Peer-reviewed veterinary case report
CPAP treatment with pediatric helmet for dogs with low oxygen lung
By Ceccherini, Gianila et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2020·Department of Veterinary Science, Italy·View original on PubMed →
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Original publication title: Continuous positive airway pressure (CPAP) provision with a pediatric helmet for treatment of hypoxemic acute respiratory failure in dogs.
- Species:
- dog
Plain-English summary
Seventeen dogs with breathing problems were treated with a special pediatric helmet that provided continuous positive airway pressure (CPAP) to help them breathe better. Before and after using the helmet, the dogs showed significant improvements in their oxygen levels and overall respiratory function. Most of the dogs tolerated the helmet well, and it helped improve their oxygenation. This treatment could be a helpful option for dogs suffering from severe breathing issues.
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Abstract
OBJECTIVE: To evaluate arterial blood gas parameters and pulmonary radiography, before and after provision of continuous positive airway pressure (CPAP) via a pediatric helmet in dogs with acute hypoxemic respiratory failure. DESIGN: Single-center, observational study conducted from 2016 to 2017. SETTING: University teaching hospital. ANIMALS: Seventeen dogs presenting with clinical signs compatible with respiratory failure, confirmed by arterial blood gas analyses. INTERVENTIONS: For each animal arterial blood samples and thoracic radiographs were performed at arrival (T). Hypoxemic dogs (PaO <80 mm Hg), without evidence of pneumothorax or pleural effusion, received CPAP ventilation via a pediatric Helmet for at least 1 hour. At the end of CPAP ventilation, a second arterial blood gas analysis was performed at room air (T). The F-shunt was also calculated. MEASUREMENT AND MAIN RESULTS: Respiratory rate, heart rate and rhythm, mean blood pressure, mucosal membrane color, and rectal temperature were recorded. Tolerance to the helmet was evaluated using a predetermined scoring system. Two dogs were excluded from the study for low tolerance to the helmet. In 15 of 17 dogs, a significant difference between Tand Twas noted for PaO(60.84 ± 3 mm Hg vs 80.2 ± 5.5 mm Hg), P(A-a)O(52.4 ± 4.4 mm Hg vs 35.2 ± 6 mm Hg), PaO/FiO(289.7 ± 14.3 vs 371 ± 21), and %SO(91.3 vs 98.8). In 15 of 17 dogs, the helmet was well tolerated. F-shunt significantly decreased following provision of CPAP (37%; range, 8.4-68% vs 6%; range, -5.6-64.3%). CONCLUSION: The use of a pediatric helmet appears to be a suitable device for delivery of CPAP in dogs with hypoxemic acute respiratory failure. The device appears to be reasonably tolerated and improved oxygenation in most dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31872531/