Organ dysfunction and mortality risk factors in severe canine bite wound trauma

Abstract

Patients with extensive bite wounds have a significant risk of developing severe secondary complications such as SIRS, disseminated intravascular coagulopathy, and MODS. Longer time to anesthesia was associated with a longer recovery and longer anesthetic times were associated with mortality, disseminated intravascular coagulopathy, and MODS. Injury to the respiratory system was most commonly encountered and mortality increased with cardiovascular injury, MODS, and SIRS.

Fractional excretion of electrolytes in volume‐responsive and intrinsic acute kidney injury in dogs: Diagnostic and prognostic implications

“…Causes and diseases associated with AKI were various and mainly related to septic and noninfectious inflammatory conditions. These results are in partial contrast with the available veterinary literature, as volume‐responsive AKI seems to be poorly represented, and AKI during sepsis or systemic inflammation is scarcely documented in dogs . On the contrary, systemic inflammation and sepsis are the most common conditions associated with AKI in humans .…”

“…These results are in partial contrast with the available veterinary literature, as volume-responsive AKI seems to be poorly represented, and AKI during sepsis or systemic inflammation is scarcely documented in dogs. 4,19,[24][25][26] On the contrary, systemic inflammation and sepsis are the most common conditions associated with AKI in humans. 4,12 Our findings might be due to a different case series composition and case selection based on the novel and more sensitive diagnostic criteria for AKI used.…”

The veterinary trauma initiative: Why bother?

“…The advantage to this large database is the ability to further explore findings such as those in the Ateca et al study. 1 For example, of the >3,000 cases to date in the registry, approximately 40 have died (versus being euthanized). By doubling the size of the VTC network over the next 12 months, it is anticipated that there will be >10,000 cases in the registry by September 2015.…”

“…In this issue of the Journal , Ateca et al report the results of a retrospective single‐center investigation describing a population of dogs sustaining bite wounds severe enough to warrant admission to an intensive care unit (ICU). As with most of the current literature available to help guide our clinical decision making, the authors cite the impact of the “euthanasia factor” in interpretation of their results and the limitations of a retrospective, single center study .…”

“…The advantage to this large database is the ability to further explore findings such as those in the Ateca et al study . For example, of the >3,000 cases to date in the registry, approximately 40 have died (versus being euthanized).…”