Journal of veterinary emergency and critical care
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J Vet Emerg Crit Care (San Antonio) · Dec 2011
Case ReportsAcute hyperammonemia after L-asparaginase administration in a dog.
To describe a previously unreported and potentially fatal complication of L-asparaginase (L-asp) administration in a dog. ⋯ The purpose of this report is to describe the development of severe hyperammonemia after L-asp therapy in a dog, which has not been previously reported in the literature. Given the rapid progression and fatal outcome observed in this case, early recognition may be crucial for management and treatment of this complication.
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J Vet Emerg Crit Care (San Antonio) · Oct 2011
Case ReportsMagnesium sulfate as an adjunct therapy in the management of severe generalized tetanus in a dog.
To describe the use of magnesium sulfate in a case of generalized tetanus in a dog. ⋯ This case demonstrates the use of supraphysiologic magnesium in the treatment of severe generalized tetanus with a positive outcome. No clinical signs associated with magnesium toxicity were noted during the course of therapy. Magnesium sulfate should be considered as a potential adjunct therapy in the management of spastic paralysis caused by severe tetanus in dogs.
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J Vet Emerg Crit Care (San Antonio) · Oct 2011
ReviewVentilator waveform interpretation in mechanically ventilated small animals.
To review the topic of ventilator waveforms analysis with emphasis on interpretation of ventilator waveforms and their use in the management and monitoring of mechanically ventilated small animal patients. ⋯ Ventilator waveforms are graphic representations of patient-ventilator interactions. Proper interpretation of ventilator waveforms affords the critical care clinician a better understanding of the patient's respiratory function, response to therapy, and causes for patient-ventilator dyssynchrony. Ventilator waveform interpretation is an important tool in the assessment and management of mechanically ventilated small animal patients.
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J Vet Emerg Crit Care (San Antonio) · Oct 2011
ReviewOverview and controversies in the medical management of pit viper envenomation in the dog.
To provide a review and update on the medical management of pit viper envenomation in dogs. ⋯ Mortality from North American crotalid envenomation is generally rare and is influenced by several variables, including the amount of venom injected, the size and species of snake, the size of the victim, the location of the bite, time elapsed until treatment, and the therapy initiated. Mortality rates range from 1% to 30%.
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J Vet Emerg Crit Care (San Antonio) · Aug 2011
ReviewThe use of intravenous lipid emulsion as an antidote in veterinary toxicology.
To review the use of IV lipid emulsion (ILE) for the treatment of toxicities related to fat-soluble agents; evaluate current human and veterinary literature; and to provide proposed guidelines for the use of this emerging therapy in veterinary medicine and toxicology. ⋯ The use of ILE appears to be a safe therapy for the poisoned animal patient, but is warranted only with certain toxicoses. Adverse events associated with ILE in veterinary medicine are rare and anecdotal. Standard resuscitation protocols should be exhausted before considering this therapy and the potential side effects should be evaluated before administration of ILE as a potential antidote in cases of lipophilic drug toxicoses. Further research is waranted.