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

Autor: Yael Merbl, Yaron Bruchim, Josh Milgram, Sigal Klainbart, Nama Oppenheimer, Efrat Kelmer
Rok vydání: 2014
Předmět:
Zdroj: Journal of Veterinary Emergency and Critical Care. 24:215-220
ISSN: 1479-3261
DOI: 10.1111/vec.12152
Popis: 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.
Databáze: OpenAIRE
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