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1.
J Feline Med Surg ; 26(3): 1098612X231224662, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-38545955

RESUMEN

OBJECTIVES: The aim of this study was to compare the analgesic efficacy and the effect on physiological variables and behavior of the use of tramadol, methadone and morphine as preoperative analgesia in healthy cats undergoing elective ovariohysterectomy. METHODS: Cats undergoing ovariohysterectomy were randomly assigned to receive one of the following premedication treatments intramuscularly: methadone (0.2 mg/kg; n = 10); morphine (0.2 mg/kg; n = 10); or tramadol (3 mg/kg; n = 10). Induction of anesthesia was done with propofol, and maintenance of anesthesia was done with isoflurane. Intraoperative heart rate, arterial blood pressure, respiratory rate, end-tidal isoflurane concentration and frequency of rescue analgesia (fentanyl 2.5 µg/kg) were compared between groups. Postoperative analgesia was assessed using the UNESP-Botucatu Multidimensional Composite Pain Scale, and perioperative serum glucose, cortisol concentrations and postoperative rescue analgesia were evaluated. RESULTS: Intraoperative rescue analgesia was required in 76.5% of cats at some time during surgery, and 27% of cats required postoperative rescue analgesia up to 6 h after extubation. There were no significant differences between groups with respect to intraoperative and postoperative rescue analgesia, pain scale scores and end-tidal isoflurane concentrations. In the immediate postoperative period, after extubation, most of the patients presented with hypothermia; however, 1-6 h postoperatively, hyperthermia was observed in most of the patients, and was most common in the tramadol group. CONCLUSIONS AND CLINICAL RELEVANCE: Under the conditions of this study, methadone, morphine and tramadol produced satisfactory postoperative analgesia in most of the cats undergoing ovariohysterectomy, and the effects lasted up to 6 h postoperatively. Intraoperative analgesia was not sufficient in most cases. Significant cardiovascular or respiratory effects contraindicating the use of these drugs were not found. Postanesthetic hyperthermia occurred with all opioids studied and was more frequent in the tramadol group.


Asunto(s)
Enfermedades de los Gatos , Isoflurano , Tramadol , Femenino , Gatos , Animales , Tramadol/uso terapéutico , Metadona/uso terapéutico , Morfina/uso terapéutico , Ovariectomía/veterinaria , Ovariectomía/métodos , Dolor Postoperatorio/tratamiento farmacológico , Dolor Postoperatorio/prevención & control , Dolor Postoperatorio/veterinaria , Histerectomía/veterinaria , Histerectomía/métodos , Analgésicos , Analgésicos Opioides/uso terapéutico , Enfermedades de los Gatos/tratamiento farmacológico , Enfermedades de los Gatos/cirugía
2.
Vet Rec ; 194(5): e3796, 2024 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-38321362

RESUMEN

BACKGROUND: Readability of client communications is a commonly overlooked topic in veterinary medical education. In human medicine, it has been advised that the readability of patient materials should be at USA schooling sixth-grade level or below. We hypothesised that student written discharge instructions would be of an inappropriate readability level, and discharges scored with higher reading grade levels would be associated with more complications. METHODS: The cohort comprised 149 dogs and cats presenting for sterilisation. The readability of discharge instructions was assessed using the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL) formulas. Records were examined for evidence of postoperative complications. RESULTS: The mean FRE score of the discharge instructions was 61.97, with 30.87% being classified as 'difficult' or 'fairly difficult', 60.4% as 'standard' and 8.72% as 'fairly easy'. The mean FKGL was 8.64, with 98% being above reading level 6. Overall, there was an association between FKGL and complication occurrence (p = 0.005). Stratification by species demonstrated FRE and FKGL to be associated with complication occurrence in dogs (FRE score, p = 0.038; FKGL, p = 0.002), but not cats (FRE score, p = 0.964; FKGL, p = 0.679). LIMITATIONS: Due to the retrospective nature of the study, there were difficulties associated with extracting relevant complication information from the medical records. CONCLUSION: Only 2% of owner-directed discharge instructions were written at readability levels aligning with the recommendations set forth in the human guidelines.


Asunto(s)
Enfermedades de los Gatos , Enfermedades de los Perros , Humanos , Animales , Gatos , Perros , Enfermedades de los Gatos/cirugía , Comprensión , Enfermedades de los Perros/cirugía , Alta del Paciente , Mascotas , Estudios Retrospectivos , Esterilización
4.
J Am Vet Med Assoc ; 261(10): 1-9, 2023 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-37257825

RESUMEN

OBJECTIVE: To describe the clinical characteristics, procedural techniques, complications, and outcomes of dogs and cats undergoing any of the following modified hemipelvectomy techniques: concurrent partial sacrectomy and/or partial vertebrectomy, osseous excision crossing midline, and reconstruction without the use of local musculature. ANIMALS: 23 client-owned animals (20 dogs and 3 cats) that underwent modified hemipelvectomy techniques. Animals that underwent traditional (nonmodified) hemipelvectomy techniques were excluded. PROCEDURES: The medical records of 3 academic institutions were reviewed, and data were recorded and analyzed. RESULTS: Modified hemipelvectomy was performed with partial sacrectomy and/or vertebrectomy in 11 dogs, excision crossing pelvic midline with concurrent limb amputation in 5 dogs and 2 cats, and closure without use of native muscle or mesh in 4 dogs and 1 cat. Surgery was performed for tumor excision in all cases. Excision was reported as complete in 16 of 23, incomplete in 6 of 23, and not recorded in 1 of 23 animals. All animals survived to discharge. Only animals undergoing partial sacrectomy/vertebrectomy (4/11) experienced postoperative mobility concerns. Major intra- or post-operative complications (grades 3 and 4) occurred in 2 dogs that underwent partial sacrectomy/vertebrectomy, and 1 of these animals experienced a complication that resulted in death. The median time to death or last follow-up was 251 days (range, 3 to 1,642). CLINICAL RELEVANCE: The modified hemipelvectomy techniques reported in this cohort were overall well tolerated with good functional outcomes. These findings support the use of these modified hemipelvectomy techniques in dogs and cats, and previous notions regarding tolerable hemipelvectomy procedures should be reconsidered. However, additional studies with larger numbers of patients undergoing modified hemipelvectomy techniques are needed to gain more information.


Asunto(s)
Enfermedades de los Gatos , Enfermedades de los Perros , Hemipelvectomía , Gatos , Perros , Animales , Hemipelvectomía/veterinaria , Enfermedades de los Gatos/cirugía , Enfermedades de los Perros/cirugía , Amputación Quirúrgica/veterinaria , Complicaciones Posoperatorias/veterinaria , Estudios Retrospectivos , Resultado del Tratamiento
5.
J Feline Med Surg ; 24(12): e611-e617, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36453601

RESUMEN

OBJECTIVES: The purpose of this study was to evaluate the correlation between clinical aspects and urethral lesions with reproductive status and age at neutering in obstructed male cats. METHODS: All cats with compatible signs of urethral obstruction (UO) treated at the Veterinary Hospital of the Federal Rural University of Pernambuco from 2019 to 2021 were divided into three groups according to their reproductive status: intact; prepubertal neutered; and post-pubertal neutered. Cats with compatible signs of UO were selected for further analysis. Age, clinical signs, age at neutering and age of the first obstructive event were documented. Cats with recurrent obstructive urinary signs or urethral trauma that made catheterization impossible were referred for perineal urethrostomy. The morphology of the excised penises was assessed by histopathological analysis. RESULTS: Of 84 cats with signs of UO included in this study, 28.6% were classified as intact, 28.6% as prepubertal neutered and 42.8% as post-pubertal neutered. Intact cats had a significantly earlier onset of UO compared with prepubertal and post-pubertal neutered cats, as seen by the age at obstruction (3.6 vs 5.7 and 5.5 years, respectively). Similar clinical signs and histopathological lesions were observed in all groups. The main clinical signs observed were stranguria, hematuria and pollakiuria. All cats had some degree of injury in the penile urethra. The most common lesions were hemorrhage, fibrosis and congestion. CONCLUSIONS AND RELEVANCE: It appears that intact cats had an earlier onset of UO than neutered cats, regardless of age at neutering. Urethral histopathological lesions and clinical signs were similar in both groups. Pediatric neutering represents a useful tool in the control of abandoned and stray animals and the consequent dissemination of zoonoses, thus having a positive impact on public health.


Asunto(s)
Enfermedades de los Gatos , Orquiectomía , Obstrucción Uretral , Animales , Gatos , Masculino , Enfermedades de los Gatos/patología , Enfermedades de los Gatos/cirugía , Obstrucción Uretral/patología , Obstrucción Uretral/cirugía , Obstrucción Uretral/veterinaria , Orquiectomía/veterinaria
6.
Vet Dermatol ; 33(5): 450-453, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35644532

RESUMEN

We report the novel use of cryosurgery to treat cutaneous feline leishmaniosis (FeL) in a domestic cat from mid-western Venezuela. Amastigotes, evident by microscopy in aspirates from the nodular, erythematous nose lesions, were identified as Leishmania mexicana by cytochrome b gene sequence analysis. Lesions resolved completely without relapse after 14 months.


Nous décrivons une nouvelle utilisation de la cryochirurgie pour traiter la leishmaniose féline cutanée (FeL) chez un chat domestique du centre-ouest du Venezuela. Les amastigotes, observés par microscopie dans les cytoponctions des lésions nodulaires et érythémateuses du nez, ont été identifiés comme Leishmania mexicana par analyse de la séquence du gène du cytochrome b. Les lésions ont complètement disparu sans rechute après 14 mois.


Describimos el uso novedoso de la criocirugía para tratar la leishmaniosis cutánea felina (FeL) en un gato doméstico del medio oeste de Venezuela. Los amastigotes, evidentes por microscopía en los aspirados de las lesiones nasales nodulares eritematosas, se identificaron como Leishmania mexicana mediante el análisis de la secuencia del gen del citocromo b. Las lesiones se resolvieron completamente sin recidiva tras 14 meses.


Neste estudo, relatamos a utilização inédita de criocirurgia para tratar leishmaniose felina cutânea (FeL) em um gato doméstico no centro-oeste da Venezuela. Amastigotas, evidentes à microscopia de aspirados da lesão nodular e eritematosa na região nasal, foram identificadas como Leishmania Mexicana por sequenciamento do gene do citocromo b. As lesões se resolveram completamente sem recidiva após 14 meses.


Asunto(s)
Enfermedades de los Gatos , Leishmania mexicana , Leishmaniasis Cutánea , Animales , Enfermedades de los Gatos/cirugía , Gatos , Crioterapia/veterinaria , Leishmaniasis Cutánea/terapia , Leishmaniasis Cutánea/veterinaria
7.
J Am Vet Med Assoc ; 260(1): 100-109, 2021 11 12.
Artículo en Inglés | MEDLINE | ID: mdl-34780350

RESUMEN

CASE DESCRIPTION: 6-month-old and 7-month-old spayed female domestic shorthair cats were referred because of complications associated with inadvertent bilateral ureteral ligation and transection during ovariohysterectomy. CLINICAL FINDINGS: Both cats had a 1- to 2-day history of lethargy, inappetence, and vomiting. Initial exam findings included lethargy, signs of abdominal pain, anuria, and dehydration. Clinicopathologic testing revealed azotemia and hyperkalemia. Abdominal ultrasonography revealed peritoneal effusion and bilateral pyelectasia in both cats and retroperitoneal effusion in one. Fluid analysis in both cats supported a diagnosis of uroabdomen. TREATMENT AND OUTCOME: Exploratory celiotomy was performed in both cats, and bilateral ureteral ligation and transection was confirmed. Bilateral renal descensus and ureteroneocystostomy with an intravesicular mucosal apposition technique was successfully performed in both cats. Clinicopathologic evaluation performed 1 day after surgery in one cat and 5 days after surgery in the other revealed complete resolution of azotemia. Ultrasonographic examination of the urogenital tract performed approximately 4 months after surgery in the first cat and 1 month after surgery in the second cat revealed complete resolution of renal pelvic dilation bilaterally. CLINICAL RELEVANCE: Bilateral intravesicular ureteroneocystostomy in conjunction with bilateral renal descensus was used successfully to treat bilateral ureteral transection that occurred in 2 cats during routine ovariohysterectomy. Limited treatment options currently exist for this serious complication, and euthanasia is often considered. This technique, which relies on the use of the natural surrounding tissues for successful treatment, can offer a potential treatment option to correct this uncommon but devastating complication.


Asunto(s)
Enfermedades de los Gatos , Uréter , Obstrucción Ureteral , Animales , Enfermedades de los Gatos/cirugía , Gatos , Femenino , Histerectomía/veterinaria , Riñón , Uréter/cirugía , Obstrucción Ureteral/cirugía , Obstrucción Ureteral/veterinaria
8.
Vet Surg ; 50(8): 1688-1695, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34293186

RESUMEN

OBJECTIVE: To evaluate outcomes associated with the use of an angularis oris axial pattern flap (AOAPF) for rostral facial reconstruction in cats. ANIMALS: Nine adult client-owned cats. STUDY DESIGN: Short case series. METHODS: Ten AOAPF were performed in nine cats after resection of a tumor. Wounds were located at the nose, infraorbital, supraorbital, frontal, eye, and ear canal region. Orbital exenteration (n = 3), pinnectomy (n = 2), nasal planum resection, total ear canal ablation (n = 2), and partial eyelid reconstruction (n = 3) were performed. RESULTS: Short-term postoperative complications included flap edema (n = 10), suture dehiscence (n = 3), and distal tip necrosis (n = 3). All wounds resulting from minor complications healed by second intention in 5-15 days. Long-term complications included epiphora (n = 2), frequent grooming around the eyes (n = 2), and enucleation due to corneal ulcer secondary to impaired postoperative eyelid function (n = 1). Tumor recurrence occurred in 3 cases. CONCLUSION: The AOAPF was a versatile and reliable option for rostral facial reconstruction in cats with acceptable long-term outcomes.


Asunto(s)
Enfermedades de los Gatos , Procedimientos de Cirugía Plástica , Animales , Enfermedades de los Gatos/cirugía , Gatos , Necrosis/veterinaria , Recurrencia Local de Neoplasia/veterinaria , Nariz/cirugía , Complicaciones Posoperatorias/veterinaria , Procedimientos de Cirugía Plástica/veterinaria , Colgajos Quirúrgicos/veterinaria
9.
J Feline Med Surg ; 23(4): 351-356, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-32812465

RESUMEN

OBJECTIVES: The aim of this study was to evaluate the effectiveness of ovariohysterectomy (OVH) on feline mammary fibroepithelial hyperplasia (FMFH) treatment, as well as the influence of previous injectable progestin on clinical signs and treatment of FMFH. METHODS: Seventy-nine female cats diagnosed with FMFH between 2014 and 2018 were included. The animals were distributed as follows: (1) treated only with OVH (TA) or OVH plus antiprogestin (TB); and (2) no administration (G1) or previous administration (G2) of injectable progestin before FMFH diagnosis. Data regarding clinical signs of FMFH, occurrence of persistent mammary growth after OVH, and time until complete remission of FMFH post-surgery were recorded and evaluated. RESULTS: Mastectomy was not performed in any cat during the study. TA was adopted in 71/79 (89.9%) cases, with 42/71 (59.2%) from G2 and 29/71 (40.8%) from G1. TB was adopted in 8/79 (10.1%) cats, all from G2. Total remission of FMFH was observed in 73/79 (92.4%) cats, with six animals from G2 having died (n = 6/79 [7.6%]). The time until complete remission of FMFH was higher (P <0.0001) in cats from G2 than from G1. Moreover, animals from G2 had a higher percentage of persistent mammary growth after OVH (P <0.001) and a tendency to higher mortality (P = 0.052) compared with G1. CONCLUSIONS AND RELEVANCE: Previous treatment with injectable progestin may result in a more complex clinical presentation of FMFH. Ovariohysterectomy is a good treatment option for FMFH when there is no interest in breeding the queen. Treatment with antiprogestin is recommended, especially if persistent mammary growth is detected after OVH.


Asunto(s)
Enfermedades de los Gatos , Neoplasias Mamarias Animales , Animales , Enfermedades de los Gatos/tratamiento farmacológico , Enfermedades de los Gatos/cirugía , Gatos , Femenino , Hiperplasia/veterinaria , Histerectomía/veterinaria , Neoplasias Mamarias Animales/tratamiento farmacológico , Neoplasias Mamarias Animales/cirugía , Ovariectomía/veterinaria , Progestinas
10.
Ci. Rural ; 51(7)2021. ilus, tab
Artículo en Inglés | VETINDEX | ID: vti-31568

RESUMEN

This report described pathological fracture of the femoral head (physeal dysplasia) in four male cats (three mixed breed and one Bengal), with an average age of 16 months, treated by an ostectomy of the femoral head and neck. Three cats were neutered and one entire. All presented with mild intermittent lameness in the pelvic limbs. Displacement of the femoral epiphysis and resorption of the femoral neck were present and excision of the femoral head and remaining neck was performed in all cases. Hstological examination showed mild foci of compaction and trabecular fibrosis with deposition of fibrous connective tissue, permeated by granulation tissues, consistent with the original diagosis. Limb function improved in all patients from 2 to 4 weeks postoperatively. Diagnosis of physeal dysplasia is challenging and treatment is different from acute traumatic fractures. Femoral head and neck excision was considered a good alternative in these patients.(AU)


Este trabalho descreve a fratura patológica da cabeça do femur (displasia fiseal) em quatro machos (três raças mistas e um Bengal), com idade média de 16 meses, que foram tratados com ostectomia da cabeça e colo femorais. Três gatos eram castrados e um inteiro. Todos apresentaram leve claudicação intermitente nos membros pélvicos. O deslocamento da epífise femoral e a reabsorção do colo femoral estavam presentes, a excisão da cabeça e colo femoral foi realizada em todos os casos. O exame histológico mostrou focos de compacteção e fibrose trabecular com deposição de tecido conjuntivo fibroso, permeado por tecidos de granulação, consistentes com o suposto diagnóstico. A função dos membros melhorou em todos os paciente entre dois a quatro semanas pós-operatório. O diagnóstico da displasia fiseal pe desafiador e o tratamento é diferente das fraturas traumáticas agudas. A excisão de cabeça e colo femoral é considerada uma boa alternativa nesses pacientes.(AU)


Asunto(s)
Animales , Masculino , Gatos , Enfermedades de los Gatos/diagnóstico , Enfermedades de los Gatos/fisiopatología , Enfermedades de los Gatos/cirugía , Fracturas del Fémur/patología , Fracturas del Fémur/cirugía , Fracturas del Fémur/veterinaria , Gatos/anomalías
11.
Top Companion Anim Med ; 41: 100462, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32823161

RESUMEN

A 7-year-old, white, domestic short hair, female cat was presented with an aural hematoma of the right pinna, which had been partially resected a year previously. A 3 × 4 cm mass, macroscopically similar to an auricular hematoma, was visible on the convex surface and a smaller vascular lesion was present on the ear margin. Cytological examination of the smaller mass was suggestive of hemangiosarcoma, and a diagnosis confirmed by histopathologic and immunohistochemical tests. Complete pinnectomy with a wide margin was performed and during the 3-year follow-up, the cat had no local recurrence or metastasis. We conclude that hemangiosarcoma should be considered as a potential differential diagnosis in white-coated cats with an unusual clinical presentation of aural hematoma.


Asunto(s)
Enfermedades de los Gatos/cirugía , Neoplasias del Oído/veterinaria , Hemangiosarcoma/veterinaria , Hematoma/veterinaria , Animales , Gatos , Neoplasias del Oído/complicaciones , Neoplasias del Oído/cirugía , Femenino , Hemangiosarcoma/complicaciones , Hemangiosarcoma/cirugía , Hematoma/complicaciones , Resultado del Tratamiento
12.
J Feline Med Surg ; 22(10): 890-897, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-31808718

RESUMEN

OBJECTIVES: The aim of this study was to evaluate and compare the long-term clinical outcomes and quality of life of cats having undergone perineal urethrostomy (PU) or prepubic urethrostomy (PPU). METHODS: This clinical study followed 28 cats (PU, n = 22; PPU, n = 6) that underwent a urethrostomy, with a minimum of 1 year postoperative follow-up. Medical records, pet owner surveys and urologic laboratory tests were used for assessment. Urologic laboratory tests included serum symmetric dimethylarginine (SDMA), serum creatinine, urinalysis, urine specific gravity (USG), urine protein:creatinine (UPC) ratio and urine culture. RESULTS: The main indications for urethrostomy were multiple catheterizations and PU stricture. The overall complication rates of PU and PPU were 31.8% and 83.3%, respectively. Recurrent urinary tract infection (UTI) and urine scald dermatitis were less frequent in PU than in PPU cats (UTI 22.7% vs 66.6%; dermatitis 4.5% vs 83.3%). Bacteriuria was present in 77.2% and 100% of PU and PPU cats, respectively. Owner satisfaction rates were excellent in 81.8% of PU and 33.3% of PPU cases. CONCLUSIONS AND RELEVANCE: A proportion of cats that underwent urethrostomy showed bacteriuria, recurrent UTIs and increased levels of SDMA. PPU is important as a salvage procedure; however, it should be limited to cases in which standard techniques for PU cannot be performed, owing to the potential for recurrent complications and lower owner satisfaction.


Asunto(s)
Enfermedades de los Gatos/cirugía , Complicaciones Posoperatorias/veterinaria , Infecciones Urinarias/veterinaria , Procedimientos Quirúrgicos Urológicos/veterinaria , Animales , Brasil , Gatos , Femenino , Masculino , Calidad de Vida , Uretra/cirugía , Infecciones Urinarias/cirugía , Procedimientos Quirúrgicos Urológicos/clasificación
13.
Ciênc. Anim. (Impr.) ; 30(2,supl.1): 1-8, 2020. graf
Artículo en Portugués | VETINDEX | ID: biblio-1472632

RESUMEN

O presente estudo objetivou analisar um protocolo de anestesia intravenosa total para a realização de ovariosalpingohisterectomia em gato doméstico (Felis catus), fêmea, sem raça definida, com idade de 2 anos e pesando 3,425 kg. A medicação pré-anestésica foi realizada com maropitant (1mg/kg), metadona (0,3mg/kg), midazolam (0,3mg/kg) e dexmedetomidina (3mcg/kg), na indução foi utilizado propofol (4mg/kg). Na manutenção utilizou-se propofol (0,15mg/kg/h) e remifentanila (0,15µg/kg/min), ambos em infusão contínua. Como parâmetros, foram mensurados e avaliados eletrocardiograma, frequência cardíaca e respiratória, onda pletismográfica de pulso, oximetria, capnografia, temperatura, pressão arterial não invasiva sistólica, diastólica e média. Ademais, também foram avaliados o grau de sedação, qualidade da indução anestésica, tempo de recuperação e dor pós-operatória. A paciente apresentou grau de sedação satisfatório após a medicação préanestésica. Durante o período trans-anestésico observou-se constância no plano anestésico, alto grau de analgesia e relaxamento suficiente, além de estabilidade cardiovascular e hemodinâmica, permitindo a realização do procedimento cirúrgico sem intercorrências. A remifentanila promoveu intensa analgesia, permitindo que velocidade de infusão do propofol permanecesse na dose de 0,15mg/kg/h durante toda a manutenção anestésica. A infusão de cloridrato de remifentanila associado ao propofol provocou depressão respiratória, porém os demais parâmetros mostraram-se dentro dos padrões sugeridos para a espécie felina. No pós-operatório não houve complicações e a paciente apresentou tempo de recuperação rápido. O grau de dor pós-operatória observado foi considerado leve (3,3%). Sendo assim o protocolo empregado neste estudo foi seguro, visto as mínimas alterações fisiológicas que provocou, além de adequado para o procedimento de OSH em gatos.


The present study aimed to analyze a protocol of total intravenous anesthesia for the performance of ovariosalpingohisterectomy in domestic cat (Felis catus), female, mixed breed, aged 2 years and weighing 3.425 kg. Pre-anesthetic medication was performed with maropitant (1mg/kg), methadone (0.3mg/kg), midazolam (0.3mg/kg) and dexmedetomidine (3mcg/kg), propofol (4mg/kg) was used for induction. For maintenance, propofol (0.15mg/kg/h) and remifentanil (0.15µg/kg/min) were used, both in continuous infusion. As parameters, electrocardiogram, heart and respiratory rate, pulse plethysmography wave, oximetry, capnography, temperature, non-invasive systolic, diastolic and mean blood pressure were measured and evaluated. In addition, the degree of sedation, quality of anesthetic induction, recovery time and postoperative pain were also evaluated. The patient had a satisfactory level of sedation . During the trans-anesthetic period, constancy was observed in the anesthetic plan, a high degree of analgesia and sufficient relaxation, in addition to cardiovascular and hemodynamic stability, allowing the surgical procedure to be performed without complications. Remifentanil promoted intense analgesia, allowing the propofol infusion rate to remain at a dose of 0.15mg/kg/h throughout the anesthetic maintenance. The infusion of remifentanil hydrochloride associated with propofol caused respiratory depression, but the other parameters were within the standards suggested for the feline species. In the postoperative period there were no complications and the patient had a quick recovery time. The degree of postoperative pain observed was considered mild (3.3%). Thus, the protocol used in this study was safe, given the minimal physiological changes it caused, in addition to being suitable for the OSH procedure in cats.


Asunto(s)
Femenino , Animales , Gatos , Anestesia Intravenosa/veterinaria , Enfermedades de los Gatos/cirugía , Histerectomía/veterinaria , Ovario/cirugía
14.
Ciênc. Anim. (Impr.) ; 30(2,supl.1): 1-8, 2020. graf
Artículo en Portugués | VETINDEX | ID: vti-29948

RESUMEN

O presente estudo objetivou analisar um protocolo de anestesia intravenosa total para a realização de ovariosalpingohisterectomia em gato doméstico (Felis catus), fêmea, sem raça definida, com idade de 2 anos e pesando 3,425 kg. A medicação pré-anestésica foi realizada com maropitant (1mg/kg), metadona (0,3mg/kg), midazolam (0,3mg/kg) e dexmedetomidina (3mcg/kg), na indução foi utilizado propofol (4mg/kg). Na manutenção utilizou-se propofol (0,15mg/kg/h) e remifentanila (0,15µg/kg/min), ambos em infusão contínua. Como parâmetros, foram mensurados e avaliados eletrocardiograma, frequência cardíaca e respiratória, onda pletismográfica de pulso, oximetria, capnografia, temperatura, pressão arterial não invasiva sistólica, diastólica e média. Ademais, também foram avaliados o grau de sedação, qualidade da indução anestésica, tempo de recuperação e dor pós-operatória. A paciente apresentou grau de sedação satisfatório após a medicação préanestésica. Durante o período trans-anestésico observou-se constância no plano anestésico, alto grau de analgesia e relaxamento suficiente, além de estabilidade cardiovascular e hemodinâmica, permitindo a realização do procedimento cirúrgico sem intercorrências. A remifentanila promoveu intensa analgesia, permitindo que velocidade de infusão do propofol permanecesse na dose de 0,15mg/kg/h durante toda a manutenção anestésica. A infusão de cloridrato de remifentanila associado ao propofol provocou depressão respiratória, porém os demais parâmetros mostraram-se dentro dos padrões sugeridos para a espécie felina. No pós-operatório não houve complicações e a paciente apresentou tempo de recuperação rápido. O grau de dor pós-operatória observado foi considerado leve (3,3%). Sendo assim o protocolo empregado neste estudo foi seguro, visto as mínimas alterações fisiológicas que provocou, além de adequado para o procedimento de OSH em gatos.(AU)


The present study aimed to analyze a protocol of total intravenous anesthesia for the performance of ovariosalpingohisterectomy in domestic cat (Felis catus), female, mixed breed, aged 2 years and weighing 3.425 kg. Pre-anesthetic medication was performed with maropitant (1mg/kg), methadone (0.3mg/kg), midazolam (0.3mg/kg) and dexmedetomidine (3mcg/kg), propofol (4mg/kg) was used for induction. For maintenance, propofol (0.15mg/kg/h) and remifentanil (0.15µg/kg/min) were used, both in continuous infusion. As parameters, electrocardiogram, heart and respiratory rate, pulse plethysmography wave, oximetry, capnography, temperature, non-invasive systolic, diastolic and mean blood pressure were measured and evaluated. In addition, the degree of sedation, quality of anesthetic induction, recovery time and postoperative pain were also evaluated. The patient had a satisfactory level of sedation . During the trans-anesthetic period, constancy was observed in the anesthetic plan, a high degree of analgesia and sufficient relaxation, in addition to cardiovascular and hemodynamic stability, allowing the surgical procedure to be performed without complications. Remifentanil promoted intense analgesia, allowing the propofol infusion rate to remain at a dose of 0.15mg/kg/h throughout the anesthetic maintenance. The infusion of remifentanil hydrochloride associated with propofol caused respiratory depression, but the other parameters were within the standards suggested for the feline species. In the postoperative period there were no complications and the patient had a quick recovery time. The degree of postoperative pain observed was considered mild (3.3%). Thus, the protocol used in this study was safe, given the minimal physiological changes it caused, in addition to being suitable for the OSH procedure in cats.(AU)


Asunto(s)
Animales , Femenino , Gatos , Anestesia Intravenosa/veterinaria , Histerectomía/veterinaria , Enfermedades de los Gatos/cirugía , Ovario/cirugía
15.
Vet Parasitol Reg Stud Reports ; 18: 100339, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31796187

RESUMEN

Dioctophymosis is caused by Dioctophyme renale, nematode with indirect life cycle. Its intermediate host is a freshwater oligochaete and its definitive host is a wild or household carnivore. The adult nematode develops in the definite host, generally locating itself in the kidney. This article was meant to describe the first nephrectomy performed in a domestic cat due to renal dioctophymosis in Argentina. The subject showed a non-specific appearance of generally feeling ill, hematuria and mild diarrhea. It was diagnosed through abdominal ultrasound, followed by exploratory celiotomy and nephrectomy. After verifying absence of free specimens, the right kidney was removed. This organ was found to be enlarged in a spheroidal manner in contrast to the left kidney, with significant thickening of the renal capsule, excessive congestion of vessels and adhesions involving the caudal vena cava. An adult nematode was removed from the right kidney and identified as Dioctophyme renale. Reports of feline dioctophymosis are scarce being most of them necropsy findings. In this we are presenting a confirmed case of D. renale removed by surgery from a live cat. The results presented here reinforces the fact that cats are also appropriate definitive hosts for this parasite.


Asunto(s)
Enfermedades de los Gatos/diagnóstico , Enfermedades de los Gatos/cirugía , Dioctophymatoidea/aislamiento & purificación , Infecciones por Enoplida/veterinaria , Nefrectomía/veterinaria , Animales , Argentina , Enfermedades de los Gatos/parasitología , Gatos , Infecciones por Enoplida/diagnóstico , Infecciones por Enoplida/parasitología , Infecciones por Enoplida/cirugía , Riñón/parasitología , Masculino , Resultado del Tratamiento
16.
J Feline Med Surg ; 19(12): 1261-1266, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28176530

RESUMEN

Objectives This study was undertaken to verify the possible modifications caused by hormonal deprivation in the extracellular matrix in the penises of neutered cats. Methods Twenty-seven penises from domestic shorthair cats were collected: 14 samples from intact cats and 13 from neutered cats. Sections were stained with Weigert's resorcin-fuchsin, hematoxylin and eosin, and picrosirius red. Histomorphometric analysis was performed using light microscopy and image analysis software. The following parameters were analyzed: density of the elastic fibers and collagen fibers in the corpus spongiosum; density of the elastic fibers in the tunica albuginea of the corpus cavernosum and the tunica albuginea of the corpus spongiosum; luminal area of the urethra; area of the corpus spongiosum; area of the corpus cavernosum; and thickness of the urethral epithelium. The data were analyzed using the Shapiro-Wilk test to verify the normal distribution, and groups were compared using Student's t-test; P <0.05 indicated statistically significant differences. Results Significant differences were observed between intact cats and neutered cats in the density of elastic fibers in the tunica albuginea of the corpus cavernosum (8.13% ± 1.38% vs 3.11% ± 0.66%), tunica albuginea of the corpus spongiosum (4.37% ± 1.08% vs 3.30% ± 1.01%) and corpus spongiosum (6.28% ± 3.03% vs 4.10% ± 2.19%), and density of collagen fibers in the corpus spongiosum (34.11% ± 10.86% vs 44.21% ± 12.72%). Conclusions and relevance The results show a significant decrease in the density of the elastic fibers and a significant increase of the density of the collagen fibers in the corpus spongiosum in neutered animals. This suggests that the compliance of the periurethral region is reduced, and these changes could be a predisposing factor for urethral obstructive disease.


Asunto(s)
Gatos/anatomía & histología , Matriz Extracelular/patología , Orquiectomía/veterinaria , Pene/patología , Animales , Enfermedades de los Gatos/cirugía , Tejido Elástico/patología , Masculino , Uretra/patología , Obstrucción Uretral/cirugía , Obstrucción Uretral/veterinaria
17.
Reprod Domest Anim ; 52 Suppl 2: 316-326, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27774657

RESUMEN

Chronic kidney disease (CKD) is a common clinical condition in domestic cats, characterized by tubulointerstitial, vascular and glomerular inflammation and severe fibrosis. Studies in rodent model of induced CKD have shown a decrease and stabilization of the clinical condition. In this study was evaluated the safety and effect of intrarenal and intravenous infusion of allogeneic mesenchymal stem cells (AMSCs) derived from feline amniotic membrane in cats with naturally occurring CKD. Cat AMSCs were harvested after mechanical and enzymatic digestion of amnion. A healthy cat received intrarenal injection of AMSCs guided by ultrasound in both kidneys (5 × 105  cells/kidney). Nine cats with CDK received repeated intravenous infusions of AMSCs (2 × 106 cells × 2 treatments). The clinical parameters of healthy cat did not change, but sedation and general anaesthesia was required. The number of interventions stressed the animal, and he developed transient haematuria after AMSC injection. Cats with CDK registered a significant improvement of renal function (decrease in serum creatinine and urine protein concentrations and increase in urine specific gravity). The kidney architecture and morphology did not change following the treatment. The feline AMSCs have a renoprotective effect and improve renal function in cats with naturally occurring CKD, stabilizing the clinical condition and disease progression. Thus, intravenous injection of AMSCs may be an important tool to provide welfare in cats with chronic kidney disease.


Asunto(s)
Amnios/citología , Enfermedades de los Gatos/cirugía , Trasplante de Células Madre Mesenquimatosas/veterinaria , Insuficiencia Renal Crónica/veterinaria , Animales , Enfermedades de los Gatos/patología , Enfermedades de los Gatos/prevención & control , Gatos , Femenino , Infusiones Intravenosas/veterinaria , Inyecciones/veterinaria , Riñón/patología , Masculino , Trasplante de Células Madre Mesenquimatosas/métodos , Células Madre Mesenquimatosas , Insuficiencia Renal Crónica/prevención & control , Insuficiencia Renal Crónica/cirugía
19.
Vet Ophthalmol ; 19(2): 102-9, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25707422

RESUMEN

PURPOSE: This study describes the use of polymethylmethacrylate implants with interconnecting channels (PIIC) to fill the orbit following enucleation in 31 dogs and 11 cats. METHOD: Seven channels were drilled into the implant. A central channel, running from the PIIC pole to its flat surface, was used to pass sutures anchoring the PIIC to the orbital fascia, minimizing the likelihood of extrusion. Six more channels allowed ingrowth of fibrovascular tissue into the PIIC, which reduces the risk of extrusion. Patients were evaluated 3, 10, and 30 days postoperatively, with 15 of 42 patients followed for 6-20 months. Ultrasound examination was performed in seven patients 15-510 days postoperatively, and two implants were studied histopathologically. RESULTS: Implants were well tolerated and prevented skin concavity, leading to good cosmetic results. Blood flow was imaged in vessels growing into the channels, and histopathologically a collagenous, fibrovascular capsule was seen surrounding the PIIC and invading its channels. CONCLUSIONS: PIICs are a safe and cosmetic solution to anophthalmic orbits, allowing ingrowth of blood vessels and fibrovascular tissue.


Asunto(s)
Enfermedades de los Gatos/cirugía , Enfermedades de los Perros/cirugía , Oftalmopatías/veterinaria , Enucleación del Ojo/veterinaria , Implantes Orbitales/veterinaria , Polimetil Metacrilato , Animales , Enfermedades de los Gatos/diagnóstico por imagen , Gatos , Enfermedades de los Perros/diagnóstico por imagen , Perros , Oftalmopatías/diagnóstico por imagen , Oftalmopatías/cirugía , Femenino , Masculino , Estudios Retrospectivos , Ultrasonografía
20.
Dental press j. orthod. (Impr.) ; 20(4): 57-62, July-Aug. 2015. tab, ilus
Artículo en Inglés | LILACS | ID: lil-757420

RESUMEN

OBJECTIVE: To compare shear bond strength of different direct bonding techniques of orthodontic brackets to acrylic resin surfaces.METHODS: The sample comprised 64 discs of chemically activated acrylic resin (CAAR) randomly divided into four groups: discs in group 1 were bonded by means of light-cured composite resin (conventional adhesive); discs in group 2 had surfaces roughened with a diamond bur followed by conventional direct bonding by means of light-cured composite resin; discs in group 3 were bonded by means of CAAR (alternative adhesive); and discs in group 4 had surfaces roughened with a diamond bur followed by direct bonding by means of CAAR. Shear bond strength values were determined after 24 hours by means of a universal testing machine at a speed of 0.5 mm/min, and compared by analysis of variance followed by post-hoc Tukey test. Adhesive remnant index (ARI) was measured and compared among groups by means of Kruskal-Wallis and Dunn tests.RESULTS: Groups 3 and 4 had significantly greater shear bond strength values in comparison to groups 1 and 2. Groups 3 and 4 yielded similar results. Group 2 showed better results when compared to group 1. In ARI analyses, groups 1 and 2 predominantly exhibited a score equal to 0, whereas groups 3 and 4 predominantly exhibited a score equal to 3.CONCLUSIONS: Direct bonding of brackets to acrylic resin surfaces using CAAR yielded better results than light-cured composite resin. Surface preparation with diamond bur only increased shear bond strength in group 2.


OBJETIVO: comparar a resistência ao cisalhamento de diferentes técnicas para colagem direta de braquetes ortodônticos em superfície de resina acrílica.MÉTODOS: sessenta e quatro (64) discos de resina acrílica ativada quimicamente (RAAQ) foram divididos aleatoriamente em qautro grupos: grupo 1 = colagem com resina composta fotopolimerizável (adesivo convencional); grupo 2 = superfície abrasionada com broca diamantada e colagem com resina composta fotopolimerizável; grupo 3 = colagem com RAAQ (adesivo alternativo); grupo 4 = superfície abrasionada com broca diamantada e colagem com RAAQ. A resistência ao cisalhamento foi avaliada 24h após a colagem, utilizando-se uma máquina universal de ensaios, operando a uma velocidade de 0,5mm/min, e comparada por meio da análise de variância, seguida pelo teste post-hoc de Tukey. O índice de adesivo remanescente (IAR) foi mensurado e comparado entre os grupos por meio dos testes Kruskal-Wallis e Dunn.RESULTADOS: os grupos 3 e 4 demonstraram resistência ao cisalhamento significativamente maior do que os grupos 1 e 2. Os grupos 3 e 4 apresentaram resultados similares. O grupo 2 apresentou melhores resultados do que o grupo 1. Na análise do IAR, observou-se predominância do escore 0 para os grupos 1 e 2 e do escore 3 para os grupos 3 e 4.CONCLUSÕES: a colagem do braquete em superfície de resina acrílica utilizando-se a RAAQ apresentou melhores resultados do que a colagem com resina composta fotopolimerizável. A abrasão da superfície com broca diamantada apenas aumentou a resistência ao cisalhamento no grupo 2.


Asunto(s)
Animales , Gatos , Masculino , Enfermedades de los Gatos/diagnóstico , Pólipos Nasales/veterinaria , Enfermedades de los Gatos/patología , Enfermedades de los Gatos/cirugía , Pólipos Nasales/diagnóstico , Pólipos Nasales/cirugía
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