Distúrbios hidroeletrolíticos no hipoadrenocorticismo primário agudo em cães: Uma revisão / Hydroelectrolytic disorders in acute primary hypoadrenocorticism in dogs: A review

O hipoadrenocorticismo canino é uma endocrinopatia caracterizada, na sua forma mais comum, pela deficiência de glicocorticoides e mineralocorticoides. Pacientes não tratados podem desenvolver a forma aguda da doença (crise addisoniana), apresentação grave com risco de óbito, caso não sejam realizadas as intervenções adequadas. Entre as alterações apresentadas estão: distúrbios eletrolíticos (como hiponatremia, hipercalemia, hiperfosfatemia e hipercalcemia), desequilíbrio hídrico (desidratação e choque hipovolêmico) e acidobásico. Fluidoterapia intravenosa adequada é a base do manejo inicial da crise addisoniana, que irá reestabelecer o volume intravascular e hidratação, reduzindo a concentração sérica de fósforo e potássio, a acidose lática, a azotemia pré-renal e a acidose metabólica. A reposição de glicocorticoides também contribui para a normalização dessas alterações. Entre as possíveis complicações do tratamento está a mielinólise pontina, decorrente de aumento rápido na concentração sérica de sódio. Diante disso, o conhecimento dos distúrbios associados à essa endocrinopatia auxilia na suspeição e manejo adequado da doença.(AU)

Canine hypoadrenocorticism is an endocrinopathy characterized, in its most common form, by glucocorticoid and mineralocorticoid deficiency, often resulting from immune-mediated destruction of the adrenal glands. Untreated patients may develop the acute form of the disease (Addisonian crisis), a severe presentation with a risk of death if appropriate interventions are not performed. Among the changes presented are: electrolyte disorders (such as hyponatremia, hyperkalemia, hyperphosphatemia and hypercalcemia), water imbalance (dehydration and hypovolemic shock) and acid-base disorder. Adequate intravenous fluid therapy is the basis for the initial management of Addisonian crisis, which will restore intravascular volume and hydration, reducing serum phosphorus and potassium concentrations, lactic acidosis, pre-renal azotemia and metabolic acidosis. Glucocorticoid replacement also contributes to the normalization of these changes. Among the possible complications of the treatment is pontine myelinolysis, resulting from a rapid increase in serum sodium concentration. In view of this, knowledge of the disorders associated with this endocrinopathy helps in the suspicion and adequate management of the disease.(AU)

Successful emergency treatment in Bradypus variegatus following non-hemorrhagic hypovolemic shock

Background: The brown-throated sloth (Bradypus variegatus) occurs from the Nicaragua to Brazil. In brazilian amazonian,these animals are rescued with illnesses caused by anthropic actions. Emergencial treatment of sloths is complex becauseis a lack of specie-specific information allied to a particularly physiology. They have low metabolism and physiologicalparameters during resting time is 4-7 breaths/min, 40-100 heartbeats/min and temperature between 32-35ºC. They arealso folivores, predisposing cases of dehydration and even hypovolemic shock. This study aimed to report the emergencytreatment performed on a specimen of Bradypus variegatus affected by hypovolemic shock due to dehydration.Case: A male sloth weighing 2.7 kg was attended at the Veterinary Hospital-Wild Animals Sector of the Federal Universityof Pará (HVSAS-UFPA), victim of untreated hypovolemic shock due three days of forced eating with inadequate food,which resulted in dehydration, non-hemorrhagic hypovolemic shock, and severe apathy. Physiological parameters were 8breaths/min, heart rate 90/min and rectal temperature of 33°C. Treatment begun with fluid therapy taking account of 10%of body dehydration (270 mL Ringer lactate, 8 mL vitamin complex and 2 mL glucose), for respiratory decompensationnebulization was conducted with epinephrine (0.5 mL/kg), and intramuscular administration of vitamin B complex (1 mg/kg), metoclopramide (0.2 mg/kg), ranitidine (0.5 mg/kg), and dexamethasone (0.3 mg/kg) to metabolic stimulation improvement. Physiological parameters were monitored every 10 min for the first 12 h of hospitalization. The managementwere gradually established as the clinical conditions were improved, including forced feeding, daily walks, and enclosureadapted for the minimal behavioral and biological requirements. After 14 days of intensive treatment, the animal wasconsidered ready for release...

Successful emergency treatment in Bradypus variegatus following non-hemorrhagic hypovolemic shock

Background: The brown-throated sloth (Bradypus variegatus) occurs from the Nicaragua to Brazil. In brazilian amazonian,these animals are rescued with illnesses caused by anthropic actions. Emergencial treatment of sloths is complex becauseis a lack of specie-specific information allied to a particularly physiology. They have low metabolism and physiologicalparameters during resting time is 4-7 breaths/min, 40-100 heartbeats/min and temperature between 32-35ºC. They arealso folivores, predisposing cases of dehydration and even hypovolemic shock. This study aimed to report the emergencytreatment performed on a specimen of Bradypus variegatus affected by hypovolemic shock due to dehydration.Case: A male sloth weighing 2.7 kg was attended at the Veterinary Hospital-Wild Animals Sector of the Federal Universityof Pará (HVSAS-UFPA), victim of untreated hypovolemic shock due three days of forced eating with inadequate food,which resulted in dehydration, non-hemorrhagic hypovolemic shock, and severe apathy. Physiological parameters were 8breaths/min, heart rate 90/min and rectal temperature of 33°C. Treatment begun with fluid therapy taking account of 10%of body dehydration (270 mL Ringer lactate, 8 mL vitamin complex and 2 mL glucose), for respiratory decompensationnebulization was conducted with epinephrine (0.5 mL/kg), and intramuscular administration of vitamin B complex (1 mg/kg), metoclopramide (0.2 mg/kg), ranitidine (0.5 mg/kg), and dexamethasone (0.3 mg/kg) to metabolic stimulation improvement. Physiological parameters were monitored every 10 min for the first 12 h of hospitalization. The managementwere gradually established as the clinical conditions were improved, including forced feeding, daily walks, and enclosureadapted for the minimal behavioral and biological requirements. After 14 days of intensive treatment, the animal wasconsidered ready for release...(AU)

Temperature gradients in domestic cats over seven-years-old: descriptive analysis / Avaliação descritiva dos gradientes de temperatura em felinos domésticos com mais de sete anos

The temperature gradients are dynamic and noninvasive monitoring techniques that provide information on peripheral blood flow and have been related to the prognosis of patients with circulatory shock. This study evaluated 47 elderly domestic cats' temperature gradients, and we measured central (rectal) and peripheral (palmar, plantar and medial region of the radio) temperatures. Values found in this study are compatible with studies in young felines and differ from dogs and humans. The mean gradients found were 7.5°C for the central-peripheral; 5.6°C for the peripheral-environmental; 2.7°C for the skin-diff; and 0°C for the member-diff and the variables age and gender do not seem to influence these measurements. To the authors' knowledge, there is no description of temperature gradients in elderly domestic cats, so this study pretends to clarify the vasoconstriction response in this group of animals.(AU)

Os gradientes de temperatura são técnicas de monitoração dinâmicas e não-invasivas que fornecem informações sobre o fluxo sanguíneo periférico, e têm sido relacionados ao prognóstico de paciente com choque circulatório. O presente estudo avaliou os gradientes de temperatura em 47 felinos domésticos idosos aferindo as temperaturas central (retal) e periférica (palmar, plantar e região medial do rádio). Os gradientes encontrados foram 7,5°C para o centro-periférico; 5,6°C para o periférico-ambiental; 2,7°C para o skin-diff; e 0°C para o member-diff. As variáveis idade e sexo não pareceram influenciar as mensurações. Não há, em conhecimento dos autores, descrição prévia dos gradientes de temperatura em felinos domésticos idosos, e por isso esse estudo pretende contribuir com o entendimento sobre a capacidade de resposta de vasoconstrição nesse grupo de animais.(AU)

Temperature gradients in domestic cats over seven-years-old: descriptive analysis / Avaliação descritiva dos gradientes de temperatura em felinos domésticos com mais de sete anos

The temperature gradients are dynamic and noninvasive monitoring techniques that provide information on peripheral blood flow and have been related to the prognosis of patients with circulatory shock. This study evaluated 47 elderly domestic cats' temperature gradients, and we measured central (rectal) and peripheral (palmar, plantar and medial region of the radio) temperatures. Values found in this study are compatible with studies in young felines and differ from dogs and humans. The mean gradients found were 7.5°C for the central-peripheral; 5.6°C for the peripheral-environmental; 2.7°C for the skin-diff; and 0°C for the member-diff and the variables age and gender do not seem to influence these measurements. To the authors' knowledge, there is no description of temperature gradients in elderly domestic cats, so this study pretends to clarify the vasoconstriction response in this group of animals.(AU)

Os gradientes de temperatura são técnicas de monitoração dinâmicas e não-invasivas que fornecem informações sobre o fluxo sanguíneo periférico, e têm sido relacionados ao prognóstico de paciente com choque circulatório. O presente estudo avaliou os gradientes de temperatura em 47 felinos domésticos idosos aferindo as temperaturas central (retal) e periférica (palmar, plantar e região medial do rádio). Os gradientes encontrados foram 7,5°C para o centro-periférico; 5,6°C para o periférico-ambiental; 2,7°C para o skin-diff; e 0°C para o member-diff. As variáveis idade e sexo não pareceram influenciar as mensurações. Não há, em conhecimento dos autores, descrição prévia dos gradientes de temperatura em felinos domésticos idosos, e por isso esse estudo pretende contribuir com o entendimento sobre a capacidade de resposta de vasoconstrição nesse grupo de animais.(AU)

Successful xenotransfusion from a domestic dog (Canis familiaris) to an Andean fox (Lycalopex culpaeus) / Sucesso da xenotransfusão de um cão doméstico (Canis familiaris) para uma raposa andina (Lycalopex culpaeus)

An Andean fox was transferred to the Wildlife Hospital of the Universidad San Francisco de Quito for evaluation of injuries caused by a run over. Clinical signs of hypovolemic shock were detected. Radiographies showed multiple pelvic fractures and free fluid in retroperitoneal cavity. The presumptive diagnosis was hemorrhagic shock caused by blood loss secondary to a pelvis fracture. An emergency xenotransfusion using blood from a domestic dog was performed without acute transfusion reactions observed. This is the first report of successful xenotransfusion between a domestic dog and an Andean fox presenting a procedure that could be applied in emergency situations.(AU)

Uma raposa andina foi levada ao Hospital da Vida Selvagem da Universidad San Francisco de Quito para avaliar os ferimentos causados por um atropelamento. Sinais clínicos de choque hipovolêmico foram detectados. Radiografias mostraram múltiplas fraturas pélvicas e fluido livre na cavidade retroperitoneal. O diagnóstico presuntivo foi um choque hemorrágico causado por perda sanguínea secundária a uma fratura pélvica. Uma xenotransfusão de emergência foi realizada com o sangue de um cão doméstico sem reações agudas transfusionais. Este é o primeiro relato bem sucedido de xenotransfusão entre um cão doméstico e uma raposa andina, demonstrando que é um procedimento que poderá ser considerado em situações de emergência.(AU)

Successful xenotransfusion from a domestic dog (Canis familiaris) to an Andean fox (Lycalopex culpaeus) / Sucesso da xenotransfusão de um cão doméstico (Canis familiaris) para uma raposa andina (Lycalopex culpaeus)

An Andean fox was transferred to the Wildlife Hospital of the Universidad San Francisco de Quito for evaluation of injuries caused by a run over. Clinical signs of hypovolemic shock were detected. Radiographies showed multiple pelvic fractures and free fluid in retroperitoneal cavity. The presumptive diagnosis was hemorrhagic shock caused by blood loss secondary to a pelvis fracture. An emergency xenotransfusion using blood from a domestic dog was performed without acute transfusion reactions observed. This is the first report of successful xenotransfusion between a domestic dog and an Andean fox presenting a procedure that could be applied in emergency situations.(AU)

Uma raposa andina foi levada ao Hospital da Vida Selvagem da Universidad San Francisco de Quito para avaliar os ferimentos causados por um atropelamento. Sinais clínicos de choque hipovolêmico foram detectados. Radiografias mostraram múltiplas fraturas pélvicas e fluido livre na cavidade retroperitoneal. O diagnóstico presuntivo foi um choque hemorrágico causado por perda sanguínea secundária a uma fratura pélvica. Uma xenotransfusão de emergência foi realizada com o sangue de um cão doméstico sem reações agudas transfusionais. Este é o primeiro relato bem sucedido de xenotransfusão entre um cão doméstico e uma raposa andina, demonstrando que é um procedimento que poderá ser considerado em situações de emergência.(AU)

Successful xenotransfusion from a domestic dog (Canis familiaris) to an Andean fox (Lycalopex culpaeus) / Sucesso da xenotransfusão de um cão doméstico (Canis familiaris) para uma raposa andina (Lycalopex culpaeus)

An Andean fox was transferred to the Wildlife Hospital of the Universidad San Francisco de Quito for evaluation ofinjuries caused by a run over. Clinical signs of hypovolemic shock were detected. Radiographies showed multiple pelvicfractures and free fluid in retroperitoneal cavity. The presumptive diagnosis was hemorrhagic shock caused by bloodloss secondary to a pelvis fracture. An emergency xenotransfusion using blood from a domestic dog was performedwithout acute transfusion reactions observed. This is the first report of successful xenotransfusion between a domesticdog and an Andean fox presenting a procedure that could be applied in emergency situations.

Uma raposa andina foi levada ao Hospital da Vida Selvagem da Universidad San Francisco de Quito para avaliar osferimentos causados por um atropelamento. Sinais clínicos de choque hipovolêmico foram detectados. Radiografiasmostraram múltiplas fraturas pélvicas e fluido livre na cavidade retroperitoneal. O diagnóstico presuntivo foi um choquehemorrágico causado por perda sanguínea secundária a uma fratura pélvica. Uma xenotransfusão de emergência foirealizada com o sangue de um cão doméstico sem reações agudas transfusionais. Este é o primeiro relato bem sucedidode xenotransfusão entre um cão doméstico e uma raposa andina, demonstrando que é um procedimento que poderáser considerado em situações de emergência.

Epidemiological aspects of 306 emergency cases of small animals seen at a veterinary school hospital / Aspectos epidemiológicos de 306 casos emergenciais em pequenos animais atendidos em um Hospital Escola Veterinário

The deficiencies in the screening protocols and the paucity of epidemiological studies aimed at emergency care contribute to a generalist emergency approach, without focusing on the most common causes and injuries of emergency admissions in veterinary practice. Thus, we aimed to retrospectively study the epidemiological aspects of emergency cases in dogs and cats under routine care at a veterinary school hospital at University X over 24 months (June 2012June 2014). During this period, 328 cases were considered as emergencies, of which 306 were included in the study. The main causes of emergency admissions in both species were trauma, followed by hypovolemic shock. The third cause differed between species, the most common being neurological emergencies in dogs and urinary emergencies in cats. Knowledge of emergency epidemiological data in the pet clinic is essential for clinical surveillance, case screening, early diagnosis, rapid therapeutic intervention, and avoiding losses in the waiting rooms of veterinary emergency medicine.  

A deficiência nos protocolos de triagem e o número reduzido de trabalhos epidemiológicos voltados para atendimentos de emergência contribuem para uma abordagem emergencial generalista, sem foco nas causas e lesões mais comuns de admissões de emergência na prática veterinária. Dessa forma, o presente trabalho teve como objetivo estudar retrospectivamente os aspectos epidemiológicos dos casos de emergência em cães e gatos no atendimento de rotina em um Hospital Escola Veterinário da Universidade X durante um período de vinte quatro meses (junho 2012 –junho de 2014). Nesse período, foram atendidos 328 casos considerados emergenciais, sendo 306 incluídos, por possuírem todos os dados clínicos e laboratoriais necessários ao estudo. As principais causas de admissões de emergência em ambas espécies foram o trauma, seguido por choque hipovolêmico. A terceira causa diferiu entre as espécies, sendo as emergências neurológicas mais comuns nos cães e as urinárias nos gatos. O conhecimento de dados epidemiológicos de emergência na clínica de animais de companhia é fundamental para vigilância clínica, triagem dos casos, diagnóstico precoce e intervenção terapêutica rápida, a fim de se evitar perdas nas salas de espera de pronto-atendimentos veterinários.(AU)

Epidemiological aspects of 306 emergency cases of small animals seen at a veterinary school hospital / Aspectos epidemiológicos de 306 casos emergenciais em pequenos animais atendidos em um Hospital Escola Veterinário

The deficiencies in the screening protocols and the paucity of epidemiological studies aimed at emergency care contribute to a generalist emergency approach, without focusing on the most common causes and injuries of emergency admissions in veterinary practice. Thus, we aimed to retrospectively study the epidemiological aspects of emergency cases in dogs and cats under routine care at a veterinary school hospital at University X over 24 months (June 2012June 2014). During this period, 328 cases were considered as emergencies, of which 306 were included in the study. The main causes of emergency admissions in both species were trauma, followed by hypovolemic shock. The third cause differed between species, the most common being neurological emergencies in dogs and urinary emergencies in cats. Knowledge of emergency epidemiological data in the pet clinic is essential for clinical surveillance, case screening, early diagnosis, rapid therapeutic intervention, and avoiding losses in the waiting rooms of veterinary emergency medicine.

A deficiência nos protocolos de triagem e o número reduzido de trabalhos epidemiológicos voltados para atendimentos de emergência contribuem para uma abordagem emergencial generalista, sem foco nas causas e lesões mais comuns de admissões de emergência na prática veterinária. Dessa forma, o presente trabalho teve como objetivo estudar retrospectivamente os aspectos epidemiológicos dos casos de emergência em cães e gatos no atendimento de rotina em um Hospital Escola Veterinário da Universidade X durante um período de vinte quatro meses (junho 2012 –junho de 2014). Nesse período, foram atendidos 328 casos considerados emergenciais, sendo 306 incluídos, por possuírem todos os dados clínicos e laboratoriais necessários ao estudo. As principais causas de admissões de emergência em ambas espécies foram o trauma, seguido por choque hipovolêmico. A terceira causa diferiu entre as espécies, sendo as emergências neurológicas mais comuns nos cães e as urinárias nos gatos. O conhecimento de dados epidemiológicos de emergência na clínica de animais de companhia é fundamental para vigilância clínica, triagem dos casos, diagnóstico precoce e intervenção terapêutica rápida, a fim de se evitar perdas nas salas de espera de pronto-atendimentos veterinários.

Hemangiossarcoma associado a quimiodectoma em cadela Pit Bull idosa / Hemangiosarcoma associated with chemodectoma in an old Pit Bull bitch

Background: The prevalence of neoplasms in domestic animals has been augmenting over the years. Hemangiosarcoma, which most frequently affects large breed dogs, is a neoplasm with high metastatic power and corresponds to 5% of malignant neoplasms. Chemodectoma, a neoplasm that can have malignant or benign behavior, is uncommon, corresponding to less than 8% of all cardiac tumors, and originates from cardiac chemoreceptor cells and involves mainly the aortic and carotid bodies. The aim of this study is to describe the case of an elderly Pit Bull dog with hepatic hemangiosarcoma and chemodectoma associated with four other different tumors: hemangioma, papilloma, mastocitoma and melanoma. Case: A 14-year-old female Pit Bull, castrated, was presented to Veterinary Clinic of the Federal University of Santa Catarina (UFSC), Curitibanos Campus, Brazil. The owner referred apathy, hyporexia, and increased abdominal volume for two weeks. Physical examination showed emaciation and abdominal effusion. Abdominocentesis was performed, three liters of serosanguineous fluid was drained and a sample was sent for analysis. Complementary tests were requested and showed mild hypoalbuminemia, normocytic normochromic anemia, and lymphopenia. The ultrasound examination revealed thickening of vessels and hepatomegaly, in addition to the presence of an oval structure containing hyperechogenic cavitations. Diagnostic exploratory laparotomy was indicated, but the owner refused. Drug therapy was prescribed in a palliative manner and, during the clinical follow-up period, two abdominocentesis procedures and one thoracentesis procedure were performed, both resulting in simple transudate. Finally, the patient developed severe apathy, edema in all limbs, and died at home. Necroscopic examination was done and revealed hemoperitoneum and hemothorax...

Hemangiossarcoma associado a quimiodectoma em cadela Pit Bull idosa / Hemangiosarcoma associated with chemodectoma in an old Pit Bull bitch

Background: The prevalence of neoplasms in domestic animals has been augmenting over the years. Hemangiosarcoma, which most frequently affects large breed dogs, is a neoplasm with high metastatic power and corresponds to 5% of malignant neoplasms. Chemodectoma, a neoplasm that can have malignant or benign behavior, is uncommon, corresponding to less than 8% of all cardiac tumors, and originates from cardiac chemoreceptor cells and involves mainly the aortic and carotid bodies. The aim of this study is to describe the case of an elderly Pit Bull dog with hepatic hemangiosarcoma and chemodectoma associated with four other different tumors: hemangioma, papilloma, mastocitoma and melanoma. Case: A 14-year-old female Pit Bull, castrated, was presented to Veterinary Clinic of the Federal University of Santa Catarina (UFSC), Curitibanos Campus, Brazil. The owner referred apathy, hyporexia, and increased abdominal volume for two weeks. Physical examination showed emaciation and abdominal effusion. Abdominocentesis was performed, three liters of serosanguineous fluid was drained and a sample was sent for analysis. Complementary tests were requested and showed mild hypoalbuminemia, normocytic normochromic anemia, and lymphopenia. The ultrasound examination revealed thickening of vessels and hepatomegaly, in addition to the presence of an oval structure containing hyperechogenic cavitations. Diagnostic exploratory laparotomy was indicated, but the owner refused. Drug therapy was prescribed in a palliative manner and, during the clinical follow-up period, two abdominocentesis procedures and one thoracentesis procedure were performed, both resulting in simple transudate. Finally, the patient developed severe apathy, edema in all limbs, and died at home. Necroscopic examination was done and revealed hemoperitoneum and hemothorax...(AU)

Acute cecal tympany during chemical restraint in free-ranging capybara (Hydrochoerus hydrochaeris) - iatrogenic cause and treatment

The occurrence of acute tympany, probable cause and treatment are being discussed for the first time in Hydrochoerus hydrochaeris, commonly known as the capybara. As part of a capybara population control study, adult male and female (n=18), prior to intervention, were physically confined and subsequently chemically immobilized with a ketamine dexmedetomidine (KD) association. Procedures included health exams, biomaterial collection, and ID markings. For surgical events, the animals were maintained under volatile anesthesia with Isoflurane. One animal, during anesthetic recovery, developed tachycardia and tachypnea, with cyanotic mucosa, and a low SPO2. During auscultation and percussion/palpation a taut abdominal wall was recognized. Shortly thereafter, the animal suffered a cardiorespiratory arrest and failed resuscitation. Immediately performed necropsy suggested death by acute respiratory and circulatory failure due to exerted pressure against the diaphragm and compression of major blood vessels, leading to hypoxia and hypovolemic shock, secondary to cecal dilation. Three animals under general anesthesia demonstrated moderate bloating and were treated by trans-abdominal catheterization for cecal decompression, successfully preventing any potential development of severe tympany. Conclusion: During chemical restraint all animals demonstrated bloat of varies degrees, suggesting iatrogenic cause brought about by adverse effects of anesthetic agents. Acute cecal tympany in sedated capybaras must be anticipated and closely monitored to prevent fatal outcome. Trans-abdominal catheterization into the cecum proved effective in treating bloat.

Exposição e ruptura da artéria carótida comum em cão / Exposure and rupture of the commom carotid artery in dog

O sistema cardiovascular tem a função de transportar substâncias essenciais à vida. Os vasos sanguíneos conduzem o conteúdo sanguíneo, tanto para a chegada de sangue arterial aos órgãos quanto para saída de sangue venoso. As artérias carótidas comum são originárias do tronco braquiocefálico, sendo o principal vaso responsável pelo aporte sanguíneo dos órgãos da cabeça. Qualquer alteração que prejudique a circulação cerebral pode gerar graves consequências fisiológicas ao animal. A ruptura da artéria carótida pode ser reconhecida como a mais temida das ocorrências na área cirúrgica de cabeça e pescoço com a perda de sangue excessiva advinda da ruptura de um vaso de calibre e pressão consideráveis, se não for atendido emergencialmente, o animal poderá entrar em um quadro de choque hipovolêmico, agravando o quadro do paciente. Por ser uma problemática não rotineira na clínica cirúrgica de pequenos animais, há poucos registros de casos semelhantes. No caso relatado, o animal apresentava lesão na região cervical, com exposição da veia jugular e ruptura da artéria carótida comum, com presença de hemorragia extrema. O procedimento cirúrgico transcorreu dentro dos parâmetros normais e sem imprevistos. Ao longo do acompanhamento clínico, o animal apresentou um póscirúrgico estável, sem sequelas neurológicas, seguindo os cuidados com relação aos curativos diários da ferida operatória, continuação do protocolo iniciado no pré-cirúrgico e medicações prescritas para recuperação do volume perdido de hemácias, apresentando uma recuperação positiva.

The cardiovascular system has the function of transporting essential substances to life. Blood vessels carry the blood content, both for the arrival of arterial blood to the organs and for venous blood output. The common carotid arteries originate from the brachiocephalic trunk, being the main vessel responsible for the blood supply of the head organs. Any alteration that impairs the cerebral circulation can have serious physiological consequences to the animal. Carotid artery rupture can be recognized as the most dreaded occurrence in the head and neck surgical area, with excessive blood loss from a ruptured vessel of considerable caliber and pressure. If left unattended, the animal may enter in a hypovolemic shock, aggravating the patient's condition. As it is a non-routine problem in the small animal surgical clinic, there are few reports of similar cases. In the reported case, the animal had cervical lesion, with exposure of the jugular vein and rupture of the common carotid artery, with the presence of extreme hemorrhage. The surgical procedurewas performed within normal parameters and without unforeseen events. During the clinical follow-up, the animal presented a stable postoperative period, without neurological sequelae, following the care regarding the daily wound dressing, continuation of the protocol initiated before the surgery and prescribed medications to recover the lost volume of red blood cells, showing a positive recovery.

Acute cecal tympany during chemical restraint in free-ranging capybara (Hydrochoerus hydrochaeris) - iatrogenic cause and treatment

The occurrence of acute tympany, probable cause and treatment are being discussed for the first time in Hydrochoerus hydrochaeris, commonly known as the capybara. As part of a capybara population control study, adult male and female (n=18), prior to intervention, were physically confined and subsequently chemically immobilized with a ketamine dexmedetomidine (KD) association. Procedures included health exams, biomaterial collection, and ID markings. For surgical events, the animals were maintained under volatile anesthesia with Isoflurane. One animal, during anesthetic recovery, developed tachycardia and tachypnea, with cyanotic mucosa, and a low SPO2. During auscultation and percussion/palpation a taut abdominal wall was recognized. Shortly thereafter, the animal suffered a cardiorespiratory arrest and failed resuscitation. Immediately performed necropsy suggested death by acute respiratory and circulatory failure due to exerted pressure against the diaphragm and compression of major blood vessels, leading to hypoxia and hypovolemic shock, secondary to cecal dilation. Three animals under general anesthesia demonstrated moderate bloating and were treated by trans-abdominal catheterization for cecal decompression, successfully preventing any potential development of severe tympany. Conclusion: During chemical restraint all animals demonstrated bloat of varies degrees, suggesting iatrogenic cause brought about by adverse effects of anesthetic agents. Acute cecal tympany in sedated capybaras must be anticipated and closely monitored to prevent fatal outcome. Trans-abdominal catheterization into the cecum proved effective in treating bloat.(AU)

Exposição e ruptura da artéria carótida comum em cão / Exposure and rupture of the commom carotid artery in dog

O sistema cardiovascular tem a função de transportar substâncias essenciais à vida. Os vasos sanguíneos conduzem o conteúdo sanguíneo, tanto para a chegada de sangue arterial aos órgãos quanto para saída de sangue venoso. As artérias carótidas comum são originárias do tronco braquiocefálico, sendo o principal vaso responsável pelo aporte sanguíneo dos órgãos da cabeça. Qualquer alteração que prejudique a circulação cerebral pode gerar graves consequências fisiológicas ao animal. A ruptura da artéria carótida pode ser reconhecida como a mais temida das ocorrências na área cirúrgica de cabeça e pescoço, com a perda de sangue excessiva advinda da ruptura de um vaso de calibre e pressão consideráveis, se não for atendido emergencialmente, o animal poderá entrar em um quadro de choque hipovolêmico, agravando o quadro do paciente. Por ser uma problemática não rotineira na clínica cirúrgica de pequenos animais, há poucos registros de casos semelhantes. No caso relatado, o animal apresentava lesão na região cervical, com exposição da veia jugular e ruptura da artéria carótida comum, com presença de hemorragia extrema. O procedimento cirúrgico transcorreu dentro dos parâmetros normais e sem imprevistos. Ao longo do acompanhamento clínico, o animal apresentou um pós cirúrgico estável, sem sequelas neurológicas, seguindo os cuidados com relação aos curativos diários da ferida operatória, continuação do protocolo iniciado no pré-cirúrgico e medicações prescritas para recuperação do volume perdido de hemácias, apresentando uma recuperação positiva.(AU)

The cardiovascular system has the function of transporting essential substances to life. Blood vessels carry the blood content, both for the arrival of arterial blood to the organs and for venous blood output. The common carotid arteries originate from the brachiocephalic trunk, being the main vessel responsible for the blood supply of the head organs. Any alteration that impairs the cerebral circulation can have serious physiological consequences to the animal. Carotid artery rupture can be recognized as the most dreaded occurrence in the head and neck surgical area, with excessive blood loss from a ruptured vessel of considerable caliber and pressure. If left unattended, the animal may enter in a hypovolemic shock, aggravating the patient's condition. As it is a non-routine problem in the small animal surgical clinic, there are few reports of similar cases. In the reported case, the animal had cervical lesion, with exposure of the jugular vein and rupture of the common carotid artery, with the presence of extreme hemorrhage. The surgical procedure was performed within normal parameters and without unforeseen events. During the clinical follow-up, the animal presented a stable postoperative period, without neurological sequelae, following the care regarding the daily wound dressing, continuation of the protocol initiated before the surgery and prescribed medications to recover the lost volume of red blood cells, showing a positive recovery.(AU)

Histeropexia no tratamento do prolapso uterino total em cadela Fila Brasileiro / Hysteropexy in the treatment of total uterine prolapse in a Brazilian Molosser bitch

Background: Uterine prolapse is an obstetric emergency because the exposed tissue can present edema, devitalization oreven gangrene, depending on the evolution time and on the severity of circulatory changes. Haemorrhage due to the ruptureof ovarian or uterine vessels can evolve rapidly to hypovolemic shock. More rarely, secondary thromboembolism to theuterine strangulation can be developed, complication that can also lead to death. This study reports the case of a BrazilianMolosser bitch treated by reducing total uterine prolapse, complemented with hysteropexy, in order to prevent recurrenceand maintain its reproductive ability.Case: A 5-year-old Brazilian Molosser bitch was attended presenting double firm and tubular mass protruding through thevulva. The patient gave birth to five live pups, the last two of which needed to be pulled. Two days after parturition, she hadabdominal contraction when a mass protruded from the vagina. A total uterine prolapse was diagnosed, since both uterinehorns were found exposed and inverted, with exposition of the endometrium and the areas of placental implantation, togetherwith the body of the uterus. The tissue was apparently edematous and lightly parched, with the presence of strange bodies,but without signals of circulatory complications or lacerations. Due to interest of the guardian in preserving the reproductive ability, an internal reduction via ventral medial celiotomy and the fixation of the uterus in the lateral abdominal wall(hysteropexy) was chosen in order to diminish the possibility of relapse in future parturition.Discussion: The definitive treatment of the uterine prolapse can be realized through ovariohysterectomy when the exposeduterine tissue is highly compromised or there is vessel rupture or no reproductive purpose for the female. The amputation of everted tissue through the vulva is also an option, but the risk of intracavitary bleeding during tissue resectionmust be considered...

Histeropexia no tratamento do prolapso uterino total em cadela Fila Brasileiro / Hysteropexy in the treatment of total uterine prolapse in a Brazilian Molosser bitch

Background: Uterine prolapse is an obstetric emergency because the exposed tissue can present edema, devitalization oreven gangrene, depending on the evolution time and on the severity of circulatory changes. Haemorrhage due to the ruptureof ovarian or uterine vessels can evolve rapidly to hypovolemic shock. More rarely, secondary thromboembolism to theuterine strangulation can be developed, complication that can also lead to death. This study reports the case of a BrazilianMolosser bitch treated by reducing total uterine prolapse, complemented with hysteropexy, in order to prevent recurrenceand maintain its reproductive ability.Case: A 5-year-old Brazilian Molosser bitch was attended presenting double firm and tubular mass protruding through thevulva. The patient gave birth to five live pups, the last two of which needed to be pulled. Two days after parturition, she hadabdominal contraction when a mass protruded from the vagina. A total uterine prolapse was diagnosed, since both uterinehorns were found exposed and inverted, with exposition of the endometrium and the areas of placental implantation, togetherwith the body of the uterus. The tissue was apparently edematous and lightly parched, with the presence of strange bodies,but without signals of circulatory complications or lacerations. Due to interest of the guardian in preserving the reproductive ability, an internal reduction via ventral medial celiotomy and the fixation of the uterus in the lateral abdominal wall(hysteropexy) was chosen in order to diminish the possibility of relapse in future parturition.Discussion: The definitive treatment of the uterine prolapse can be realized through ovariohysterectomy when the exposeduterine tissue is highly compromised or there is vessel rupture or no reproductive purpose for the female. The amputation of everted tissue through the vulva is also an option, but the risk of intracavitary bleeding during tissue resectionmust be considered...(AU)

Clinical responses to acute blood loss in goats / Respostas clínicas à perda sanguínea aguda em caprinos

The response to blood loss is directly related to the degree of hemorrhage, but for the caprine species some aspects still need to be investigated. Therefore, the present study aimed to assess the clinical and hemodynamic effects of acute blood loss in goats. Eight healthy, adult male crossbred goats were subjected to external jugular puncture to remove 30% of the total blood volume. A physical examination and blood gas, biochemical, and hematologic analyses were performed at baseline, before blood loss (T0), and after one (T1h), six (T6h), 12 (T12h), 24 (T24h) and 72 (T72h) hours, and eight (T8d), 16 (T16d), 24 (T24d) and 32 (T32d) days after the acute blood loss event. The goats presented with tachycardia, tachypnea, and hyperthermia one hour after blood loss with a return to normal physiological values at T6h. Packed cell volume was decreased at T1h and red cell counts at T12h, both returning to baseline at T24d. There was a reduction in total protein and albumin levels at T1h, both remained below baseline levels until T16d and T8d, respectively. The serum calcium concentration decreased over the period T1h to T24h and glucose increased over the period T1h to T6h. The values of pH, TCO2 , bicarbonate, and base excess were lower at T1h, while lactate increased markedly at this time. The pCO2 value only was reduced at T24h. Systolic (PS), diastolic (PD), and mean (PM) pressures were decreased at T1h. Acute loss of 30% of blood volume in goats caused changes in clinical, blood gas, and biochemical parameters, which were restored over a six-hour period, while hematologic changes were more persistent, with baseline values restored only after 24 days.

A resposta clínica à perda de sangue está diretamente relacionada ao grau de hemorragia, mas para a espécie caprinas alguns aspectos ainda precisam ser investigados. Deste modo o presente estudo teve como objetivo avaliar os efeitos clínicos e hemodinâmicos da perda aguda de sangue em caprinos. Oito caprinos adultos, mestiços, hígidos, foram submetidas a punção jugular externa para remoção de 30% do volume total de sangue. Foi realizado exame clínico e análises hematológicas, hemogasométricas e bioquímicas no momento basal, antes da perda de sangue (T0), e uma (T1h), seis (T6h), 12 (T12h), 24 (T24h) e 72 (T72h) horas e oito (T8d), 16 (T16d), 24 (T24d) e 32 (T32d) dias após. As cabras apresentaram taquicardia, taquipneia e hipertermia uma hora após a perda de sangue com retorno aos valores fisiológicos em T6h. O volume globular diminuiu em T1h e a contagem de células vermelhas em T12h, ambos retornando valores basais em T24d. Houve uma redução nos níveis de proteína totais e albumina em T1h, e ambos permaneceram abaixo dos níveis basais até T16d e T8d, respectivamente. A concentração sérica de cálcio diminuiu durante o período T1h para T24h e a glicose aumentou no período T1h a T6h. Os valores de pH, TCO2, bicarbonato e excesso de base foram menores em T1h, enquanto o lactato aumentou acentuadamente neste momento. O pCO2 foi reduzida somente em T24h. As pressões sistólica (PS), diastólica (PD) e média (PM) diminuíram em T1h. A perda aguda de 30% do volume sangüíneo em cabras causou alterações nos parâmetros clínicos, hemogasométricos e bioquímicos, que foram restaurados ao longo de um período de seis horas, enquanto que as alterações hematológicas foram mais persistentes, com valores basais restaurados somente após 24 dias.

Clinical responses to acute blood loss in goats / Respostas clínicas à perda sanguínea aguda em caprinos

The response to blood loss is directly related to the degree of hemorrhage, but for the caprine species some aspects still need to be investigated. Therefore, the present study aimed to assess the clinical and hemodynamic effects of acute blood loss in goats. Eight healthy, adult male crossbred goats were subjected to external jugular puncture to remove 30% of the total blood volume. A physical examination and blood gas, biochemical, and hematologic analyses were performed at baseline, before blood loss (T0), and after one (T1h), six (T6h), 12 (T12h), 24 (T24h) and 72 (T72h) hours, and eight (T8d), 16 (T16d), 24 (T24d) and 32 (T32d) days after the acute blood loss event. The goats presented with tachycardia, tachypnea, and hyperthermia one hour after blood loss with a return to normal physiological values at T6h. Packed cell volume was decreased at T1h and red cell counts at T12h, both returning to baseline at T24d. There was a reduction in total protein and albumin levels at T1h, both remained below baseline levels until T16d and T8d, respectively. The serum calcium concentration decreased over the period T1h to T24h and glucose increased over the period T1h to T6h. The values of pH, TCO2 , bicarbonate, and base excess were lower at T1h, while lactate increased markedly at this time. The pCO2 value only was reduced at T24h. Systolic (PS), diastolic (PD), and mean (PM) pressures were decreased at T1h. Acute loss of 30% of blood volume in goats caused changes in clinical, blood gas, and biochemical parameters, which were restored over a six-hour period, while hematologic changes were more persistent, with baseline values restored only after 24 days.(AU)

A resposta clínica à perda de sangue está diretamente relacionada ao grau de hemorragia, mas para a espécie caprinas alguns aspectos ainda precisam ser investigados. Deste modo o presente estudo teve como objetivo avaliar os efeitos clínicos e hemodinâmicos da perda aguda de sangue em caprinos. Oito caprinos adultos, mestiços, hígidos, foram submetidas a punção jugular externa para remoção de 30% do volume total de sangue. Foi realizado exame clínico e análises hematológicas, hemogasométricas e bioquímicas no momento basal, antes da perda de sangue (T0), e uma (T1h), seis (T6h), 12 (T12h), 24 (T24h) e 72 (T72h) horas e oito (T8d), 16 (T16d), 24 (T24d) e 32 (T32d) dias após. As cabras apresentaram taquicardia, taquipneia e hipertermia uma hora após a perda de sangue com retorno aos valores fisiológicos em T6h. O volume globular diminuiu em T1h e a contagem de células vermelhas em T12h, ambos retornando valores basais em T24d. Houve uma redução nos níveis de proteína totais e albumina em T1h, e ambos permaneceram abaixo dos níveis basais até T16d e T8d, respectivamente. A concentração sérica de cálcio diminuiu durante o período T1h para T24h e a glicose aumentou no período T1h a T6h. Os valores de pH, TCO2, bicarbonato e excesso de base foram menores em T1h, enquanto o lactato aumentou acentuadamente neste momento. O pCO2 foi reduzida somente em T24h. As pressões sistólica (PS), diastólica (PD) e média (PM) diminuíram em T1h. A perda aguda de 30% do volume sangüíneo em cabras causou alterações nos parâmetros clínicos, hemogasométricos e bioquímicos, que foram restaurados ao longo de um período de seis horas, enquanto que as alterações hematológicas foram mais persistentes, com valores basais restaurados somente após 24 dias.(AU)