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
Radiography AFTER 4 hours of CPAP therapy
dott. Massimiliano De Vittor
VETERINARY CLINIC OF THE CITY OF VOGHERA