Capnographic documentation of nasoesophageal and nasogastric feeding tube placement in dogs

Objective: To evaluate the ability of capnography to document proper placement of nasoesophageal (NE) and nasogastric (NG) feeding tubes. This study was conducted in 3 phases. Phase I of this study was designed in order to test the efficacy of capnography to distinguish placement of a feeding tube in the alimentary tract versus the respiratory tract. Phase II was designed in order to document that carbon dioxide (CO₂) could be measured through a polyvinyl chloride (PVC) feeding tube. Phase III was performed in order to evaluate the technique of continuous monitoring during insertion of the feeding tube into the esophagus and stomach as would be performed during a clinical‐tube placement. Design: Prospective study. Setting: Research laboratory. Animals: 24 adult dogs. Interventions: In Phase I, sedated dogs were instrumented with an intratracheal catheter and an 8 French feeding tube placed nasally into the distal esophagus and later advanced into the stomach. In Phase II, dogs were anesthetized and an 8 French feeding tube was placed down the endotracheal tube, then into the esophagus and later advanced into the stomach. In Phase III, sedated dogs were instrumented with an 8 French feeding tube inserted intranasally and then advanced to the level of the nasopharynx, distal esophagus and, lastly, the stomach. Fluoroscopy was used in order to determine location of the feeding tube. Measurements and main results: Phase I measurements included respiratory rate and CO₂ from the trachea, esophagus, and stomach and pH of gastric fluid sample. Phase II measurements included respiratory rate and CO₂ from the endotracheal tube, feeding tube in the endotracheal tube, feeding tube in the distal esophagus, and feeding tube in the stomach. Phase III data collection included respiratory rate and CO₂ as the tube was passed through the nasal cavity, nasopharynx, esophagus and stomach. Phase I fluid samples were collected from 5 of the 9 dogs and had pH values from 1.68 to 4.20. In both phases, values for the respiratory rate and CO₂ from the esophagus and stomach were 0 ± 0, significantly lower (P < 0.001) than the values from the trachea. In Phase II, there was no significant difference between the respiratory rates (P = 0.886) and CO₂ (P = 0.705) readings obtained from the endotracheal tube compared to readings from the feeding tube in the endotracheal tube. In Phase III, there was a significant difference (P < 0.001) between the respiratory rates and CO₂ readings obtained from the nasal cavity and the nasopharynx when compared to those readings obtained from the esophagus and stomach. Measurement of CO₂ and respiratory rate resulted in a reading of 0 every time the feeding tube was in the esophagus or stomach. Conclusions: Capnography may be used in order to detect airway placement of NE and NG tubes.     

Temporary Bile Diversion in Cats with Experimental Extrahepatic Bile Duct Obstruction

The use of a cholecystostomy catheter for temporary bile diversion was investigated in four cats with experimentally induced extrahepatic bile duct obstruction. Eighteen days after ligation of the common bile duct, a 6.5 F accordion catheter was placed in the gallbladder with a 22 g Hawkins needle-guide system through a paracostal incision. Biochemical parameters and fasting serum bile acids were monitored for 16 days. There were significant decreases in mean total bilirubin, aspartate aminotransferase, and fasting serum bile acids within 72 hours of bile diversion, and in mean alanine aminotransferase within 96 hours. Attitude and appetite improved, and the catheter was tolerated well. Positive bile cultures developed in three cats. Histologic changes in the gallbladder included mucosal ulcerations, a mixed inflammatory cellular infiltration, and fibrosis of the submucosa.     

A study of liver function in rats with mirex-induced enlarged livers

The functional capacity of a mirex-induced, enlarged liver was studied in rats. The tests used were sulfobromophthalein clearance, hepatic cytochrome P-450 concentration, serum total protein concentration and electrophoretic pattern, serum total lipid concentration, serum glucose concentration, and the liver response to epinephrine. There was no indication of a loss of functional capacity in the enlarged liver. Sulfobromophthalein clearance and microsomal cytochrome P-450 concentration indicated an increase in total liver functional capacity. We conclude that mirex is not a direct hepatotoxin producing generalized parenchymal cell damage.     

Pocono mesic till barrens in retreat: topography,fire and forest contagion effects

The Pocono mesic till barrens (PMTB) are a unique assemblage of fire-maintained shrub communities that support numerous rare species. Historically these barrens covered a large area in the vicinity of Long Pond, Pennsylvania, USA. However, due largely to regional fire suppression instituted in the early 1960s, over 70% of the area covered by barrens succeeded to fire-intolerant forest that does not support the rare species. We investigated the influence of forest proximity on barrens succession across three geomorphic types during periods of high fire frequency and fire suppression, testing the hypothesis that forest processes such as seed rain, shading, and detrital enrichment of soils enhances barrens succession through a contagion effect. Evidence of a forest contagion effect should be shown by increased rates of barrens succession with increasing proximity to the nearest forest edge. In order to detect a forest contagion effect, barrens persistence and barrens succession were modeled in proximity zones of 0-50 m, 50-100 m, 100-200 m, and greater than 200 m from the nearest forest edge. We used existing GIS data layers for fire, geomorphology, and vegetation distribution in 1938, 1963, and 1992. The layers were modified and overlain using ArcView software to determine persistence and succession rates for each unique combination of layers in each proximity zone from 1938 to 1963 (pre-fire suppression) and 1963 to 1992 (post-fire suppression). ANCOVA results indicate that proximity to the nearest forest edge significantly affected barrens persistence rates in both time periods, but succession rates were significantly affected in 1938 to 1963 only. Twenty-eight percent of the 1938 barrens succeeded to forest by 1963; 56% of the 1963 barrens became forest by 1992. Results support previous findings that barrens persistence is enhanced by increased fire frequency, and that barrens persist longer where they overlie flat glacial till than on other geomorphology types.