Peer-reviewed veterinary case report
How specialists diagnose and treat tracheal collapse in dogs
By Carr, Susan V et al.·Published in Journal of the American Veterinary Medical Association·2022·Colorado State University, United States·View original on PubMed →
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Original publication title: Specialists' approach to tracheal collapse: survey-based opinions on diagnostics, medical management, and comorbid diseases.
- Species:
- dog
Plain-English summary
A survey of 180 veterinary specialists revealed their common practices for diagnosing and treating dogs with tracheal collapse, a condition where the windpipe becomes weak and collapses, causing breathing difficulties. Most vets use X-rays, tracheobronchoscopy, and fluoroscopy to confirm the diagnosis and check for related issues like chronic bronchitis or heart disease. For treatment, they often prescribe cough suppressants, steroids, and anxiety medications. While there are no official guidelines, the specialists agree on the importance of addressing any additional health problems in dogs with tracheal collapse.
People also search for: dog tracheal collapse treatment · dog coughing medication · dog breathing problems diagnosis
Abstract
OBJECTIVE: To describe the current standard of care among specialists for the routine diagnostic evaluation and medical management of stable tracheal collapse in dogs, identifying gaps between practice and scientific evidence to facilitate the development of future prospective studies. A secondary objective was to describe the perceived incidence of selected comorbid disorders in dogs with tracheal collapse and the diagnostic tests performed to evaluate for those disorders. SAMPLE: 180 veterinary specialists in 22 countries. PROCEDURES: An electronic survey was sent to 4 specialty listservs to target diplomates. Respondents completed multiple-choice and free-response questions related to the diagnostic evaluation and treatment of a theoretical stable dog with suspected tracheal collapse. RESULTS: Most respondents routinely utilized radiography, tracheobronchoscopy, and fluoroscopy to diagnose tracheal collapse and performed airway sampling, sedated airway examination, and echocardiograms to rule out comorbidities. The most frequently perceived comorbid disorders included chronic bronchitis, bronchomalacia, and myxomatous mitral valve disease. Respondents most often prescribed opioid antitussives, glucocorticoids, anxiolytics, and antibiotics as treatments. Less frequently, they utilized bronchodilators and nonopioid medications for cough. CLINICAL RELEVANCE: Despite a lack of published guidelines, specialists have similar approaches in their diagnostic and therapeutic approach to a stable dog with suspected tracheal collapse and believe evaluating for comorbid disorders is important. A description of a typical diagnostic approach and knowledge of realistic treatment goals will assist the general practitioner managing dogs with stable tracheal collapse. Additionally, gaps between current practices established via this survey and data supporting those practices exist, specifically concerning the use of antibiotics and nonopioid medications for cough, representing areas for further study.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36166502/