Anesthesia Case of the Month

Bauer, Matthew D.; Clark‐Price, Stuart C.; McFadden, Michael

doi:10.2460/javma.234.12.1539

Cited by 11 publications

(10 citation statements)

References 2 publications

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“…The separation of the tracheal rings usually occurs in the cranial part of the intrathoracic trachea, but avulsion adjacent to the carina with involvement of the mainstem bronchi has also been reported. 7,8 Several causes of tracheal rupture in cats have been described, including traumatic intubation, repositioning of the patient without disconnection of the endotracheal tube from the Y-piece of the breathing system, overinflation of the endotracheal tube cuff, and extubation prior to deflation of the endotracheal tube cuff. 6 Tracheal rupture has been reported in feline patients.…”

Section: Discussionmentioning

confidence: 99%

“…5,8 Oxygen can be provided to such patients via face mask or jet ventilation. Some clinicians prefer the use of total IV protocols for anesthesia to decrease potential interference of the endotracheal tube with the surgical repair and decrease the escape of volatile anesthetics during surgery, resulting in environmental pollution and inadequate inhalation anesthetic delivered to the patient.…”

Section: Discussionmentioning

confidence: 99%

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Anesthesia Case of the Month

Barletta¹,

Shaikh²,

Schmiedt³

et al. 2015

javma

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anesthesia Case of the Month

Barletta¹,

Shaikh²,

Schmiedt³

et al. 2015

javma

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“…Het meest voorkomende klinische symptoom is de aanwezigheid van subcutaan emfyseem (Hardie et al, 1999;Mitchell et al, 2000). De combinatie van een recente endotracheale intubatie en een klinische presentatie van subcutaan emfyseem is een sterke indicatie voor een ruptuur van de trachea (Wong en Brock, 1994;Bauer et al, 2009). Daarnaast zijn er nog andere klinische symptomen mogelijk, zoals dyspnee, hypoxie, anorexie en lethargie (Mitchell et al, 2000;Hofmeister et al, 2007).…”

Section: S Inleidingunclassified

Iatrogene trachearuptuur bij een Britse korthaar

Sauermann¹,

Rubio-Guzman²,

Bosmans³

et al. 2013

Vlaams Diergeneeskundig Tijdschrift

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Trachearuptuur is een zeldzame aandoening bij katten die meestal iatrogeen ontstaat. In dezecasuïstiek wordt een cervicale trachearuptuur bij een volwassen, mannelijke Britse korthaar meteen recente voorgeschiedenis van endotracheale intubatie beschreven. De kat werd aangeboden metextreem subcutaan emfyseem, een matige tot uitgesproken pneumothorax, een pneumomediastinumen een pneumoretroperitoneum. Hij vertoonde geen symptomen van dyspnee of hypoxie. Dedefi nitieve diagnose werd gesteld met tracheoscopie. De trachearuptuur werd chirurgischgecorrigeerd en de operatie verliep probleemloos. De kat herstelde snel na de operatie. Vier dagenpostoperatief werd de kat ontslagen uit de kliniek. Bij de controle, vijf weken later, verkeerde dekat in een uitstekende lichamelijke toestand en dit was ook vier maanden later nog steeds het geval.

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“…Of these factors, endotracheal intubation was associated with a twofold increase in odds of death (Brodbelt and others 2007). Although endotracheal intubation is considered the standard method to secure the airway, it is associated with several complications in the cat, which include tracheal rupture (Mitchell and others 2000, Bauer and others 2009), tracheal stricture (Culp and others 2007), trauma to the arytaenoids (Hofmeister and others 2007), laryngospasm (Hofmeister and others 2007, Brodbelt 2010) and laryngeal oedema (Brodbelt 2010). …”

Section: Introductionmentioning

confidence: 99%

Assessment of v‐gel supraglottic airway device placement in cats performed by inexperienced veterinary students

2015

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Endotracheal intubation has been associated with several complications in cats. The v-gel supraglottic airway device (SGAD) has been developed to adapt to the unique oropharynx of the cat and to overcome these complications. Thirty-three cats were randomly assigned to receive an endotracheal tube (ETT group) or a v-gel SGAD (v-gel group) after induction of general anaesthesia. Third year veterinary students without previous clinical experience placed these devices under direct supervision of an anaesthesiologist. Amount of propofol, number of attempts, time required to secure the airway, leakage around the device, signs of upper airway discomfort and food consumption were compared between the two groups. The v-gel group required less propofol (P=0.03), less time (P<0.01) and fewer attempts (P<0.01) to secure the cats' airway. The incidence of leakage was lower for the v-gel group immediately after placement of the device (P<0.01) and 60 minutes after induction of general anaesthesia (P=0.04). Cats that received the v-gel SGAD presented a lower incidence of upper airway discomfort immediately after the device was removed (P=0.03) and recorded a higher food consumption score (P=0.03). The v-gel SGAD is a feasible way to secure the airway of healthy cats when performed by inexperienced personnel.

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Anesthesia Case of the Month

Cited by 11 publications

References 2 publications

Anesthesia Case of the Month

Anesthesia Case of the Month

Iatrogene trachearuptuur bij een Britse korthaar

Assessment of v‐gel supraglottic airway device placement in cats performed by inexperienced veterinary students

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