Publications by authors named "Robert N White"

Objectives: The aim of this study was to evaluate two unilateral laryngoplasty (arytenoid lateralisation) techniques for use in the surgical management of laryngeal paralysis in cats.

Methods: Left cricoarytenoid abduction (lateralisation) was performed in 20 ex vivo cat larynges; 10 following complete cricoarytenoid disarticulation (group LAA-dis) and 10 following no cricoarytenoid disarticulation (group LAA-nodis). For both groups, left arytenoid abduction (LAA) was measured in the resting and postoperative larynges using image analysis software.

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The development of postattenuation neurologic signs (PANS) is a poorly understood and potentially devastating complication after surgical attenuation of congenital portosystemic shunts in dogs. Postattenuation neurologic signs include seizures but also more subtle neurologic signs such as depression, behavioral changes, tremors, and twitching. They most commonly occur within 7 days postoperatively and are typically unrelated to hyperammonemia, hypoglycemia, or electrolyte disturbances.

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Article Synopsis
  • The study aimed to find factors affecting short-term survival in dogs that had seizures within a week after surgery for congenital extrahepatic portosystemic shunts (cEHPSS).* -
  • Data from 93 dogs across 14 veterinary institutions were analyzed, revealing that 32.3% survived to 30 days post-surgery, with previous seizure history and focal seizures being linked to better survival rates.* -
  • The findings can help veterinary professionals better advise dog owners on treatment options and expectations for dogs experiencing post-surgery seizures.*
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Article Synopsis
  • The study aimed to assess the occurrence of postattenuation seizures (PAS) in dogs after a specific type of surgery and examined whether giving levetiracetam (LEV) beforehand affected this incidence.
  • A total of 940 dogs were analyzed, and results showed that 8% developed PAS, with no significant difference in seizure rates among dogs that received different protocols of LEV treatment.
  • The findings suggest that prophylactic LEV treatment does not lower the risk of PAS, highlighting the need for close monitoring of dogs for seizures during the week following surgery.
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A 3 mo old male German shepherd dog presented with a 2 wk history of diarrhea with possible melena followed by inappetence and progressive abdominal distension. Clinical findings, serum biochemical analysis, and abdominal ultrasound were highly suggestive of an extrahepatic abdominal arteriovenous fistula and concurrent patent ductus venosus, which were confirmed during an abdominal exploratory surgery. Renal biopsies taken at the time of surgery confirmed a chronic glomerulopathy.

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A 3-year-old, intact female golden retriever was presented with a sudden onset of inspiratory obstructive dyspnea following general anesthesia to perform a mastectomy. The cuneiform process of the left arytenoid cartilage was found to be extremely mobile on laryngeal examination. Fracture of the cuneiform process of the left arytenoid cartilage was diagnosed.

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A retrospective study of the use of intraoperative mesenteric portovenography (IOMP) in the surgical management of congenital portosystemic shunts in 100 dogs and cats was performed. Each portovenogram was scored using a subjective visual analogue scale (VAS) and was assessed for the presence of portal atresia or hypoplasia. VAS scores and portal hypoplasia assessments were obtained for portovenogram images obtained for each animal both before shunt manipulation (preligation) and following the temporary, complete ligation of the vessel (postligation).

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A visual analog scale and a numeric scoring scale were designed for the assessment of dynamic intraoperative mesenteric portovenography in the dog and cat. Two independent observers evaluated both scoring scales for reproducibility (differences between observers) and repeatability (within-observer differences) in the assessment of 60 trial portovenograms. Agreement (interchangeability) of both scales was evaluated by comparing the scores obtained in the assessment of 200 portovenograms obtained from 100 dogs and cats.

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