CPAP clinic case in Veterinary

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
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?