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  • Author or Editor: Adesola Odunayo x
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Abstract

OBJECTIVE

Complications of feeding tube placement are uncommon, but life-threatening pneumothorax has been reported in human and veterinary patients during feeding tube placement. This article describes the development of pneumothorax and the outcome associated with misplacement of nasogastric (NG) tubes in the tracheobronchial tree in 13 dogs.

ANIMALS

13 dogs being treated for various medical conditions that had NG tubes placed in 4 hospitals.

PROCEDURES

A review was carried out of the medical records of 13 dogs that developed pneumothorax after misplacement of NG tubes between 2017 and 2022.

RESULTS

14 dogs out of 4,777 (0.3%) developed pneumothorax as an adverse effect of NG tube misplacement in the tracheobronchial tree. One dog was excluded due to incomplete medical records. The feeding tube size ranged from 5F to 10F, and the most common tubes utilized were polyurethane tubes with flushing stylets. Nine out of 13 dogs developed evidence of respiratory compromise after the NG tube was placed. Eleven dogs required thoracocentesis, and 5 dogs had thoracostomy tubes placed. Five dogs suffered cardiopulmonary arrest after developing pneumothorax, with 3 of 5 undergoing cardiopulmonary resuscitation. Two out of 3 dogs that underwent cardiopulmonary resuscitation were discharged from the hospital. Five of 13 dogs were successfully discharged from the hospital, while 5 dogs died or were euthanized because of the pneumothorax.

CLINICAL RELEVANCE

Pneumothorax is a rare but potentially life-threatening complication of NG tube placement in dogs and may lead to death if not immediately addressed. Practitioners should be aware of this complication and be ready to perform thoracocentesis quickly if appropriate.

Open access
in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE

To determine the accuracy of pet owners, veterinary technicians, house officers (interns and residents), and attending clinicians at estimating dog weights in a veterinary emergency room.

ANIMALS

272 dogs weighing over 2 kg presenting to the emergency room between June 1 and July 29, 2022.

METHODS

Pet owners, veterinary technicians, house officers, and attending clinicians recorded the dogs’ weight estimations on individual data collection cards. Pet owners were also asked to estimate their dogs’ weight during the triage period. The dogs’ actual weights were then obtained and recorded.

RESULTS

Pet owners were more accurate than veterinary professionals at providing weight estimates for dogs. Weight estimates were accurate to within 10% of the dogs’ actual weights for 67.9% (181/267) of pet owners. Forty-one percent (112/270) of attending clinicians, 35.3% (95/269) of house officers, and 35.4% (96/271) of veterinary technicians’ weight estimates were within 10% of the dog’s actual weight. There was no difference noted in the length of veterinary experience and ability to closely estimate the patient’s weight. Overall, veterinary professionals were more likely to closely estimate the weight of large dogs compared to small dogs.

CLINICAL RELEVANCE

The pet owner is most likely to provide an accurate weight for dogs and questions about the dog’s weight should be directed to the client for situations in which a weight cannot be rapidly obtained.

Open access
in Journal of the American Veterinary Medical Association