Journal of veterinary emergency and critical care
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J Vet Emerg Crit Care (San Antonio) · Mar 2014
Case ReportsBispectral index analysis during cardiac arrest and cardiopulmonary resuscitation in a propofol-anesthetized calf.
To describe bispectral index (BIS) findings and compare them with cardiovascular and respiratory trends during cardiac arrest and successful CPR in a propofol-anesthetized calf. ⋯ This is the first report in which BIS is documented together with standard monitoring techniques during cardiopulmonary arrest and resuscitation in a calf. BIS varied with cardiovascular performance, and may be indicative of cerebral blood flow in this context. Further research may be warranted to define the role of BIS for monitoring cerebral activity during CPR.
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J Vet Emerg Crit Care (San Antonio) · Mar 2014
Decreased central venous oxygen saturation despite normalization of heart rate and blood pressure post shock resuscitation in sick dogs.
To evaluate traditional and global perfusion parameters in clinical canine shock patients, and to evaluate for occult hypoperfusion as evidenced by low central venous oxygen saturation or high plasma lactate concentrations in clinical patients resuscitated to traditional endpoints. ⋯ Decreased ScvO2 exists in a significant proportion of critically ill dogs following standard fluid resuscitation for shock, providing a relevant target population for implementation of a more standardized early goal-directed therapy bundle in veterinary patients. Normalization of heart rate, blood pressure, mentation, and perfusion parameters directed by physical examination may be attained despite the persistence of significant tissue hypoperfusion and oxygen debt.
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J Vet Emerg Crit Care (San Antonio) · Mar 2014
Acid base, electrolyte, glucose, and lactate values during cardiopulmonary resuscitation in dogs and cats.
To report acid base, electrolyte, glucose, and lactate values collected during or immediately after cardiopulmonary resuscitation (CPR) in dogs and cats. ⋯ Biochemical abnormalities including metabolic acidosis, hyperkalemia, ionized hypocalcemia, hypoglycemia, and hyperglycemia can be identified during CPR and immediately following ROSC. The therapeutic and prognostic relevance of these changes are yet to be defined and may prove to be useful to guide patient management in the future.
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J Vet Emerg Crit Care (San Antonio) · Mar 2014
The effect of cuff presence and cuff inflation on airway pressure in a canine tracheostomy tube model.
To evaluate the effect of cuff presence and cuff inflation on airway pressure in an inspiratory model of canine tracheostomy. ⋯ Cuffed tracheostomy tubes should not be used unless specifically indicated due to increased airway pressure.