{"title":"Quality of life improvement in 3 dogs with sleep-disordered breathing managed by permanent (crico)tracheostomy.","authors":"Jessica M Hynes, Jenna V Menard, Daniel J Lopez","doi":"10.2460/ajvr.24.09.0270","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To retrospectively describe the management of sleep-disordered breathing (SDB) via permanent (crico)tracheostomy (PT).</p><p><strong>Methods: </strong>The sample was 3 client-owned dogs. Each of the dogs had variable clinical signs related to their SDB with all having severely affected quality of sleep and experiencing multiple apneic episodes a night in the study period from January 1, 2019, to December 31, 2023. Two of the 3 dogs showed minimal daytime clinical signs, with 1 owner reporting no noticeable changes in breathing, activity, or alertness, while another noted only mild alterations. Despite previous brachycephalic airway surgery, clinical signs persisted or recurred, and all owners considered euthanasia secondary to nighttime signs. Permanent (crico)tracheostomy was elected in all cases.</p><p><strong>Results: </strong>Medical records were reviewed, and a standardized survey was administered to owners. All cases demonstrated variable degrees of improvement in the severity and frequency of clinical signs relating to SDB following PT, and overall quality of life improved from poor to good in all cases. All cases experienced surgical complications ranging from moderate to severe following PT, with 2 of 3 dogs requiring revision surgeries for skin-fold occlusion and stenosis of the PT.</p><p><strong>Conclusions: </strong>Sleep-disordered breathing may be an underrecognized component of brachycephalic obstructive airway syndrome, with nighttime clinical signs significantly impacting quality of life.</p><p><strong>Clinical relevance: </strong>Permanent (crico)tracheostomy may be considered in cases that either do not respond to initial brachycephalic airway surgery or in cases where clinical signs recur years after initial surgery. Owners should be aware of the likelihood of revision surgeries to achieve optimal outcomes.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-9"},"PeriodicalIF":1.3000,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of veterinary research","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.2460/ajvr.24.09.0270","RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To retrospectively describe the management of sleep-disordered breathing (SDB) via permanent (crico)tracheostomy (PT).
Methods: The sample was 3 client-owned dogs. Each of the dogs had variable clinical signs related to their SDB with all having severely affected quality of sleep and experiencing multiple apneic episodes a night in the study period from January 1, 2019, to December 31, 2023. Two of the 3 dogs showed minimal daytime clinical signs, with 1 owner reporting no noticeable changes in breathing, activity, or alertness, while another noted only mild alterations. Despite previous brachycephalic airway surgery, clinical signs persisted or recurred, and all owners considered euthanasia secondary to nighttime signs. Permanent (crico)tracheostomy was elected in all cases.
Results: Medical records were reviewed, and a standardized survey was administered to owners. All cases demonstrated variable degrees of improvement in the severity and frequency of clinical signs relating to SDB following PT, and overall quality of life improved from poor to good in all cases. All cases experienced surgical complications ranging from moderate to severe following PT, with 2 of 3 dogs requiring revision surgeries for skin-fold occlusion and stenosis of the PT.
Conclusions: Sleep-disordered breathing may be an underrecognized component of brachycephalic obstructive airway syndrome, with nighttime clinical signs significantly impacting quality of life.
Clinical relevance: Permanent (crico)tracheostomy may be considered in cases that either do not respond to initial brachycephalic airway surgery or in cases where clinical signs recur years after initial surgery. Owners should be aware of the likelihood of revision surgeries to achieve optimal outcomes.
期刊介绍：
The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.
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