Hemangiosarcoma in the vastus lateralis musculature of a bitch - sonographic findings

Background: A 10-year-old spayed bitch with hip dysplasia was referred for periarticular ultrasound evaluation. A poorly marginated structure of mixed echogenicity, predominantly hypoechoic, with heterogeneous echotexture, was identified in the vastus lateralis muscle of the right pelvic limb with increased stiffness, assessed using acoustic radiation force impulse (ARFI) elastography, compared to that of the adjacent muscle tissues, and intense vascularization by pulsed Doppler and contrast-enhanced ultrasound (CEUS). Guided biopsy was performed to confirm the diagnosis of hemangiosarcoma. The objective of this study was to describe B-mode ultrasound, CEUS, and ARFI findings of hemangiosarcoma in the vastus lateralis musculature of a bitch. Case: A 10-year-old spayed bitch Golden Retriever weighing 36 kg was evaluated for pelvic limb lameness. The patient presented with bilateral pain during hip extension. The primary diagnostic suspicion was degenerative joint disease and secondary hip dysplasia. The patient was referred for imaging evaluation of the hip joints (radiography and ultrasound) under anesthesia. Right lateral and ventrodorsal projections with the pelvic limbs extended were obtained to confirm the diagnosis. In the right pelvic limb, an amorphous hypoechoic structure with irregular contours and heterogeneous echotexture was observed in the vastus lateralis muscle. In ARFI elastography, it was possible to identify differences in tissue stiffness between healthy and compromised portions. Pulsed-wave Doppler evaluation demonstrated an arterial waveform pattern with a peak systolic velocity of 38.8 cm/s, end-diastolic velocity of 6.9 cm/s, pulsatility index of 1.76, and resistive index of 0.82. CEUS study identified a mean peak of 27.26 %, mean time to peak of 39.95 s, and mean transmission time of 49.96 s. The popliteal lymph node was hyperechoic and heterogeneous in B-mode. In ARFI elastography, the average stiffness was 2.52 m/s, and the CEUS obtained an average peak of 19.98%, average time to peak of 17.52 s, and mean transit time of 22.83 s. Doppler assessment revealed no clear vascularization in the lymph node. Thoracic radiography in 3 projections and abdominal ultrasonography were performed. Radiographic evidence of pulmonary nodules was not observed. On abdominal ultrasound evaluation, it was possible to identify changes in the spleen, which presented with splenomegaly, mixed echogenicity, and heterogeneous echotexture. The animal underwent ultrasound-guided muscle biopsy, which confirmed the presence of hemangiosarcoma in the muscle. The bitch was referred for splenectomy and lymphadenectomy of the right popliteal, which confirmed neoplastic involvement of the same neoplasm. Discussion: On B-mode ultrasound, the observed changes were similar to those in a report of hemangiosarcoma in the muscles of the chest wall in dogs, which contributed to the diagnosis. Although it was only one patient, ARFI elastography results suggest that muscle hemangiosarcoma tends to follow the same elastographic characteristics as malignant lesions in other tissues. Additionally, the popliteal lymph node had a stiffness suggestive of malignancy (mean 2.52 m/s) because it presented a similar result and greater elasticity of metastatic axillary lymph nodes in bitches (>2.5 m/s) and women (> 1.44 m/s) with breast tumor. With CEUS, it was possible to identify vascularization in the sentinel lymph node that was not visible by pulsed Doppler, and in muscle mass. The findings of this report provided relevant results on muscle hemangiosarcoma in a bitch and demonstrated that the information obtained with the association of imaging methods supported the malignancy criteria described in other studies.

Ehlers-Danlos syndrome in a crossbreed cat / Síndrome de Ehlers-Danlos em um gato mestiço

The Ehlers-Danlos syndrome (EDS) consists of a group of diseases characterized by defective collagen production or failure in its organization, resulting in changes in the strength and extensibility of connective tissue. This report describes the dermatological and histological findings observed in a 3-month-old crossbreed cat with rupture and detachment of skin in the thoracic limb and rupture of the skin in the cervical region. Upon dermatological examination, the cat presented fragile and hyperextensible skin in the cervical region and a skin extensibility index of 21%. Histopathological evaluation of the skin specimens revealed evident disorganization of collagen bundles in dermis and in the Masson's trichrome staining, follicular dysplasia was found. The presumptive diagnosis of EDS was made based on the clinical and histopathological findings. Sanger sequencing did not detect any mutated alleles for the c.3420delG mutation in COL5A1 gene, which was an autosomal dominant mutation previously been associated with Ehlers-Danlos syndrome in cats. The absence of this mutation in the reported cat suggests that other mutation may also be responsible for the development of cutaneous asthenia in this or maybe other genes related to collagen metabolism.

A síndrome de Ehlers-Danlos (EDS) consiste em um conjunto de doenças caracterizadas pela produção deficiente de colágeno ou falha em sua organização, resultando em alterações na resistência e extensibilidade do tecido conjuntivo. Este relato descreve os achados dermatológicos e histológicos observados em um gato mestiço de três meses de idade com ruptura e descolamento de pele do membro torácico e ruptura da pele na região cervical. Ao exame dermatológico, o gato apresentava pele hiper-extensível, fragilizada na região cervical e índice de extensibilidade cutânea de 21%. A avaliação histopatológica das amostras de pele revelou desorganização evidente dos feixes de colágeno na derme e pela coloração com tricrômico de Masson foi encontrada displasia folicular. O diagnóstico presuntivo de EDS foi realizado com base nos achados clínicos e histopatológicos. O sequenciamento de Sanger não detectou nenhum alelo mutado para a mutação c.3420delG no gene COL5A1, que é uma mutação autossômica dominante previamente associada à síndrome de Ehlers-Danlos em gatos. A ausência dessa mutação no gato relatado sugere que outra mutação também pode ser responsável pelo desenvolvimento de astenia cutânea neste gene ou em outro associado ao metabolismo de colágeno.

Necrose tissular em equino associada ao uso de fenilbutazona / Tissue necrosis in equine associated with use of phenylbutazone

Background: Wounds that occur with tissue necrosis and that result from the application of medications through the most diverse accesses are described as drug skin medical embolism or Nicholas syndrome in human medicine, with wide description. In veterinary medicine, this subject has not yet been described extensively and specifically in veterinary medicine, especially regarding to wounds that occurred after the application of non-intravenous medications in horses, even though these lesions are recurrent in the clinical routine. This report aims to describe a case of skin necrosis in a horse, due to phenylbutazone infection. Case: A 7 year-old Mangalarga Marchador horse, weighing 400 kg, was admitted to the Veterinary Hospital for Large Animals of the Universiade Federal Rural do Rio de Janeiro (UFRRJ), with a history of phenylbutazone injection to the left side of the neck. The animal had an extensive wound on the neck and face on the left side and was characterized by the presence of cold and devitalized skin, with a hardened and parched appearance and that easily detached. During the anamnesis, a single administration of 10 mL of a non-steroidal anti-inflammatory drug based on phenylbutazone was reported intramuscularly for about 10 days to control the pain resulting from the claudication present for 14 days. The medication was administered in the region of the lateral border of the neck, on the left side. After drug administration, the animal presented an increase in volume at the application site. After 24 h, the lesion spread from the inoculation region, extending to the head and chest of the animal. During debridement, it was found that the lesion did not reach the underlying muscle tissue. In addition to the wound, the animal had upper eyelid palsy, lower lip, and auricular ptosis. Treatment with surgical debridement of devitalized tissue, topical application of ozonated sunflower oil, ketanserin, and a free skin graft was instituted. During hospitalization, the animal had a corneal ulcer in the left eye with an unfavorable prognosis due to paralysis of the upper eyelid, with enucleation of the affected eyeball. The animal was under veterinary care for 180 days and was discharged when his wound was already in an advanced stage of healing. Discussion: The history of the application of phenylbutazone intramuscularly and the location and characteristics of the lesion presented by the patient in the present report suggest that this animal presented aseptic tissue necrosis resulting from the administration of non-steroidal anti-inflammatory drugs, phenylbutazone. Although aseptic tissue necrosis, better known as Nicolau's syndrome or drug embolism cutis, is widely characterized and described in this species, there are studies in the literature that reproduce the syndrome in pigs and rabbits. Phenylbutazone was able to cause arterial damage, mainly in the tunica intima of the artery in which the medication was administered, with perivascular inflammatory infiltrate and subsequent skin necrosis at the site of administration. In addition to the skin lesion, the animal started to show signs compatible with the left facial nerve lesion, evidenced by the immobility of the upper eyelid and labial and ear ptosis. This resulted in corneal ulceration and subsequent enucleation. The animal also developed chewing difficulty in the first months of hospitalization. This dysfunction may be due to a lesion of the mandibular nerve, responsible for innervating the masticatory muscles and the oral mucosa. However, the animal showed improvement in this aspect, no longer showing this condition after 90 days of hospitalization. The treatment used was successful in healing the wound.

Cutaneous asthenia in a domestic cat (Felis silvestris catus)

Background: Cutaneous asthenia or Ehlers-Danlos syndrome is an inherited and rare disease. This infirmity is from an autosomal mutation that influences the collagen synthesis of the carrier. Thus, its skeleton, formed of fibers, is structurally defective. The disease is characterized by hyperelasticity and skin fragility, leading to lesions throughout the skin. The lesions may manifest in specific places or in a generalized way, being more frequent in the limbs, neck, and back. This disease does not have a specific treatment, only management care to avoid new traumas. Case: A 3-year-old male castrated, no defined race cat, was attended at one veterinary clinic with a history of intense itching. The rapid tests for feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV) were negative. On physical examination, infestation by fleas, lesions all over the body, and skin hyperelasticity were observed. Topical treatment for ectoparasites as well as for body wounds was established. After the treatment, he returned without itching, but with the complaints of new lesions that did not heal. The patient underwent a total shearing to facilitate the treatment of the skin, and then he underwent blood tests, biochemistry, hormonal tests, and ultrasound, which showed no suggestive changes for hyperadrenocorticism and diabetes mellitus. His clinical signs, besides not matching with these diseases, also did not indicate skin fragility due to his history of age and balanced diet. The confirmation of the cutaneous asthenia syndrome was acquired through biopsy of skin fragment, in which it was observed disarray of collagen fibers, hypertrophy, and fibroblast hyperplasia, together with the rate of extensibility of the skin where the value reached the mark of 27.5%. Throughout the hospitalization, it was noted the progression of the disease with the appearance of new lesions, where there was no bleeding and they appeared even with the patient wearing padded clothes. Its progression lasted one year until the patient's euthanasia. Discussion: For the disposal of diabetes mellitus and hyperadrenocorticism as causes of the appearance of lesions by the body in the patient, he was submitted to the suppression tests with dexamethasone, in which he presented normality, in the biochemical examination it was dosed with fructosamine and glucose. The fructosamine was in the reference value, but the glucose was slightly altered, this increase may have been a result of stress at the time of blood collection. In addition to the patient not showing specific clinical signs such as polyphagia, polyuria, polydipsia, and weight loss, these are characteristic clinical signs of the disease. For the diagnosis of Ehlers-Danlos syndrome, histological examination, and calculation of the skin extensibility index were used, where the results obtained confirmed the suspicion. This genetic anomaly has no treatment, being progressive, so only environmental management is done to mitigate the appearance of the lesions and provide animal welfare. This case report contributes to aggregating the scientific literature in the area of veterinary medicine since skin asthenia is a rare disease and when its extent is total it becomes even more atypical. The availability of this article will provide a vision of palliative treatment for other cases, demonstrating the progressive nature of the lesions and the methods of diagnosis.

Protective effect of L-carnitine on myocardial injury in rats with heatstroke

Purpose: To investigate the protective effect of L-carnitine on myocardial injury in rats with heatstroke. Methods: orty-eight rats were randomly divided into control, heatstroke and 25, 50 and 100 mg/kg L-carnitine groups. The last three groups were treated with 25, 50 and 100 mg/kg L-carnitine, respectively, for seven successive days. Then, except for the control group, the other four groups were transferred into the environment with ambient temperature of (39.5 ± 0.4 °C) and relative humidity of (13.5 ± 2.1%) for 2 h. The core temperature (Tc), mean arterial pressure (MAP), heart rate (HR) and serum and myocardial indexes were detected. Results: Compared with the heatstroke group, in the 100 mg/kg L-carnitine group, the Tc was significantly decreased, the MAP and HR were significantly increased, the serum creatine kinase, lactate dehydrogenase, alkaline phosphatase, aspartate aminotransferase, tumor necrosis factor and interleukin 1 levels were significantly decreased, the myocardial superoxide dismutase and glutathione peroxidase levels were significantly increased, the myocardial malondialdehyde level was significantly decreased and the cardiomyocyte apoptosis index and myocardial caspase-3 protein expression level were remarkably decreased (p 0.05). Conclusions: The L-carnitine pretreatment can alleviate the myocardial injury in heatstroke rats through reducing the inflammatory response, oxidative stress and cardiomyocyte apoptosis.(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)

Apoptotic mechanisms in rabbits with blast-induced acute lung injury

Purpose: To investigate the apoptotic mechanisms in rabbits with blast-induced acute lung injury (ALI). Methods: A total of 40 rabbits were randomly divided into a blank control group (A, n=10) and an experimental group (EXP, n=30). Explosion-induced chest-ALI models were prepared and sampled at different time points (4, 12, and 24h after modeling, T1-T3) to test the lung dry weight/wet weight ratio (W/D) and arterial oxygen pressure (PaO2), apoptosis of lung tissue by the TUNEL assay, and Caspase-3, Bax, and Bcl-2 levels by immunohistochemical analysis. Furthermore, lung tissue was sampled to observe pathological morphology by microscopy. Results: Under a light microscope, Group EXP exhibited obvious edema in the pulmonary interstitial substance and alveoli, a large number of red blood cells, inflammatory cells, and serous exudation in the alveolar cavity, as well as thickening of the pulmonary interstitial fluid. Compared to Group A, the W/D ratio was significantly increased in Group EXP (P 0.01), while PaO2 was significantly reduced (P 0.01). The apoptosis index was significantly increased (P 0.01), and caspase-3 and Bax/Bcl-2 levels were increased (P 0.01). Conclusion: Apoptosis plays an important role in the occurrence and development of acute lung injury in rabbits by participating in lung injury and promoting the progression of ALI.(AU)

Proliferative arteriopathy of the nasal philtrum in two Brazilian Mastiff dogs

Proliferative arteritis of the canine nasal philtrum is an unusual disease with an unknown etiology and very few cases described in literature to date. Two patients with characteristic lesions underwent biopsy and confirmation by histopathological assessment. The first case was treated with oral prednisolone once daily and topical tacrolimus twice daily. The second case was treated twice daily with pentoxifylline and topical tacrolimus. Both treatments were successfully used by other authors previously. In result, clinical improvement varied among patients. The lesion of the first case showed no clinical improvement after 15 days of treatment. The second case showed a mild improvement of the initial lesion. In conclusion, treatment with tracolimus, pentoxifylline, and prednisonole appears to have a good effect in mild and early lesions. The objective of this paper was to describe the clinical findings, treatment options and histopathological aspects in two Brazilian Mastiff dogs, not previously reported.

Proliferative arteriopathy of the nasal philtrum in two Brazilian Mastiff dogs

Proliferative arteritis of the canine nasal philtrum is an unusual disease with an unknown etiology and very few cases described in literature to date. Two patients with characteristic lesions underwent biopsy and confirmation by histopathological assessment. The first case was treated with oral prednisolone once daily and topical tacrolimus twice daily. The second case was treated twice daily with pentoxifylline and topical tacrolimus. Both treatments were successfully used by other authors previously. In result, clinical improvement varied among patients. The lesion of the first case showed no clinical improvement after 15 days of treatment. The second case showed a mild improvement of the initial lesion. In conclusion, treatment with tracolimus, pentoxifylline, and prednisonole appears to have a good effect in mild and early lesions. The objective of this paper was to describe the clinical findings, treatment options and histopathological aspects in two Brazilian Mastiff dogs, not previously reported.(AU)

Effect of atenolol pre-treatment in heart damage in a model of intestinal ischemia-reperfusion

Purpose: To investigate the effects of atenolol in inflammatory mediator and oxidative stress in a myocardial injury by intestinal ischemia/reperfusion in rat model. Methods: Adult Wistar male rats were randomly (n=8), anesthetized and divided in: Sham: submitted to operation only; group SS+IR: intravenous saline infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); group AT+IR: intravenous atenolol infusion (2 mg/kg) following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); and group AT+I+AT+R: intravenous atenolol infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and in the time 45 minutes other atenolol doses were administrated and the artery was open for 120 minutes (reperfusion), all animals were submitted to muscular relaxation for mechanical ventilation. In the end of experiment the animals were euthanized and the hearts tissue were morphology analyzed by histology and malondialdehyde by ELISA, and the plasma were analyzed for tumor necrosis factor-alpha by ELISA. Results: The group SS+IR demonstrated the higher malondialdehyde levels when compared with the atenolol treated-groups (p=0.001) in the heart tissue. The tumor necrosis factor-alpha level in plasma decrease in the treated groups when compared with SS+IR group (p=0.001). Histology analyses demonstrate pyknosis, edema, cellular vacuolization, presence of inflammatory infiltrate and band contraction in the heart tissue of the rats. Conclusion: Atenolol significantly reduce the degree of cardiac damage after intestinal ischemia-reperfusion.(AU)

Alterações hemogasométricas em equinos submetidos à distensão do cólon menor / Blood gas alterations in horses subjected to small colon distention

O objetivo do presente estudo foi avaliar a hemogasometria venosa de equinos com lesões isquêmicas induzidas experimentalmente no cólon menor. Foram utilizados oito equinos sadios, com idades entre cinco e oito anos, sem raça definida. Os animais foram submetidos à celiotomia e a quatro horas de obstrução intraluminal do cólon menor. Foram realizadas coletas de amostras de sangue imediatamente antes da indução anestésica (T0), no momento em que a anestesia foi estabilizada (T1), quatro horas após a obstrução intraluminal (T4), e, durante o pós-cirúrgico, as coletas foram realizadas em intervalos de 12 horas até completar 72 horas (T16, T28, T40, T52, T64 e T76). Notou-se em T4 alcalose metabólica, com compensação respiratória por meio da hipoventilação. Esse quadro de alcalose foi brando e transitório, retornando os valores normais para a espécie em T16, com 12 horas de desobstrução intestinal.(AU)

The objective of this study was to evaluate the blood gas analysis of venous blood of horses with experimentally induced ischemic lesions on the lower colon. Eight healthy horses were used, with ages between five and eight years, mixed breed. The animals were subjected to celiotomy and four hours of lower colonic intraluminal obstruction. The harvests were made with the blood samples immediately before induction of anesthesia (T0), when the anesthesia was stabilized (T1), 4 hours after the intraluminal obstruction (T4) and during postsurgical times were performed at intervals of 12 hours to complete 72 hours (T16, T28, T40, T52, T64 and T76). The occurrence of metabolic alkalosis on T4 with respiratory compensation by hypoventilation was noted, this alkalosis period was bland and transient, returning the normal values for the specie on T16, 12 hours after the intestinal obstruction.(AU)

Alterações hemogasométricas em equinos submetidos à distensão do cólon menor / Blood gas alterations in horses subjected to small colon distention

O objetivo do presente estudo foi avaliar a hemogasometria venosa de equinos com lesões isquêmicas induzidas experimentalmente no cólon menor. Foram utilizados oito equinos sadios, com idades entre cinco e oito anos, sem raça definida. Os animais foram submetidos à celiotomia e a quatro horas de obstrução intraluminal do cólon menor. Foram realizadas coletas de amostras de sangue imediatamente antes da indução anestésica (T0), no momento em que a anestesia foi estabilizada (T1), quatro horas após a obstrução intraluminal (T4), e, durante o pós-cirúrgico, as coletas foram realizadas em intervalos de 12 horas até completar 72 horas (T16, T28, T40, T52, T64 e T76). Notou-se em T4 alcalose metabólica, com compensação respiratória por meio da hipoventilação. Esse quadro de alcalose foi brando e transitório, retornando os valores normais para a espécie em T16, com 12 horas de desobstrução intestinal.(AU)

The objective of this study was to evaluate the blood gas analysis of venous blood of horses with experimentally induced ischemic lesions on the lower colon. Eight healthy horses were used, with ages between five and eight years, mixed breed. The animals were subjected to celiotomy and four hours of lower colonic intraluminal obstruction. The harvests were made with the blood samples immediately before induction of anesthesia (T0), when the anesthesia was stabilized (T1), 4 hours after the intraluminal obstruction (T4) and during postsurgical times were performed at intervals of 12 hours to complete 72 hours (T16, T28, T40, T52, T64 and T76). The occurrence of metabolic alkalosis on T4 with respiratory compensation by hypoventilation was noted, this alkalosis period was bland and transient, returning the normal values for the specie on T16, 12 hours after the intestinal obstruction.(AU)

Sonda uretral flexível como método alternativo para aferição invasiva da pressão intracraniana em trauma cranioencefálico induzido em coelhos / Flexible urethral catheter as alternative method to invasive measurement of intracranial pressure in induced head trauma in rabbits

O objetivo deste estudo foi utilizar a sonda uretral flexível como método alternativo para aferição da pressão intracraniana em coelhos com trauma cranioencefálico induzido pelo cateter de Fogarty 4 Fr (balão epidural) e comparar os dados obtidos com o método convencional de cateter de ventriculostomia. Foram utilizados 12 coelhos, machos, adultos, distribuídos aleatoriamente em dois grupos, denominados de G1: mensuração da PIC com cateter de ventriculostomia (n=6) e G2: mensuração com sonda uretral (n=6). Foram realizadas duas craniotomias na região parietal direita e esquerda para a implantação do cateter de ventriculostomia ou sonda uretral flexível e o balão epidural, respectivamente. A PAM, a PPC, a FC, a FR e a TR foram mensurados antes e após a craniotomia. A PIC foi avaliada após a craniotomia e a cada 10 minutos depois do preenchimento do balonete com 0,3mL de NaCl 0,9%, durante 40 minutos, e com 0,6mL, pelo mesmo período de tempo, totalizando 80 minutos. A PIC aumentou em ambos os grupos, sendo menores os valores registrados com a sonda uretral flexível. Foi possível reproduzir o aumento da PIC com o modelo experimental de TCE utilizando o cateter de Fogarty 4 Fr na região epidural e, embora haja a necessidade de outros estudos, a sonda uretral flexível demonstra ser um método alternativo de mensuração da PIC em coelhos com trauma cranioencefálico.(AU)

The aim of this study was to evaluate the use of flexible urethral catheter as an alternative method for measuring intracranial pressure in rabbits with head trauma induced by 4 F Fogarty catheter (epidural balloon) and compare the data obtained with the conventional method of ventriculostomy catheter. In this study, New Zealand rabbits were randomly distributed into two groups, G1: measuring the ICP with ventriculostomy catheter (n=6) and G2: measuring the ICP with urethral catheter (n=6). Two craniotomies were performed in the right and left parietal region for the implantation of a ventriculostomy catheter and/or flexible urethral catheter and epidural 4 Fr Fogarty arterial embolectomy catheter, respectively. MAP, CPP, HR, RF and RT values were measured before and after of the craniotomy. The ICP value was measured after craniotomy, every five minutes during 40 minutes after the balloon was inflated with 0.3 ml with NaCl and further 40 minutes after the balloon was inflated with 0.6 ml. The ICP value increased in both groups; however, the ICP values were lower in the flexible urethral catheter. The flexible urethral catheter can be used as an alternative method to measure ICP values in rabbits with head injury.(AU)

Sonda uretral flexível como método alternativo para aferição invasiva da pressão intracraniana em trauma cranioencefálico induzido em coelhos / Flexible urethral catheter as alternative method to invasive measurement of intracranial pressure in induced head trauma in rabbits

O objetivo deste estudo foi utilizar a sonda uretral flexível como método alternativo para aferição da pressão intracraniana em coelhos com trauma cranioencefálico induzido pelo cateter de Fogarty 4 Fr (balão epidural) e comparar os dados obtidos com o método convencional de cateter de ventriculostomia. Foram utilizados 12 coelhos, machos, adultos, distribuídos aleatoriamente em dois grupos, denominados de G1: mensuração da PIC com cateter de ventriculostomia (n=6) e G2: mensuração com sonda uretral (n=6). Foram realizadas duas craniotomias na região parietal direita e esquerda para a implantação do cateter de ventriculostomia ou sonda uretral flexível e o balão epidural, respectivamente. A PAM, a PPC, a FC, a FR e a TR foram mensurados antes e após a craniotomia. A PIC foi avaliada após a craniotomia e a cada 10 minutos depois do preenchimento do balonete com 0,3mL de NaCl 0,9%, durante 40 minutos, e com 0,6mL, pelo mesmo período de tempo, totalizando 80 minutos. A PIC aumentou em ambos os grupos, sendo menores os valores registrados com a sonda uretral flexível. Foi possível reproduzir o aumento da PIC com o modelo experimental de TCE utilizando o cateter de Fogarty 4 Fr na região epidural e, embora haja a necessidade de outros estudos, a sonda uretral flexível demonstra ser um método alternativo de mensuração da PIC em coelhos com trauma cranioencefálico.(AU)

The aim of this study was to evaluate the use of flexible urethral catheter as an alternative method for measuring intracranial pressure in rabbits with head trauma induced by 4 F Fogarty catheter (epidural balloon) and compare the data obtained with the conventional method of ventriculostomy catheter. In this study, New Zealand rabbits were randomly distributed into two groups, G1: measuring the ICP with ventriculostomy catheter (n=6) and G2: measuring the ICP with urethral catheter (n=6). Two craniotomies were performed in the right and left parietal region for the implantation of a ventriculostomy catheter and/or flexible urethral catheter and epidural 4 Fr Fogarty arterial embolectomy catheter, respectively. MAP, CPP, HR, RF and RT values were measured before and after of the craniotomy. The ICP value was measured after craniotomy, every five minutes during 40 minutes after the balloon was inflated with 0.3 ml with NaCl and further 40 minutes after the balloon was inflated with 0.6 ml. The ICP value increased in both groups; however, the ICP values were lower in the flexible urethral catheter. The flexible urethral catheter can be used as an alternative method to measure ICP values in rabbits with head injury.(AU)

Pontes de miocárdio em corações de suínos (SUS domesticus) e suas possíveis influências sobre lesões ateroscleróticas em artérias coronárias / Myocardial bridge of pigs (Sus domesticus) hearts associated with lesions of coronary arteries

Seek, therefore, to analyze in adults and young pigs, under light microscopy, the morphological characteristics of the coronary arterial branches under of the myocardial bridges, as well as the prepontine and postpontine segments, attempting to establish morphofunctional correlations between these. Was used for the study 40 pig hearts, all mongrel females, being 20 young and 20 adults, all with myocardial bridges, of which were removed prepontine, pontine and postpontine segments of the coronary arteries, together with the surrounding tissue. The segments were submitted with usual techniques of the light microscopy and stained with hematoxylin and eosin. Changes were observed in tunica intima, such as thickening, cells with clear cytoplasm, disruption and duplication of the limiting internal elastic lamina. The statistical test was significant for the position in adult pigs, confirming that there is a highter frequency of lesions in prepontine segment of the tunica intima of the coronary arteries when compared with the pontine and postpontine segments. The statistical test confirmed variation in the lesions frequency between sample studied, being highter in young animals when compared with adult animals. For the young animals, the test was not significant for the variable positions between of the segments compared with each other. There is statistically a highter occurrence of atherosclerotic lesions which precedes the myocardial bridge in relation to the others segments studied.

Buscou-se analisar em suínos jovens e adultos, sob microscopia de luz, as características morfológicas dos ramos arteriais coronarianos sob as pontes de miocárdio, bem como dos segmentos pré-pontino e pós-pontino, na tentativa de estabelecer correlações morfofuncionais entre eles. Foram utilizados 40 corações de suínos para a pesquisa, todos fêmeas sem raça definida, sendo 20 jovens e 20 adultos, todos portadores de pontes de miocárdio, dos quais foram retirados fragmentos pré-pontino, pontino e pós-pontino de ramos da artéria coronária direita e esquerda, junto com o tecido circunjacente. Os segmentos foram submetidos às técnicas habituais da microscopia de luz e corados pela hematoxilina-eosina. Observou-se alterações da íntima, tais como espessamentos, células com citoplasma claro, ruptura e/ou duplicação da lâmina limitante elástica interna. O teste estatístico se mostrou significativo para posição em suínos adultos, confirmando que existe uma maior frequência de lesões no segmento pré-pontino da túnica íntima das artérias coronárias quando comparado com o segmento pontino e com o pós-pontino. O mesmo teste confirmou uma variação na frequência de lesões entre as amostras estudadas, sendo maior em animais jovens quando defrontado com animais adultos. Paraos animais jovens, o teste não se apresentou significativo para a variável posição entre nenhum dos segmentos comparados entre si. Concluiu-se, estatisticamente, uma maior ocorrência de lesões ateroscleróticas nos segmentos arteriais que antecedem a ponte de miocárdio em relação aos demais segmentos estudados.

Pontes de miocárdio em corações de suínos (SUS domesticus) e suas possíveis influências sobre lesões ateroscleróticas em artérias coronárias / Myocardial bridge of pigs (Sus domesticus) hearts associated with lesions of coronary arteries

Seek, therefore, to analyze in adults and young pigs, under light microscopy, the morphological characteristics of the coronary arterial branches under of the myocardial bridges, as well as the prepontine and postpontine segments, attempting to establish morphofunctional correlations between these. Was used for the study 40 pig hearts, all mongrel females, being 20 young and 20 adults, all with myocardial bridges, of which were removed prepontine, pontine and postpontine segments of the coronary arteries, together with the surrounding tissue. The segments were submitted with usual techniques of the light microscopy and stained with hematoxylin and eosin. Changes were observed in tunica intima, such as thickening, cells with clear cytoplasm, disruption and duplication of the limiting internal elastic lamina. The statistical test was significant for the position in adult pigs, confirming that there is a highter frequency of lesions in prepontine segment of the tunica intima of the coronary arteries when compared with the pontine and postpontine segments. The statistical test confirmed variation in the lesions frequency between sample studied, being highter in young animals when compared with adult animals. For the young animals, the test was not significant for the variable positions between of the segments compared with each other. There is statistically a highter occurrence of atherosclerotic lesions which precedes the myocardial bridge in relation to the others segments studied. (AU)

Buscou-se analisar em suínos jovens e adultos, sob microscopia de luz, as características morfológicas dos ramos arteriais coronarianos sob as pontes de miocárdio, bem como dos segmentos pré-pontino e pós-pontino, na tentativa de estabelecer correlações morfofuncionais entre eles. Foram utilizados 40 corações de suínos para a pesquisa, todos fêmeas sem raça definida, sendo 20 jovens e 20 adultos, todos portadores de pontes de miocárdio, dos quais foram retirados fragmentos pré-pontino, pontino e pós-pontino de ramos da artéria coronária direita e esquerda, junto com o tecido circunjacente. Os segmentos foram submetidos às técnicas habituais da microscopia de luz e corados pela hematoxilina-eosina. Observou-se alterações da íntima, tais como espessamentos, células com citoplasma claro, ruptura e/ou duplicação da lâmina limitante elástica interna. O teste estatístico se mostrou significativo para posição em suínos adultos, confirmando que existe uma maior frequência de lesões no segmento pré-pontino da túnica íntima das artérias coronárias quando comparado com o segmento pontino e com o pós-pontino. O mesmo teste confirmou uma variação na frequência de lesões entre as amostras estudadas, sendo maior em animais jovens quando defrontado com animais adultos. Paraos animais jovens, o teste não se apresentou significativo para a variável posição entre nenhum dos segmentos comparados entre si. Concluiu-se, estatisticamente, uma maior ocorrência de lesões ateroscleróticas nos segmentos arteriais que antecedem a ponte de miocárdio em relação aos demais segmentos estudados.(AU)

DEXMEDETOMIDINA E MIDAZOLAM INTRANASAL EM GALINHAS DOMÉSTICAS (GALLUS GALLUS DOMESTICUS): EFEITOS CLÍNICOS E HISTOPATOLÓGICOS

Visando avaliar os efeitos clínicos e histopatológicos da dexmedetomidina e do midazolam, associados (MDEX midazolam 0,5 mg/kg + dexmedetomidina 40 /kg) ou não (DEX dexmedetomidina 80 /kg e MID midazolam 1 mg/kg), 36 galinhas domésticas hígidas receberam esses fármacos intranasal e foram submetidas a avaliação clínica dos seguintes parâmetros: frequências respiratória (f) e cardíaca (FC), pressão arterial média, temperatura cloacal e grau sedativo. Realizou-se esta avaliação antes da administração dos fármacos, após cinco minutos (M5) e a cada 15 minutos até completar 65 minutos (M65); após este tempo a avaliação foi realizada a cada 30 minutos até recuperação da sedação. Por meio de sorteio, as aves foram eutanasiadas com 24 ou 168 horas pós administração dos fármacos e foram avaliadas as alterações histopatológicas no epitélio nasal. Os resultados obtidos foram submetidos a testes estatísticos para dados assimétricos. Notou-se no grupo DEX, no M5, taquipnéia em relação aos demais grupos e FC superior ao grupo MID. Pode-se observar em todos os grupos e momentos redução da FC, porém dentro dos valores de referência, e manutenção da pressão arterial. A temperatura cloacal diminuiu no decorrer do tempo nos grupos DEX e MDEX. Os animais do grupo MID não apresentaram sedação. No grupo MDEX observou-se sedação adequada e mínimos efeitos cardiovasculares. As lesões epiteliais foram observadas em todos os grupos e variaram de leve a intensa após 24h e ausente a leve após 168h da administração. Essas lesões histopatológicas precisam ser melhor investigadas.

In order to evaluate the clinical and histopathological effects of dexmedetomidine and midazolam, associated (MDEX - midazolam 0.5 mg/kg + dexmedetomidine 40 /kg) or not (DEX - dexmedetomidine 80 /kg and MID - midazolam 1 mg/kg), 36 healthy domestic chickens received these drugs intranasally and underwent clinical evaluation of the following parameters: respiratory (f) and heart (HR) rates, media blood pressure media, cloacal temperature and sedative rate. Clinical evaluation was carried out before administration of drugs, after five minutes (M5) and every 15 minutes until completing 65 minutes (M65); after this time, evaluation was performed every 30 minutes until sedation recovery. Following a draw, birds were euthanized 24 or 168 hours after administration of drugs and histopathological changes in the nasal epithelium were evaluated. Results obtained were subjected to statistical tests for asymmetric data. It was noted in the DEX group, in the M5, tachypnea in relation to the other groups and HR higher than the MID group. It is possible to observe a reduction in HR in all groups and moments, but within the reference values, and maintenance of blood pressure. The cloacal temperature decreased over time in the DEX and MDEX groups. The animals in the MID group did not present sedation. In the MDEX group, adequate sedation and minimal cardiovascular effects were observed. Epithelial lesions were observed in all groups and varied from mild to severe after 24 hours and absent to mild after 168 hours of administration. These histopathological lesions need to be further investigated.

Early postoperative recovery after intracranial surgical procedures. Comparison of the effects of sevoflurane and desflurane

PURPOSE: To compared the effects of sevoflurane and desflurane on early anesthesia recovery in patients undergoing to craniotomy for intracranial lesions. METHODS: After IRB approval, the study included 50 patients aged 18-70 years who had ASA physical statuses of I-II and were scheduled for intracranial surgery. Patients were randomly divided into two groups: sevoflurane and desflurane. Anaesthesia was routinely induced in all patients followed by desflurane 5%-6% or sevoflurane 1%-2%. Moreover remifentanil infusion (0.05-0.2 mcg/kg/min) was adjusted to maintain mean arterial pressure (MAP) within 20% baseline and heart rate 90 bpm. Postoperatively, patients were evaluated over time for responses to painful stimulus, eye opening, hand squeezing, extubation, orientation and time required to achieve a Modified Aldrete Score of 9-10. Parametric and non-parametric data were assessed using Student's t- and Mann-Whitney U tests, respectively. A p 0.05 was taken as statistically significant. RESULTS: The times to responses to painful stimuli (7.7±2.7 vs. 4.8±1.7 min.; p 0.001), emergence (9.5±2.81 vs. 6.3±2.2 min.; p 0.001), hand-squeezing (12.1±2.9 vs. 8.2±2.3 min.; p 0.001), extubation (10.1±2.87 vs. 7.1±1.6 min.; p 0.001), orientation (15.3±3.2 vs. 10.3±2.7 min.; p 0.001) and Aldrete score of 9-10 (23.3±6.1 vs. 15.8±3.8 min.; p 0.001) were significantly lower with desflurane-based anaesthesia vs. sevoflurane-based anaesthesia. CONCLUSION: Desflurane yields early recovery functions and facilitates early postoperative neurologic examinations of intracranial surgery patients.(AU)

Pressão arterial em cães: uma revisão / Blood pressure in dogs: a review / Presión arterial en perros: una revisión

A avaliação da pressão arterial sanguínea é uma ferramenta indispensável na prática clínica veterinária e na monitoração de pacientes anestesiados ou sob cuidados intensivos, devido sua utilidade nos diagnósticos, tratamento e acompanhamento de diversas doenças. Além do fator patológico, a pressão arterial sanguínea também sofre influência de diferentes variáveis, tais como idade, raça, sexo, temperamento (ansiedade e estresse principalmente durante o atendimento - "Síndrome do jaleco branco), estado de doença, atividade física e, em menor intensidade, dieta dos animais. Uma das principais indicações para a avaliação da pressão arterial é a observação de alterações clínicas devidas à hipertensão em animais, caracterizada por lesões no sistema nervoso e cardiovascular, rins e olhos. Não menos importante, a avaliação da pressão torna-se também imprescindível nos estados hipotensivos, que representam um risco iminente de morte. As técnicas empregadas na medição da pressão arterial correspondem às formas invasivas (diretas) ou não invasivas (indiretas), cuja correlação vem sendo alvo de estudos e aprimoramento dentro da clinica veterinária de pequenos animais. Assim, o objetivo desta revisão é reconhecer a importância da mensuração da pressão arterial dentro da rotina da clínica veterinária, estudando a influência das variáveis associadas ou não à elevação da pressão arterial, comparando os diferentes métodos empregados para sua obtenção.

The evaluation of blood pressure is an essential tool for veterinarian clinical practice and for monitoring anesthetized patients or patients in intensive care, because of its usefulness in diagnostics, treatment and monitoring of several diseases. Apart from the pathological factor, the blood pressure also suffers the influence of different variables, such as age, breed, gender, temperament (anxiety and stress especially during the treatment, "white coat syndrome"), disease state, physical activity and, with lower intensity, animal's diet. One of the main indications of the evaluation of blood pressure is the observation of clinical changes due to hypertension in animals, which lesions characterize one in the nervous and cardiovascular systems, kidneys and eyes. Not least important, the evaluation of blood pressure is also essential in hypotensive states, which represent an imminent risk of death. The techniques used in measuring blood pressure correspond to invasive forms (direct) or non-invasive (indirect), whose correlation has been the subject of study and improvement within the small animal clinic. Thus, the purpose of this review is emphasize the importance of measuring blood pressure within the veterinary clinic routine, studying the influence of variables associated or not with elevated blood pressure, comparing the different methods used to obtain the blood pressure.

La evaluación de la presión arterial es una herramienta indispensable en la clínica veterinaria y en la supervisión de pacientes anestesiados o en terapia intensiva, debido a su utilidad en el diagnóstico, en el tratamiento y en la vigilancia de diversas enfermedades. Además de los factores patológicos, la presión arterial también sufre la influencia de distintas variables, como edad, raza, sexo, temperamento (ansiedad y estrés, especialmente durante la asistencia "síndrome de la chaqueta blanca"), estado de la enfermedad, actividad física, y en menor medida, dietas de los animales. Una de las principales indicaciones de la evaluación de la presión arterial es la observación de los cambios clínicos resultantes de la hipertensión arterial en animales, caracterizadas por lesiones en el sistema nervioso y cardiovascular, los riñones y los ojos. Por último, pero no menos importante, la evaluación de la presión también llega a ser esencial en los estados hipotensos, que representan un peligro inminente de muerte. Las técnicas utilizadas en la medición de la presión arterial corresponden a las formas invasivas (directas) o no invasivas (indirectas), cuya relación ha sido objeto de estudios y mejora en la clínica de pequeños animales. Así, el objetivo de esta revisión es destacar la importancia de medir la presión arterial en la clínica veterinaria de rutina, estudiando la influencia de variables asociadas o no con la presión arterial elevada, comparando los diferentes métodos utilizados para su obtención.

Hypertension and its correlation with renal lesions in dogs with leishmaniosis

To evaluate the prevalence of hypertension and its correlation with the severity of renal injury and proteinuria in dogs with leishmaniosis, sixty-six dogs were divided into two groups. Group 1 (G1) was composed of 54 dogs included in stage 1 of chronic kidney disease (CKD), and group 2 (G2) of twelve dogs in stages 2 and 3 of CKD. Prevalence of hypertension was 28.8%, comprising 22.2% of the dogs from G1 and 58.3% from G2 (P=0.011). The mean arterial blood pressure (BP) of dogs from G1 (135.7 ± 20.5) was lower than from G2 (170.0 ± 26.3) (P 0.001). Urine protein-creatinine ratio (UP/C) revealed values above 0.5 in 75.7% of the dogs, with 34% presenting hypertension. All dogs with hypertension had histopathological and laboratory evidence of glomerular disease. Although there was no statistically significant correlation between elevated BP and the severity of glomerular lesions (P=0.408), there was a statistically significant correlation between elevated BP and increased UP/C in the studied population (P=0.002). Thus, dogs with leishmaniosis and renal disease must be screened for the presence of hypertension so that treatment may be instituted as early as possible, in countries where treatment is allowed, to prevent the progression of renal damage.

Para avaliar a prevalência de hipertensão arterial e sua correlação com a severidade da lesão renal e proteinúria em cães com leishmaniose, 66 cães foram divididos em dois grupos. O grupo 1 (G1), composto por 54 cães em estágio 1 de doença renal crônica (DRC), e o grupo 2 (G2) por 12 cães em estágios 2 e 3 de DRC. A prevalência de hipertensão foi de 28,8%, compreendendo 22,2% dos cães de G1 e 58,3% dos cães de G2 (p = 0,011). A pressão arterial média (PA) de G1 (135,7 ± 20,5) foi inferior a de G2 (170,0 ± 26,3) (P 0,001). A relação proteína creatinina urinária (P/C U) foi maior que 0,5 em 75,7% dos cães, dos quais 34% possuíam hipertensão. Todos os cães com hipertensão apresentavam doença glomerular. Embora não tenha sido observada correlação estatisticamente significativa entre elevação da PA e severidade das lesões glomerulares (P =0,408), houve uma correlação significativa entre PA elevada e aumento da UP/C (P = 0,002). Portanto, cães com leishmaniose e doença renal devem ser pesquisados quanto à presença de hipertensão, para que o tratamento possa ser instituído o mais precocemente possível em países onde ele é permitido, para evitar a progressão da lesão renal.