Pesaresi Stefano Nicoli Tommaso Vezzosi Edoardo Auriemma Guido Lanzillo Andrea Cuccio Toufic Khouri Annette Dejong Oriol Domenech 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2019,33(5):2227-2234
A 2‐year‐old American Pit Bull dog was presented for surgical evaluation of imperforate cor triatriatum dexter (CTD) and patent foramen ovale (PFO). Echocardiography identified an imperforate CTD associated with a right‐to‐left shunting PFO and valvular pulmonary stenosis. A 2‐step interventional and surgical approach was used. Initially, a pulmonary balloon valvuloplasty was performed, and subsequently the dog underwent a surgical correction of the atrial anomaly under cardiopulmonary bypass. 相似文献
78.
Changes in cardiovascular performance,biochemistry, gastric motility and muscle temperature induced by acute exercise on a treadmill in healthy military dogs 下载免费PDF全文
R. W. Queiroz V. L. Silva D. R. Rocha D. S. Costa S. H. N. Turco M. T. B. Silva A. A. Santos M. B. L. Oliveira A. S. R. Pereira R. C. Palheta‐Junior 《Journal of animal physiology and animal nutrition》2018,102(1):122-130
Changes in physiological parameters that are induced by acute exercise on a treadmill in healthy military dogs have not been thoroughly investigated, especially with regard to age. This study investigated the effects of acute exercise on a treadmill on cardiovascular function, biochemical parameters and gastric antral motility in military dogs. Thermography was used to assess variations in superficial hindlimb muscle temperature. Nine healthy dogs were distributed into three groups according to their age (Group I: 25 ± 7 months; Group II: 51 ± 12 months; Group III: 95 ± 10 months) and sequentially subjected to running exercise on a treadmill for 12 min (3.2 km/h at 0° incline for 4 min, 6.4 km/h at 0° incline for 4 min and 6.4 km/h at 10° incline for 4 min). Heart rate, systolic and diastolic arterial pressure (DAP), gastric motility, haematocrit and biochemical analyses were performed at rest and after each session of treadmill exercise. Infrared thermographic images of muscles in the pelvic member were taken. Exercise decreased DAP in Group I, increased systolic arterial pressure in Groups II and III and increased mean arterial pressure in Group III (all p < 0.05). After the exercise protocol, plasma creatine kinase and aspartate aminotransferase levels increased only in Group I (p < 0.05). Exercise increased heart rate and decreased the gastric motility of a solid meal at 180 min in all groups (all p < 0.05). Exercise also elevated temperature in the femoral biceps muscles in Group I compared with the older dogs. The results indicate that acute exercise decreased gastric motility in dogs, regardless of age, and caused more pronounced cardiovascular changes in older dogs than in younger dogs. Acute exercise also altered biochemical parameters and superficial hindlimb muscle temperature in younger military dogs. 相似文献
79.
采用甲苯胺蓝、嗜银和铅苏木素3种组织学染色方法分别对栉孔扇贝(Chlamys farreri)神经节进行显微观察。结果表明,甲苯胺蓝染色法效果最好,神经细胞和神经纤维均着色较深,与背景反差较大。神经干及神经索中无神经元胞体,仅有沿神经索方向分布的神经纤维。神经节包括:1对彼此分离的脑侧神经节、1对连接在一起的足神经节和左右2神经节完全愈合而成的脏神经节。各神经节均由表面的神经节被膜、周边的胞体层和中央纤维网构成,胞体层分层现象不明显,神经元胞体根据其大小大致可分为直径15-36μm的大型细胞和5-15μm的小型细胞,胞体发出的突起均进入中央神经纤维网。脑侧神经节胞体层明显分脑神经节(CG)和侧神经节(PG)2区,CG区中神经元胞体主要分布于前端和外侧面,而PG区中神经元胞体则主要分布于外侧面;大型细胞较多,小型细胞很少。足神经节表层神经元胞体无分区分布的现象;大型细胞较少,而小型细胞较多。脏神经节相对较复杂,神经元胞体数目多,胞体层分区明显,分为:2个前叶,1个后叶,2个侧叶和2个嗅检叶;前叶和后叶中大型细胞较多,小型细胞较少;侧叶和嗅检叶中仅有小型细胞,而无大型细胞。 相似文献
80.
《Veterinary anaesthesia and analgesia》2023,50(3):211-219
ObjectiveTo demonstrate if modified passive leg raise (PLRM) maneuver can be used for volumetric evaluation of fluid responsiveness (FR) by inducing cardiac output (CO) changes during experimental induction and correction of hypovolemia in healthy anesthetized dogs. The effects of PLRM on plethysmographic variability index (PVI) and pulse pressure variation (PPV) were also investigated.Study designProspective, crossover study.AnimalsA total of six healthy anesthetized Beagle dogs.MethodsDogs were anesthetized with propofol and isoflurane. They were mechanically ventilated under neuromuscular blockade, and normothermia was maintained. After instrumentation, all dogs were subjected to four stages: 1, baseline; 2, removal of 27 mL kg–1 circulating blood volume; 3, after blood re-transfusion; and 4, after 20 mL kg–1 hetastarch infusion over 20 minutes. A 10 minute stabilization period was allowed after induction of each stage and before data collection. At each stage, CO via pulmonary artery thermodilution, PVI, PPV and cardiopulmonary variables were measured before, during and after the PLRM maneuver. Stages were sequential, not randomized. Statistical analysis included repeated measures anova and Tukey’s post hoc test, considering p < 0.05 as significant.ResultsDuring stage 2, PLRM at a 30° angle significantly increased CO (mean ± standard deviation, 1.0 ± 0.1 to 1.3 ± 0.1 L minute–1; p < 0.001), with a simultaneous significant reduction in PVI (38 ± 4% to 21 ± 4%; p < 0.001) and PPV (27 ± 2% to 18 ± 2%; p < 0.001). The PLRM did not affect CO, PPV and PVI during stages 1, 3 and 4.Conclusions and clinical relevanceIn anesthetized dogs, PLRM at a 30° angle successfully detected FR during hypovolemia, and identified fluid nonresponsiveness during normovolemia and hypervolemia. Also, in hypovolemic dogs, significant decreases in PVI and PPV occurred in response to PLRM maneuver. 相似文献