Assessment of cardiopulmonary resuscitation in 121 dogs and 30 cats at a university teaching hospital (2009-2012).

OBJECTIVE: To prospectively describe cardiopulmonary resuscitation (CPR) and evaluate factors associated with outcome in dogs and cats with cardiopulmonary arrest (CPA). DESIGN: Prospective observational study. SETTING: University teaching hospital. ANIMALS: One hundred twenty-one dogs and 30 cats that underwent CPR. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Supervising clinicians completed a data form immediately following completion of CPR. Eighty-seven (58%) animals attained return of spontaneous circulation (ROSC), 49 (32%) had ROSC >20 minutes, 15 (10%) were alive at 24 hours, and 8 (5%) were discharged alive. Cardiovascular abnormalities were the most common suspected precipitating cause of CPA (51/151, 34%). Presence of an IV catheter before CPA (P = 0.01) and the presence of palpable pulses during CPR (P = 0.007) were both associated with ROSC. Increased time from CPA to CPR (P = 0.04), longer duration of CPR (P < 0.0001), and neurologic cause of arrest (P = 0.02) were associated with not achieving ROSC. There was no association between ROSC and the initial arrest rhythm identified on ECG, animal weight, number of people present, and ventilation or compression rate. In patients achieving ROSC, those with a "survived event" were more likely to be euthanized and less likely to experience a second CPA than those with ROSC ≤ 20 minutes. Thirty-four percent of patients submitted for necropsy had gross and histological lesions considered secondary to CPR. CONCLUSIONS: Early CPR interventions were associated with a greater likelihood of ROSC, emphasizing the importance of prompt recognition, and initiation of CPR efforts. Although ROSC rates in this study were comparable or higher than previous human and veterinary studies, the rate of "survived events" was lower than that reported in human patients. This may suggest that advances in post CPR care could have benefits to the veterinary CPR patient in the future.

Developmental uterine anomalies in cats and dogs undergoing elective ovariohysterectomy.

OBJECTIVE: To describe the characteristics and frequency of gross uterine anomalies in cats and dogs undergoing elective ovariohysterectomy. DESIGN: Prospective and retrospective case series. ANIMALS: 53,258 cats and 32,660 dogs undergoing elective ovariohysterectomy at 26 clinics in the United States and Canada during 2007. PROCEDURES: Clinics prospectively reported gross anomalies and submitted tissues from abnormal reproductive tracts identified during surgery. Records from a feral cat spay-neuter clinic were evaluated retrospectively. RESULTS: Suspected congenital anomalies of the uterus were identified in 0.09% (49/53,258) of female cats and 0.05% (15/32,660) of female dogs. Uterine anomalies identified included unicornuate uterus (33 cats and 11 dogs), segmental agenesis of 1 uterine horn (15 cats and 3 dogs), and uterine horn hypoplasia (1 cat and 1 dog). Ipsilateral renal agenesis was present in 29.4% (10/34) of cats and 50.0% (6/12) of dogs with uterine anomalies in which kidneys were evaluated. Mummified ectopic fetuses were identified in 4 cats with uterine anomalies. Both ovaries and both uterine tubes were present in most animals with uterine anomalies. CONCLUSIONS AND CLINICAL RELEVANCE: Urogenital anomalies were twice as common in cats as in dogs. Identification of uterine developmental anomalies in dogs and cats should trigger evaluation of both kidneys and both ovaries because ipsilateral renal agenesis is common, but both ovaries are likely to be present and should be removed during ovariohysterectomy.