Effects of ororuminal forced feeding of oral electrolytes or milk replacer combined with intravenous fluids on blood metabolites and mortality in dehydrated surplus calves.

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES
Agata Skarbek, Caitlin Fitzpatrick, Darien Wilson, Martha Gorbachuck, Hannah Thom, E Behling-Kelly, F A Leal Yepes
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Abstract

Objective: We hypothesized that dehydrated calves treated with IV fluids containing 14 g of sodium bicarbonate, combined with oral electrolytes, would reduce mortality and improve recovery of anion gap compared to calves treated with IV fluids containing 14 g of sodium bicarbonate only or IV fluids with 14 g of sodium bicarbonate combined with milk replacer feeding.

Methods: In a randomized control study, dairy and beef-on-dairy cross calves (n = 460) were enrolled into the following groups at diagnosis of dehydration: sick controls treated with IV fluids only (Con-IV), calves treated with IV fluids plus oral force-fed electrolytes (ELE), calves treated with IV fluids plus oral force-fed milk replacer (MILK), and healthy controls (Con-Health). Mortality and IV fluid treatment counts were analyzed. Blood metabolites and fecal dry matter were measured (n = 80).

Results: Mortality for each group was as follows: Con-Health, 5.31% (95% CI, 2.4% to 11.3%); Con-IV, 13.91% (95% CI, 8.6% to 21.5%); ELE, 10.43% (95% CI, 6.0% to 17.5%); and MILK, 11.3% (95% CI, 6.6% to 18.5%). Bicarbonate concentrations in the Con-IV group returned to normal levels 1 hour after treatment. Anion gap in MILK calves was the highest after treatment. The relative risk of additional IV treatments for dehydration was 1.5 (95% CI, 1.2 to 1.8), 1.3 (95% CI, 1.1 to 1.6), and 2.1 (95% CI, 1.8 to 2.4) for the Con-IV, ELE, and MILK groups, respectively.

Conclusions: IV fluid with 14 g of sodium bicarbonate alone or combined with oral electrolytes was the most effective treatment for changes in acid-base balance in dehydrated bovine neonates in this study.

Clinical relevance: IV therapy with sodium bicarbonate may practically rehydrate diarrheic calves in the field and correct acid-base balance. The use of forced feeding of ororuminal milk may not be beneficial for dehydrated and diarrheic calves.

经口强制喂养口服电解质或代乳剂联合静脉输液对脱水剩余犊牛血液代谢物和死亡率的影响
目的:我们假设,与只注射含有14g碳酸氢钠的液体或只注射含有14g碳酸氢钠的液体联合口服电解质的小牛相比,注射含有14g碳酸氢钠的液体联合口服电解质可以降低死亡率,改善阴离子间隙的恢复。方法:在一项随机对照研究中,奶牛和牛对牛杂交犊牛(n = 460)在脱水诊断时被分为以下组:仅用静脉输液治疗的患病对照组(Con-IV),静脉输液加口服强迫喂养电解质(ELE)治疗的犊牛,静脉输液加口服强迫喂养代乳剂(milk)治疗的犊牛,以及健康对照组(Con-Health)。分析死亡率和静脉输液计数。测定血液代谢物和粪便干物质(n = 80)。结果:各组死亡率如下:健康组,5.31% (95% CI, 2.4% ~ 11.3%);Con-IV, 13.91% (95% CI, 8.6% - 21.5%);ELE, 10.43% (95% CI, 6.0% ~ 17.5%);MILK为11.3% (95% CI, 6.6%至18.5%)。Con-IV组的碳酸氢盐浓度在治疗1小时后恢复到正常水平。乳牛阴离子间隙在处理后最大。对于Con-IV组、ELE组和MILK组,额外静脉注射治疗脱水的相对风险分别为1.5 (95% CI, 1.2 - 1.8)、1.3 (95% CI, 1.1 - 1.6)和2.1 (95% CI, 1.8 - 2.4)。结论:在本研究中,单独静脉滴注14g碳酸氢钠或联合口服电解质是治疗脱水牛新生儿酸碱平衡变化最有效的方法。临床意义:碳酸氢钠静脉治疗实际上可以为腹泻小牛补充水分,并纠正酸碱平衡。对于脱水和腹泻的犊牛,强行喂食口奶可能没有好处。
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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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