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Dumont R, Lemetayer J, Desquilbet L, Darnis E. Tolerability of naso-esophageal feeding tubes in dogs and cats at home: Retrospective review of 119 cases. J Vet Intern Med 2023; 37:2315-2321. [PMID: 37878245 PMCID: PMC10658475 DOI: 10.1111/jvim.16732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 04/18/2023] [Indexed: 10/26/2023] Open
Abstract
BACKGROUND The use of naso-esophageal feeding tubes (NFT) at home could represent an alternative way to reduce the costs for owners and facilitate enteral feeding until recovery of a spontaneous appetite. OBJECTIVE To describe the use of NFT at home in dogs and cats and evaluate the satisfaction of owners and their capacity to handle the device. ANIMALS One hundred nineteen client-owned animals (90 cats and 29 dogs) which remained anorexic during hospitalization and were discharged with NFT for at least 24 hours after placement. METHODS Medical records were reviewed retrospectively, and owners were contacted by telephone calls. Complications were reported according to their relative severity (minor and major). Owners were asked to report their experience and comfort with NFT management. RESULTS Naso-esophageal feeding tubes were kept in place at home for a median of 6 days (range, 1-17) and 62.2% (95% confidence interval [CI]: 53.3-70.7) of animals recovered a spontaneous appetite while wearing NFT, 60% (95% CI: 44.4-75.6) of the remaining animals recovered a spontaneous appetite after removal. Overall complication rate was 65.5% (95% CI: 57.0-74.0), but only 18.5% (95% CI: 11.5-25.5) required a consultation and no life-threatening complication occurred. Owners were satisfied in 94.1% (95% CI: 89.9-98.3) of cases. CONCLUSION AND CLINICAL IMPORTANCE Although most animals discharged with NFT at home presented complications, no major adverse effects were reported and NFT were easily handled by owners. This study provides evidence that NFT can be well tolerated at home.
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Affiliation(s)
- Renaud Dumont
- Internal Medicine DepartmentVeterinary Hospital FrégisArcueilFrance
| | - Julie Lemetayer
- Internal Medicine DepartmentVeterinary Hospital AdvetiaVélizy‐VillacoublayFrance
| | - Loïc Desquilbet
- Biostatistics and Clinical Epidemiology DepartmentNational Veterinay School of AlfortMaisons‐AlfortFrance
| | - Elodie Darnis
- Internal Medicine DepartmentVeterinary Hospital FrégisArcueilFrance
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Ramesh M, Brooks AC, Thomovsky E, Johnson P, Fulkerson C, Parnell N, Weng HY. Comparison of 4 point-of-care techniques to detect correct positioning of nasogastric tubes in dogs (2020-2021). J Vet Emerg Crit Care (San Antonio) 2023; 33:501-508. [PMID: 37561112 DOI: 10.1111/vec.13327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 06/17/2022] [Accepted: 06/20/2022] [Indexed: 08/11/2023]
Abstract
OBJECTIVE To compare 4 point-of-care (POC) techniques to assess nasogastric (NG) tube placement versus radiographs as a reference standard. POC methods included air inflation with auscultation, fluid aspiration with pH measurement, ultrasonography, and capnography. DESIGN Prospective observational study in hospitalized dogs between 2020 and 2021. SETTING University teaching hospital. ANIMALS Fifty-one dogs requiring NG tube placement as part of their normal care. INTERVENTIONS After standard blind NG tube placement, each POC method was performed following standardized instructions. All POC methods were scored as to whether the investigator believed the tube to be in the gastrointestinal tract (as indicated by positive auscultation of borborygmus during insufflation, positive fluid aspiration with pH ≤5, presence of hyperechoic shadow in the esophagus, or absence of capnographic waveform). Subsequently, radiographs were taken to determine NG tube position as a gold standard. The sensitivity, specificity, and accuracy of each test as compared to 2-view thoracic radiographs were determined. MEASUREMENTS AND MAIN RESULTS Sensitivity, specificity, and accuracy for each POC technique were as follows: air auscultation (84.4%, 50.5%, and 80.4%, respectively), neck ultrasound (95.6%, 83.3%, and 94.1%, respectively), capnography (91.1%, 33.3%, and 84.3%, respectively), and fluid aspiration with pH measurement (22.2%, 100%, and 31.4%, respectively). CONCLUSIONS Among the 4 techniques evaluated, neck ultrasound had the best overall performance for assessing NG tube placement. Fluid aspiration with pH measurement might also have potential due to perfect specificity, but its clinical utility may be limited by low sensitivity and accuracy. Nonetheless, 2-view thoracic radiography should still be considered the standard method for confirmation of NG tube placement as none of the 4 POC techniques investigated showed both high sensitivity and perfect specificity.
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Affiliation(s)
- Meera Ramesh
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
- Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - Aimee C Brooks
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - Elizabeth Thomovsky
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
- Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - Paula Johnson
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
- Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - Carrie Fulkerson
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
- Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - Nollie Parnell
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
- Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - Hsin-Yi Weng
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
- Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
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Brunet A, Bouzouraa T, Cadore JL, Hugonnard M. Use of feeding tubes in 112 cats in an internal medicine referral service (2015-2020). J Feline Med Surg 2022; 24:e338-e346. [PMID: 35833503 PMCID: PMC10812294 DOI: 10.1177/1098612x221108835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The aims of this study were to describe diseases, complications and outcomes associated with the use of feeding tubes in a population of sick cats with appetite disturbance managed at an internal medicine referral service. METHODS Clinicopathological data from cats receiving nasoenteral (NE) or oesophagostomy (O) tubes were studied. Cats were categorised according to their underlying disease and divided into subgroups (NE or O tube). The following factors associated with survival were analysed: disease category, type of tube and return to appetite. RESULTS Included in the study were 112 cats, representing 118 cases. Of the 118 cases, 98 (83%) and 20 (17%) received NE or O tubes, respectively. The most common underlying conditions were digestive (13.5%), hepatobiliary (11%) and upper urinary tract (11%) disorders. Hepatobiliary (50%) and upper respiratory tract (30%) conditions were predominant in the O tube group. Digestive (15%) and upper urinary tract (12%) diseases were more common in the NE tube group. Complications following tube placement occurred in 22/118 cases (18.6%). The global survival rate was 73% and did not differ between NE (71.4%) and O tube (80%) groups (P = 1.00) or disease categories (P = 0.61). Return of appetite before feeding tube removal occurred in 56 cases (47%), within a median of 3 days (range 1-30) and was not associated with mirtazapine administration (P = 1.00). Appetite returned earlier for cats with NE tubes (3 days, range 1-17) than for those with O tubes (33 days, range 5-60; P <0.05). Voluntary food intake was positively associated with survival (odds ratio 15.17). After discharge and feeding tube retrieval, return of appetite was observed in 67% of cases. CONCLUSIONS AND RELEVANCE Feeding tubes were predominantly placed for the management of appetite disturbance in cats with digestive, hepatobiliary and upper urinary tract diseases. While complications were frequent, they were mostly mild, easily managed and did not preclude feeding tube use. Return to appetite occurred in a large proportion of cats during or after assisted enteral feeding and was associated with survival.
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Affiliation(s)
- Audrey Brunet
- University of Lyon, VetAgro Sup, Veterinary Campus of Lyon, Department of Companion Animals, Marcy L’Etoile, France
| | - Tarek Bouzouraa
- University of Lyon, VetAgro Sup, Veterinary Campus of Lyon, Department of Companion Animals, Marcy L’Etoile, France
- VetAlpha, 1305 Route de Lozanne, ZA des Grandes Terres, Dommartin 69380, France
| | - Jean-Luc Cadore
- University of Lyon, VetAgro Sup, Veterinary Campus of Lyon, Department of Companion Animals, Marcy L’Etoile, France
| | - Marine Hugonnard
- University of Lyon, VetAgro Sup, Veterinary Campus of Lyon, Department of Companion Animals, Marcy L’Etoile, France
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Opsomer H, Wichert B, Liesegang A. Homemade diet as nutritional support for a dog suffering from chronic pancreatitis and inflammatory bowel disease. VETERINARY RECORD CASE REPORTS 2022. [DOI: 10.1002/vrc2.355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Han Opsomer
- Institute of Animal Nutrition and Dietetics Vetsuisse Faculty University of Zurich Zurich Switzerland
| | - Brigitta Wichert
- Institute of Animal Nutrition and Dietetics Vetsuisse Faculty University of Zurich Zurich Switzerland
| | - Annette Liesegang
- Institute of Animal Nutrition and Dietetics Vetsuisse Faculty University of Zurich Zurich Switzerland
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Saver AT, Steiner JM, Hetzel SJ, Lidbury JA, Suchodolski JS, Pritchard JC. Effect of withholding food on serum concentrations of cobalamin, folate, trypsin-like immunoreactivity, and pancreatic lipase immunoreactivity in healthy dogs. Am J Vet Res 2021; 82:367-373. [PMID: 33904803 DOI: 10.2460/ajvr.82.5.367] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To evaluate the effects of withholding food on the results for measurements of serum concentrations of cobalamin, folate, canine pancreatic lipase immunoreactivity (cPLI), and canine trypsin-like immunoreactivity (cTLI) in healthy dogs. ANIMALS 11 healthy employee- or student-owned dogs. PROCEDURES Food was withheld from the dogs for 12 hours, baseline blood samples were collected, then dogs were fed. Postprandial blood samples collected 1, 2, 4, and 8 hours later were assessed. A mixed-effects ANOVA model with fasting duration (time) as a fixed factor and dog as a random effect was fit for each analyte variable. Additionally, a mixed-effects ANOVA model controlling for the variable of time was fit to assess whether lipemia affected serum concentrations of the analytes. RESULTS The median serum cobalamin concentration was lower at 4 hours (428 ng/L) and 8 hours (429 ng/L) postprandially, compared with baseline (479 ng/L), but this difference was not clinically meaningful. Although there were no substantial differences in serum concentrations of folate, cPLI, or cTLI, postprandial changes in serum concentrations of cTLI or folate could potentially affect diagnoses in some dogs. CONCLUSIONS AND CLINICAL RELEVANCE Although results indicated that feedings rarely resulted in clinically important differences in the median serum concentrations of cobalamin, folate, cPLI, or cTLI in healthy dogs, given the further processing required for lipemic samples, withholding food for at least 8 hours is an appropriate recommendation when measuring these analytes. Similar research is needed in dogs with gastrointestinal disease to determine whether the withholding of food is necessary when measuring these analytes in affected dogs.
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Thompson BJ, Sherman RA. Comprehensive Review of Biliary Peritonitis. Top Companion Anim Med 2021; 44:100532. [PMID: 33781985 DOI: 10.1016/j.tcam.2021.100532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 03/04/2021] [Accepted: 03/05/2021] [Indexed: 11/26/2022]
Abstract
Biliary peritonitis is a growing concern in the canine patient and a thorough understanding of the disease will lead to better treatment outcomes. This article reviews the human and veterinary literature pertaining to biliary peritonitis including both scientific reviews and original publications. Compared to human medicine, biliary peritonitis can be difficult to diagnose preoperatively. Multiple risk factors exist increasing the likelihood of development of biliary peritonitis. Treatment recommendations center on stabilization, surgical cholecystectomy, and postoperative supportive care. Clinically, further studies on treatment and prevention in veterinary medicine are warranted.
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Fantinati M, Trnka J, Signor A, Dumond S, Jourdan G, Verwaerde P, Priymenko N. Appetite-stimulating effect of gabapentin vs mirtazapine in healthy cats post-ovariectomy. J Feline Med Surg 2020; 22:1176-1183. [PMID: 32462966 PMCID: PMC10814375 DOI: 10.1177/1098612x20916391] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The aim of the study was to evaluate the appetite-stimulating effect of gabapentin by comparing it with mirtazapine in healthy cats in the first 8 h after ovariectomy surgery. METHODS This double-masked, placebo-controlled, prospective clinical trial included 60 healthy cats presented to the hospital for ovariectomy: 20 received gabapentin, 21 received mirtazapine and 19 received a placebo immediately before and 6 h after surgery. Food was offered at 2, 4, 6 and 8 h post-ovariectomy. After each meal, food intake was measured. Data were analysed using repeated-measure ANOVA and a linear mixed-model analysis. Post-hoc Tukey's honest significant difference test was performed for multiple comparisons. RESULTS Food intake increased in both treatment groups vs placebo. No statistically significant difference was found between cats treated with gabapentin or mirtazapine. CONCLUSIONS AND RELEVANCE Cats receiving gabapentin ate more than cats in the placebo group. Thirty percent of cats in the gabapentin group covered their resting energy requirements, while none of the cats in the placebo group did. Gabapentin and mirtazapine produced similar effects on food intake.
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Affiliation(s)
- Marco Fantinati
- Nutrition Department, National Veterinary School of Toulouse (ENVT), Toulouse, France
| | - Julien Trnka
- Nutrition Department, National Veterinary School of Toulouse (ENVT), Toulouse, France
| | - Amélia Signor
- Nutrition Department, National Veterinary School of Toulouse (ENVT), Toulouse, France
| | - Séverine Dumond
- Anaesthesia Department, National Veterinary School of Toulouse (ENVT), Toulouse, France
| | - Géraldine Jourdan
- Anaesthesia Department, National Veterinary School of Toulouse (ENVT), Toulouse, France
| | - Patrick Verwaerde
- Emergency, Critical Care and Anaesthesia Department, National Veterinary School of Alfort (ENVA), Maisons-Alfort, France
| | - Nathalie Priymenko
- Nutrition Department, National Veterinary School of Toulouse (ENVT), Toulouse, France
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Teixeira FA, Queiroz MR, Oba PM, Olivindo RFG, Ernandes MC, Duarte CN, Rentas MF, Brunetto MA. Brazilian owners perception of the body condition score of dogs and cats. BMC Vet Res 2020; 16:463. [PMID: 33246455 PMCID: PMC7694915 DOI: 10.1186/s12917-020-02679-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 11/13/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND The knowledge of how owners view the body condition of their animals is an important factor for the success of the prevention/treatment of obesity and the engagement/adherence to nutritional interventions, which are fundamental to improve the animal prognosis. For this reason, the objective of this study was to evaluate the perception of the owners regarding the body condition score of their animals, compare the perception between cat vs. dog owners, and owners from the countryside vs. metropolitan region of São Paulo State in Brazil. RESULTS 601 dogs and 110 cats were included in this study. There was no significant difference in body condition score assigned by owners by species. Owners of dogs and cats classified by the veterinarian as ideal, overweight, and obese who disagree with body condition score assigned by veterinarian mainly underestimate the body condition score of their animals, while lean dogs' owners overestimate it. Countryside dog owners had a higher rate of disagreement with the veterinarian and more often underestimate the body condition score than owners from the metropolitan region. The owners of lean cats have the same judgments with veterinarians. CONCLUSIONS Owners of dogs and cats have difficulty assessing the body condition score, especially owners from countryside.
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Affiliation(s)
- Fabio Alves Teixeira
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil
| | - Mariana Ramos Queiroz
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil
| | - Patrícia Massae Oba
- Department of Animal Sciences , University of Illinois at Urbana-Champaign , Illinois, Urbana, USA
| | - Rodrigo Fernando Gomes Olivindo
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil
| | - Mariane Ceschin Ernandes
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil
| | - Caio Nogueira Duarte
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil
| | - Mariana Fragoso Rentas
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil
| | - Marcio Antonio Brunetto
- Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Duque de Caxias Norte, 255, Pirassununga, SP, São Paulo, Brazil.
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Chan DL. Nutritional Support of the Critically Ill Small Animal Patient. Vet Clin North Am Small Anim Pract 2020; 50:1411-1422. [PMID: 32814627 DOI: 10.1016/j.cvsm.2020.07.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Over the past couple of decades, a component of veterinary critical care was simply to ensure that nutritional support formed some part of the treatment plan. Great emphasis was made on early placement of feeding tubes in critically ill veterinary patients to facilitate enteral feeding. Progress has been made on techniques for nutritional provision, establishing feasibility of nutritional interventions in various patient populations and establishing that nutritional support does have an important role in veterinary critical care. Some refinement of appropriate caloric targets in critically ill animals has decreased complications relating to overfeeding, but further work is required to establish optimal feeding regimes.
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Affiliation(s)
- Daniel L Chan
- Department of Clinical Science and Services, The Royal Veterinary College, University of London, RVC, Hawkshead Lane, North Mymms, Hertfordshire AL97TA, UK.
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10
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Lumbis RH, de Scally M. Knowledge, attitudes and application of nutrition assessments by the veterinary health care team in small animal practice. J Small Anim Pract 2020; 61:494-503. [PMID: 32725907 DOI: 10.1111/jsap.13182] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 04/25/2020] [Accepted: 05/20/2020] [Indexed: 02/03/2023]
Abstract
OBJECTIVES To assess the impact of the WSAVA Global Nutrition Committee's work in promoting nutrition as the fifth vital assessment and enhancing knowledge of nutrition. Further objectives were to ascertain use of existing Global Nutrition Committee assessment tools, identify potential new tools and determine which members of the veterinary health care team are responsible for carrying out nutrition assessments, planning and intervention in practice. MATERIALS AND METHODS A 16-question online questionnaire on the awareness, use and frequency of nutritional assessment was completed by 2740 veterinary health care team members. Statistical association was tested between the reported frequency of nutritional assessment in practice and the likely establishment of normal dietary regime, calculation of energy requirements and creation of nutritional plans. RESULTS Most respondents (95%) currently had responsibility for providing small animal nutrition education, yet only 27% were aware of the WSAVA guidelines. Over half (64%) recognised nutritional evaluation as the fifth vital assessment. Only 4% consistently used WSAVA tools to perform a systematic nutritional assessment. Veterinarians and veterinary nurses/technicians were the most frequent source of nutritional advice in practice, with the consultation recognised as the most important contact point with clients. CLINICAL SIGNIFICANCE Awareness of nutritional assessment is apparent, yet implementation in practice is inconsistent. These findings will help the WSAVA Global Nutrition Committee prioritise future activities to support the veterinary health care team and pet owners with nutrition-related knowledge, tools and resources.
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Affiliation(s)
- R H Lumbis
- Department of Clinical Science and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, AL9 7TA, UK
| | - M de Scally
- Hilton Veterinary Hospital, 72 Hilton Ave, Leonard, Hilton, 3245, South Africa
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RETROSPECTIVE EVALUATION OF THE USE OF PARENTERAL NUTRITION IN HOSPITALIZED NONDOMESTIC RUMINANTS. J Zoo Wildl Med 2020; 50:853-860. [PMID: 31926515 DOI: 10.1638/2019-0034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2019] [Indexed: 11/21/2022] Open
Abstract
Parenteral nutrition (PN) is one method of providing nutrient support to hospitalized, nondomestic ruminants that have a decreased appetite in hospital or have high metabolic demands caused by illness. There are a limited number of published reports of the use of PN in nondomestic ruminants. A retrospective evaluation of PN use in adult (>6 mo of age) hospitalized ruminants at the San Diego Zoo Safari Park was conducted from 2014 to 2018 (n = 24). Discharge rate for animals that received PN was 34%. Poor survival was likely caused by case selection of animals that had severe disease or malnutrition necessitating the need for PN. Common metabolic changes among the study animals included the following: hypokalemia, hyperglycemia, and hyperphosphatemia or hypophosphatemia. Bivariable analysis revealed no clinically significant factors that influenced odds of survival. There was little evidence of adverse effects with the administration of PN during the study period. Parenteral nutrition requires specialized equipment and technical skills, but is a viable means of nutrient support for hospitalized nondomestic ruminants.
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Kuzi S, Mazor R, Segev G, Nivy R, Mazaki-Tovi M, Chen H, Rimer D, Duneyevitz A, Yas E, Lavy E, Aroch I. Prognostic markers and assessment of a previously published clinical severity index in 109 hospitalised dogs with acute presentation of pancreatitis. Vet Rec 2019; 187:e13. [PMID: 31662578 DOI: 10.1136/vr.105364] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Revised: 10/07/2019] [Accepted: 10/09/2019] [Indexed: 01/08/2023]
Abstract
BACKGROUND Acute pancreatitis (AP) is common in dogs. Nevertheless, validated clinical severity index (CSI) scoring systems to assess severity and guide treatment in current, large-scale studies are unavailable. METHODS This is a retrospective study including 109 dogs. Pancreatitis was diagnosed based on clinical signs, abdominal sonographic evidence, positive pancreatic lipase assays and experts' assessment consensus. RESULTS The survival rate was 75 per cent (82 dogs). Azotaemia and presence of local complications (ie, ascites) and secondary complications (ie, acute kidney injury and acute respiratory distress syndrome) were significantly associated with death. In agreement with the previously published CSI, respiratory anomalies were significantly associated with death. However, in disagreement with that study, high scores in the kidney and local abdominal complication categories and the sum of scores of all nine categories, but not high gastrointestinal category score, were also significantly associated with death. A final CSI score of at least 4 was associated with death. CONCLUSIONS This study has validated a nine-category CSI, proven a useful assessment tool in dogs with AP. Several previously reported and novel prognostic markers were assessed.
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Affiliation(s)
- Sharon Kuzi
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Reut Mazor
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Gilad Segev
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Ran Nivy
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Michal Mazaki-Tovi
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Hilla Chen
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Dar Rimer
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Asia Duneyevitz
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Einat Yas
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Eran Lavy
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
| | - Itamar Aroch
- Internal Medicine, Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
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Pedrinelli V, Porsani MYH, Lima DM, Teixeira FA, Duarte CN, Vendramini THA, Brunetto MA. Predictive equations of maintenance energy requirement for healthy and chronically ill adult dogs. J Anim Physiol Anim Nutr (Berl) 2019; 105 Suppl 2:63-69. [PMID: 31637773 DOI: 10.1111/jpn.13184] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 07/24/2019] [Accepted: 07/25/2019] [Indexed: 11/28/2022]
Abstract
Maintenance energy requirement (MER) is the energy amount necessary for dogs to maintain their weight and body condition. Some factors can influence the MER, such as gender, age, neutering status and also diseases. The present retrospective study aimed to evaluate MER of adult dogs with several diseases and compare with the MER of healthy adult dogs, observing the influence of parameters such as body condition score (BCS), neutering status, gender, age, diagnosis and type of food on MER of these dogs. A total of 165 adult dogs with weight changes of ≤5% were included and divided in groups according to diagnosis. Mean MER for healthy dogs was 86.09 kcal/BW0.75 , which differed from NRC and FEDIAF recommendations for inactive adult dogs (p = .047). Lowest MERs were of the endocrinopathies (78.52 ± 19.32 kcal/BW0.75 ), orthopaedic diseases (59.71 ± 19.30 kcal/BW0.75 ) and neurologic diseases (78.83 ± 32.66 kcal/BW0.75 ) groups. Gastrointestinal diseases (99.59 ± 20.36 kcal/BW0.75 ), orthopaedic diseases (59.71 ± 19.30 kcal/BW0.75 ) and neoplasia (95.61 ± 21.02 kcal/BW0.75 ) groups were the only groups that differed from the mean MER of healthy adult dogs. Regarding BCS, for each increasing point in a 9-point scale, there was a decrease of 9.8 kcal/BW0.75 on MER, independent of diagnosis (p < .0001; r2 = .55). There was no difference regarding breed size gender and age, but neutered dogs presented lower MER (p = .031). Based on data obtained from the present study, it can be concluded that it is necessary to consider BCS, age, neutering status and diagnosis when calculating MER, both in healthy dogs and chronically ill dogs.
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Affiliation(s)
- Vivian Pedrinelli
- School of Veterinary Medicine and Animal Science, University of Sao Paulo (USP), São Paulo, Brazil
| | | | - Daniel Magalhães Lima
- School of Veterinary Medicine and Animal Science, University of Sao Paulo (USP), Pirassununga, Brazil
| | - Fabio Alves Teixeira
- School of Veterinary Medicine and Animal Science, University of Sao Paulo (USP), São Paulo, Brazil
| | - Caio Nogueira Duarte
- School of Veterinary Medicine and Animal Science, University of Sao Paulo (USP), São Paulo, Brazil
| | | | - Márcio Antonio Brunetto
- School of Veterinary Medicine and Animal Science, University of Sao Paulo (USP), Pirassununga, Brazil
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