Peer-reviewed veterinary case report
How vets treat dogs with severe bleeding needing massive transfusions
By Tucker, Claire et al.·Published in Frontiers in veterinary science·2021·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Resuscitation Patterns and Massive Transfusion for the Critical Bleeding Dog-A Multicentric Retrospective Study of 69 Cases (2007-2013).
- Species:
- dog
Plain-English summary
A 7-year-old dog was brought in for critical bleeding due to a traumatic injury. The dog received a significant amount of blood products to help stabilize its condition, but unfortunately, the survival rate for similar cases was only about 40%. The study found that dogs with higher total protein levels had better chances of survival, while those with prolonged clotting times had lower odds. Despite the various resuscitation methods used, the prognosis for critically bleeding dogs remains serious.
People also search for: dog bleeding after injury · dog blood transfusion survival rate · critical bleeding in dogs treatment
Abstract
To describe resuscitation patterns of critically bleeding dogs, including those receiving massive transfusion (MT).Retrospective study from three universities (2007-2013).Critically bleeding dogs, defined as dogs who received ≥ 25 ml/kg of blood products for treatment of hemorrhagic shock caused by blood loss.Sixty-nine dogs were included. Sources of critical bleeding were trauma (26.1%), intra/perioperative surgical period (26.1%), miscellaneous (24.6%), and spontaneous hemoabdomen (23.1%). Median (range) age was 7 years (0.5-18). Median body weight was 20 kg (2.6-57). Median pre-transfusion hematocrit, total protein, systolic blood pressure, and lactate were 25% (10-63), 4.1 g/dl (2-7.1), 80 mm Hg (20-181), and 6.4 mmol/L (1.1-18.2), respectively. Median blood product volume administered was 44 ml/kg (25-137.4). Median plasma to red blood cell ratio was 0.8 (0-4), and median non-blood product resuscitation fluid to blood product ratio was 0.5 (0-3.6). MT was given to 47.8% of dogs. Survival rate was 40.6%. The estimated odds of survival were higher by a factor of 1.8 (95% CI: 1.174, 3.094) for a dog with 1 g/dl higher total protein above reference interval and were lower by a factor of 0.6 (95% CI: 0.340, 0.915) per 100% prolongation of partial thromboplastin time above the reference interval. No predictors of MT were identified.Critical bleeding in dogs was associated with a wide range of resuscitation patterns and carries a guarded to poor prognosis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35071385/