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Peer-reviewed veterinary case report

Blood-patch treatment helps dogs with persistent collapsed lung

By Oppenheimer, Nama et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2014·Department of Small Animal Emergency and Critical Care·View original on PubMed

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Original publication title: Retrospective evaluation of the use of autologous blood-patch treatment for persistent pneumothorax in 8 dogs (2009-2012).

Species:
dog
Breathing & coughDogs

Plain-English summary

An 8-year-old mixed-breed dog was brought in for breathing problems due to persistent pneumothorax, which is when air leaks into the space around the lungs. The vet used a treatment called autologous blood-patch pleurodesis, where blood was taken from the dog and injected into the chest cavity to help seal the leak. This treatment worked well for 7 out of the 8 dogs involved in the study, with many showing immediate improvement. While one dog did not survive due to complications, most dogs recovered successfully after one or more treatments.

People also search for: dog breathing problems treatment · pneumothorax in dogs · autologous blood patch for dogs

Abstract

OBJECTIVE: To describe the clinical course, outcome and success rate of 8 dogs with persistent pneumothorax treated with autologous blood-patch pleurodesis (ABP). DESIGN: Retrospective case series. SETTING: University teaching hospital ANIMALS: Eight client-owned dogs. INTERVENTION: Non-coagulated blood was aseptically collected from the jugular vein and injected immediately into the pleural cavity of dogs with persistent pneumothorax. MEASUREMENTS AND MAIN RESULTS: The procedure was successful in 7 of 8 dogs. The median duration of pneumothorax until the ABP was performed was 4 days (range 2-6 days). Pneumothorax resolved immediately after 1 treatment in 4 dogs. Pleurodesis was repeated once in 3 dogs, and twice in 1 case after which it resolved in 3 of the 4 dogs. Out of a total of 13 ABP procedures performed in 8 dogs, 5 (62.5%) were successful after 1 procedure and the success rate increased to 87.5% after additional procedures. One dog failed ABP and was euthanized 3 days later due to continued deterioration and a hospital acquired pneumonia. Mild to moderate complications occurred in 2 other dogs and resolved in both. CONCLUSIONS: ABP is a simple, inexpensive, and relatively safe procedure which can be considered in dogs with persistent pneumothorax that have failed conservative or surgical management. Infections following ABP were documented in 2 of the 8 dogs and resolved in 1 dog.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24739036/