Oral Lesions Associated with Orotracheal Administered Mechanical Ventilation in Critically III Dogs

The incidence and clinical progression of oral lesions in a cohort of critically ill patients administered mechanical ventilation via orotracheal intubation were observed prospectively in the Intensive Care Unit (ICU) of the University of California, Davis Veterinary Medical Teaching Hospital. Oral cavities of these patients were examined within 24 hours of being placed on the ventilator and at least daily thereafter during ventilator therapy. As part of the study protocol, any lesion noted was treated. Twenty-one critically ill canine patients (median age of 7 yrs; range <1 to 19 yrs) were observed from 1 January 1995 through 31 August 1995. Over ninety percent (90.5%) of the observed patients developed oral lesions subsequent to being mechanically ventilated. Erosive and ulcerative mucosal lesions were the most frequently observed (15/43) with the tongue being the most frequently involved oral structure. Most of the observed soft tissue oral lesions appeared secondary to persistently applied pressure from teeth, mouth gags, endotracheal tubes, and other monitoring devices. Efforts taken to prevent persistently applied trauma, such as periodic positional changes of equipment and padding of susceptible structures, apeared effective in preventing oral lesions. There were indications of gastric reflux in 6 patients (28.6%), as evidenced by secretions in the oral cavity with a pH of <6 and containing digested blood. Ulcerative lesions in the subset of patients with gastric reflux seemed to worsen in severity with exposure to the low pH secretions. Over the course of the study, the ICU nursing staff developed an effective protocol for the care of the oral cavity: treating mucosal erosions and ulcers topically8 with a dilute chlorhexidine solution (0.05%), removing oral secretions via suction as needed, and padding persistently traumatized tissues with glycerin moistened gauze. Oral lesions in orotrachealy intubated and mechanically ventilated patients are predictable, preventable, and treatable. Most lesions are pressure induced, associated with monitoring/therapeutic equipment, and appear to be preventable with appropriate nursing protocls. Most observed oral lesions clinically improved with routine, periodic dilute chlorhexidine rinses and relief of applied pressure.     

Successful treatment of a pancreatic pseudocyst by omentalisation in a dog

CASE HISTORY A 3-year-old male Labrador retriever was presented with a history of dietary indiscretion followed by vomiting and abdominal pain.

CLINICAL FINDINGS AND TREATMENT: Abdominal ultrasonography revealed the presence of a fluid-filled cystic structure in the region of the pancreas. Flocculent, dark fluid was drained from the cystic structure during exploratory celiotomy prior to resection of the lateral cystic wall. Omentum was sutured into the cystic cavity to provide drainage and enhance immune response. A jejunostomy feeding tube was placed. Post-surgical care consisted of antibiotic therapy. The dog was clinically normal at 1 and 7 months post-operatively and the pancreas appeared normal on final ultrasonographic examination.

CLINICAL RELEVANCE: This case describes the use of omentum to provide physiological drainage of a pancreatic pseudocyst. This surgical technique may help clinicians manage patients with this condition in the future.     

Reduction in the mRNA expression of sVEGFR1 and sVEGFR2 is associated with the selection of dominant follicle in cows

The vascular endothelial growth factor (VEGF) is essential for follicular development by promoting follicular angiogenesis, as well as for the proliferation and survival of granulosa cells. The biological effects of VEGF are regulated by two membrane receptors, VEGFR1 and VEGFR2, and two soluble receptors, sVEGFR1 and sVEGFR2, which play an antagonistic role. Thus, the objective of this study was to identify the mRNA expression pattern of total VEGF, VEGFR1, VEGFR2, sVEGFR1 and sVEGFR2 in bovine preselected follicles (PRF) and post‐selected follicles (POF). The mRNA expression of these five genes in both granulosa cells (GC) and theca cells (TC) was compared between follicles classified as PRF and POF based on their diameter and on their ratio of estradiol/progesterone (E2/P4). Results showed a lower expression of mRNA of sVEGFR1 and sVEGFR2 in POF than in PRF (p < .05). Regarding the mRNA expression of total VEGF, VEGFR1 and VEGFR2, there was no difference between POF and PRF follicles (p > .05). Our results showed that the mRNA expression of VEGFR2 and sVEGFR1 was more abundant than the expression of VEGFR1 and sVEGFR2, while GC was the main source of mRNA for total VEGF. On the other hand, TC was the follicular compartment where the receptors were most expressed. Our results suggest that non‐dominant follicles maintain a greater concentration of the mRNA expression of both membrane and soluble VEGF receptors. On the other hand, follicular dominance is related to a reduction in the mRNA expression of sVEGFR1 and sVEGFR2, which may favour VEGF binding with VEGFR2 and, hence, improve the follicular health and development.     

Ruminal and total tract digestibilities in steers fed diets containing liquefied or prilled saturated fatty acids.

We studied the effects of the addition of liquefied vs prilled mostly saturated fatty acids (FA) to the concentrate portion of total mixed diets on ruminal and total tract digestibilities. Four Holstein steers (270 +/- 23 kg) fitted with ruminal and duodenal cannulas were used in a 4 x 4 Latin square design with 21-d periods. Diets contained (DM basis) 30.0% corn silage, 22.2% chopped alfalfa hay, 25.0% ground shelled corn, 12.5% soybean meal, and 5% of one of the following fat sources: 1) prilled FA (PFA), 2) choice white grease (triglycerides) added in liquid form (LTG), 3) 2.5% PFA + 2.5% LTG, or 4) 2.5% liquefied PFA (LFA) + 2.5% LTG. Ad libitum OM intake was not different (P > .10) among diets (mean 7.8 kg/d). Ruminal digestibilities of OM (35.7, 39.9, 42.2, and 37.3% for Diets 1 to 4, respectively) were greatest (P < .10) for the combination of PFA + LTG and lowest for PFA alone. Ruminal digestibilities of NDF, ADF, and starch did not differ (P > .10) among diets. Total tract digestibilities of OM, NDF, and ADF were greater (P < .10) for the diet containing LTG alone than for the diet containing LFA + LTG because of trends for greater postruminal digestibilities. The LFA + LTG diet resulted in a greater proportion of acetate and lower proportion of propionate in ruminal fluid than PFA alone (P < .10). The acetate:propionate ratio (3.53, 2.96, 3.10, and 2.89 for Diets 1 to 4, respectively) was lower (P < .05) for LFA + LTG or LTG alone than for PFA alone. Postruminal and total tract digestibilities of total FA (66.0, 76.0, 71.2, and 68.9% for Diets 1 to 4, respectively) were lower (P < .05) for PFA than for other diets. Addition of saturated FA in liquid form resulted in digestibilities and ruminal effects similar to the same saturated FA added in prilled form.     

Seizures during medetomindine sedation and local anaesthesia in two dogs undergoing skin biopsy

Each of two dogs presented for multiple skin biopsies were sedated with intravenous medetomidine and lignocaine was injected subcutaneously to provide local anaesthesia for skin biopsy. One dog had a seizure during skin biopsy and again immediately following reversal of medetomidine with atipamezole. The other dog developed seizures 2 h following skin biopsy at which time the medetomidine was reversed with atipamezole. Both dogs were neurologically normal with no history of seizures prior to the procedure and remained neurologically normal for 14 weeks and 9 months, respectively, following the procedure. A drug interaction between the α₂-adrenergic agonist medetomidine and lignocaine is suspected and highlights the potential for seizures following the subcutaneous administration of relatively large doses of lignocaine under medetomidine sedation.     

SYSTEMATIC TESTING OF QUALITY IN GRASS VARIETIES

The degree of precision obtained In the quality testing of grass varieties under two systems of management was examined (1) in a single cut, (2) under a system of proportionate bulking of produce from individual cuts during a season, and (3) after pooling two seasons' data from two centres.
Crude protein, crude fibre, soluble carbohydrate, and in vitro digestible dry matter were determined. The components of variance were analysed and in the data from single cuts varietal differences in digestibility of 2.10 were significant (P=0.05). Using data from two seasons at two centres, a high degree of precision was obtained for all attributes in a grazing management system and varietal differences in digestibility of 1.25% were significant.
Variation due to location and season was greater in hay cuts taken 10 days after ear emergence. In both systems varieties differed more in soluble carbohydrate content than in the other chemical components.     

Diagnosis and treatment of biaxial keratomas in the left fore foot of a 15‐year‐old Clydesdale mare

A 15‐year‐old Clydesdale mare presented for further diagnostics and treatment of waxing and waning lameness and recurrent subsolar abscesses. Radiographs and computed tomography revealed biaxial masses extending from the hoof capsule, causing bone resorption of the distal phalanx. Surgery was performed to remove the masses and post operative care included regional limb perfusions, systemic antibiotics and therapeutic shoeing. Histopathology was consistent with the diagnosis of keratoma for each of the masses; this is the first case of confirmed biaxial keratomas. Two months after surgery the horse is sound at the walk and is expected to return to full function within the next year.     

Morphology of alpaca (Vicugna pacos) embryos in the first third of pregnancy

The breeding of South American camelids is the main economic activity of the high Andean region of South America and it, is potentially, the most profitable resource in of the Puna environmental conditions of the Puna. The duration of the gestation in alpaca is 339.7 ± 12 days. The objective of the present work was to macroscopically and microscopically describe the ontogenic development of the splanchnic cavities of the alpaca and to determine the gestational time in which the post‐cranial ossification centers are observed in the embryos/fetuses of this species, from day 21 to 107 of gestation. The documentation of normal ontogenic development, which is vacant for this period, is of the utmost importance to understand the consequences of the alterations at the different gestational times, as well as for the estimation of the gestational age in the case of abortions. Forty‐seven alpaca specimens of both sexes, at different times of their gestational development, collected during slaughter at local slaughterhouses of the Department of Huancavelica, Peru, were evaluated. Specimens were assigned to seven groups according to their morphological characteristics. The embryogenesis in the alpaca was characterized by a series of changes comparable to those occurring in other mammals with similar gestational periods. Despite these similarities, species differences were found in some organs as stomach, which are observed too in adult individuals.