RESUMO
Background: Cardiopulmonary arrest (CPA) is common in veterinary critical care and cardiopulmonary cerebral resuscitation (CPCR) aims to achieve survival and continued quality of life. However, reported survival rate to discharge is very low for veterinary patients. We present a case of successful CPCR after CPA in a bitch undergoing cesarean section and ovariohysterectomy.Case: A four-year old Pit Bull bitch undergoing labor for two days was referred to the veterinary hospital for a cesarean section and ovariohysterectomy. Laboratory exams revealed anemia, leucopenia, hypoglycemia and increased values of alkaline phosphatase and urea. Pre-anesthetic medication consisted of intramuscular (IM) morphine (0.3 mg kg-1) and midazolam (0.2 mg kg-1), and 2.5% glucose in Ringers lactated solution (10 mL kg-1 hour-1) was administered intravenously (IV). Following induction with propofol (2 mg kg-1) and midazolam (0.2mg kg-1) IV, the trachea was intubated and anesthesia was maintained with isofl urane in 100% oxygen. Fentanyl (3g kg-1) associated with 2% lidocaine (4 mg kg-1) was administered epidurally in the lumbo-sacral space. During anesthesia, heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), electrocardiogram (ECG) and systolic arterial pressure (SAP) were monitored. At the start of surgery, blood was transfused. During the procedure, hypotension (SAP 3
Background: Cardiopulmonary arrest (CPA) is common in veterinary critical care and cardiopulmonary cerebral resuscitation (CPCR) aims to achieve survival and continued quality of life. However, reported survival rate to discharge is very low for veterinary patients. We present a case of successful CPCR after CPA in a bitch undergoing cesarean section and ovariohysterectomy.Case: A four-year old Pit Bull bitch undergoing labor for two days was referred to the veterinary hospital for a cesarean section and ovariohysterectomy. Laboratory exams revealed anemia, leucopenia, hypoglycemia and increased values of alkaline phosphatase and urea. Pre-anesthetic medication consisted of intramuscular (IM) morphine (0.3 mg kg-1) and midazolam (0.2 mg kg-1), and 2.5% glucose in Ringers lactated solution (10 mL kg-1 hour-1) was administered intravenously (IV). Following induction with propofol (2 mg kg-1) and midazolam (0.2mg kg-1) IV, the trachea was intubated and anesthesia was maintained with isofl urane in 100% oxygen. Fentanyl (3g kg-1) associated with 2% lidocaine (4 mg kg-1) was administered epidurally in the lumbo-sacral space. During anesthesia, heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), electrocardiogram (ECG) and systolic arterial pressure (SAP) were monitored. At the start of surgery, blood was transfused. During the procedure, hypotension (SAP 3
RESUMO
Background: Cardiopulmonary arrest (CPA) is common in veterinary critical care and cardiopulmonary cerebral resuscitation (CPCR) aims to achieve survival and continued quality of life. However, reported survival rate to discharge is very low for veterinary patients. We present a case of successful CPCR after CPA in a bitch undergoing cesarean section and ovariohysterectomy.Case: A four-year old Pit Bull bitch undergoing labor for two days was referred to the veterinary hospital for a cesarean section and ovariohysterectomy. Laboratory exams revealed anemia, leucopenia, hypoglycemia and increased values of alkaline phosphatase and urea. Pre-anesthetic medication consisted of intramuscular (IM) morphine (0.3 mg kg-1) and midazolam (0.2 mg kg-1), and 2.5% glucose in Ringers lactated solution (10 mL kg-1 hour-1) was administered intravenously (IV). Following induction with propofol (2 mg kg-1) and midazolam (0.2mg kg-1) IV, the trachea was intubated and anesthesia was maintained with isofl urane in 100% oxygen. Fentanyl (3g kg-1) associated with 2% lidocaine (4 mg kg-1) was administered epidurally in the lumbo-sacral space. During anesthesia, heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), electrocardiogram (ECG) and systolic arterial pressure (SAP) were monitored. At the start of surgery, blood was transfused. During the procedure, hypotension (SAP 3
Background: Cardiopulmonary arrest (CPA) is common in veterinary critical care and cardiopulmonary cerebral resuscitation (CPCR) aims to achieve survival and continued quality of life. However, reported survival rate to discharge is very low for veterinary patients. We present a case of successful CPCR after CPA in a bitch undergoing cesarean section and ovariohysterectomy.Case: A four-year old Pit Bull bitch undergoing labor for two days was referred to the veterinary hospital for a cesarean section and ovariohysterectomy. Laboratory exams revealed anemia, leucopenia, hypoglycemia and increased values of alkaline phosphatase and urea. Pre-anesthetic medication consisted of intramuscular (IM) morphine (0.3 mg kg-1) and midazolam (0.2 mg kg-1), and 2.5% glucose in Ringers lactated solution (10 mL kg-1 hour-1) was administered intravenously (IV). Following induction with propofol (2 mg kg-1) and midazolam (0.2mg kg-1) IV, the trachea was intubated and anesthesia was maintained with isofl urane in 100% oxygen. Fentanyl (3g kg-1) associated with 2% lidocaine (4 mg kg-1) was administered epidurally in the lumbo-sacral space. During anesthesia, heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), electrocardiogram (ECG) and systolic arterial pressure (SAP) were monitored. At the start of surgery, blood was transfused. During the procedure, hypotension (SAP 3
RESUMO
Canine Distemper is a contagious, severe and multisystemic disease caused by a virus from Morbillivírus genus. The virus is distributed worldwide and it presents a high lethality rate, affecting mainly dogs. The diagnosis is based on clinical signs associated with hematological findings. The observation of Lentz bodies in erythrocytes and leukocytes is the definitive diagnosis for the disease. The aim of this work was to test the hypothesis that the hematological profile in dogs positive for canine distemper differs according to blood cell type presenting Lentz bodies. For this purpose, 25 dogs positive for the disease were evaluated at the Veterinary Hospital Luís Quintiliano de Oliveira UNESP, Araçatuba city. The diagnosis was based on the observation of Lentz bodies in blood smears. From the total, 64% of dogs presented anemia, 16% leucopenia and 12% leukocytosis. Lymphopenia occurred in 76% of dogs. Viral inclusions were observed solely in neutrophils (32%), lymphocytes (28%) and erythrocytes (12%). Concomitant observation occurred in lymphocytes and erythrocytes (4%), in lymphocytes and neutrophils (12%), in neutrophils and monocytes (4%) and in neutrophils and erythrocytes (4%). In an isolated case Lentz bodies were observed simultaneously in neuthrophils, monocytes and lymphocytes. In conclusion, hematological profile is not associated with the presence of viral inclus
A cinomose é uma enfermidade contagiosa, grave e multissistêmica, causada por um vírus do gênero Morbillivirus, de disseminação mundial com alta taxa de letalidade e que afeta principalmente os cães. O seu diagnóstico é baseado nos sinais clínicos associados a achados hematológicos. A observação do Corpúsculo de Lentz (CL) em eritrócitos ou leucócitos confere o diagnóstico definitivo para esta enfermidade. Objetivou-se testar a hipótese de que o quadro hematológico de cães com cinomose difere de acordo com o tipo de célula sanguínea que apresenta o CL. Para tal foi avaliado o perfil hematológico de 25 cães positivos para a doença atendidos no Hospital Veterinário Luis Quintiliano de Oliveira da Universidade Estadual Paulista (UNESP), campus de Araçatuba. O diagnóstico da doença foi realizado após a visibilização do CL em esfregaços sanguíneos. Do total de casos, 64% apresentaram anemia, 16% leucopenia e 12% leucocitose. A linfopenia ocorreu em 76% dos cães. As inclusões virais foram observadas em neutrófi los (32%), linfócitos (28%) e eritrócitos (12%). Observação concomitante ocorreu em linfócitos e eritrócitos (4%), em linfócitos e neutrófilos (12%), em neutrófilos e monócitos (4%) e em neutrófilos e eritrócitos (4%). Em um único caso o CL foi observado simultaneamente em neutrófilos, monócitos e linfócitos. O quadro hematológico não está associado à presença da inclusão vi
RESUMO
Canine Distemper is a contagious, severe and multisystemic disease caused by a virus from Morbillivírus genus. The virus is distributed worldwide and it presents a high lethality rate, affecting mainly dogs. The diagnosis is based on clinical signs associated with hematological findings. The observation of Lentz bodies in erythrocytes and leukocytes is the definitive diagnosis for the disease. The aim of this work was to test the hypothesis that the hematological profile in dogs positive for canine distemper differs according to blood cell type presenting Lentz bodies. For this purpose, 25 dogs positive for the disease were evaluated at the Veterinary Hospital Luís Quintiliano de Oliveira UNESP, Araçatuba city. The diagnosis was based on the observation of Lentz bodies in blood smears. From the total, 64% of dogs presented anemia, 16% leucopenia and 12% leukocytosis. Lymphopenia occurred in 76% of dogs. Viral inclusions were observed solely in neutrophils (32%), lymphocytes (28%) and erythrocytes (12%). Concomitant observation occurred in lymphocytes and erythrocytes (4%), in lymphocytes and neutrophils (12%), in neutrophils and monocytes (4%) and in neutrophils and erythrocytes (4%). In an isolated case Lentz bodies were observed simultaneously in neuthrophils, monocytes and lymphocytes. In conclusion, hematological profile is not associated with the presence of viral inclus
A cinomose é uma enfermidade contagiosa, grave e multissistêmica, causada por um vírus do gênero Morbillivirus, de disseminação mundial com alta taxa de letalidade e que afeta principalmente os cães. O seu diagnóstico é baseado nos sinais clínicos associados a achados hematológicos. A observação do Corpúsculo de Lentz (CL) em eritrócitos ou leucócitos confere o diagnóstico definitivo para esta enfermidade. Objetivou-se testar a hipótese de que o quadro hematológico de cães com cinomose difere de acordo com o tipo de célula sanguínea que apresenta o CL. Para tal foi avaliado o perfil hematológico de 25 cães positivos para a doença atendidos no Hospital Veterinário Luis Quintiliano de Oliveira da Universidade Estadual Paulista (UNESP), campus de Araçatuba. O diagnóstico da doença foi realizado após a visibilização do CL em esfregaços sanguíneos. Do total de casos, 64% apresentaram anemia, 16% leucopenia e 12% leucocitose. A linfopenia ocorreu em 76% dos cães. As inclusões virais foram observadas em neutrófi los (32%), linfócitos (28%) e eritrócitos (12%). Observação concomitante ocorreu em linfócitos e eritrócitos (4%), em linfócitos e neutrófilos (12%), em neutrófilos e monócitos (4%) e em neutrófilos e eritrócitos (4%). Em um único caso o CL foi observado simultaneamente em neutrófilos, monócitos e linfócitos. O quadro hematológico não está associado à presença da inclusão vi