Peer-reviewed veterinary case report
Survival chances for dogs and cats after heart and lung arrest
By Hofmeister, Erik H et al.·Published in Journal of the American Veterinary Medical Association·2009·Department of Small Animal Medicine and Surgery, United States·View original on PubMed →
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Original publication title: Prognostic indicators for dogs and cats with cardiopulmonary arrest treated by cardiopulmonary cerebral resuscitation at a university teaching hospital.
Plain-English summary
A study looked at 161 dogs and 43 cats that experienced cardiac arrest and were treated with CPR at a veterinary hospital. About 35% of dogs and 44% of cats were successfully resuscitated, with some key factors influencing their chances. Dogs that received specific treatments like mannitol and dopamine, and those that had cardiac arrest while under anesthesia, were more likely to survive. Unfortunately, the overall outlook for pets with cardiac arrest is poor, but those treated promptly and effectively have a better chance of recovery.
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Abstract
OBJECTIVE: To determine the association among signalment, health status, other clinical variables, and treatments and events during cardiopulmonary cerebral resuscitation (CPCR) with the return of spontaneous circulation (ROSC) for animals with cardiopulmonary arrest (CPA) in a veterinary teaching hospital. DESIGN: Cross-sectional study. ANIMALS: 161 dogs and 43 cats with CPA. PROCEDURES: Data were gathered during a 60-month period on animals that had CPA and underwent CPCR. Logistic regression was used to evaluate effects of multiple predictors for ROSC. RESULTS: 56 (35%) dogs and 19 (44%) cats had successful CPCR. Twelve (6%) animals (9 dogs and 3 cats) were discharged from the hospital. Successfully resuscitated dogs were significantly more likely to have been treated with mannitol, lidocaine, fluids, dopamine, corticosteroids, or vasopressin; had CPA while anesthetized; received chest compressions while positioned in lateral recumbency; and had a suspected cause of CPA other than hemorrhage or anemia, shock, hypoxemia, multiple organ dysfunction syndrome, cerebral trauma, malignant arrhythmia, or an anaphylactoid reaction and were less likely to have been treated with multiple doses of epinephrine, had a longer duration of CPA, or had multiple disease conditions, compared with findings in dogs that were not successfully resuscitated. Successfully resuscitated cats were significantly more likely to have had more people participate in CPCR and less likely to have had shock as the suspected cause of CPA, compared with findings in cats that were not successfully resuscitated. CONCLUSIONS AND CLINICAL RELEVANCE: The prognosis was grave for animals with CPA, except for those that had CPA while anesthetized.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19566454/