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1.
Vet Clin North Am Small Anim Pract ; 50(1): 263-271, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635913

RESUMO

As the saying goes, "cats are not small dogs." Throughout veterinary medicine history, most of the literature focus has been on the canine. Feline patients, however, now constitute a larger proportion of the pet population and are unique in many aspects. They differ anatomically and biomechanically from canines and have specific recovery needs and different pain-related behaviors. It is important that veterinary surgeons understand these differences and improve their knowledge base in the treatment of cats. This article highlights the differences in cats relevant to minimally invasive fracture repair and how they affect a surgeon's approach to fractures in cats.


Assuntos
Placas Ósseas/veterinária , Doenças do Gato/cirurgia , Gatos/lesões , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Especificidade da Espécie
2.
Vet Clin North Am Small Anim Pract ; 50(1): 135-153, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635915

RESUMO

Minimally invasive plate osteosynthesis (MIPO) is a biologically friendly approach to fracture reduction and stabilization that is applicable to many radius and ulna fractures in small animals. An appropriate knowledge of the anatomy of the antebrachium and careful preoperative planning are essential. This article describes the MIPO technique, which entails stabilization of the fractured radius with a bone plate and screws that are applied without performing an extensive open surgical approach. This technique results in good outcomes, including a rapid time to union and return of function.


Assuntos
Gatos/cirurgia , Cães/cirurgia , Membro Anterior/cirurgia , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Gatos/lesões , Cães/lesões , Membro Anterior/lesões , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia
3.
Vet Clin North Am Small Anim Pract ; 50(1): 123-134, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635917

RESUMO

A thorough knowledge of humeral anatomy is critical to performing minimally invasive techniques. Fluoroscopy, when available, is invaluable in optimizing fracture repair with minimally invasive techniques. Minimally invasive approaches decrease morbidity and allow an earlier return to function. Minimally invasive fracture repair is performed using implant systems similar to open approaches.


Assuntos
Gatos/cirurgia , Cães/cirurgia , Membro Anterior/cirurgia , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Gatos/lesões , Cães/lesões , Membro Anterior/lesões , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia
4.
Vet Clin North Am Small Anim Pract ; 50(1): 101-121, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31653537

RESUMO

This article describes the technique of percutaneous pinning in dogs and cats. Only acute fractures evaluated within the first 48 hours after trauma are selected for percutaneous pinning. Reduction is performed with careful manipulation of the fracture to minimize the trauma to the growth plate. After ensuring the fracture is reduced anatomically, smooth pins of appropriate size are inserted through stab incisions or through large-gauge needles. Depending on the anatomic location, the pins are cut flush with the bone or bent over. The main advantages of this technique are the minimal surgical trauma and lower perioperative morbidity.


Assuntos
Pinos Ortopédicos/veterinária , Gatos/cirurgia , Cães/cirurgia , Fraturas Ósseas/veterinária , Animais , Gatos/lesões , Cães/lesões , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Reconstrutivos
5.
J Vet Emerg Crit Care (San Antonio) ; 29(5): 578-584, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31448527

RESUMO

OBJECTIVE: To evaluate the effects of iso-osmolar doses of 18% mannitol and 3% sodium chloride (NaCl) solutions in decreasing intracranial pressure (ICP) in animals with severe traumatic brain injury (TBI). DESIGN: Prospective uncontrolled interventional study. SETTING: Veterinary university teaching hospital. ANIMALS: Two cats and 1 dog with TBI with a modified Glasgow Coma Scale score ≤8 after hemodynamic stabilization, and with brain magnetic resonance imaging changes suggestive of intracranial hypertension. INTERVENTIONS: Animals were surgically instrumented for direct ICP measurement, then randomly treated with iso-osmolar doses of 18% mannitol or 3% NaCl. Direct ICP and cerebral perfusion pressure (CPP) were recorded both before treatment and for 120 minutes following drug administration. MEASUREMENTS AND MAIN RESULTS: Direct ICP and CPP were recorded both before treatment and at 5 additional time points following administration over the subsequent 120 minutes. Case 1 received 3% NaCl without any response to therapy; refractory posttraumatic hypertension was suspected. Case 2 was treated with 3% NaCl; ICP decreased by 40.7% and CPP increased by 15%; however, these effects were transient. Case 3 received 18% mannitol, and ICP decreased by 19% and CPP increased to normal. However, there was a rebound increase in ICP that was higher than pretreatment values, and CPP decreased slightly before it gradually increased to normal values towards the end of the study. CONCLUSIONS: Both mannitol and hypertonic saline decrease ICP and improve CPP, but the effect observed in this pilot study suggests that there might be differences in the duration of these effects. Appropriately designed studies in a larger and homogeneous population are warranted to further investigate these findings.


Assuntos
Lesões Encefálicas Traumáticas/veterinária , Doenças do Gato/tratamento farmacológico , Gatos/lesões , Diuréticos Osmóticos/uso terapêutico , Doenças do Cão/tratamento farmacológico , Cães/lesões , Hemorragias Intracranianas/veterinária , Manitol/uso terapêutico , Solução Salina Hipertônica/uso terapêutico , Animais , Lesões Encefálicas Traumáticas/complicações , Doenças do Gato/diagnóstico por imagem , Diuréticos Osmóticos/administração & dosagem , Doenças do Cão/diagnóstico por imagem , Hemorragias Intracranianas/complicações , Hemorragias Intracranianas/tratamento farmacológico , Pressão Intracraniana , Imagem por Ressonância Magnética/veterinária , Masculino , Manitol/administração & dosagem , Projetos Piloto , Estudos Prospectivos , Solução Salina Hipertônica/administração & dosagem
6.
J Vet Emerg Crit Care (San Antonio) ; 29(5): 478-483, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31468694

RESUMO

OBJECTIVES: To examine the Animal Trauma Triage (ATT) and modified Glasgow Coma Scale (mGCS) scores as predictors of mortality in injured cats. DESIGN: Observational cohort study conducted September 2013 to March 2015. SETTING: Nine Level I and II veterinary trauma centers. ANIMALS: Consecutive sample of 711 cats reported on the Veterinary Committee on Trauma (VetCOT) case registry. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: We compared the predictive power (area under receiver operating characteristic curve; AUROC) and calibration of the ATT and mGCS scores to their components. Overall mortality risk was 16.5% (95% confidence interval [CI], 13.9-19.4). Head trauma prevalence was 11.8% (n = 84). The ATT score showed a linear relationship with mortality risk. Discriminatory performance of the ATT score was excellent (AUROC = 0.87 [95% CI, 0.84-0.90]). Each ATT score increase of 1 point was associated with an increase in mortality odds of 1.78 (95% CI, 1.61-1.97, P < 0.001). The eye/muscle/integument category of the ATT showed the lowest discrimination (AUROC = 0.60). When this component, skeletal, and cardiac components were omitted from score calculation, there was no loss in discriminatory capacity compared with the full score (AUROC = 0.86 vs 0.87, respectively, P = 0.66). The mGCS showed fair performance overall for prediction of mortality, but the point estimate of performance improved when restricted to head trauma patients (AUROC = 0.75, 95% CI, 0.70-0.80 vs AUROC = 0.80, 95% CI, 0.70-0.90). The motor component of the mGCS showed the best predictive performance (AUROC = 0.71); however, the full score performed better than the motor component alone (P = 0.004). When assessment was restricted to patients with head injury (n = 84), there was no difference in performance between the ATT and mGCS scores (AUROC = 0.82 vs 0.80, P = 0.67). CONCLUSION: On a large, multicenter dataset of feline trauma patients, the ATT score showed excellent discrimination and calibration for predicting mortality; however, an abbreviated score calculated from the perfusion, respiratory, and neurologic categories showed equivalent performance.


Assuntos
Gatos/lesões , Traumatismos Craniocerebrais/veterinária , Escala de Coma de Glasgow/veterinária , Triagem/normas , Animais , Estudos de Coortes , Traumatismos Craniocerebrais/diagnóstico , Feminino , Escala de Coma de Glasgow/normas , Masculino , Valor Preditivo dos Testes , Curva ROC , Sistema de Registros , Reprodutibilidade dos Testes , Centros de Traumatologia
7.
J Vet Emerg Crit Care (San Antonio) ; 29(4): 407-412, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31218799

RESUMO

OBJECTIVE: To characterize a population of cats with pelvic trauma and evaluate factors influencing transfusion requirement and outcome. DESIGN: Retrospective case series (2009-2014). SETTING: University teaching hospital. ANIMALS: One hundred twelve client-owned cats with pelvic trauma. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Twenty-one (18.8%) cats received a transfusion. Most cats required only 1 fresh whole blood transfusion (85.8%). Packed cell volume at admission was significantly lower in cats that required transfusion but was not associated with hospitalization time or survival to discharge. Increasing Animal Trauma Triage (ATT) score at admission was significantly associated with transfusion requirement (P = 0.0001) and nonsurvival to discharge (P = 0.03). Number of pelvic fractures was not associated with transfusion requirement but cats with sacroiliac luxations and pubic fractures were more likely to require a transfusion (P = 0.0015 and P = 0.0026, respectively). However, fracture type was not associated with survival to discharge. Most cats (86%) required a surgical procedure and half of transfusions were administered preoperatively. No surgical comorbidities were associated with transfusion requirement or survival. Transfusion requirement was associated with longer length of hospitalization but not survival to discharge. CONCLUSIONS: Transfusion requirement in this population of cats with pelvic fractures was fairly high. Transfusion requirement was associated with lower packed cell volume, higher ATT score at admission, longer length of hospitalization, and certain types of pelvic fractures. Transfusion requirement was not associated with surgical comorbidities, surgical intervention, or survival to discharge. Lower ATT score at admission was associated with survival to discharge.


Assuntos
Transfusão de Sangue/veterinária , Gatos/lesões , Ossos Pélvicos/lesões , Pelve/lesões , Animais , Feminino , Fraturas Ósseas/complicações , Fraturas Ósseas/veterinária , Masculino , Ossos Pélvicos/patologia , Pelve/patologia , Estudos Retrospectivos , Resultado do Tratamento
8.
Vet Comp Orthop Traumatol ; 32(4): 289-296, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31141824

RESUMO

OBJECTIVE: The aim of this study was to describe coagulation abnormalities and incidence of acute traumatic coagulopathy (ATC) in traumatized cats over the first 24 hours after admission. STUDY DESIGN: This was a prospective observational study at the university teaching hospital including 26 cats with acute (<5 hours) trauma. Blood was sampled for rotational thromboelastometry (ROTEM) parameters at presentation and 6 hours/24 hours thereafter. Rotational thromboelastometry tracings were defined as hypo- or hypercoagulable if ≥ 2 of the following parameters were above or below institutional reference intervals: clotting time, clot formation time (CFT), maximum clot firmness, maximum lysis or maximum clot elasticity. Hypocoagulability at presentation was defined as ATC. Injury severity scores, treatment and survival to hospital discharge were retrieved from patient records. RESULTS: The incidence of ATC was 15% and the most common ROTEM abnormalities in cats with ATC were clotting time and CFT prolongation in both extrinsic and intrinsic ROTEM profiles. After 24 hours, compared with presentation, significantly more cats were hypercoagulable (p = 0.047) and none of the cats showed hypocoagulopathy. Cats with ATC received significantly more blood transfusions (p = 0.008). CONCLUSION: The incidence of ATC in cats is higher than previously reported. Clotting time and CFT prolongations seem to be more common than hyperfibrinolysis and 53% of the cats became hypercoagulable within 24 hours. While the clinical relevance of ATC in cats needs to be investigated, cats diagnosed with ATC required significantly more blood transfusions.


Assuntos
Transtornos da Coagulação Sanguínea/veterinária , Doenças do Gato/sangue , Gatos/sangue , Gatos/lesões , Tromboelastografia/veterinária , Animais , Transtornos da Coagulação Sanguínea/sangue , Transtornos da Coagulação Sanguínea/epidemiologia , Transtornos da Coagulação Sanguínea/etiologia , Doenças do Gato/epidemiologia , Doenças do Gato/etiologia , Feminino , Hemostasia , Incidência , Masculino , Estudos Prospectivos , Ferimentos e Lesões/sangue , Ferimentos e Lesões/veterinária
9.
Vet Comp Orthop Traumatol ; 32(3): 200-206, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31100766

RESUMO

BACKGROUND: In human medicine, fractures of the second cervical vertebra have been studied elaborately and categorized in detail. This is not the case in veterinary medicine where clinical decisions are often based on old studies focusing on the cervical spine in general. OBJECTIVES: The aim of this study was to describe the clinical features, fracture types, therapeutic options and outcome of dogs and cats with a fractured axis. STUDY DESIGN: The present study was a multi-institutional retrospective case series. RESULTS: Crossbreeds and Labrador Retrievers were the most represented dog breeds. Median age was 2 years. Motor vehicle accident was the most common inciting cause, followed by frontal collision. The most common neurological deficits ranged from cervical pain with or without mild ataxia (22/68) to tetraparesis (28/68) and tetraplegia (11/68). Concerning treatment, 37 of 69 patients underwent surgical fracture stabilization, 27/69 received conservative therapy and 5/69 were immediately euthanatized. Of all treated cases, 52/58 showed ambulatory recovery (23/25 of the conservatively treated and 29/33 of the surgically treated cases), whereby in 40/52 cases full recovery without persisting signs was achieved. CONCLUSIONS: Fractures of the axis commonly occur in young dogs. In many cases, neurological deficits are relatively mild. Generally, animals with a fractured axis have a very good prognosis for functional recovery. The risk of perioperative mortality is considerably lower than previously reported.


Assuntos
Gatos/lesões , Vértebras Cervicais/cirurgia , Cães/lesões , Fraturas da Coluna Vertebral/veterinária , Acidentes de Trânsito , Animais , Gatos/cirurgia , Cães/cirurgia , Feminino , Masculino , Estudos Retrospectivos , Fraturas da Coluna Vertebral/etiologia , Fraturas da Coluna Vertebral/cirurgia , Resultado do Tratamento
11.
J Vet Emerg Crit Care (San Antonio) ; 29(3): 296-300, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31012275

RESUMO

OBJECTIVE: To document the clinical and clinicopathologic changes in cats presenting with trauma from bite wounds, identify common abnormalities associated with bite wounds, and to determine whether the calculated animal trauma triage (ATT) score is related to any clinicopathologic abnormalities. DESIGN: Retrospective descriptive study. SETTING: University veterinary teaching hospital. ANIMALS: Forty-three client-owned cats that presented for bite wounds to a large, urban, veterinary hospital between 1998 and 2009. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Pertinent history, physical examination findings, results of biochemical testing, and outcome were extracted from medical records. Animal triage trauma score was calculated based on the physical examination at presentation in cats with adequate available information. Patients were classified as having either a low (<5) ATT (n = 20) or a high (≥5) ATT (n = 23) score. Male cats were overrepresented (65.1%), and a majority of cats had outdoor access (53.4%). Low venous blood pH (P = 0.047), high plasma lactate concentration (P = 0.018), and low ionized calcium concentration (P = 0.004) were associated with higher ATT scores. CONCLUSIONS: There is a significant association between low venous blood pH, high plasma lactate concentration, and low ionized calcium concentration and higher ATT scores at presentation in cats suffering from bite wounds. Early recognition of these abnormalities may help to identify more severely injured patients.


Assuntos
Mordeduras e Picadas/veterinária , Gatos/lesões , Cães , Escala de Gravidade do Ferimento , Triagem , Animais , Mordeduras e Picadas/sangue , Mordeduras e Picadas/patologia , Cuidados Críticos , Feminino , Ácido Láctico/sangue , Masculino , Registros/veterinária , Estudos Retrospectivos
12.
Can Vet J ; 59(12): 1299-1304, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30532287

RESUMO

Retrospective analysis of case records from dogs and cats diagnosed with supracondylar or distal diaphyseal humeral fractures was performed. Complications were compared and outcome was assessed at final follow-up and by owner questionnaire. A total of 37 cases (25 dogs and 12 cats) were included. Methods used consisted of plates and screws or external skeletal fixator (ESF). The ESF was associated with a significantly higher rate of minor complications (14/22) compared with plates and screws (2/15). There was no difference in major or catastrophic complications between fixation methods. Major complications occurred in 4/37 cases and catastrophic complications occurred in 3/37 cases. Good or excellent outcome was achieved in 24/33 of cases. There was no difference in outcome between dogs and cats. Plates and screws or ESF can be successful methods of managing supracondylar and distal diaphyseal humeral fractures in dogs and cats. Prognosis may be more guarded, however, than previously reported.


Assuntos
Gatos/lesões , Cães/lesões , Fixação de Fratura/veterinária , Fraturas do Úmero/veterinária , Animais , Placas Ósseas/efeitos adversos , Placas Ósseas/veterinária , Gatos/cirurgia , Cães/cirurgia , Fixadores Externos/efeitos adversos , Fixadores Externos/veterinária , Fixação de Fratura/métodos , Fraturas do Úmero/complicações , Fraturas do Úmero/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
13.
J Vet Emerg Crit Care (San Antonio) ; 28(6): 497-502, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30294833

RESUMO

OBJECTIVE: To report summative data from the American College of Veterinary Emergency and Critical Care Veterinary Committee on Trauma (VetCOT) registry. DESIGN: Multi-institutional veterinary trauma registry data report. SETTING: VetCOT identified veterinary trauma centers (VTCs). ANIMALS: Dogs and cats with evidence of trauma presented to VTCs with data entered in the VetCOT registry September 1, 2013-March 31, 2017. INTERVENTIONS: VetCOT created a standardized data collection methodology for dog and cat trauma. Data were input to a web-based data capture system (REDCap) by data entry personnel trained in data software use and operational definitions of data variables. Data on demographics, trauma type (blunt vs penetrating), preadmission care, hospitalization and intensive care requirement, trauma severity assessment at presentation (eg, modified Glasgow coma scale and animal trauma triage score), key laboratory parameters, necessity for surgical intervention, and case outcome were collected. Summary descriptive data for each species are reported. MEASUREMENTS AND MAIN RESULTS: Twenty-nine VTCs in North America, Europe, and Australia contributed information from 17,335 dog and 3,425 cat trauma cases during the 42-month reporting period. A large majority of cases presented directly to the VTC after injury (80.4% dogs and 78.1% cats). Blunt trauma was the most common source for injury in cats (56.7%); penetrating trauma was the most common source for injury in dogs (52.3%). Note that 43.8% of dogs and 36.2% of cats were reported to have surgery performed. The proportion surviving to discharge was 92.0% (dogs) and 82.5% (cats). CONCLUSIONS: The VetCOT registry proved to be a powerful resource for collection of a large dataset on trauma in dogs and cats seen at VTCs. While overall survival to discharge was quite high, further evaluation of data on subsets of injury types, patient assessment parameters, interventions, and associated outcome are warranted.


Assuntos
Gatos/lesões , Cães/lesões , Escala de Coma de Glasgow/veterinária , Sistema de Registros , Triagem , Medicina Veterinária , Ferimentos e Lesões/veterinária , Animais , Austrália/epidemiologia , Europa (Continente)/epidemiologia , Feminino , Masculino , Traumatismo Múltiplo/epidemiologia , Traumatismo Múltiplo/veterinária , Estados Unidos/epidemiologia , Ferimentos e Lesões/epidemiologia
14.
Vet Comp Orthop Traumatol ; 31(6): 479-487, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30235471

RESUMO

OBJECTIVE: This study evaluated retrospectively the effectiveness of the veterinary cuttable plate (VCP) in a plate-rod construct, for the treatment of diaphyseal femoral fractures in cats. MATERIALS AND METHODS: A total of 29 cats with diaphyseal femoral fracture underwent stabilization with a VCP-rod construct. RESULTS: Fractures were classified as type A (7/29), type B (11/29) and type C (11/29) following the AO classification. Biological osteosynthesis was elected in three type B and 10 type C fractures, and open approach in the other cases. Pin diameter was 2 mm (n = 16) or 2.5 mm (n = 13); this corresponded to a percentage of pin occupation of 39.9 and 53.0% of the intramedullary cavity respectively. The 2.0/2.7-mm VCP and 2-mm screws were used in all cases. The median length of the VCP was 12 holes, and the median number of screws placed in the plate was 6. The median number of cortices engaged per fragment was 6. Ninety-nine percent of the screws were bicortical. Quadriceps contracture was an unacceptable functional outcome in one cat. Follow-up was available in 20 cases. Complete bone healing was assessed in 16/20 cases with a functional outcome considered as full in 17/20, acceptable in 2/20, and unacceptable in 1/20. Telephonic owner outcome assessment was available for five more cats and was considered as full in all cases. CLINICAL SIGNIFICANCE: The VCP-rod construct is effective to manage all configurations of diaphyseal femoral fracture in cats. The high amount of screw holes per unit length of a VCP allows bicortical screws placement without interfering with the intramedullary rod.


Assuntos
Placas Ósseas/veterinária , Gatos/lesões , Fraturas do Fêmur/veterinária , Animais , Parafusos Ósseos/veterinária , Gatos/cirurgia , Diáfises/lesões , Diáfises/cirurgia , Feminino , Fraturas do Fêmur/cirurgia , Fixação Interna de Fraturas/instrumentação , Fixação Interna de Fraturas/métodos , Fixação Interna de Fraturas/veterinária , Masculino , Estudos Retrospectivos
15.
J Am Vet Med Assoc ; 253(5): 598-605, 2018 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-30110218

RESUMO

OBJECTIVE To determine the most common types of injuries in cats surgically treated for thoracic trauma, complications associated with surgical treatment, and factors associated with mortality rate and evaluate the effectiveness of the animal trauma triage (ATT) scoring system for predicting outcome. DESIGN Retrospective case series with nested observational study. ANIMALS 23 client-owned cats surgically treated for thoracic trauma at 7 veterinary teaching hospitals between 1990 and 2014. PROCEDURES Medical records were reviewed to collect data on signalment, medical history, clinical signs and physical examination findings at initial evaluation, clinicopathologic findings, initial emergency treatments and diagnostic tests performed, type of trauma sustained, imaging findings, surgery details, postoperative complications, duration of hospitalization, and cause of death, if applicable. All variables were evaluated for associations with survival to hospital discharge. RESULTS Types of trauma that cats had sustained included dog bite or attack (n = 8 [35%]), motor vehicle accident (6 [26%]), other animal attack (2 [9%]), impalement injury or fall (2 [9%]), projectile penetrating trauma (1 [4%]), or unknown origin (4 [17%]). Intrathoracic surgery was required for 65% (15/23) of cats. The overall perioperative mortality rate was 13% (3/23). Mean ± SD ATT scores for surviving and nonsurviving cats were 6.4 ± 2.2 and 10.0 ± 1.7, respectively. Nineteen of 20 cats with no cardiopulmonary arrest survived to discharge, compared with 1 of 3 cats with cardiopulmonary arrest. Only these 2 variables were significantly associated with outcome. CONCLUSIONS AND CLINICAL RELEVANCE The perioperative mortality rate was low in this series of cats with thoracic trauma; however, those with cardiopulmonary arrest were less likely to survive to hospital discharge than other cats. Cats with a low ATT score were more likely to survive than cats with a high ATT score.


Assuntos
Gatos/lesões , Traumatismos Torácicos/veterinária , Animais , Gatos/cirurgia , Feminino , Hospitais Veterinários , Escala de Gravidade do Ferimento , Masculino , Alta do Paciente , Prognóstico , Radiografia Torácica/veterinária , Registros/veterinária , Estudos Retrospectivos , Fatores de Risco , Análise de Sobrevida , Traumatismos Torácicos/diagnóstico por imagem , Traumatismos Torácicos/mortalidade , Traumatismos Torácicos/cirurgia , Estados Unidos
17.
Top Companion Anim Med ; 33(1): 21-28, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29793725

RESUMO

It is well documented that physiological electric fields provide the earliest signals necessary to initiate cell proliferation, migration, and ultimately reepithelialization of wounds. Additionally, electricity is known to exert an antimicrobial effect. An electric field-generating wound dressing designed to mimic physiological electric fields has not been described in the small animal clinic. This article retrospectively reviews the use of a microcell battery-impregnated bioelectric dressing (BED) in 5 small animal patients with complex wounds. For each patient, product application and wound healing progress was monitored and documented over several weeks. Despite the severity of the wounds and being at high risk for infection, all presenting wounds treated with BED achieved complete closure within 4 weeks without becoming infected or requiring grafting. These cases provide early evidence that the use of the BED is feasible in a small animal clinic and may support healing while providing topical, nonantibiotic activity against wound pathogens.


Assuntos
Bandagens/veterinária , Gatos/lesões , Cães/lesões , Terapia por Estimulação Elétrica/veterinária , Ferimentos e Lesões/veterinária , Animais , Feminino , Masculino , Estudos Retrospectivos , Cicatrização , Ferimentos e Lesões/microbiologia , Ferimentos e Lesões/terapia
18.
Can Vet J ; 59(4): 393-396, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29606726

RESUMO

This report describes comminuted fractures in 2 cats repaired by stabilization with cortical bone allografts that had been preserved in honey. Both cats exhibited appropriate post-operative weight-bearing. Preservation of bone in honey is a simple and widely available alternative for bone banking. This is the first report of a bone defect in cats repaired with bone preserved in honey.


Assuntos
Transplante Ósseo/veterinária , Gatos/cirurgia , Mel , Transplante Homólogo/veterinária , Aloenxertos , Animais , Transplante Ósseo/métodos , Gatos/lesões , Osso Cortical , Feminino , Fraturas do Fêmur/cirurgia , Fraturas do Fêmur/veterinária , Fixação Interna de Fraturas/métodos , Fixação Interna de Fraturas/veterinária , Fraturas Cominutivas/cirurgia , Fraturas Cominutivas/veterinária , Masculino , Fraturas da Tíbia/cirurgia , Fraturas da Tíbia/veterinária , Transplante Homólogo/métodos
19.
J Vet Med Sci ; 80(6): 1001-1006, 2018 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-29657237

RESUMO

The aim of this paper is to report two cases of sternal dislocation (SD) in cats and the long-term outcomes with and without surgery. In a cat with poly-traumatized SD (Case 1), mandibular, radial, and ulnar fractures were corrected first, and the SD was allowed to heal without intervention for 14 months. However, normal healing did not occur and sternal instability remained. Therefore, the SD was corrected surgically, and the cat recovered fully within 4 weeks. In a cat with isolated SD (Case 2), surgery was performed, and normal posture and gait were regained after 5 weeks. Furthermore, in both cases, no postoperative complications were observed during follow-up. Therefore, surgical correction of SD in cats is recommended.


Assuntos
Gatos/lesões , Gatos/cirurgia , Esterno/cirurgia , Animais , Placas Ósseas , Seguimentos , Humanos , Radiografia , Resultado do Tratamento
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