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Thermodilution (TD) is the standard method for cardiac output (CO) monitoring in human medicine. Although called the ‘gold standard’, TD is related to numerous complications and data misinterpretations. Recently, a noninvasive, continuous, ultrasound‐based technique for CO measurement has been developed (Hemosonic 100, Arrow Intl). This study compared transesophageal Doppler ultrasonography (TED) for measuring CO with TD in anesthetized dogs. In this study, ten dogs were used to simultaneously measure CO by TED and TD. All dogs were pre‐medicated with acepromazine at 0.1 mg kg?1 IM, induced with thiopental at 10 mg kg?1 IV, and maintained on isoflurane at end‐tidal concentrations of 1.3%. Baseline and four different levels of CO were used for comparison. Low CO levels were induced by caudal vena cava occlusion. High CO levels were induced by the constant IV infusion of dopamine, dobutamine, or norepinephrine. Each level of CO allowed one comparison between TED and TD. Forty‐nine paired comparisons of CO were determined ranging from 0.73 to 10.9 L minute?1. Simple linear regression was used to determine the correlation between the two techniques. Correlation coefficient (r2) was 0.53. Bland and Altman statistical method was used for assessing agreement between the two methods. The difference between the TD and TED when all data were included was 0.82 (bias) ± 1.63 L minute?1 (mean ± SD). At low CO levels (baseline and caudal vena cava occlusion), the correlation coefficient was 0.77, bias was 0.35 ± 0.64 L minute?1. At high CO levels (dopamine, dobutamine, or norepinephrine), the correlation coefficient was 0.39. It was concluded that TED was not a reliable monitoring method in determining CO when positive inotropes were used. TED might have importance in situations of low CO values; however, further investigation is warranted. 相似文献
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AA Stewart LR Goodrich CR Byron RB Evans MC Stewart 《Australian veterinary journal》2010,88(4):115-123
Objective To present the technique for intra-articular catheter placement and report the clinical outcomes of 38 cases of equine synovial trauma and/or infection treated with broad-spectrum antimicrobials administered via an intrasynovial catheter (ISC). Design Retrospective study. Procedure Medical records of 38 horses treated for synovial trauma and sepsis with frequent antimicrobial administration through an ISC from 1995 to 2008 were reviewed. Follow-up information was obtained via clinical re-evaluation or telephone contact with the owners. Results The majority of horses (84%) received amikacin and Timentin® four times daily. In addition, synovial lavage through the ISC was carried out in 27 horses (71%). Only radiological evidence of osteolysis had a significant negative impact on both lameness at the time of hospital discharge and the long-term outcome. In total, 92% of horses treated with frequent antimicrobial administration through an ISC had clinical resolution of infection. Catheter obstruction occurred in three cases, necessitating replacement or removal, and two synovial fistulae developed at sites of open drainage. The majority of horses treated had a favourable outcome, with 86% being at least pasture sound and 43% returned to riding. Conclusion Septic synovial structures treated with frequent antimicrobial administration through an ISC had a good prognosis for survival and 43% returned to riding, which is consistent with the results of other studies. The use of a simple ISC should be considered when broad-spectrum intrasynovial antimicrobial administration and lavage of a septic synovial structure are indicated. 相似文献
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Post-mortem examinations were conducted on 950 dead and terminally ill sheep during assembly for export and during transport by sea from Fremantle, Western Australia to various Middle East ports. Causes of death were grouped into 5 major categories; inanition (deaths associated with reduced feed intake, including hypocalcaemia and hypomagnesaemia), salmonellosis (enteric and septicaemic), trauma, diseases associated with excessive feed intake (lactic acidosis and enterotoxaemia) and miscellaneous diseases (mostly of farm origin). During assembly the causes of death were salmonellosis 53.4%, miscellaneous diseases 23.8%, trauma 12.6%, inanition 10.2%, acidosis 3.9%, enterotoxaemia 3.4% and no diagnosis was made in 3.4%. During shipping the causes of death in defined populations of sheep in 5 voyages were; inanition 43.4%, salmonellosis 20.2%, trauma 10.6%, miscellaneous diseases 5.9%, enterotoxaemia 1.0% and no diagnosis was made in 19.0%. The range of mortality rates per 10,000 sheep at risk for the first 11 days at sea in 5 voyages were inanition 52.6 to 76.7, salmonellosis 7.8 to 109.8, trauma 2.1 to 17.1, miscellaneous diseases 5.9 to 17.1 and enterotoxaemia nil to 10.3. 相似文献
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In 2012 when many sheep flocks in northern‐central Tasmania were experiencing a high prevalence of ovine Johne's disease, 34 wild adult fallow deer shot on or near infected properties were negative to microscopic Mptb lesions of the ileo‐caecal valve, terminal ileum and ileo‐caecal lymph nodes. This study demonstrated 95% confidence of detecting Johne's disease in this fallow deer population if ≥10% of animals were shedding Mycobacterium avium subsp. paratuberculosis in their faeces, or if ≥21% of animals were sub‐clinically infected. 相似文献
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P. Moran D. J. Teel E. S. LaHood J. Drake S. Kalinowski 《Ecology of Freshwater Fish》2006,15(4):597-605
Abstract – For at least 15 years, multiple Pacific Rim Laboratories have cooperated to standardise the collection of Pacific salmon genetic data. For species such as Chinook salmon and chum salmon, allozyme electrophoretic data sets now include hundreds of populations sampled over multiple years throughout the north Pacific. More recently, microsatellite DNA markers have emerged as a new cornerstone of Pacific salmon genetic research. The allozyme experience provides at least two important lessons regarding shared, standardised databases. First, interlaboratory standardisation is sufficiently costly and time consuming that little progress is typically made in the absence of specific fishery management and conservation needs; thus immediate needs will direct future standardisation. Secondly, justified or not, there are significant concerns regarding intellectual propriety and other perceived privileges associated with unpublished genetic data that are shared among laboratories. This article describes challenges to genetic standardisation relative to new research goals, along with specific suggestions for meeting those challenges. 相似文献
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