Peer-reviewed veterinary case report
Predicting dog recovery with oxygen therapy using breathing
By Eicher, Logan et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2024·Department of Veterinary Clinical Sciences, United States·View original on PubMed →
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Original publication title: Retrospective evaluation of the respiratory rate-oxygenation index to predict the outcome of high-flow nasal cannula oxygen therapy in dogs (2018-2021): 81 cases.
- Species:
- dog
Plain-English summary
An 8-year-old Labrador was treated with high-flow nasal cannula oxygen therapy due to breathing problems caused by hypoxemic respiratory failure. The treatment had a success rate of 44%, and the dog's chances of recovery were better if certain measurements, like the respiratory rate-oxygenation index (ROX), were higher within the first few hours. The study found that specific ROX and pulse oximetry saturation values could predict whether the therapy would work or not. While not all dogs responded to the treatment, those that did showed significant improvement in their oxygen levels and breathing.
People also search for: dog breathing problems treatment · high-flow nasal cannula oxygen therapy for dogs · Labrador respiratory failure recovery
Abstract
OBJECTIVE: To evaluate the respiratory rate-oxygenation index (ROX), modified ROX index (ROX-HR), and the ratio of pulse oximetry saturation (Spo) to Fio(SF) to determine if these indices over time are predictive of outcome in dogs treated with high-flow nasal cannula oxygen therapy (HFNC). DESIGN: Retrospective study. SETTING: Two university teaching hospitals. ANIMALS: Eighty-one client-owned dogs treated with HFNC for hypoxemic respiratory failure. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The ROX was defined as the SF divided by the respiratory rate (RR), and the ROX-HR was defined as the ROX divided by the heart rate multiplied by 100. The overall success rate of HFNC was 44% (n = 36/81). Dogs weaned from HFNC had a significantly higher ROX (P < 0.0001) at 1-3, 5-10, 12, and 15 hours than dogs that failed HFNC. Both the ROX and SF showed excellent discriminatory power in predicting HFNC failure at 6 hours, with an area under receiver operating curve of 0.85 (95% confidence interval: 0.72-0.99; P < 0.002) and 0.86 (95% confidence interval: 0.73-0.99; P < 0.001), respectively. The optimal cutoff values for predicting HFNC failure at 6 hours were a ROX ≤3.68 (sensitivity 72%, specificity 92%) and an SF ≤143 (sensitivity 79%, specificity 93%). CONCLUSIONS: These results suggest that similar to people, the ROX and SF are useful predictors of HFNC failure. These indices are easy to measure at the bedside and may have clinical use. Future prospective studies are warranted to confirm the findings and to optimize cutoff values in a larger population of dogs undergoing HFNC.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38708968/