Journal of veterinary emergency and critical care最新文献

{"title":"Retrospective evaluation of dexamethasone for treatment of suspected critical illness-related corticosteroid insufficiency in dogs with septic shock (2017–2022): 60 cases","authors":"Destinee Gardiner DVM,&nbsp;Bradley Harris DVM, DACVECC","doi":"10.1111/vec.13444","DOIUrl":"10.1111/vec.13444","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To retrospectively compare and report vasopressor duration and mortality of septic dogs with hypotension refractory to vasopressor administration (presumed critical illness-related corticosteroid insufficiency [CIRCI]) treated with or without dexamethasone sodium phosphate (DxSP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Retrospective study (2017–2022).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Tertiary referral and teaching hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Sixty client-owned dogs with confirmed or presumed sepsis and vasopressor-resistant hypotension. Hypotension was defined as systolic arterial pressure &lt; 90 mm Hg or MAP &lt; 65 mm Hg. Vasopressor resistance was defined as hypotension despite therapy with moderate- to high-dose vasopressors (&gt; 0.5 µg/kg/min of norepinephrine IV).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>None.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>Twenty-six dogs received DxSP (DxSP group, 0.002–0.39 mg/kg IV, variable frequency), and 34 dogs did not receive a glucocorticoid (non-DxSP group). The median time to vasopressor discontinuation was 20 hours (interquartile range [IQR]: 21; <i>n </i>= 6) in the DxSP group and 27 hours (IQR: 11; <i>n</i> = 5) in the non-DxSP group. In the DxSP group, 23% (6/26) of dogs survived to discharge compared with 15% (5/34) of dogs in the non-DxSP group, which was not significantly different (relative risk: 0.90, 95% confidence interval: 0.70–1.16; <i>P </i>= 0.41). There was no significant difference between the 2 groups in time from vasopressor administration to weaning in dogs that survived to discharge (<i>P </i>= 0.43). The median time from steroid administration to vasopressor wean was 15 hours (IQR: 19; <i>n</i> = 6), and the median time from steroid administration to sustained normotension (a systolic blood pressure &gt; 90 mm Hg or a MAP &gt;65 mm Hg for at least 4 h) was 1 hour (IQR: 5; <i>n</i> = 11).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was no association between DxSP therapy and survival, duration of vasopressor therapy, or time between steroid administration and discontinuation of vasopressor therapy in dogs being treated for sepsis, vasopressor resistance, and suspected CIRCI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"35 1","pages":"58-64"},"PeriodicalIF":1.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Information - Prelim","authors":"","doi":"10.1111/vec.13308","DOIUrl":"https://doi.org/10.1111/vec.13308","url":null,"abstract":"","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"511-514"},"PeriodicalIF":1.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.13308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of change in end-tidal CO2 after fluid challenge as a marker of fluid responsiveness as measured by the aortic velocity time integral in healthy anesthetized mechanically ventilated dogs","authors":"Lisa Tarragona DVM, MS, PhD,&nbsp;Pablo A. Donati DVM, MS,&nbsp;Andrea S. Zaccagnini DVM,&nbsp;Alfredo J. Díaz DVM,&nbsp;Martín R. Ceballos DVM, PhD,&nbsp;Nestor M. Nigro DVM,&nbsp;Santiago E. Fuensalida DVM,&nbsp;Pablo E. Otero DVM, PhD","doi":"10.1111/vec.13435","DOIUrl":"10.1111/vec.13435","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate if variation in the end-tidal CO₂ partial pressure (∆P<span>etco</span>₂) after a fluid challenge could predict fluid responsiveness with a sensitivity of 75% and a specificity of 70% in healthy anesthetized and mechanically ventilated dogs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Diagnostic accuracy study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>University hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Twenty-seven dogs admitted for neutering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>To obtain a balanced sample between fluid responder and nonresponder dogs, a 10-mL/kg lactated Ringer's solution was administered over 15 minutes to half of the population before the baseline measurements. All animals then received a fluid challenge of 10 mL/kg lactated Ringer's solution in 5 minutes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>The velocity–time integral of aortic blood flow (VTI_Ao) was evaluated with Doppler echocardiography before and after a fluid challenge to classify the included dogs as fluid responders or nonresponders. Fluid responsiveness was defined as an increase of ≥15% of the VTI_Ao after the fluid challenge. P<span>etco</span>₂ was evaluated at 1, 5, and 10 (T1, T5, T10) minutes after fluid expansion. Area under the receiver operating characteristic curve (AUROC) analysis was used to assess the ability of ∆P<span>etco</span>₂ to predict fluid responsiveness at different time points. A total of 13 dogs were fluid responders, and 14 were nonresponders. The best predictive capacity for ∆P<span>etco</span>₂ was observed at T10. The AUROC with its 95% confidence interval (CI) for ∆P<span>etco</span>₂ at T10 was 0.75 (0.56–0.93), with a sensitivity of 84.62% (95% CI, 54.60–98.10), a specificity of 64.29% (95% CI, 35.10–87.20), a positive predictive value of 68.80% (95% CI, 41.30–89.00), and a negative predictive value of 81.80% (95% CI, 48.20–97.70). The optimal cutoff was 1 mm Hg.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current study showed that, although minimal, ∆P<span>etco</span>₂ predicted fluid responsiveness in the dogs studied.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"35 1","pages":"19-27"},"PeriodicalIF":1.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Trauma-Associated Severe Hemorrhage score as a predictor of transfusion in traumatized dogs","authors":"Atalie Delgado DVM,&nbsp;Jennifer Prittie DVM, DACVIM, DACVECC,&nbsp;Alicia Mastrocco DVM, DACVECC,&nbsp;Joel Weltman DVM, DACVECC, PhD","doi":"10.1111/vec.13425","DOIUrl":"10.1111/vec.13425","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To retrospectively study the use of the human-based Trauma-Associated Severe Hemorrhage (TASH) score to predict transfusion needs and outcome in a population of traumatized dogs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>The TASH score (comprising sex, hemoglobin concentration, systolic blood pressure, abdominal effusion, heart rate, base excess [BE], and presence of pelvic/femoral fractures) was applied to 24 dogs presenting to a private veterinary hospital following trauma: 12 dogs that required transfusion of blood products and 12 age- and weight-matched controls that did not. Dogs that required transfusions demonstrated a significantly higher TASH score compared with dogs that did not (10.2 ± 2.0 vs 5.2 ± 1.1, respectively; <i>P</i> = 0.03). Univariate analyses of individual TASH score components demonstrated significant differences between animals that received a transfusion and those that did not in BE (median: −8.6 [range: −14.4 to 1.4] vs −4.5 [range: −15.4 to −0.4], respectively; <i>P </i>= 0.04) and positive abdominal fluid score (4/12 vs 0/12, respectively; <i>P </i>= 0.03). The Animal Trauma Triage scores (ATTSs) for dogs included in the study were also obtained from the Veterinary Committee on Trauma registry. The mean ATTS was significantly higher in dogs that received blood transfusions than those that did not (5.2 ± 0.78 vs 2.0 ± 0.5, respectively; <i>P </i>= 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The TASH score may be useful to predict transfusion needs in a larger population of traumatized canine patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"610-615"},"PeriodicalIF":1.1,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design of a nasopharyngeal tamponade device in canine cadavers","authors":"Anais Allen-Deal BVetMed,&nbsp;Joanna Lodzinska DCM, MsC, DECVDI,&nbsp;Ingrid Isaac DVM,&nbsp;Efa Llewellyn BVetMed, DACVECC, DECVECC,&nbsp;Adam Gow BVM&S, PhD, DSAM, DECVIM,&nbsp;Craig Breheny BVM&S, DECVIM","doi":"10.1111/vec.13427","DOIUrl":"10.1111/vec.13427","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the feasibility of an improvised tamponade device allowing direct pressure to be applied to the canine nasopharynx.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Proof-of-concept study using 8 canine cadavers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Results</h3>\u0000 \u0000 <p>A tamponade device was made by placing a condom over a nasogastric tube and suturing it to match the length of the nasopharynx. The device was placed in the nasopharynx of canine cadavers via the nares and filled with diluted ioversol. Placement was then confirmed with radiography or computed tomography. Concentrated ioversol was infused into the rostral nasal cavity to assess for a nasopharyngeal seal, defined as no ioversol passing the device seen on imaging. Subjective assessment of adequate nasopharyngeal compression via digital palpation of the soft palate agreed with imaging findings. Repositioning was required in several cases, but with digital palpation, initial placement was more accurate. Subsequent effective placement and a nasopharyngeal seal were achieved in all 8 cadavers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This device can be placed in the canine nasopharynx, and an adequate nasopharyngeal seal can be achieved, allowing direct compression of the nasopharynx and filling of the nasal cavity with solution. Confirmation of placement was successful with digital palpation and imaging. Further studies are required to investigate the use of this device in live patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"600-605"},"PeriodicalIF":1.1,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.13427","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral diaphragmatic paralysis in a weanling donkey jack","authors":"Alicia E. Long DVM,&nbsp;Claire Underwood VetMB, PhD,&nbsp;Kathryn Wulster VMD, DACVR,&nbsp;Sydney L. Gibson DVM, DACVR,&nbsp;Rose Nolen-Walston DVM, DACVIM","doi":"10.1111/vec.13424","DOIUrl":"10.1111/vec.13424","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the clinical presentation and diagnosis of bilateral diaphragmatic paralysis in a weanling miniature donkey jack.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Summary</h3>\u0000 \u0000 <p>A 5-month-old miniature donkey jack presented to a tertiary care facility for fever, cough, and increased respiratory rate and effort initially unresponsive to treatment with antimicrobials and anti-inflammatories. Clinical and diagnostic evaluations found no evidence of upper respiratory obstruction or bacterial pneumonia. Serial arterial blood gas evaluations revealed hypercapnia and hypoxemia, and diagnostic imaging was consistent with bilateral diaphragmatic paralysis. The patient's nasal swab for equine influenza type A (subtype H3N8) was positive and had a mildly decreased whole blood selenium concentration. The donkey recovered after treatment with anti-inflammatories and supportive care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> New or Unique Information Provided</h3>\u0000 \u0000 <p>This case documents the first report of diaphragmatic paralysis in a donkey, with concurrent equine influenza infection offering a possible causal factor. Bilateral diaphragmatic paralysis should be considered as a differential diagnosis for respiratory distress in donkeys, particularly when diagnostic testing or treatment trials do not support more common causes of respiratory disease in adult animals, such as infectious lower airway disease, asthma, and pulmonary fibrosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"592-599"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of murmurs and gallop sounds in anemic cats","authors":"Hannah Matson BVetMed, DACVECC,&nbsp;Virginia Luis Fuentes MA, VetMB, PhD DACVIM, DECVIM,&nbsp;Karen Humm MA, VetMB, DACVECC, DECVECC","doi":"10.1111/vec.13431","DOIUrl":"10.1111/vec.13431","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is little information on the prevalence of auscultatory abnormalities in anemic cats. This study aimed to describe the prevalence of cardiac murmurs and gallop sounds in a population of anemic and nonanemic cats presenting to an emergency room (ER) and to assess whether the prevalence of auscultatory abnormalities was influenced by the severity of anemia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>Records of cats presenting to an ER between May 2021 and May 2022 or receiving a blood transfusion between September 2019 and January 2022 were retrospectively analyzed for presence of a murmur or gallop sound. Cats with known structural heart disease were excluded. A murmur was found in 56 of 185 (30%) anemic cats compared with 11 of 102 (11%) nonanemic cats (<i>p </i>&lt; 0.001), with a higher proportion in cats with PCV &lt;16% (<i>p </i>&lt; 0.001). Twenty-five of 185 (14%) anemic cats had a gallop compared with 4 of 102 (4%) nonanemic cats (<i>p </i>= 0.009), with the highest proportion in cats with PCV 11%–20% (<i>p </i>&lt; 0.001). Echocardiography was performed on 17 of 185 anemic cats; 8 had normal echocardiograms and 9 demonstrated evidence of chamber dilation without left ventricular wall thickening, consistent with anemia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Abnormalities on auscultation are common in anemic cats presenting to the ER, with a higher prevalence in more severely anemic cats.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"606-609"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A suspected anaphylactoid reaction to intravenous administration of mannitol in a dog","authors":"Kathleen Seddon BSc, BVSc,&nbsp;Georgina Stewart BVSc, DACVIM,&nbsp;Íde Gillespie BVMS, DACVECC","doi":"10.1111/vec.13440","DOIUrl":"10.1111/vec.13440","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe a case of a suspected anaphylactoid reaction to mannitol in a dog.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Summary</h3>\u0000 \u0000 <p>A 1-year-old, neutered female French Bulldog was anesthetized for a T12–T13 dorsal laminectomy surgery for a previously diagnosed spinal arachnoid diverticulum. Perioperatively, the spinal cord appeared grossly edematous, and IV mannitol administration was elected. Midway through administration of mannitol, peracute erythema and angioedema were noted around the patient's tongue, muzzle, and paws. The dog's tongue grew to approximately twice its normal size. All vital parameters remained within normal limits. The dog was treated intravenously with dexamethasone and intramuscularly with mepyramine maleate. The remainder of the anesthetization was uneventful. The swelling completely resolved during the 2-hour recovery period, but careful management of the enlarged tongue was required to prevent airway occlusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> New or Unique Information Provided</h3>\u0000 \u0000 <p>This is the first reported case of a suspected anaphylactoid reaction to IV administration of mannitol in a dog.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"35 1","pages":"88-91"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of point-of-care capillary and venous blood glucose concentrations in hospitalized neonatal foals","authors":"Ana Sofia Dias Moreira DVM, DACVIM, DACVECC,&nbsp;Hsin-Yi Weng BVM, MPH, PhD,&nbsp;Laura D. Hostnik DVM, MS, DACVIM,&nbsp;Erin M. Beasley DVM, PhD, DACVIM,&nbsp;Simon F. Peek BVSc, PhD, DACVIM,&nbsp;Amelia S. Munsterman DVM, PhD, DACVS, DACVECC","doi":"10.1111/vec.13429","DOIUrl":"10.1111/vec.13429","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To compare glucose measurements from capillary and venous blood samples using a point-of-care (POC) glucometer with a standard laboratory (colorimetric, glucose oxidase) assay (LABGLU) in a population of hospitalized, neonatal foals.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Multicenter, prospective, experimental study, conducted between March 2019 and June 2020.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Setting&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Four university teaching hospitals and 1 private referral hospital.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Animals&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Fifty-four hospitalized neonatal (≤30 days of age) foals.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Interventions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Simultaneous capillary (muzzle, POCMUZ) and venous (jugular, POCJUG) blood samples were obtained to determine POC glucose concentrations. Venous samples were also analyzed by LABGLU. Each foal was sampled at the time of enrollment or admission to the hospital and at 1 subsequent point during hospitalization. Indirect mean arterial pressure and hematocrit were concurrently recorded.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Measurements and Main Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Bland–Altman analysis showed a mean bias (95% limits of agreement) of −28.0 (−88.6 to 32.6) mg/dL for comparison of POCJUG with LABGLU, −8.2 (−94.3 to 78.0) mg/dL for POCMUZ and LABGLU, and 18.8 (−44.4 to 82.0) mg/dL for POCMUZ and POCJUG. A total of 63.5% of the POCJUG and 45.2% of the POCMUZ samples exceeded the reference value by ±15 mg/dL (for LABGLU samples &lt;75 mg/dL) or ±15% (for LABGLU samples ≥75mg/dL). Concordance correlation coefficient (95% confidence interval [CI]) indicated a fair agreement between POCJUG and LABGLU (0.75, 95% CI: 0.66–0.82) and between POCMUZ and LABGLU (0.71, 95% CI: 0.58–0.80). Fifty percent (14/28) of hypoglycemic foals on the reference method were incorrectly classified as euglycemic by POCJUG, and 5 of 28 were incorrectly classified by POCMUZ.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In the sampled population, the chosen POC glucometer lacked agreement with the standard laboratory measurement. Limits of agreement were wide for both POCJUG and POCMUZ. Inaccuracies in POC results could impact decision-making in the clinical management of glycemic control in hospitalized neonatal foals and, impo","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"570-578"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.13429","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of cannabinoids in plasma from 38 cases of suspected cannabinoid intoxication in dogs","authors":"Jennifer M. Loewen DVM, DACVECC,&nbsp;Meara L. Munn-Patterson BScAgr,&nbsp;Katelyn E. McEwen BSc,&nbsp;Stephanie Vuong MSc,&nbsp;Jane Alcorn DVM, PhD,&nbsp;Alan L. Chicoine DVM, MSc, DACVCP","doi":"10.1111/vec.13428","DOIUrl":"10.1111/vec.13428","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To quantify and characterize plasma cannabinoid concentrations in cases of suspected cannabis toxicity in dogs, identify potential correlations between clinical signs and plasma concentrations, and assess the specificity of cannabis toxicity diagnosis based on clinical signs alone.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Observational study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Veterinary teaching hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Thirty-eight client-owned animals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>Blood was collected from dogs presenting to the emergency room for suspected cannabinoid intoxication based on history or physical examination findings. Samples were analyzed using a validated liquid chromatography–tandem mass spectrometry method for the cannabinoids Δ⁹-tetrahydrocannabinol (THC), cannabidiol (CBD), and their active metabolites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>The most common abnormality observed was ataxia (35/38 dogs), with urinary incontinence, lethargy, and hyperesthesia also commonly noted. Cannabinoids were quantifiable in 37 of 38 plasma samples (97.4%), with THC the predominant cannabinoid (range: 1.99–2748 ng/mL). Lower concentrations of CBD (up to 115.3 ng/mL) and cannabinoid metabolites were detected. Of the clinical signs recorded, only abnormal reflexes were statistically correlated with the THC concentration at the time of sampling (<i>P </i>= 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A diagnosis of suspected cannabinoid toxicity based on case history and clinical presentation was confirmed via quantifiable plasma concentrations in nearly all cases. Although the range of plasma cannabinoid concentrations was broad, the clinical signs observed were generally similar. Other than the presence of abnormal reflexes, clinical signs were not associated with plasma THC concentrations. Subsequent confirmation of cannabinoids in plasma indicates that cannabis toxicity in dogs can be diagnosed with high specificity by veterinarians based only on history and clinical abnormalities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 6","pages":"545-553"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}