Abstract
OBJECTIVE
The aim of this study was to determine whether the pharmacokinetics of maropitant, administered SC as a commercially available maropitant-containing injectable product (Cerenia Injectable), differ when combined with lactated Ringer solution prior to administration.
ANIMALS
We used 6 adult spayed female Beagle dogs between 3 and 6 years of age, with a mean weight of 9.58 kg.
PROCEDURES
In this randomized crossover study, the dogs underwent 2 treatment protocols separated by a 14-day washout period: (1) an SC injection of 1 mg/kg of Cerenia Injectable (maropitant citrate; 10 mg/mL) and (2) 1 mg/kg of Cerenia Injectable diluted in 10 mL/kg of lactated Ringer injectable solution (LRS) given SC. Plasma maropitant concentrations were assessed by mass spectrometry. Pharmacokinetic analysis was performed using pharmacokinetic and pharmacodynamic data-analysis software to determine maximum plasma concentration (Cmax), time to reach maximum concentration, half-life, total exposure to the drug, mean residence time, clearance rate per fraction absorbed, and absorption and elimination kinetic parameters.
RESULTS
Cmax was reduced by 26% (P = .002), the absorption rate constant decreased 80% (P = .031), and the absorption half-life increased when Cerenia was administered diluted in LRS.
CLINICAL RELEVANCE
Administration of maropitant (Cerenia) diluted in LRS had a pharmacokinetic impact, resulting in a significantly reduced Cmax and slower absorption. Clinical efficacy was not assessed in this study.
Abstract
OBJECTIVE
To characterize epidemiological, clinical, radiographic, and echocardiographic features of cardiac diseases in guinea pigs examined at a referral exotics center.
ANIMALS
80 guinea pigs.
PROCEDURES
Medical records of guinea pigs that had echocardiography performed between June 2010 and January 2021 were reviewed.
RESULTS
The percentage of guinea pig patients with cardiovascular disease was 2.8%. Clinical signs included dyspnea (46/80), lethargy (18/80), and anorexia (10/80). The most common physical examination finding was heart murmur (10/80). Radiographic abnormalities included subjective cardiomegaly (37/67), pleural effusion (21/67), and increased lung opacity (40/67). Median (range) vertebral heart score on right lateral (48/67) and ventrodorsal (39/67) projections was 9.0 vertebrae (6.6 to 13.2 vertebrae) and 10.8 vertebrae (7.9 to 13.2 vertebrae), respectively. The most common echocardiographic diagnosis was cardiomyopathy (30/80), categorized as restrictive (11/30), hypertrophic (10/30), or dilated (9/10). Other cardiac diseases included cor pulmonale (21/80), pericardial effusion (18/80), congenital heart disease (6/80), acquired valvular disease (3/80), and cardiovascular mass (2/80). Congestive heart failure was present in 36 of 80. Median survival time from diagnosis was 2.5 months (95% CI, 1.1 to 6.2 months). Animals that died from heart disease had a significantly shorter survival time than those that died from a noncardiac disease (P = .02).
CLINICAL RELEVANCE
On radiographs, cardiomegaly, pleural effusion, and alveolar or interstitial lung pattern should be considered as indications for echocardiography in guinea pigs. Cardiomyopathy (restrictive, hypertrophic, or dilated), cor pulmonale, and pericardial effusion were the most common echocardiographic diagnoses. Further studies on diagnosis and treatment of cardiovascular diseases in guinea pigs are needed.
Abstract
OBJECTIVE
To evaluate the association between serum phosphorus concentration and the outcome of postpartum downer cows.
ANIMALS
Postpartum downer dairy cows presented over a 22-year period.
PROCEDURES
In this cross-sectional study (1994 to 2016), medical records of all postpartum downer cows presented to a referral large animal hospital were reviewed. The association between serum inorganic phosphorus concentration and survival was assessed using a multivariable logistic regression.
RESULTS
907 postpartum downer dairy cows were included and classified as hypophosphatemic (mild: > 2.25 to < 3.25 mg/dL, moderate: > 1.50 to ≤ 2.25 mg/dL, and severe: ≤ 1.50 mg/dL), normophosphatemic (≥ 3.25 and ≤ 8.76 mg/dL) or hyperphosphatemic (> 8.76 mg/dL). Hypophosphatemia was observed in 19.4% of the cows (n = 176). Of those, 54.5% (n = 96) were also hypocalcemic. Overall, 58.4% cows (n = 530) survived after hospitalization. Hypophosphatemia was not significantly associated with the outcome of postpartum downer cows (mild: OR = 1.0, 95% CI: 0.6 to 1.8; moderate: OR = 0.5, 95% CI: 0.2 to 1.1; severe: OR = 1.0, 95% CI: 0.4 to 2.4).
CLINICAL RELEVANCE
Low serum phosphorus concentration was frequently observed with hypocalcemia and was not associated with the outcome of postpartum downer cows.
Abstract
OBJECTIVE
To provide epidemiological information on the occurrence of animal and human rabies in the US during 2021 and summaries of 2021 rabies surveillance for Canada and Mexico.
PROCEDURES
State and territorial public health departments and USDA Wildlife Services provided data on animals submitted for rabies testing in 2021. Data were analyzed temporally and geographically to assess trends in domestic animal and wildlife rabies cases.
RESULTS
During 2021, 54 US jurisdictions reported 3,663 rabid animals, representing an 18.2% decrease from the 4,479 cases reported in 2020. Texas (n = 456 [12.4%]), Virginia (297 [8.1%]), Pennsylvania (287 [7.8%]), North Carolina (248 [6.8%]), New York (237 [6.5%]), California (220 [6.0%]), and New Jersey (201 [5.5%]) together accounted for > 50% of all animal rabies cases reported in 2021. Of the total reported rabid animals, 3,352 (91.5%) involved wildlife, with bats (n = 1,241 [33.9%]), raccoons (1,030 [28.1%]), skunks (691 [18.9%]), and foxes (314 [8.6%]) representing the primary hosts confirmed with rabies. Rabid cats (216 [5.9%]), cattle (40 [1.1%]), and dogs (36 [1.0%]) accounted for 94% of rabies cases involving domestic animals in 2021. Five human rabies deaths were reported in 2021.
CLINICAL RELEVANCE
The number of animal rabies cases reported in the US decreased significantly during 2021; this is thought to be due to factors related to the COVID-19 pandemic.
Abstract
OBJECTIVE
Patient factors may alter laser photon attenuation, but these factors have not been adequately evaluated in live dogs. Our objective was to evaluate class IV laser beam attenuation (LBA) by canine tissues using a colorimeter to evaluate melanin and erythema indices. We hypothesized that greater melanin and erythema indices and unclipped hair would increase LBA, and these properties would vary among tissues.
ANIMALS
20 client-owned dogs.
PROCEDURES
Between October 1 and December 1, 2017, colorimeter measurements and LBA in various tissues before and after clipping overlying hair were evaluated. Data were analyzed using generalized linear mixed models. Statistical significance was set at P < .05.
RESULTS
LBA was greater in unclipped (98.6 ± 0.4%) than clipped hair (94.6 ± 0.4%). The least LBA occurred in the pinna (93%) while the greatest occurred in the caudal vertebra (100%) and caudal semitendinosis muscles (100%). Each mm of tissue thickness resulted in LBA of 11.6%. Each unit increase in melanin index resulted in a 3.3% increase in LBA. There was no association of LBA with erythema index.
CLINICAL RELEVANCE
To our knowledge, this is the first study that evaluated LBA by different tissues in live dogs using a colorimeter to evaluate melanin and erythema indices. We recommend clipping hair prior to photobiomodulation to decrease laser beam attenuation and using increased laser doses in thicker tissues and dogs with high melanin content. The colorimeter may be helpful in customizing patient treatment dosimetry. Future studies are necessary to determine therapeutic laser doses for adequate photobiomodulation effects.
Abstract
OBJECTIVE
Coagulation tests are an essential tool in the diagnosis and management of coagulopathies in mammals. The aim of the current study was to establish reference intervals for prothrombin time (PT) and activated partial PT (aPTT) in healthy ferrets using 2 different point-of-care analyzers (Idexx Coag DX and MS QuickVet Coag Combo).
ANIMALS
86 clinically healthy ferrets under 3 years of age (47 females and 39 males) from 4 breeders and 2 private practices.
PROCEDURES
Blood samples were collected from the cranial vena cava in all ferrets without anesthesia and placed in trisodium 3.2% citrated plastic tubes. Sixty-six blood samples from the 4 ferret breeding farms and 1 private practice were analyzed using the Idexx Coag DX and 21 from the other private practice using the MS QuickVet Coag Combo.
RESULTS
Reference intervals for the Idexx Coag DX were as follows: aPTT (n = 65), 69.84 to 105.99 seconds; PT (65), 14.44 to 21.98 seconds. Reference intervals for the MS QuickVet Coag Combo were as follows: aPTT (n = 21), 74.90 to 115.50 seconds; PT (21), 18.31 to 23.05 seconds. With both types of analyzers, there was no significant age effect on aPTT and PT.
CLINICAL RELEVANCE
This study provided coagulation times for 2 point-of-care analyzers in healthy ferrets as a tool for the diagnosis of coagulopathies.
Abstract
OBJECTIVES
Evaluation of the strength of the novel suture technique by comparison with a 2-interrupted suture technique.
SAMPLE
40 equine larynges.
PROCEDURES
40 larynges were used; 16 laryngoplasties were performed using the currently accepted 2-suture technique and 16 using the novel suture technique. These specimens were subjected to a single cycle to failure. Eight specimens were used to compare the rima glottidis area achieved with 2 different techniques.
RESULTS
The mean force to failure, as well as the rima glottidis area of both constructs, were not significantly different. The cricoid width did not have a significant effect on the force to failure.
CLINICAL RELEVANCE
Our results suggest that both constructs are equally strong and can achieve a similar cross-sectional area of the rima glottidis. Laryngoplasty (“tie-back”) is currently the treatment of choice for horses with exercise intolerance due to recurrent laryngeal neuropathy. Failure to maintain the expected degree of arytenoid abduction post-surgery occurs in some horses. We believe this novel 2-loop pulley load-sharing suture technique can help achieve and, more importantly, maintain the desired degree of abduction during surgery.
Abstract
OBJECTIVE
To evaluate the effects of providing 100% O2, compared with the provision of 21% O2 (equivalent to room air), in mechanically ventilated, sevoflurane-anesthetized green sea turtles (Chelonia mydas).
ANIMALS
Eleven juvenile green sea turtles.
PROCEDURES
In a randomized, blinded, cross-over study (1-week interval between treatments), turtles were anesthetized with propofol (5 mg/kg, IV), orotracheally intubated, mechanically ventilated with 3.5% sevoflurane diluted in 100% O2 or 21% O2 for 90 minutes. Sevoflurane delivery immediately ceased and animals remained under mechanical ventilation with the assigned fraction of inspired oxygen until extubation. Recovery times, cardiorespiratory variables, venous blood gases, and lactate values were evaluated.
RESULTS
Cloacal temperature, heart rate, end-tidal partial pressure of carbon dioxide, and blood gases were unremarkable between treatments. The SpO2 was higher with the provision of 100% O2 than 21% O2 during both anesthesia and recovery (P < .01). Time to bite the bite block was longer in 100% O2 (51 [39–58] minutes) than in 21% O2 (44 [31–53] minutes; P = .03), while time to first muscle movement, attempt to extubate, and extubation were comparable between treatments.
CLINICAL RELEVANCE
Blood oxygenation appears to be lower during sevoflurane anesthesia in room air than in 100% O2, though both fractions of inspired oxygen were able to supply the aerobic metabolism of turtles based on acid-base profiles. In relation to room air, the provision of 100% O2 did not produce meaningful effects on the time to recovery in mechanically ventilated green turtles submitted to sevoflurane anesthesia.
Abstract
OBJECTIVE
To determine whether shock index (SI) positively correlates with percentage blood loss and negatively correlates with cardiac output (CO) in a canine hemorrhagic shock model and whether SI and metabolic markers may be used as end point targets for resuscitation.
ANIMALS
8 healthy Beagles.
PROCEDURES
Between September and December 2021, dogs underwent general anesthesia for experimental induction of hypotensive shock, with the total volume of blood removed, CO, heart rate, systolic blood pressure, base excess, blood pH, and concentrations of hemoglobin, lactate, ionized calcium recorded, and SI calculated at 4 time points (TPs): after anesthetic induction when the dog had been stable for 10 minutes (TP1), 10 minutes after the mean arterial pressure stabilized to a target of 40 mm Hg following jugular removal of up to 60% blood volume to induce hemorrhagic shock (TP2), 10 minutes after autotransfusion of 50% of the removed blood (TP3), and 10 minutes after autotransfusion of the remaining 50% of the removed blood (TP4).
RESULTS
Mean SI increased between TP1 (1.08 ± 0.35) and TP2 (1.90 ± 0.73) and did not return to the prehemorrhage values for TP3 or TP4. SI correlated positively with percentage blood loss (r = 0.583) and negatively with CO (r = –0.543).
CLINICAL RELEVANCE
An increase in SI may support diagnosis of hemorrhagic shock; however, SI cannot be used as the sole end point of resuscitation. Significant differences in blood pH, base excess, and lactate concentration suggested they may be useful markers of hemorrhagic shock and need for blood transfusion.
