bluuebunny/crossref_metadata_2025_split huggingface dataset:
Magnesium in the 1990's: Implications for Veterinary Critical Care
Authors: Martin Linda G. , Wingfield Wayne E. , Van Pelt Deborah R. , Hackett Timothy B. 
Published: July 2007

SummaryMagnesium is the second most abundant intracelular cation, exceeded only by potassium. The majority of magnesium is found in bone and muscle. This cation is required for many metabolic functions, most notably as a coenzyme for the sodium‐potassium ATPase pump. Magnesium functions to maintain the electrolyte gradient across all membranes. Interference with this gradient may result in changes in the resting membrane potential and disturbances in repolarization, resulting in cardiovascular and neuromuscular abnormalities.Hypomagnesemia may be the most underdiagnosed electrolyte disorder. Incidence rates greater than 50 percent have been reported in critically ill human patients. Currently there is little or no information available regarding the incidence and significance of hypomagnesemia in hospitalized animals. Causes of magnesium deficiency can be divided into four general categories: gastrointestinal, renal, endocrine and miscellaneous. The diagnosis of magnesium depletion can be difficult since less than one percent of total body magnesium is located in serum. Alternative methods of evaluating magnesium status include determining ultrafilterable magnesium levels, mononuclear blood cell magnesium levels or by quantifying magnesium retention of an administered loading dose.
Abnormalities of Serum Magnesium in Critically III Dogs: Incidence and Implications
Authors: Martin Linda G. , Matteson Vicki L. , Wingfield Wayne E. , Van Pelt Deborah R. , Hackett Timothy B. 
Published: July 2007

SummarySerum magnesium (Mg) is an infrequnetly measured electrolyte in small animal patients. Currently, little is known about the prevalence and significance of abnormalities in serum Mg in animals. Therefore, a prospective study was performed to examine the incidence and clinical implications of abnormalities in serum Mg levels in critically ill dogs.Serum Mg and other electrolytes were measured in 93 normal dogs housed at the Purina Pet Care Center and in 48 ill dogs admitted to a small animal critical care unit. The normal reference range for canine serum Mg was determined to be 1.89 – 2.51 mg/dl. Based on this range, 54% of the critically ill dogs were hypomagnesemic (< 1.89 mg/dl) and 13% were hypermagnesemic (> 2.51 mg/dl). Of the electrolytes measured in these patients, serum Mg had the highest prevalence of abnormal values. Hypomagnesemic patients had a significantly higher incidence of concurrent hypokalemia and hyponatremia (p < 0.05), as well as a longer length of hospitalization (p < 0.05) than their normomagnesemic counterparts. Hypermagnesemic patients were 2.6 times more likely not to survive their illness when compared to patients with normal serum Mg levels.Abnormalities in serum Mg appear to be common in critically ill dogs. These patients commonly have other concurrent electrolyte abnormalities. Since serum Mg is not routinely measured, the presence of hypokalemia or hyponatremia should alert the clinician to the possibility of coexisting hypomagnesemia. The clinical implications of hypomagnesemia and hypermagnesemia in ill dogs appear to involve prolonged hospitalization and increased mortality, respectively: however, the exact etiology remains undetermined.
PRACTICALITY, USEFULNESS, AND LIMITS OF END‐TIDAL CARBON DIOXIDE MONITORING IN CRITICAL SMALL ANIMAL PATIENTS
Authors: Hendricks Joan C. , King Lesley G. 
Published: July 2007

SummaryEnd‐tidal monitors for measuring carbon dioxide (CO2) have become widely available for clinical use in the last two decades. This non‐invasive technology has been previously evaluated in anesthetized veterinary patients, but its accuracy has not been assessed in critical patients. We investigated the usefulness and limits of end‐tidal CO2monitoring in two populations of critical small animal patients: spontaneously breathing dogs and mechanically ventilated patients with healthy and damaged lungs. In analyzing samples from 43 spontaneously breathing dogs and 34 ventilated patients (28 dogs and six cats), the end‐tidal CO2was generally lower than pCO2. The predictive value for hypoventilation was excellent in both populations (100%). The linear correlation of the end‐tidal CO2and arterial pCO2in non‐panting dogs with healthy lungs was 0.84 (p<0.0001), and the 95% confidence interval (CI) of the difference was ± 3.2 mm Hg. However, the measures were uncorrelated in panting dogs (r=0.37, p=0.27), and the 95% CI was ± 13.37 mm Hg. Furthermore, where multiple samples could be obtained in individual patients, the r values and differences of end‐tidal compared to arterial pCO2varied unpredictably. These variations did not appear to be predicted by patient factors such as lung disease. We conclude that the end‐tidal CO2monitor is clinically useful for detecting hypoventilation and monitoring apnea, but it should be supplemented with arterial pCO2determinations if it is important to obtain accurate pCO2measures.
Development Of A Scoring System For The Veterinary Trauma Patient
Authors: Rockar Richard A. , Drobatz Kenneth S. , Shofer Frances S. 
Published: July 2007

SummaryAn animal trauma triage (ATT) scoring system was devised to provide stratification of veterinary trauma patient populations based upon severity of injury. A retrospective population of 101 trauma patients and a prospective population of 88 patients were used to evaluate the predictive power of the ATT scoring system for survival seven days after initial presentation of the emergency service. In Both groups, the mean ATT score for survivors was significantly lower than the mean ATT score for non‐survivors. In a logistic regression mode, the ATT score was found to be a significant predictor of the likelihood of survival seven days after initial presentation for both populartions. Each point increase in the ATT score resulted in a 2.3–2.6 times decreased likelihood of survival. The ATT scoring system is a useful objective classification scheme for predicting the likelihood to survive a traumatic incident and can serve as prototype for severity of injuroy scoring systems for the veterinary trauma patient.
Approach To Complications Of Anti‐Cancer Therapy In Emergency Practice
Authors: Wohl James S. , Cotter Susan M. 
Published: July 2007

SummaryGreater awareness of the benefit of medical management of neoplasia has resulted in greater client demand for therapy and increased use of chemotherapy by practitioners. Complications of anticancer therapy, therefore, can be expected to an increasing complaint of clients contacting emergency and critical Care facilities. The efficacy of chemotherapy consists of a does dependent cytotoxic effect on rapidly dividing neoplastic cells. As these drugs charcteristically have a narrow therapeutic to toxic ratio, damage to normal host tissues is the major risk with aggressive protocolos. The most common adverse effects are myelosuppression with fever and spesis secondary to neutropenia and gastrointestinal toxicity with vomiting or diarrhea. With awareness of the toxicity of specific anticancer durgs, the practicing emergency clinician can rationally intervene to overcome what is often short term, but life‐threatening crisis.
Evaluation of Transmittance and Reflectance Pulse Oximetry in a Canine Model of Hypotension and Desaturation
Authors: Barton Linda J. , Devey Jennifer J. , Gorski Steven , Mainiero Louis , DeBehnke Daniel 
Published: July 2007

SummaryTen, anesthetized dogs were instrumented with three pulse oximeter probes; two lingual transmittance probes and one rectal reflective probe. Arterial oxygen desaturation was produced by decreasing the inspired oxygen concentration. Hypotension was produced with an infusion of nitroprusside. Simultaneous pulse oximeter readings (SpO2) were compared to co‐oximeter measured arterial saturation (SaO2) collected over a range of SaO2(50–100%) and mean arterial pressures (40–100mmHg). Each of the monitors and means of evaluating SpO2studied provided accurate SpO2measurements over a range of mean arterial pressure from 40–100mmHg. All of the monitors tested tended to overestimate the SaO2when the arterial saturation was less than 70%.
A Prospective Study Of Intravenous Catheter Contamination
Authors: Mathews Karol A. , Brooks Melanie J. , Valliant Anne E. 
Published: July 2007

SummaryA one year prospective study was conducted to determine the association between intravenous catheter contamination and increased dwell time, and to identify any related risk factors. Intravenous catheters obtained from 23 cats and 98 dogs in the Intensive Care Unit at the Ontario Veterinary College with dwell times > 72 hours for the test group (n=58) and < 72 hours for a corresponding control group (n=63) were cultured between April 1991 and March 1992. One hundred and twenty one catheters were cultured, 16 jugular, 99 cephalic, and 6 saphenous. The overall contamination rate was 13 out of 121 catheters cultured (10.7%); 9/63 (14.3%) control and 4/58 (6.9%) test catheters. The bacteria isolated were E.aerogenes, S.aureus (3), P.aeruginosa, P.multocida, and Bacillus sp (7). The Bacillus sp positive catheters (5 control and 2 test) were placed during a five day period, and contaminated gauze squares were identified as the source of infection in these catheters. After these were removed from the study, the group infection rate was 6.9% control and 3.6% test. There was no significant difference between groups and no associated risk factors were identified. We conclude that intravenous dwell time need not be restricted to <72 hours.
Acetaminophen Toxicosis In 17 Cats
Authors: Aronson Lillian R. , Drobatz Kenneth 
Published: July 2007

SummarySeventeen cases of acetamninophen intoxication in cats were identified over a 12‐year period. Information obtained from the medical records included the signalment, amount acetaminophen ingested, time from ingestion until treatment was initiated, clinical signs, physical examination, clinical pathology, treatment and outcome. The most common cause intoxication was owner administration. In cats that died or were euthanized the dose administered ranged from 10mg/kg to 17Omg/kg, while in cats that survived the dosage ranged from 10mg/kg to 400mg/kg. The most common clinical signs were depression, increased respiratory rate, respiratory distress, pale/muddy mucous membranes, and hypothermia. Twelve cats survived. Ten of these cats had treatment initiated within 14 hours after ingestion. One cat that survived had treatment initiated 24 hours after ingestion, and a second cat that survived had treatment initiated 48 hours after ingestion. Time between ingestion and initiation treatment may be as important if not more important than the actual dosage acetaminophen administered.
Energy Expenditure in 104 Postoperative and Traumatically Injured Dogs with Indirect Calorimetry
Authors: Walton Ronald S. , Wingfield Wayne E. , Ogilvie Gregory K. , Fettman Martin J. , Matteson Vicki L. 
Published: July 2007

SummaryApparent restihg energy expenditure (AREE) and respiratory quotient (RQ) were determined by open flow indirect calorimetry in a group of 104 apparently resting, critically ill, postoperative and severely traumatized dogs. The evaluations were conducted in a calm, temperature‐controlled environment after at least a 12‐hour fast. Subjects were allowed to acclimilate to the monitoring equipment prior to beginning the study. The clinical patients were compared to a group of 20 clinically normal, apparently resting, client owned dogs (NC). The data was also compared to published normals (NP) for energy expenditure of apparently resting dogs. Measurements were indexed to actual body weight in kilograms (BW) as well as to metabolic body size(BW0.75). Measurements of VO2(VO2/kg and VO2/kg0.75) and VCO2(VCO2/kg and VCO2/kg0.75) were used to calculate the RQ and the AREE. Critically ill, postperative and severely lower RQ values AREE/kg or AREE/kg0.75(p=0.39). The PO&T dogs did exhibit significantly lower RQ values (p<0.0001) than either the (NC) or (NP) groups. Measured AREE of the PO&T dogs was significantly less than a calcualted value using the illness/injury/infection energy requirement (IER), (p<0.0001). Energy expenditure in typical trauma and postoperative patients may commonly be overstimated by the IER method. Conclusion: The AREE of critically ill, postoperative and severly trumatized dogs was not higher than healthy dogs as has been previously suggested in the literature.
Clinical Experience With Jejunostomy Feeding Tubes In 47 Small Animal Patients
Authors: Crowe Dennis T. , Devey Jennifer J. 
Published: July 2007

SummaryThe medical records of 39 dogs and 8 cats which had jejunostomy feeding tubes placed using modifications of a previously described surgical technique were retrospectively reviewed. Modifications included the addition of a suture to anchor the feeding tube to the jejunum, the use of a continuous circumferential suture to pexy the jejunum to the abdominal wall, and the placement of a skin suture that penetrated deep into the abdominal wall fascia. All tubes were placed during surgical treatment of a primary intraabdominal disease. Tubes were used for feeding from 1 to 41 days (average 9.7 days). Sixteen patients (34%) developed mild to moderate complications such as chewing at the tube, inadvertent tube removal, tube obstruction, and cellulitis around the ostomy site. Three patients (6%) developed severe complications associated with breakdown of the surgical site. The modified jejunostomy technique was effective for placement of jejunostomy tubes as a complementary procedure to exploratory celiotomy.
Evalution of an Epidural Intracranial Pressure Monitoring System in Cats
Authors: Dewey Curtis W. , Bailey Cleta S. , Haskins Steven C. , Kass Philip H. , Crowe Dennis T. 
Published: July 2007

SummaryThe accuracy of an inexpensive, easily implantable, epidural intracranial pressure (ICP) monitoring system was assessed in six normal cats by comparing measurements from this system to those obtained with a fiberoptic intraparenchymal monitoring system. The epidural monitoring system consisted of a three‐way stopcock and saline‐filled extension tubing, connected to a standard blood pressure transducer. Each cat was placed under halothane anesthesia and mechanically ventilated. Both an epidural and a fiberoptic intraparenchymal monitoring device were placed in the left cranium of each cat; correct placement was verified by computed tomography. Mean ICP values were simultaneously recorded from both monitoring devices. After obtaining baseline ICP measurements, the ICP was manipulated via ventilation, jugular compression, and pharmacologic agents. Arterial blood pressure levels, arterial blood gas values, end‐tidal carbon dioxide levels, and end‐tidal halothane levels were recorded throughout the study. Cerebral perfusion pressure was calculated for each level of ICP. Repeated measures analysis of variance method was used to compare mean ICP values between the two monitoring systems. No significant differences in ICP values obtained from the two systems were found (p>0.05) at any level of ICP. The results of this study show that the epidural monitoring system is a reliable alternative to the fiberoptic intraparenchymal ICP monitoring system in normal cats. The accuracy of the epidural monitoring system in pathologic states needs to be investigated.
Absorbance Spectra of Inter‐Species Hemoglobins in the Visible and Near Infrared Regions
Authors: Grosenbaugh Deborah A. , Alben James O. , Muir William W. 
Published: July 2007

SummaryThis study was initiated to determine if the absorbance spectra of hemoglobins from nonhuman species were sufficiently different from those of human hemoglobin to affect the applicability of pulse oximetry to common domestic species. Hemoglobin was isolated from the blood of humans, dogs, cats, horses, cows, and pigs. The millimolar extinction coefficients for oxygenated and deoxygenated hemoglobin samples were determined over the wavelength range of 600 to 1000 nm. Minor differences in the absorbance of both oxyhemoglobin and deoxyhemoglobin were found between human hemoglobin and that of the dog, cat, horse, cow, and pig. However, correction for the presence of methemoglobin, the effects of light scattering by impurities in the solution, and technical error rendered these differences statistically insignificant. The results of this study suggest that the spectral properties of canine, feline, equine, bovine, and porcine hemoglobin do not differ significantly from that of human hemoglobin and should not be a limiting factor in the application of pulse oximeters that are based on human algorithms to animal species.
Performance Evaluation of the ADS 1000 Ventilator Using a Lung Model
Authors: Faudskar L.S. , Raffe M. R. , Randall D. A. , Bing D. R. 
Published: July 2007

SummaryA laboratory evaluation was performed to evaluate the performance characteristics of a new veterinary ventilator. The ventilator studied was configured according to manufacturer's directions and attached to a test lung via a pneumotachograph and differential pressure transducer interfaced to a pulmonary mechanics analyzer system. Constant resistance (R=10 cm H2O/L/sec) and compliance (C=3 ml/cm H2O) factors were maintained for all trials. The ventilator operated at the manufacturer's preprogrammed parameters. In the first trial, body weight was the only variable. In the second trial, an endotracheal tube was placed in series between the ventilator's breathing circuit and the pneumotachograph. Body weights from 1–20 kgs were evaluated. Mean values for respiratory rate (RR), minute ventilation (VE), inspiratory time (Ti), peak inspiratory pressure (PIP), and peak inspiratory flow (Fpki) displayed on the ventilator control panel; tidal volume (VT), calculated from the displayed minute volume, and identical parameters measured by the pulmonary mechanics system at each body weight, were compared using a two factor analysis of variance. Significant differences (P< 0.05) were found between mean displayed and measured values for RR, PIP, and Fpki.
Oral Lesions Associated with Orotracheal Administered Mechanical Ventilation in Critically III Dogs
Authors: Fudge Mack , Anderson Jamie G. , Aldrich Janet , Haskins Steve C. 
Published: July 2007

SummaryThe incidence and clinical progression of oral lesions in a cohort of critically ill patients administered mechanical ventilation via orotracheal intubation were observed prospectively in the Intensive Care Unit (ICU) of the University of California, Davis Veterinary Medical Teaching Hospital. Oral cavities of these patients were examined within 24 hours of being placed on the ventilator and at least daily thereafter during ventilator therapy. As part of the study protocol, any lesion noted was treated. Twenty‐one critically ill canine patients (median age of 7 yrs; range <1 to 19 yrs) were observed from 1 January 1995 through 31 August 1995. Over ninety percent (90.5%) of the observed patients developed oral lesions subsequent to being mechanically ventilated. Erosive and ulcerative mucosal lesions were the most frequently observed (15/43) with the tongue being the most frequently involved oral structure. Most of the observed soft tissue oral lesions appeared secondary to persistently applied pressure from teeth, mouth gags, endotracheal tubes, and other monitoring devices. Efforts taken to prevent persistently applied trauma, such as periodic positional changes of equipment and padding of susceptible structures, apeared effective in preventing oral lesions. There were indications of gastric reflux in 6 patients (28.6%), as evidenced by secretions in the oral cavity with a pH of <6 and containing digested blood. Ulcerative lesions in the subset of patients with gastric reflux seemed to worsen in severity with exposure to the low pH secretions. Over the course of the study, the ICU nursing staff developed an effective protocol for the care of the oral cavity: treating mucosal erosions and ulcers topically8 with a dilute chlorhexidine solution (0.05%), removing oral secretions via suction as needed, and padding persistently traumatized tissues with glycerin moistened gauze. Oral lesions in orotrachealy intubated and mechanically ventilated patients are predictable, preventable, and treatable. Most lesions are pressure induced, associated with monitoring/therapeutic equipment, and appear to be preventable with appropriate nursing protocls. Most observed oral lesions clinically improved with routine, periodic dilute chlorhexidine rinses and relief of applied pressure.
Diphenhydramine Intoxication in a Dog1
Authors: Lagutchik Michael S. , Hackett Timothy B. , Carter Leslie J. , Wagner Ann E. , Wingfield Wayne E. 
Published: July 2007

SummaryWe report a case of diphenhydramine intoxication in a dog. A five month old intact male Labrador Retriever was presented after ingesting approximately 36 diphenhydramine tablets (50 mg/tablet; approximate ingested dose of 1800 mg or 67 mg/kg). Physical examination findings included severe ataxia, profound disorientation, severe continuous spastic muscle tremors, hyperthermia, tachycardia, tachypnea, and hyperesthesia. The dog was unresponsive to intravenous diazepam and phenobarbital, but rapidly responded to an intravenous bolus and subsequent continuous infusion of guaifenesin and supportive fluid therapy. The serum diphenhydramine level on admission was 537 ng/ml. The toxic level is not reported for dogs, but is considered>60 ng/ml in people. The dog was discharged 24 hours after admission with no apparent residual effects.
Suspected Spinal Epidural Empyema and Associated Vertebral Osteomyelitis (Physitis)in a Dog
Authors: Jerram Richard M. , Dewey Curtis W. 
Published: July 2007

SummaryA 1 year old female Aurstralian Heeler dog was presented for fever and paraplegia of recent onset. Radiography and myelography revealed osteolysis of the first lumber (L1) vertebra and extensive epidural spinal cord compression from the level of the thirteenth thoracic (T13) to the fourth lumbar (L4) vertebra. A decompressive hemilaminectomy was performed; purulent‐appearing fluid and inflamed epidural fat were present in the vertebral canal. The neurologic recovery of the dog was satisfactory 6 months following surgery.
Effect of Synthetic Colloids on Refractometric Readings of Total Solids
Authors: Bumpus Sarah E. , Haskins Steve C. , Kass Philip H. 
Published: July 2007

SummaryVeterinary patients are treated with colloid solutions for plasma volume expansion and maintenance of plasma colloid oncotic pressure (COP). In practice COP is usually extrapolated from measurement of albumin, total protein, or refractometric total solids (TS) as an estimate of total protein. The objective of this study was to determine if refractometer readings accurately reflect levels of synthetic colloid in the blood. Serial dilutions of synthetic colloids Dextran 70 and hetastarch into 2.5% and 5% human serum albumin (HSA) were prepared, and COP and TS measurements were performed. Synthetic colloids were found to produce a significant increase in measured COP, without a significant change in refractometric TS readings. Measured COP correlated well with concentration of synthetic colloid. In clinical patients, treatment of decreased COP with synthetic colloids should be monitored by direct measurement of COP or by observing resolution of clinical signs of hypovolemia or edema. (Vet Emerg & Crit Care, 1998; 8: 21–26)