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Perioperative red blood cell transfusion requirement for various surgical procedures in dogs: 207 cases (2004–2013)

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  • 1 Veterinary Medical Teaching Hospital, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 2 Veterinary Medical Teaching Hospital, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 3 Veterinary Medical Teaching Hospital, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.
  • | 4 Veterinary Medical Teaching Hospital, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.

Abstract

Objective—To compare perioperative RBC transfusion among dogs undergoing liver lobectomy, splenectomy, partial gastrectomy, rhinotomy, thyroidectomy, perineal herniorrhaphy, and intrathoracic surgery.

Design—Retrospective case series.

Animals—207 client-owned dogs that underwent various surgeries.

Procedures—Medical records were reviewed for dogs that had undergone liver lobectomy, splenectomy, partial gastrectomy, rhinotomy, neoplastic thyroidectomy, perineal herniorrhaphy, or intrathoracic surgery. Transfusion requirement (packed RBC, whole blood, and bovine hemoglobin-based oxygen carrier) and survival rate at 2 weeks after surgery were compared among dogs undergoing the various surgeries.

Results—Patients undergoing splenectomy and liver lobectomy were significantly more likely to receive RBC transfusion when each was compared with patients undergoing all other procedures. A significant association was found between body weight and perioperative RBC transfusion, with greater odds of transfusion as body weight increased. Dogs receiving perioperative RBC transfusions were significantly less likely to survive to 2 weeks after surgery.

Conclusions and Clinical Relevance—Results indicated that dogs undergoing splenectomy and liver lobectomy may require RBC transfusion perioperatively. Veterinarians who perform these procedures should plan accordingly and have packed RBCs or whole blood donors readily available.

Abstract

Objective—To compare perioperative RBC transfusion among dogs undergoing liver lobectomy, splenectomy, partial gastrectomy, rhinotomy, thyroidectomy, perineal herniorrhaphy, and intrathoracic surgery.

Design—Retrospective case series.

Animals—207 client-owned dogs that underwent various surgeries.

Procedures—Medical records were reviewed for dogs that had undergone liver lobectomy, splenectomy, partial gastrectomy, rhinotomy, neoplastic thyroidectomy, perineal herniorrhaphy, or intrathoracic surgery. Transfusion requirement (packed RBC, whole blood, and bovine hemoglobin-based oxygen carrier) and survival rate at 2 weeks after surgery were compared among dogs undergoing the various surgeries.

Results—Patients undergoing splenectomy and liver lobectomy were significantly more likely to receive RBC transfusion when each was compared with patients undergoing all other procedures. A significant association was found between body weight and perioperative RBC transfusion, with greater odds of transfusion as body weight increased. Dogs receiving perioperative RBC transfusions were significantly less likely to survive to 2 weeks after surgery.

Conclusions and Clinical Relevance—Results indicated that dogs undergoing splenectomy and liver lobectomy may require RBC transfusion perioperatively. Veterinarians who perform these procedures should plan accordingly and have packed RBCs or whole blood donors readily available.

Contributor Notes

The authors have no sources of funding, financial conflicts of interest, or disclaimers to declare.

Address correspondence to Dr. Haley (adriennelhaley@gmail.com).