Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)最新文献

{"title":"Retrospective Evaluation of Blood Product Transfusion Outcomes and Risk Factors for Transfusion Reactions in Dogs at a Veterinary Teaching Hospital with an Established Blood Bank: 137 Dogs (2018-2022).","authors":"Neline G Holm, Lise N Nielsen, Rebecca Langhorn","doi":"10.1111/vec.70034","DOIUrl":"https://doi.org/10.1111/vec.70034","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the outcome of blood transfusions in dogs and identify the incidence of and risk factors associated with transfusion reactions (TRs) classified according to the Association of Veterinary Hematology and Transfusion Medicine (AVHTM) consensus.</p><p><strong>Design: </strong>Retrospective cross-sectional study with cohort analysis, January 2018-March 2022.</p><p><strong>Setting: </strong>Veterinary teaching hospital with a well-established blood bank.</p><p><strong>Animals: </strong>One hundred thirty-seven dogs.</p><p><strong>Interventions: </strong>None.</p><p><strong>Measurements and main results: </strong>Medical records and transfusion logs of dogs receiving blood transfusions were reviewed. Transfusion outcomes and TRs were assessed according to predefined definitions, TRs as classified by the AVHTM consensus. Two hundred seventeen transfused units (TUs) and 190 transfusion events were documented. Transfusion outcome was successful for 29.5%, moderately improved for 23.7%, and not improved for 9.4% transfusions. The definitions proved especially informative when applied to indications for which a large number of patients received blood products, showing that transfusions generally improved clinical and laboratory parameters in anemia, hypoalbuminemia, and hemostatic dysfunction associated with angiostrongylosis. TRs occurred in 12.4% patients, the most common being an acute hemolytic TR (13/21 of all TRs [61.9%]). TR imputability (cause) was definite for 3 of 21 (14.2%), probable for 16 (76.2%), and possible for 2 (9.6%) TUs. TRs were more common with red blood cell (RBC)-containing products (p ≤ 0.0001) and in dogs with immune-mediated hemolytic anemia (IMHA) (p = 0.002). No associations were found between TRs and administered dose (p = 0.8), transfusion rate (p = 0.053), packed RBC age (p = 0.3), or patient transfusion history (p = 0.3). There were more successful outcomes for transfusions without a TR (p = 0.008; odds ratio: 6.3, 95% confidence interval: 1.6-28.6).</p><p><strong>Conclusions: </strong>Using established outcome definitions, outcome was successful in 29.5%. TRs were more common when RBC-containing products were administered and in dogs with IMHA.</p>","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Veterinary Technician Specialists: Perceptions and Experiences Related to VTS Credentials and Skill Utilization.","authors":"Lori R Kogan, Leslie Carter, Kelly Foltz","doi":"10.1111/vec.70039","DOIUrl":"https://doi.org/10.1111/vec.70039","url":null,"abstract":"<p><strong>Objective: </strong>To examine the motivations of veterinary technician specialists (VTSs) in pursuing advanced credentials, the impact of having their VTS credential(s), and their views surrounding the potential barriers to optimal utilization of VTS skill and knowledge.</p><p><strong>Design: </strong>Electronic survey distributed via veterinary organizations, associations, and social media from December 2023 through May 2024.</p><p><strong>Participants: </strong>A total of 577 veterinary technician and nurse specialists.</p><p><strong>Setting and interventions: </strong>Online survey.</p><p><strong>Measurement and main results: </strong>A total of 577 participants completed the survey. Factor analysis identified four items associated with reasons to become credentialed as a VTS (in descending order of importance): expanded responsibilities, personal growth, recognition/respect, and external influences. Five elements of potential change after earning the VTS credential were also identified (in descending order of prevalence): personal growth, professional recognition/respect, expanded responsibilities, elevated role, and career growth. A total of 76.4% of participants indicated that they had received a pay increase after obtaining the VTS credential; 77.4% reported the increase was ≤10%. A total of 84.2% of participants stated feeling that VTSs are underutilized in the workplace.</p><p><strong>Conclusions: </strong>The prime motivator for participants to earn the VTS credential was to expand their role and responsibilities; however, many did not experience significant changes in responsibility or scope of clinical practice after receiving their credentials. Most participants felt that VTSs are underutilized, with a lack of role clarity and differentiation from non-VTS colleagues identified as the largest barrier. There is a clear need for better role clarification and an opportunity for education of both veterinary professionals and clients regarding the role, education, and training of VTSs. Although the majority of VTSs recommend the credential to others, it is unclear whether completion of the VTS leads to a commensurate expansion of responsibilities and improvement in compensation that increase the engagement, retention, and career satisfaction of these technicians/nurses.</p>","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Evaluation of the Incidence and Risk Factors Associated With the Development of a Hepatopathy in Xylitol Ingestion: 95 Dogs (2018-2022).","authors":"Tyler Lovell, Katherine Peterson, Debosmita Kundu, Jonathan P Mochel, Rebecca A L Walton","doi":"10.1111/vec.70041","DOIUrl":"https://doi.org/10.1111/vec.70041","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between patient history, clinical signs, decontamination methods, and initial point-of-care diagnostics and the development of hepatotoxicity in dogs with xylitol ingestion.</p><p><strong>Design: </strong>Retrospective study between 2018 and 2022.</p><p><strong>Setting: </strong>University veterinary teaching hospital and private practice emergency hospital.</p><p><strong>Animals: </strong>Ninety-five dogs evaluated by a university veterinary teaching hospital and private practice hospital following xylitol ingestion.</p><p><strong>Measurements and main results: </strong>Medical records were retrospectively reviewed; signalment, time of ingestion, dose of xylitol ingested, source of xylitol, clinical signs at the time of presentation, and decontamination methods including induction of emesis and administration of activated charcoal were recorded. Point-of-care diagnostics, including PCV and total plasma protein (TP), lactate, blood glucose (BG), and potassium concentrations, were recorded. In total, 47 dogs (49.5%) developed a hepatopathy, 48 dogs (50.5%) did not develop hepatopathy, and no dog developed evidence of hepatic failure. The dose of xylitol ingested was not associated with development of hepatopathy. Dogs that had clinical signs prior to presentation were 1.95 times more likely to develop a hepatopathy than dogs that did not have clinical signs prior to presentation (p = 0.0005). Emesis was induced in 77% of dogs, and dogs that had emesis induced were less likely to develop a hepatopathy than those in which emesis was not induced (p = 0.01). Hypokalemia on presentation was associated with the development of a hepatopathy (p = 0.0353).</p><p><strong>Conclusions: </strong>This study demonstrates an association between the development of a hepatopathy in dogs and clinical signs prior to presentation, lack of emesis, and hypokalemia on presentation.</p>","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Evaluation of Cryoprecipitate Transfusion in Dogs to Prevent or Treat Hemorrhage: 21 Cases (2009-2023).","authors":"W Y Eunice Lam, Linda G Martin, K Jane Wardrop, Jillian M Haines","doi":"10.1111/vec.70045","DOIUrl":"https://doi.org/10.1111/vec.70045","url":null,"abstract":"<p><strong>Objective: </strong>To report homologous cryoprecipitate transfusions in dogs with hemostatic disorders, hemorrhage, or risk of hemorrhage, and to report adverse reactions associated with these cryoprecipitate transfusions.</p><p><strong>Design: </strong>Retrospective case series (July 2009 to July 2023).</p><p><strong>Setting: </strong>University teaching hospital.</p><p><strong>Animals: </strong>Twenty-one client-owned dogs with hemostatic disorders, hemorrhage, or risk of procedure-related hemorrhage.</p><p><strong>Interventions: </strong>None.</p><p><strong>Measurements and main results: </strong>All dogs received homologous cryoprecipitate transfusion. Sixteen dogs had von Willebrand disease (one also had factor XI deficiency); three dogs had hemophilia A; and two dogs had normal concentration of von Willebrand factor and were not diagnosed with any hemostatic disorder. Sixteen dogs also received other blood products and/or hemostatic medications. Twenty-two cryoprecipitate transfusions were administered to 16 dogs before, during, or after surgery; 16 of those 22 transfusions were given to 14 dogs without evidence of hemorrhage but with history of bleeding disorder and/or previous hemorrhage with the aim of preventing hemorrhage. Eight transfusions were given to six dogs to control hemorrhage not associated with surgery. Sixteen dogs (18 transfusions) received cryoprecipitate prepared in-house. Five dogs (12 transfusions) received a commercial lyophilized cryoprecipitate. No dog developed any serious adverse reactions to cryoprecipitate transfusion. All dogs were discharged from the hospital (median, 2 days after cryoprecipitate transfusion [range, 1-25 days]). The benefits of cryoprecipitate transfusion could not be well documented because of the retrospective nature of this study and the concurrent administration of other blood products and/or hemostatic medications to 16 dogs.</p><p><strong>Conclusions: </strong>Homologous cryoprecipitate transfusion appeared to be safe when administered for prevention or treatment of hemorrhage in dogs, but additional studies to assess safety and efficacy are warranted.</p>","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Whole Blood Point-of-Care Coagulation Analyzer in Dogs.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1111/vec.70040","DOIUrl":"https://doi.org/10.1111/vec.70040","url":null,"abstract":"","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"2024 RECOVER Guidelines: Basic Life Support. Evidence and Knowledge Gap Analysis With Treatment Recommendations for Small Animal CPR\".","authors":"","doi":"10.1111/vec.70031","DOIUrl":"https://doi.org/10.1111/vec.70031","url":null,"abstract":"","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"2024 RECOVER Guidelines: Monitoring. Evidence and Knowledge Gap Analysis With Treatment Recommendations for Small Animal CPR\".","authors":"","doi":"10.1111/vec.70032","DOIUrl":"https://doi.org/10.1111/vec.70032","url":null,"abstract":"","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"2024 RECOVER Guidelines: Advanced Life Support. Evidence and Knowledge Gap Analysis With Treatment Recommendations for Small Animal CPR\".","authors":"","doi":"10.1111/vec.70033","DOIUrl":"https://doi.org/10.1111/vec.70033","url":null,"abstract":"","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Volume Depletion and Intravascular Volume Overload on Ultrasonographically Derived Caudal Vena Cava Parameters in Healthy Sedated Cats.","authors":"Steffi M Jalava, Sarah M Rosanowski, Tove M Hultman, Rebecca Owen, Søren R Boysen, Ivayla D Yozova","doi":"10.1111/vec.70029","DOIUrl":"https://doi.org/10.1111/vec.70029","url":null,"abstract":"<p><strong>Objective: </strong>To sonographically assess caudal vena cava (CVC) and focused cardiac ultrasound (FCU) parameters for volume depletion (VD) and intravascular volume overload (IVVO) in healthy cats.</p><p><strong>Design: </strong>Prospective, randomized, blinded, crossover study.</p><p><strong>Setting: </strong>Experimental.</p><p><strong>Animals: </strong>Twenty-nine healthy research-purposed cats.</p><p><strong>Interventions: </strong>The VD group received 2 mg/kg furosemide IV every 30-60 min over 6 h, followed by 10 mL/kg isotonic crystalloid or tetrastarch given over 10 min. The IVVO group did not receive furosemide and was administered 30 mL/kg isotonic crystalloid over 10 min. Ultrasonographic images of the CVC (subxiphoid view) and heart (right parasternal short-axis view) were recorded and subjectively evaluated by an operator in real time from both groups at baseline (T0), after furosemide/6 h (T1), and after fluids (T2). CVC inspiratory (CVC_insp) and expiratory (CVC_exp) diameters, CVC collapsibility index (CVC_CI), left atrium-to-aorta ratio (LA:Ao), and left ventricular internal diameter in systole (LVIDs) and diastole (LVIDd) were measured and subjectively graded post hoc by two blinded raters (different to the operator) for CVC parameters; one blinded rater evaluated FCU parameters.</p><p><strong>Measurements and main results: </strong>In the VD group, CVC_insp (p = 0.004), CVC_exp (p = 0.008), LVIDs (p < 0.001), and LVIDd (p < 0.001) were smaller after administration of furosemide. In the IVVO group, CVC_insp (p = 0.02), CVC_exp (p = 0.04), LVIDs (p < 0.001), and LVIDd (p = 0.001) were larger after fluid administration. The LA:Ao ratio was not different in any group at any time. Intrarater and interrater reliability were moderate to poor. Subjective CVC and FCU assessments were consistent with objective measurements.</p><p><strong>Conclusions: </strong>Experimentally induced VD and volume overload result in sonographically detectable changes in the CVC_insp and CVC_exp diameters and LVIDs and LVIDd of cats, suggesting the assessment of these parameters may have value in the clinical setting.</p>","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ACVECC Veterinary Committee on Trauma Registry Report 2022-2023.","authors":"Hannah M Wedig, Charles T Talbot, Marc R Raffe, Manuel Boller, Melissa Edwards, Kristin M Zersen, Kelly E Hall","doi":"10.1111/vec.70026","DOIUrl":"10.1111/vec.70026","url":null,"abstract":"<p><strong>Objective: </strong>To report summative data from the American College of Veterinary Emergency and Critical Care Veterinary Committee on Trauma (ACVECC-VetCOT) registry, with further summary reporting based on geographic region and human population density.</p><p><strong>Design: </strong>Multi-institutional registry data report, January 1, 2022 to December 31, 2023.</p><p><strong>Setting: </strong>Twenty-two Veterinary Trauma Centers (VTCs) identified and verified by ACVECC-VetCOT.</p><p><strong>Animals: </strong>Dogs and cats with evidence of traumatic injury presented to contributing hospitals.</p><p><strong>Procedures: </strong>Data were input into a web-based data capture system (Research Electronic Data Capture) by data entry personnel. Patient data on demographics, trauma type, preadmission care, trauma severity assessment at presentation, key laboratory parameters, interventions, and outcome were collected. Descriptive statistics were performed for each species reported.</p><p><strong>Results: </strong>Twenty-two VTCs in North America and the United Kingdom contributed data to the VetCOT registry between January 1, 2022 and December 31, 2023. A total of 9,820 cases (8,130 dog, 1,690 cat) were reported. The top three causes of trauma in dogs were penetrating bite wounds (35% of all dog trauma cases), vehicular strikes (17%), and lacerations (12%); in cats, unknown blunt trauma (22% of all cat trauma cases), penetrating bite wounds (20%), and falls from heights (14%) were the leading causes of trauma. Prevalence of trauma types across geographic regions was similar except for porcupine quilling, which occurred primarily in the Northeast of the United States. Vehicular trauma and porcupine quilling occurred commonly in rural VTCs, whereas falls from heights and nonpenetrating bite wounds occurred commonly in urban VTCs. Survival to discharge remained high in both dogs and cats (93.1% and 83.7%, respectively).</p><p><strong>Clinical relevance: </strong>The ACVECC-VetCOT registry provides a foundation for retrospective evaluation of traumatic injury in dogs and cats. It has already contributed to the production of numerous publications assessing relationships between demographics, trauma etiology, and trauma severity with clinical outcomes.</p>","PeriodicalId":74015,"journal":{"name":"Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}