Arytenoid Lateralization for Treatment of Laryngeal Paralysis in 10 Cats

Objective— To describe the signalment, history, clinical signs, surgical technique, and outcome for cats with laryngeal paralysis that had arytenoid lateralization.
Study Design— Case series.
Animals— Cats with laryngeal paralysis (n=10).
Methods— Medical records (1996–2002) for cats with laryngeal paralysis that had arytenoid lateralization were reviewed for signalment, history, clinical signs, degree of paralysis, cause, concurrent medical conditions, surgical technique, and outcome. Follow-up information was obtained from owners or referring veterinarians.
Results— Of 10 cats, 9 had bilateral and 1 had unilateral laryngeal paralysis. Arytenoid lateralization were unilateral (n=7), bilateral (1), and staged bilateral procedures (2), 10 days and 3 years apart, respectively. Postoperatively, 1 cat had persistent inspiratory noise because of minimal enlargement of the rima glottidis and 2 cats required a temporary tracheostomy for management of laryngeal swelling. Three cats developed aspiration pneumonia and died 4, 7, and 150 days after surgery; all 3 had bilateral (simultaneous or staged) procedures. Of the 7 remaining cats, 4 were alive at follow-up and 3 had died of causes unrelated to arytenoid lateralization. The calculated mean survival time for all 10 cats was 406 days (median, 150 days; range, 4–1825 days).
Conclusions— Arytenoid lateralization was effective at enlarging the rima glottidis and reducing signs of airway obstruction in most cats.
Clinical Relevance— Unilateral arytenoid lateralization is a feasible option for the surgical management of cats with marked clinical signs; however, bilateral procedures should be avoided or at least performed with considerable caution because of the apparent risk for aspiration pneumonia.     

M-MODE AND DOPPLER ECHOCARDIOGRAPHIC FINDINGS IN NORMAL FERRETS SEDATED WITH KETAMINE HYDROCHLORIDE AND MIDAZOLAM

M-mode and Doppler echocardiographic values were obtained from 30 normal adult ferrets (14 neutered females, 13 neutered males, 3 intact males) sedated with an intramuscular combination of ketamine hydrochloride and midazolam. Routine M-mode measurements of the left and right ventricle, left atrium (LA) and aorta (AO) and Doppler measurements of aortic and pulmonic outflow, and mitral inflow were recorded. The following values were calculated: LA:AO diameter, ratio of peak E: peak A wave velocity (E:A ratio) for mitral inflow, and stroke volume (SV), cardiac output (CO) and cardiac index (CI) for both pulmonary and aortic outflow tracts. Maximal aortic velocities (AOmax) and velocity-time integral values (AO VTI) were significantly less than corresponding pulmonary outflow tract values (PAmax, PA VTI) but there was no difference in calculated values for SV, CO or CI. Calculated CO values were in the range expected based on the size of the species. Difficulties in aligning the aortic outflow tract for Doppler imaging may make pulmonary outflow Doppler values more consistent for use in estimating volume flow in ferrets.     

The Effect of Sedation on Gastric Emptying of a Liquid Marker in Ponies

OBJECTIVE: The effect of sedation on gastric emptying was evaluated in six ponies by monitoring serum concentrations of acetaminophen (AP) after intragastric administration. EXPERIMENTAL DESIGN: Prospective randomized experimental study. ANIMALS: Six adult ponies, 135 to 275 kg. METHODS: Fifteen minutes after the intravenous administration of xylazine (1 mg/kg), butorphanol (0.05 mg/kg), acepromazine (0.05 mg/kg) or saline, ponies were given AP (20 mg/kg in 350 mL water) by stomach tube. Blood for AP analysis was collected at baseline and 15, 30, 45, 75, 90, 105, and 120 minutes after AP administration. The time (Tmax) to reach peak serum concentration (Cmax), and the area under the AP serum concentration versus time curve (AUC) were determined for each treatment group. RESULTS: Tmax was 31 mins in the control group, and this increased significantly (P<.05) after sedation. Cmax decreased (P<.05) after xylazine administration, and AUC decreased (P<.05) after acepromazine. CONCLUSIONS: This study indicated that sedation has a significant effect on the gastric emptying rate of a liquid in ponies.     

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.     

Kirschner-Ehmer Apparatus Immobilization Following Achilles Tendon Repair in Six Dogs

Postoperative immobilization is an essential part of the management of Achilles tendon injuries. Results are reported in six dogs managed with the Kirschner-Ehmer apparatus for immobilization of the tarsus as an alternative to the use of casts or splints. In all six dogs, good to excellent function was restored to the limbs after removal of the Kirschner-Ehmer apparatus. There were no immobilization or tenorraphy failures.     

Cervical Intervertebral Disk Protrusion in a Horse

A Hansen type ll intervertebral disk protrusion was diagnosed in an 18-year-old horse with signs of progressive ataxia and paresis. A soft tissue mass dorsal to the C6-C7 intervertebral disk space was identified at myelogram and found to be an intervertebral disk protrusion with enlarged dorsal annulus fibrosis at surgery. Surgical decompression was achieved using a ventral approach to the caudal cervical vertebrae, an approach limited in its application by the vertebral venous sinuses. Neurological signs remained unchanged for 3 days and then deteriorated. The horse was euthanized.     

Clinical Results Following Nonoperative Management for Rupture of the Cranial Cruciate Ligament in Dogs

Eighty-five dogs were diagnosed as having rupture of the cranial cruciate ligament. They were managed by restriction of activity to leash walks for 3 to 6 weeks, weight loss if indicated, and analgesic medication as needed. Twenty-four of 28 dogs that had a body weight of 15 kg or less (85.7%) were considered to be clinically normal (no lameness and normal range of motion in stifle, 21 dogs) or improved (3 dogs) after an average follow-up period of 36.6 months. Lameness in the remaining four dogs persisted or worsened over an average period of 8.2 months (minimum 6 months), and surgical replacement of the cruciate ligament was performed. Eleven of 57 dogs that had a body weight of 15 kg or greater (19.3%) were classified as normal (4 dogs) or improved (7 dogs) after an average follow-up period of 49.1 months. Lameness in the remaining 46 dogs persisted or worsened over an average period of 10.2 months (minimum 6 months), and surgical replacement of the cruciate ligament was performed.     

MAGNETIC RESONANCE IMAGING OF THE NORMAL EYE AND ORBIT OF THE DOG AND CAT

Magnetic resonance (MR) images of the normal eye and orbit of the dog and cat were acquired. T1-weighted, proton-density, and T2-weighed images were obtained in the oblique dorsal, straight sagittal, and oblique sagittal planes. Signal intensity for the various orbital structures differed among the three resonance techniques. T1-weighted images provided the greatest contrast of the retrobulbar structures. T-1 weighted images also had the highest signal to noise ratio, thereby providing the best anatomic detail. Anatomic components of the globe, retrobulbar structures and ocular adnexa were easily seen in all MR sections. The oblique dorsal and oblique sagittal planes were superior for evaluating the optic nerve in its entirety.