Evaluation of a new chest physiotherapy technique in dogs with airway fluid accumulation hospitalized in an intensive care unit

Abstract

PSE associated with AC are easily adaptable, well-tolerated techniques in dogs. The benefit of CP in dogs with airway fluid accumulation remains to be determined and it is hoped that future randomized controlled prospective studies may help answer this line of inquiry.

Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial

“…Our prospective randomized controlled study confirmed the effectiveness of CP, and more particularly of PSE and AC, on oxygenation As in a previous study, 18 we included in this prospective study many dogs with different signalment, ages varying from 1.7 to 7 years, body weight from 11.1 to 40 kg, and breeds from Pugs to Leonberg.…”

“…A previous study, using the same technique, reported a low discomfort rate, no adverse effects, and no deterioration of clinical parameters or desaturation during the sessions. 18 In our study, no adverse effects were noted during the sessions. No dogs had to be excluded from the CP group because of intolerance of CP.…”

“…18 The lack of clear benefit of CP on mortality in this study may have reflected the small sample size of the population, the heterogeneous nature of the diseases of the enrolled dogs, and comparison between a group of prospectively recruited dogs and historical controls. 18 Moreover, respiratory function was not monitored by blood gas analysis.…”

Respiratory failure in a French Bulldog with suspected acute polyradiculoneuropathy

“…In this animal, the main interventions to reduce the bacterial load included suctioning the ETT with a sterile, flexible suction catheter every four hours and using a bacterial filter, which was replaced at regular intervals. Coupage was performed prior to suction to aid in the expulsion of airway secretions 33 . The ETT was replaced after 24 hours of use, although re‐intubation has been linked to increasing risk of VAP 30 .…”

“…Coupage was performed prior to suction to aid in the expulsion of airway secretions. 33 The ETT was replaced after 24 hours of use, although re-intubation has been linked to increasing risk of VAP. 30 In this case there were visible secretions in the lumen of the removed ETT which proved irretrievable via suction.…”