Inclusion of airway pressure release ventilation in the management of respiratory failure and refractory hypercapnia in a dog

Kovak, Natalie; DeRosa, Sage; Fischer, Christiana; Murphy, Kellyann; Wolf, Jacob M

doi:10.1111/vec.13231

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…Además, un manejo inadecuado de oxígeno puede comprometer la cicatrización de las heridas postquirúrgicas, la oxigenación adecuada es esencial para la proliferación celular, la síntesis de colágeno y la angiogénesis, todos procesos cruciales para una cicatrización óptima (Capó et al, 2023), la falta de oxigenación puede retrasar la cicatrización, aumentar el riesgo de infección y complicar la recuperación del paciente (Kovak et al, 2022).…”

Section: Manejo De Oxígeno Inadecuado En El Paciente Quirúrgicounclassified

Desarrollo y evaluación de mascarillas de oxigenación en 3D diseñadas para caninos en recuperación post quirúrgica

Córdova-Hidalgo,

Maldonado-Cornejo,

Castillo-Hidalgo

2024

MQRInvestigar

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En la medicina veterinaria, el desarrollo de mascarillas de oxigenación en 3D para caninos en recuperación postquirúrgica representa un avance significativo, pues proporcionan un soporte respiratorio óptimo y mejoran el confort del paciente durante el proceso de recuperación. El objetivo principal de esta investigación fue diseñar, desarrollar y evaluar mascarillas de oxigenación en 3D diseñadas para caninos en recuperación postquirúrgica. La metodología utilizada fue carácter experimental y transversal, con un enfoque cuantitativo, un alcance correlacional y un tipo de estudio analítico; para su efecto se utilizó una impresora 3D con resina líquida para elaborar las mascarillas, basadas en especificaciones anatómicas caninas y se probó su eficacia en 30 pacientes caninos sometidos a cirugía de ovariohisterectomía (OVH). El estudio demostró que las mascarillas proporcionan un soporte respiratorio efectivo y mejoran significativamente el confort de los caninos en recuperación postquirúrgica. Se observó una mejora notable en la recuperación anestésica y una adecuada oxigenación tisular en los pacientes que utilizaron la mascarilla. Además, se destacaron los beneficios en la estabilidad cardiaca y la mejora en la saturación de oxígeno de dichos pacientes, demostrando su eficacia e importancia para administrar una adecuada oxigenación en pacientes caninos que serán sometidos a un procedimiento quirúrgico.

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Section: Manejo De Oxígeno Inadecuado En El Paciente Quirúrgicounclassified

Desarrollo y evaluación de mascarillas de oxigenación en 3D diseñadas para caninos en recuperación post quirúrgica

Córdova-Hidalgo,

Maldonado-Cornejo,

Castillo-Hidalgo

2024

MQRInvestigar

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“…Information on the use of APRV in animals has been obtained primarily in experimental settings ( 101 ). However, two case reports in veterinary medicine suggest that this strategy is applicable for the management of hypoxemia due to aspiration pneumonia and refractory hypercapnia secondary to noncardiogenic pulmonary edema ( 106 , 107 ). While the first patient was switched to APRV after several days of conventional mechanical ventilation, the second patient was settled after a few hours of initiation of mechanical ventilation.…”

Section: Adjunct Therapies and Alternative Ventilatory Modesmentioning

confidence: 99%

“…In addition, increased need for sedatives, paralytics, and vasopressors was associated with its use ( 108 – 110 ). Safety profiles have even shown that high frequency oscillatory ventilation was associated with a trend toward increased risk of barotrauma and unfavorable hemodynamics ( 107 ). Therefore, guidelines in humans state that high frequency oscillatory ventilation should not be a routine practice in adults or pediatrics with hypoxemic respiratory failure ( 15 , 108 , 111 ).…”

Section: Adjunct Therapies and Alternative Ventilatory Modesmentioning

confidence: 99%

Management of refractory hypoxemia using recruitment maneuvers and rescue therapies: A comprehensive review

Bajon¹,

Gauthier²

2023

Front. Vet. Sci.

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Refractory hypoxemia in patients with acute respiratory distress syndrome treated with mechanical ventilation is one of the most challenging conditions in human and veterinary intensive care units. When a conventional lung protective approach fails to restore adequate oxygenation to the patient, the use of recruitment maneuvers and positive end-expiratory pressure to maximize alveolar recruitment, improve gas exchange and respiratory mechanics, while reducing the risk of ventilator-induced lung injury has been suggested in people as the open lung approach. Although the proposed physiological rationale of opening and keeping open previously collapsed or obstructed airways is sound, the technique for doing so, as well as the potential benefits regarding patient outcome are highly controversial in light of recent randomized controlled trials. Moreover, a variety of alternative therapies that provide even less robust evidence have been investigated, including prone positioning, neuromuscular blockade, inhaled pulmonary vasodilators, extracorporeal membrane oxygenation, and unconventional ventilatory modes such as airway pressure release ventilation. With the exception of prone positioning, these modalities are limited by their own balance of risks and benefits, which can be significantly influenced by the practitioner's experience. This review explores the rationale, evidence, advantages and disadvantages of each of these therapies as well as available methods to identify suitable candidates for recruitment maneuvers, with a summary on their application in veterinary medicine. Undoubtedly, the heterogeneous and evolving nature of acute respiratory distress syndrome and individual lung phenotypes call for a personalized approach using new non-invasive bedside assessment tools, such as electrical impedance tomography, lung ultrasound, and the recruitment-to-inflation ratio to assess lung recruitability. Data available in human medicine provide valuable insights that could, and should, be used to improve the management of veterinary patients with severe respiratory failure with respect to their intrinsic anatomy and physiology.

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“…Little is known in veterinary medicine regarding the utility and most appropriate way to implement these rescue therapies. Two case reports highlight the successful use of APRV for the management of hypoxemia due to aspiration pneumonia and refractory hypercapnia secondary to non-cardiogenic pulmonary edema ( 8 , 9 ).…”

mentioning

confidence: 99%

Editorial: Reviews in invasive & non-invasive ventilation in veterinary medicine

Guieu,

Pouzot-Nevoret,

Bersenas

2024

Front. Vet. Sci.

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Inclusion of airway pressure release ventilation in the management of respiratory failure and refractory hypercapnia in a dog

Abstract: Objective: To describe the use of airway pressure release ventilation (APRV) to relieve hypercapnia in a dog undergoing mechanical ventilation.

Cited by 3 publications

References 25 publications

Desarrollo y evaluación de mascarillas de oxigenación en 3D diseñadas para caninos en recuperación post quirúrgica

Desarrollo y evaluación de mascarillas de oxigenación en 3D diseñadas para caninos en recuperación post quirúrgica

Management of refractory hypoxemia using recruitment maneuvers and rescue therapies: A comprehensive review

Editorial: Reviews in invasive & non-invasive ventilation in veterinary medicine

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