CPAP clinic case in Veterinary

Respiratory distress on a dog with cardiogenic pulmonary edema.

CPAP clinic case in Veterinary

November 29, 2019 1
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Giotto is a male dog arrived in urgent care with respiratory distress, heart murmur 4/6 and bilateral rattles on lung auscultation.

After a first stabilization phase with oxygen flow-by, a venous access is applied, chest X-rays, emo gas arterial analysis and cardio focus assessment.

They decide to apply a helmet for CPAP with pressure of 5cm H2O and FiO2 of 30% and simultaneously they start a therapy of furosemide in CRI.

After 4 hours of therapy, they remove the helmet and they do more X-rays

The dog shows a substantial clinical improvement with a reduction in respiratory rate and a rosier color of the mucous membranes, also the arterial emo gas shows an increase in the PAO2 and a decrease of PACO2.

Giotto will subsequently perform an echocardiography which will confirm the presence of a myxomatous degeneration of the mitral which led him to have a cardiogenic pulmonary edema.

Giotto was brought home by the owners after 36 hours of hospitalization.

Radiography BEFORE CPAP

PRIMA TERAPIA CPAP

Radiography AFTER 4 hours of CPAP therapy

PRIMA TERAPIA CPAP

dott. Massimiliano De Vittor

VETERINARY CLINIC OF THE CITY OF VOGHERA


One comment

  • Rita Calbay

    May 11, 2021 at 5:02 pm

    HI there,
    I am a small animal rotating Intern at VCA. I am doing a project regarding pediatric helmets and their success and use in a clinical setting in our Emergency Department. I was wondering if you have any material that I can be granted access to share on my presentation slides?

    Reply

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