J Vet Emerg Crit Care (San Antonio)
August 2024
Objective: To evaluate differences in point-of-care (POC) variables obtained from arterial and jugular venous blood in dogs undergoing manual basic life support (BLS) and report changes over time.
Design: Experimental study.
Setting: Small animal research facility.
Objective: To describe the methodology used by the Reassessment Campaign on Veterinary Resuscitation (RECOVER) to re-evaluate the scientific evidence relevant to CPR in small and large animals, to newborn resuscitation, and to first aid and to formulate the respective consensus-based clinical guidelines.
Design: This report describes the evidence-to-guidelines process employed by RECOVER that is based on the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach and includes Information Specialist-driven systematic literature search, evidence evaluation conducted by more than 200 veterinary professionals, and provision of clinical guidelines in the domains of Preparedness and Prevention, Basic Life Support, Advanced Life Support, Post-cardiac Arrest Care, Newborn Resuscitation, First Aid, and Large Animal CPR.
Setting: Transdisciplinary, international collaboration in academia, referral practice, and general practice.
J Vet Emerg Crit Care (San Antonio)
June 2024
Objective: After the 2012 Reassessment Campaign on Veterinary Resuscitation (RECOVER) CPR Guidelines, this is an update of evidence-based consensus guidelines for Basic Life Support (BLS), advanced life support (ALS), and periarrest monitoring.
Design: These RECOVER CPR Guidelines were generated using a modified version of the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for evidence evaluation and translation of this evidence into clear and actionable clinical instructions. Prioritized clinical questions in the Population, Intervention, Comparator, and Outcome (PICO) format were used as the basis to conduct systematic literature searches by information specialists, to extract information from relevant publications, to assess this evidence for quality, and finally to translate the findings into treatment recommendations.
Objective: To systematically review evidence and devise treatment recommendations for basic life support (BLS) in dogs and cats and to identify critical knowledge gaps.
Design: Standardized, systematic evaluation of literature pertinent to BLS following Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology. Prioritized questions were each reviewed by 2 Evidence Evaluators, and findings were reconciled by BLS Domain Chairs and Reassessment Campaign on Veterinary Resuscitation (RECOVER) Co-Chairs to arrive at treatment recommendations commensurate to quality of evidence, risk to benefit relationship, and clinical feasibility.
Infective endocarditis (IE) is a potentially fatal disease in dogs. Limited information exists regarding the characterization of bacterial isolates from dogs with IE. The objective of this study was to describe bacterial isolates associated with IE and their antimicrobial susceptibility patterns.
View Article and Find Full Text PDFBackground: Pyothorax, an accumulation of inflammatory fluid in the pleural space, is often caused by foreign body inhalation in dogs, whereas the etiology in cats can be more difficult to discern.
Objective: Compare clinical, microbiologic findings, and etiology in cats and dogs with pyothorax.
Animals: Twenty-nine cats and 60 dogs.
J Vet Emerg Crit Care (San Antonio)
May 2023
Objective: To characterize the clinical features of noncardiogenic pulmonary edema (NCPE), etiology, and outcome in dogs and cats. The study also aimed to evaluate associations with mortality.
Design: Retrospective study.
Background: Bacterial urinary tract infections have been associated with comorbidities and increased antimicrobial resistance over time.
Objective: To identify bacterial species, antimicrobial susceptibility patterns and risk factors associated with antimicrobial resistance.
Animals: Three hundred sixty-three positive urine cultures from 308 cats.
The rising prevalence of extended-spectrum β-lactamase (ESBL)-producing Enterobacterales is a significant threat to animal and human health. This study aims to describe the clinical features, antimicrobial susceptibility patterns, and genotypic features of infections associated with ESBL-producing Enterobacterales in dogs and cats seen at a tertiary referral veterinary teaching hospital. Enterobacterales isolated from dogs and cats that underwent ESBL testing during the study period were identified using a search of the hospital antimicrobial susceptibility test software database.
View Article and Find Full Text PDFObjective: To investigate the association of point-of-care biochemical variables obtained during CPR or within 24 hours of return of spontaneous circulation (ROSC) with patient outcomes.
Design: Retrospective study.
Setting: University teaching hospital.
J Vet Emerg Crit Care (San Antonio)
March 2023
Background: Multiple studies have evaluated the breed-specific prevalence of dog erythrocyte antigen (DEA) 1 in various geographic regions. However, few large-scale studies exist that describe breed prevalence of DEA 1 in the United States.
Key Findings: From January 2000 to October 2020, 6469 dogs had their RBC antigen type determined and were included in the study.
Objectives: The aims of this study were: to describe the potassium-lowering treatment strategies used to manage moderate-to-severe hyperkalemia in male cats with urethral obstruction (UO); to determine how much dextrose was required per unit of insulin to prevent hypoglycemia; to determine whether early initiation of a dextrose continuous rate infusion (CRI) prevented hypoglycemia; and to determine whether in-hospital mortality was associated with presenting plasma potassium concentration ([K]).
Methods: The medical records of male cats presenting with a [K] ⩾7.0 mEq/l due to UO that had another [K] measured within 6 h were reviewed retrospectively.
Unlabelled: Wildfires pose a major health risk for humans, wildlife, and domestic animals. We previously discovered pathophysiologic parallels between domestic cats with naturally occurring smoke inhalation and thermal burn injuries and human beings with similar injuries; these were characterized by transient myocardial thickening, cardiac troponin I elevation and formation of intracardiac thrombosis. While the underlying mechanisms remain unclear, results from murine models suggest that platelet priming and activation may contribute to a global hypercoagulable state and thrombosis.
View Article and Find Full Text PDFJ Vet Emerg Crit Care (San Antonio)
September 2022
Objective: To describe the clinical and clinicopathological characteristics, treatment, and outcome for dogs and cats with a confirmed foxtail.
Design: Retrospective study utilizing a medical records database over a 10-year period from January 1, 2009 to December 31, 2018.
Setting: University teaching hospital.
Background: Diuresis following relief of urethral obstruction is a potentially life-threatening complication of feline urethral obstruction. Evidence regarding the incidence of post-obstructive diuresis (POD) in cats is scarce. Establishing historical, physical examination, and initial clinicopathologic variables associated with risk for developing POD may better enable clinicians to direct treatment for this common feline emergency and to educate clients regarding financial expectations.
View Article and Find Full Text PDFBackground: Factors associated with outcome in dogs diagnosed with infective endocarditis (IE) are not well characterized.
Objectives: Evaluate outcome and prognostic factors in dogs with IE.
Animals: One hundred and thirteen dogs with IE.
Int J Environ Res Public Health
February 2022
Tularemia is a rare zoonotic disease found worldwide. The agent responsible for disease, , is one of the most highly infectious pathogens known, one that is capable of causing life-threatening illness with inhalation of <50 organisms. High infectivity explains concerns of its use in bioterrorism.
View Article and Find Full Text PDFCase Description: An approximately 2-year-old sexually intact male German Shorthair Pointer was presented for treatment of baclofen toxicosis.
Clinical Findings: The dog had signs of severe baclofen toxicosis (no gag reflex, intermittent vocalization, and stupor) and received intravenous lipid emulsion (142 mL/kg) as a constant rate infusion over 11 hours. Severe hypertriglyceridemia (29,221 mg/dL; reference interval, 19 to 133 mg/dL) developed, followed by cardiovascular depression (poor peripheral perfusion, hyperlactatemia, and hypertension), severe hypoglycemia (26 mg/dL), acute kidney injury (serum creatinine, 3.
J Vet Emerg Crit Care (San Antonio)
May 2022
Objectives: To determine the indications and outcomes of positive-pressure ventilation (PPV) and identify factors associated with successful weaning.
Design: Retrospective study from October 2009 to September 2013.
Setting: University teaching hospital.
J Vet Emerg Crit Care (San Antonio)
May 2022
Objectives: To determine the complications associated with positive-pressure ventilation (PPV) in dogs and cats.
Design: Retrospective study from October 2009 to September 2013.
Setting: University Teaching Hospital.
Objective: To determine the prognostic significance of plasma lactate concentration, plasma lactate clearance, and delta lactate in dogs and cats presented to an emergency room (ER).
Design: Retrospective study.
Setting: University teaching hospital.
J Vet Emerg Crit Care (San Antonio)
July 2021
Objective: To identify characteristics of arterial catheter use, including indwelling times and reasons for removal, and analyze potential risk factors for complications based on patient- and catheter-related variables.
Design: Prospective clinical study from July 2012 to September 2016.
Setting: University teaching hospital.
J Vet Emerg Crit Care (San Antonio)
July 2021
Objective: To describe the clinical course and novel biochemical findings in 3 dogs with amitraz toxicosis.
Case Series Summary: Three Labrador Retrievers developed acute onset obtundation to stupor after being in a rice field. On admittance to the hospital, they all displayed bradycardia, hyperglycemia, hyperlactatemia, respiratory acidosis, and metabolic alkalosis.
Case Summary: A 9-month-old intact female domestic mediumhair cat presented with a 5-month history of obtundation, lethargy, hypernatremia (181 mmol/l; reference interval [RI] 151-158 mmol/l), hyperchloremia (142 mmol/l; RI 117-126 mmol/l), azotemia (blood urea nitrogen 51 mg/dl; RI 18-33 mg/dl), creatinine 3.0 mg/dl (RI 1.1-2.
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