Hypothermic Storage of Feline Kidneys for Transplantation: Successful Ex Vivo Storage Up to 7 Hours

Objective—To describe the effect of hypothermic storage on transplanted feline kidneys.
Study Design—Kidneys were stored in University of Wisconsin (UW) sodium gluconate (n = 3) or phosphate-buffered sucrose (n = 5) solutions before transplantation.
Animal Population—Eight cats with renal failure and seven normal cats as kidney donors.
Methods—Kidneys were perfused through the renal artery with cold (10°C) storage solution and immersed in the solution on ice until transplantation.
Results—Mean ex vivo storage time was 4.8 ± 0.36 hours (range, 3.5 to 7 hours). Seven recipient cats survived surgery. Five of the cats had decreased serum creatinine concentrations from a mean of 8.2 mg/dL (range, 4.0 to 15.8 mg/dL) preoperatively to 1.7 mg/dL (range, 1.3 to 2.2 mg/dL) within 4 days of surgery. In one cat, serum creatinine concentration dropped from 15.1 to 3.7 mg/dL in 3 days, but the cat developed a ureteral stricture that required revision. One graft did not function, and the cat died on day 19. The mean postoperative survival time of cats that were discharged from the hospital (n = 6) was 254 days (range, 49 to 717 days) at the time of this report. Long-term renal function (>60 days postoperatively; n = 5) was excellent with mean serum creatinine concentrations of 1.6 ± 0.15 mg/dL.
Conclusions—Hypothermic storage is feasible for short-term preservation of feline kidneys.
The maximal length of feasible storage remains unknown.
Clinical Relevance—Hypothermia protects against ischemia-induced nephron loss during ex vivo manipulation of the allograft and allows longer safe vascular anastomosis times. Short-term hypothermic storage also provides time to accommodate modifications in scheduling or anesthetic management of the recipient operation.     

Development Of A Scoring System For The Veterinary Trauma Patient

An animal trauma triage (ATT) scoring system was devised to provide stratification of veterinary trauma patient populations based upon severity of injury. A retrospective population of 101 trauma patients and a prospective population of 88 patients were used to evaluate the predictive power of the ATT scoring system for survival seven days after initial presentation of the emergency service. In Both groups, the mean ATT score for survivors was significantly lower than the mean ATT score for non-survivors. In a logistic regression mode, the ATT score was found to be a significant predictor of the likelihood of survival seven days after initial presentation for both populartions. Each point increase in the ATT score resulted in a 2.3–2.6 times decreased likelihood of survival. The ATT scoring system is a useful objective classification scheme for predicting the likelihood to survive a traumatic incident and can serve as prototype for severity of injuroy scoring systems for the veterinary trauma patient.     

Ear temperatures in the horse during recovery from anesthesia

Ear temperatures were measured during and after halothane anesthesia in 16 horses and ponies. Aural hypothermia developed during recovery and persisted for more than one hour following standing. The decreased ear temperature was attributed to decreased peripheral perfusion and was considered to be related to other cardio-pulmonary and neuro-endocrine derangements that occur during recovery.     

Variations in muscle fiber composition between successfully and unsuccessfully raced quarter horses

Muscle biopsy samples were removed from the m gluteus medius of 47 retired running Quarter Horse (QH) mares. Horses were separated based on bloodline, past racing history and percentage Thoroughbred (TB). The bred to run and raced (BRRA) and bred to run and not raced (BRNR) groups possessed a lower percentage (P<.01) of fast-twitch low oxidative (FT) fibers (BRRA 38.6 and BRNR 36.2±2.54 respectively). These horses also possessed a higher percentage (P<.01) of fast-twitch high oxidative (FTH) fibers (BRRA 52.5 and BRNR 48.5±2.54, respectively) than not bred to run and not raced (NBNR) horses. Horses that were bred to run had higher (P<.05) FTH to FT fiber ratios (1.44) than horses that were not bred to run (.94). Successful racehorses possessed a lower percentage (P<.05) of slow-twitch (ST) fibers and a higher percentage (P<.05) of FT fibers than unsuccessful racehorses. Success or failure was determined by Speed Index. No differences (P>.05) were found in the percentage FTH fibers between successful and unsuccessful horses.     

Cardiovascular effects of intermittent or continuous treadmill conditioning in horses

Nine mature Quarter Horse mares were trained for ten weeks by continuous (n=4) or intermittent (n=5) treadmill work. Both groups of horses trotted at 3.3m/sec. The continuous work was performed at a 3% incline while the intermittent work was done at a 9% incline. Heart rate, cardiac output and blood lactate concentration were measured during a standard exercise test that included work on both treadmill grades before and after five and ten weeks of training. The two conditioning programs did not produce differences in the measured parameters of the two groups of horses. However, there was an overall conditioning effect observed in both groups of horses throughout the ten weeks of treadmill conditioning. Heart rate decreased (P<.05) during exercise on both treadmill grades after ten weeks of training. Lactate concentration decreased (P<.05) during the 9 percent grade trot after five weeks of training. Only slight further decreases occurred between week five and week ten of conditioning. Cardiac output increased (P<.05) between rest and exercise on both grades but there was no conditioning effect.     

Role of the tendons of the biceps brachii and infraspinatus muscles and the medial glenohumeral ligament in the maintenance of passive shoulder joint stability in dogs

OBJECTIVE: To objectively evaluate the effect of transecting the tendon of the biceps brachii muscle (BBT), tendon of the infraspinatus muscle (IFS), or medial glenohumeral ligament (MGHL) on shoulder joint stability in canine cadavers. SAMPLE POPULATION: 81 forelimbs from mature dogs. PROCEDURE: Cadaver forelimbs were placed in a testing frame and axially preloaded with 4 kg of weight. Shoulder joint stability was tested in neutral joint position, flexion, and extension before and after transection of the BBT (n = 37), IFS (37), or MGHL (7). Humeral translation relative to the glenoid was induced by applying a 3-kg load in each of 3 directions (cranial, lateral, and medial) and quantitatively measured by use of an electromagnetic motion tracking system. Peak translational data were compared in each joint position before and after transection of the BBT, IFS, or MGHL. RESULTS: When tested in neutral position, the cranial, lateral, and medial translation of the humerus was significantly increased after BBT transection. In the flexed position, translation of the humerus in the cranial and lateral directions was significantly increased after BBT transection. In the extended position, the medial translation of the humerus was significantly increased after BBT transection. Complete medial luxation of all humeral heads occurred following transection of the MGHL. CONCLUSIONS AND CLINICAL RELEVANCE: The BBT contributes to passive shoulder joint stability in dogs, particularly in the neutral and flexed positions. It also provides medial stability during shoulder joint extension. Complete luxation of the joint occurs when the MGHL is transected.     

Cardiovascular Function and Serum Catecholamine Concentrations after Anesthesia and Surgery in the Dog

Peripheral vasoconstriction and plasma catecholamine concentrations were studied in 37 dogs after cervical disc fenestration and salivary gland excision, laparotomy for intestinal anastomoses and cystotomy, or laparotomy for repair of diaphragmatic rupture, gastrotomy, and pyloromyotomy. Meperidine (4.4 mg/kg) was administered before extubation of 12 dogs undergoing laparotomy. Heart rate, respiratory frequency, indirect blood pressure, rectal temperature, toe web temperature, and plasma concentrations of epinephrine and norepinephrine were determined before induction of anesthesia, after intubation, after extubation, at sternal recumbency, and at standing. All dogs were hypothermic during surgery. After surgery, peripheral hypothermia (large rectal-toe web temperature gradients) increased from a mean of 4.6 degrees C after intubation to a mean of 10.4 degrees C when the dogs initially stood. Heart and respiratory rates and blood pressures during recovery were similar to those before anesthesia. Mean plasma catecholamine concentrations were neither significantly higher during recovery than before surgery nor were they increased in any surgical group, including the dogs not treated with meperidine. After anesthesia, 15% of the epinephrine and 12% of the norepinephrine samples were more than two standard deviations above the mean of the preanesthetic concentrations of all dogs. The ratio of all dogs with an epinephrine concentration more than two standard deviations above the mean of baseline epinephrine concentrations was greater at sternal recumbency than before anesthesia and the ratio of dogs with an increased epinephrine concentration at sternal recumbency was greater in the laparotomy dogs (9 of 24) than in the cervical surgery dogs (0 of 12).(ABSTRACT TRUNCATED AT 250 WORDS)