Acute polyneuromyopathy with respiratory failure secondary to monensin intoxication in a dog

Objective

To describe a successfully managed case of polyneuropathy and respiratory failure secondary to presumed monensin intoxication.

Case Summary

A 9‐month‐old Australian Shepherd was evaluated for progressive generalized weakness and respiratory distress. Several days preceding presentation, the dog was seen playing with a monensin capsule, and had free access to a barn where the product was stored and where chewed capsules were subsequently found. The dog was presented with flaccid tetraparesis, hyperthermia, and severe respiratory distress. Bloodwork and urinalysis revealed marked increase in serum creatine kinase concentration and presumed myoglobinuria. Cardiac troponin I level was markedly increased. Management included mechanical ventilation for 5 days, fluid‐therapy, active cooling, antimicrobial therapy, analgesia, gastroprotectants, antiemetics, enteral feedings, continuous nursing care, and physiotherapy. Intravenous lipid rescue therapy was administered with lack of improvement in respiratory function and muscle strength. The patient completely recovered and was discharged after 12 days of hospitalization.

New or Unique Information Provided

Monensin intoxication should be considered in the differential diagnosis of acute polyneuromyopathy and respiratory failure in dogs with access to this compound. Respiratory failure secondary to monensin intoxication does not necessarily carry a poor prognosis if mechanical ventilation can be provided as a bridge until return of respiratory function is achieved.     

Evaluation of Factors Influencing the Generation of Ammonia in Different Bedding Materials Used for Horse Keeping

Bedding material is an important factor in determining stable air quality in terms of ammonia formation. The objective of this study was to analyze different bedding materials used for horse stables under standardized conditions, to determine which material is best suited for improving the climate of a stable. The particular concern was a reduction in gaseous ammonia concentrations. Therefore, the following materials were examined: wheat straw, wood shavings, hemp shives, linen shives, wheat straw pellets, and paper cuttings. Twelve containers were constructed in an environmentally controlled room, and the same material was placed into two containers, with the amount of material used being determined by its carbon content. A defined ratio of horse manure/urine mixture was added daily to each container over a period of 14 days. The concentrations of gaseous ammonia, carbon dioxide, nitrous oxide, and water vapor were measured continuously above the bedding within the containers. Means of gaseous ammonia were found to be 178.0 mg/m³ for wheat straw, 155.2 mg/m³ for wood shavings, 144.6 mg/m³ for hemp, 133.7 mg/m³ for linen, 60.3 mg/m³ for straw pellets, and 162.6 mg/m³ for paper cuttings. In conclusion, the results of this study have shown that straw pellets are suitable for horse stables, not only to improve air quality but also, first and foremost, in relation to ammonia binding and ammonia transformation within the bedding material, respectively. However, straw pellets may also have disadvantages. The high substrate temperatures that were measured in straw pellets could favor the growth of pathologic germs that can adversely affect animals' health.     

Comparison of Analgesic Effects of Caudal Epidural 0.25% Bupivacaine with Bupivacaine Plus Morphine or Bupivacaine Plus Ketamine for Analgesia in Conscious Horses

The aim of this study was to compare the effects of caudal epidural bupivacaine alone (BP), bupivacaine plus morphine (BPMP), and bupivacaine plus ketamine (BPKE) for perineal analgesia in horses. Each of the six saddle horses received a caudal epidural catheter and underwent 3 treatments: BP, 0.25% (0.04 mg/kg) bupivacaine hydrochloride without epinephrine; BPMP, 0.02 mg/kg of bupivacaine combined with 0.1 mg/kg of morphine-preservative free; and BPKE, 0.02 mg/kg of bupivacaine combined with 0.5 mg/kg of ketamine. The order of treatments was randomized. The cardiovascular system, respiratory rate, quality of analgesia, sedation, and motor blockade were assessed before drug administration (baseline), at 5, 10, 15, and 30 minutes, and every 30 minutes thereafter until loss of analgesia. The median time to onset of analgesia was 5 minutes after BP treatment, faster than after BPKE or BPMP treatments, which were 10 minutes and 15 minutes, respectively (P < .05). The BPMP treatment produced analgesia (315 minutes) for a longer duration than BP treatment (210 minutes) or BPKE treatment (240 minutes), in the regions of the tail, perineum, and upper hind limb in horses. All treatments presented mild sedation or motor blockade. There were minimal effects on the cardiovascular system and respiratory rate. BPMP may be preferable to a high dose of BP or BPKE. Caudal epidural BPMP can be an appropriate choice for regional perineal analgesia in horses.     

Sinoscopic Treatment of Rostral Maxillary and Ventral Conchal Sinusitis in 60 Horses

Objective— To evaluate the use of sinoscopy for detection and treatment of ventral conchal sinus (VCS) and/or rostral maxillary sinus (RMS) disease in horses.
Study Design— Case series
Animals— Horses (n=60) with suspected paranasal sinus disease.
Methods— Horses were evaluated by sinoscopy through a conchofrontal sinus (CFS) portal with ventral conchal bulla (VCB) fenestration. Other endoscopic sinus approaches and adjunctive diagnostic tests; oral examination, computed tomography, radiography, scintigraphy and endoscopic examination of the upper portion of the respiratory tract were used in some horses.
Results— The CFS approach permitted adequate observation of the RMS and VCS in 53 horses (88%). Hemorrhage caused by VCB fenestration prevented examination of the RMS and/or VCS in 12 horses (21%). Observation of lesions was possible in all horses diagnosed with neoplasia, sinus cysts, and progressive ethmoidal hematomas. Endoscopy of the paranasal sinuses was useful diagnostically in 82% of horses with primary sinusitis. Other diagnostic modalities were usually required to confirm a diagnosis of dental sinusitis.
Conclusions— Trephination into the CFS with VCB fenestration is a minimally invasive technique that provides consistent access to the RMS and VCS. It facilitates diagnosis of many sinus disorders and endoscopically guided treatment of many horses with sinus cysts and primary sinusitis, in combination with sinus lavage.
Clinical Relevance— Many diseases affecting the RMS and VCS can be diagnosed and resolved endoscopically using a CFS approach with VCB fenestration, thus avoiding the need for osteoplastic sinus surgery and its associated risks and complications.     

Effects of Density and Rest Stops on Movement Rates of Unrestrained Horses during Transport

The goal of this study was to provide estimates of how much loose (unrestrained) horses move during transport. Data were collected from six shipments of slaughter horses that were transported in a 16.2-m, single-deck semi-trailer in June and July of 2004 for 18 to 20 hours as part of an earlier project. Usable video was obtained from five groups of mature horses transported at “low” density (five to seven horses per group averaging 216.5 kg/m²) and three groups of horses transported at “moderate” density (10–11 horses per group averaging 345.5 kg/m²). Three low-density and two moderate-density groups had access to six water bowls inserted through the sides of the compartments during 1-hour rest stops occurring after 8 hours and at the end of transport. Twelve cameras, one mounted in each corner of the three compartments, were used to record behavior. Distance and rate of movement by individual horses during transport and during two 1-hour rest periods were determined by analysis of 206 hours of usable video footage of individual horses. Mean movement rate tended to be higher during travel (4.23 m/hour) than during the 1-hour periods when the truck was stopped (2.75 m/hour), but it did not seem to be influenced by group density. Movement was stimulated by the availability of water during the rest stops. In general, movement was strongly influenced by one or two horses causing disruption of the group, and not by independent actions of members of the group.     

Modulation of nociceptive withdrawal reflexes evoked by single and repeated nociceptive stimuli in conscious dogs by low-dose acepromazine

ObjectivesTo investigate the modulation of the nociceptive withdrawal reflex (NWR) and temporal summation (TS) by low‐dose acepromazine (ACP) in conscious dogs. To assess the short‐ and long‐term stability of the reflex thresholds.Study designRandomized, blinded, placebo‐controlled cross‐over experimental study.AnimalsEight adult male Beagles.MethodsThe NWR was elicited using single transcutaneous electrical stimulation of the ulnar nerve. Repeated stimuli (10 pulses, 5 Hz) were applied to evoke TS. The responses of the deltoideus muscle were recorded and quantified by surface electromyography and the behavioural reactions were scored. Each dog received 0.01 mg kg^?1 ACP or an equal volume saline intravenously (IV) at 1 week intervals. Measurements were performed before (baseline) and 20, 60 and 100 minutes after drug administration. Sedation was scored before drug administration and then at 10 minutes intervals. Data were analyzed with Friedman repeated measures analysis of variance on ranks and Wilcoxon signed rank tests.ResultsAcepromazine resulted in a mild tranquilization becoming obvious at 20 minutes and peaking 30 minutes after injection. Single (I_t) and repeated stimuli (TS_t) threshold intensities, NWR and TS characteristics and behavioural responses were not affected by the ACP at any time point. Both I_t and TS_t were stable over time.Conclusions and clinical relevanceIn dogs, 0.01 mg kg^?1 ACP IV had no modulatory action on the NWR evoked by single or repeated stimuli, suggesting no antinociceptive activity on phasic nociceptive stimuli. The evidence of the stability of the NWR thresholds supports the use of the model as an objective tool to investigate nociception in conscious dogs. A low dose of ACP administered as the sole drug, can be used to facilitate the recordings in anxious subjects without altering the validity of this model.