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Peer-reviewed veterinary case report

Best airway pressure for breath-hold CT scans in dogs with mammary

By Guarracino, Alessandro et al.·Published in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·2016·&#xa0·View original on PubMed

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Original publication title: WHICH AIRWAY PRESSURE SHOULD BE APPLIED DURING BREATH-HOLD IN DOGS UNDERGOING THORACIC COMPUTED TOMOGRAPHY?

Species:
dog

Plain-English summary

A group of dogs with mammary tumors underwent thoracic CT scans to check for lung issues. Researchers tested different levels of positive pressure during breath-holding to see which helped keep the lungs properly inflated. They found that using a pressure of 10 to 12 cmH2 O significantly improved lung aeration compared to no pressure at all. This means that for dogs needing a CT scan, applying the right amount of pressure can help ensure their lungs stay healthy during the procedure.

People also search for: dog mammary tumor CT scan · dog lung problems treatment · how to improve lung function in dogs

Abstract

This randomized controlled trial study aimed to identify the optimal positive pressure (PP) level that can clear atelectasis while avoiding pulmonary hyperinflation during the breath-hold technique in dogs undergoing thoracic computed tomography (CT). Sixty dogs affected by mammary tumors undergoing thoracic CT for the screening of pulmonary metastases were randomly assigned to six groups with different levels of PP during the breath-hold technique: 0 (control), 5 (PP5), 8 (PP8), 10 (PP10), 12 (PP12), and 15 (PP15) cmH2 O. The percentage of atelectatic lung region was lower in the PP10 (3.7 ± 1.1%; P = 0.002), PP12 (3.4 ± 1.3%; P = 0.0001), and PP15 (2.8 ± 0.9%; P = 0.006) groups than in the control group (5.0 ± 2.3%), and the percentage of poorly aerated lung region was lower in the PP8 (15.1 ± 2.6%; P = 0.0009), PP10 (13.0 ± 2.0 %; P = 0.002), PP12 (13.0 ± 2.2 %; P = 0.0002), and PP15 (11.1 ± 1.9%; P = 0.0002) groups than in the control group (19.8 ± 5.0). The percentage of normally aerated lung region, however, was higher in the PP10 (79.7 ± 4.1%; P = 0.005), PP12 (79.8 ± 5.1%; P = 0.0002), and PP15 (80.2 ± 4.9%; P = 0.002) groups than in the control group (73.4 ± 6.6%). A PP of 10-12 cmH2 O during the breath-hold technique should be considered to improve lung aeration during a breath-hold technique in dogs undergoing thoracic CT.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/27412486/