Continuous positive airway pressure administered via face mask in tranquilized dogs

Objective – To evaluate the tolerance of a continuous positive airway pressure (CPAP) mask in tranquilized dogs and compare PaO₂ in arterial blood in dogs receiving oxygen with a regular face mask or CPAP mask set to maintain a pressure of 2.5 or 5 cm H₂O. Design – Prospective, randomized clinical study. Setting – University teaching hospital. Animals – Sixteen client‐owned dogs without evidence of cardiopulmonary disease were studied. Interventions – Eight animals were randomly assigned to each of 2 treatment groups: group A received 2.5 cm H₂O CPAP and group B received 5 cm H₂O CPAP after first receiving oxygen (5 L/min) by a regular face mask. Animals were tranquilized with acepromazine 0.05 mg/kg, IV and morphine 0.2 mg/kg, IM. An arterial catheter was then placed to facilitate blood sampling for pHa, PaO₂, and PaCO₂ determinations before and after treatments. Direct mean arterial pressure, heart rate, respiratory rate, and temperature were also recorded after each treatment. Measurements and Main Results – CPAP administration was well tolerated by all animals. The mean arterial pressure, heart rate, respiratory rate, temperature, PaCO₂, and pHa, did not differ at any time point between groups. Differences were seen in oxygenation; in group A, PaO₂ significantly increased from a mean of 288.3±47.5 mm Hg with a standard mask to a mean of 390.3±65.5 mm Hg with the CPAP mask and in group B, PaO₂ increased similarly from 325.0±70.5 to 425.2±63.4 mm Hg (P<0.05); no differences were detected between the 2 CPAP treatments. Conclusions – In healthy tranquilized dogs noninvasive CPAP is well tolerated and increases PaO₂ above values obtained when using a regular face mask.     

Combined distemper-adenoviral pneumonia in a dog

A 3 1/2-month-old pug with oculonasal discharge and seizures was submitted for postmortem examination. Grossly, the lungs had cranioventral consolidation, and microscopically, 2 distinct types of inclusion bodies compatible with Canine distemper virus and Canine adenovirus type 2. Presence of both viruses was confirmed via immunohistochemical staining.     

Eosinophilic granulomatous pneumonia in a dog

An eosinophilic granulomatous pneumonia is described in a German shepherd dog. On thoracic radiographs and at post mortem examination disseminated pulmonary tumour-like nodules had been seen. Histologically the nodules consisted of macrophages, eosinophils, plasma cells and occasionally giant cells. In plasma cells and macrophages, large amounts of immunoglobulin G and immunoglobulin M could be demonstrated. An aetiology could not be determined, but vasculitis and cytology made an allergic reaction of type 1 and, or, type 3 most likely. The classification of pulmonary infiltration with eosinophilia (PIE-syndrome) is discussed.     

Lipoid pneumonia in a rough collie dog

The incidence of lipoid pneumonia in dogs is not known and confirmed cases do not appear to have been reported. Three forms of lipoid pneumonia are recognised in mammalian species; exogenous lipoid pneumonia (ELP), endogenous lipoid pneumonia (EnLP), and post-obstructive endogenous lipoid pneumonia (PEnLP). All forms share similar microscopic characteristics of fat accumulation in the cytoplasm of alveolar macrophages and are otherwise clinically indistinct from other forms of pneumonia. A case of lipoid pneumonia in a seven-year-old rough collie dog which was presented with recurrent bronchopneumonia over several months is reported here. Diagnosis was made from biopsy of resected lung tissue and from detection of fat-containing vacuoles in macrophages obtained by bronchoalveolar lavage. ELP could not be differentiated from PEnLP in this dog, but a complete recovery followed removal of the affected right accessory and caudal lung lobes.     

Actinomyces endophthalmitis and pneumonia in a dog

Actinomyces endophthalmitis and pneumonia were diagnosed in a young rottweiler that was presented with lethargy, weight loss, right blepharospasm, and ocular discharge. The affected eye was enucleated, and the pneumonia was treated successfully with systemic antibiotics.     

Use of continuous positive airway pressure in the acute management of laryngeal paralysis in a cat

Continuous positive airway pressure (CPAP) has been is used widely in humans to manage obstructive sleep apnoea syndrome, but it has not been widely used in animals. A brachycephalic cat, with previously undiagnosed laryngeal paralysis, that developed acute upper respiratory tract obstruction on recovery from anaesthesia, is presented. The condition was managed by CPAP, delivered via a facial mask.     

Dual adenovirus and distemper virus pneumonia in a dog

Summary

A case of simultaneous infection of the lungs of a dog with canine distemper virus (CDV) and canine adenovirus (CA V) is described. The techniques employed are histological stains, immunoperoxidase technique, and transmission electron microscopy. Two viruses are shown to infect the same cells.

The significance of dual infection of the same cells is discussed in comparison with literature data on in vitro experiments.