Retrospective evaluation of noncardiogenic pulmonary edema in dogs and cats (2000–2021): 31 cases

Nemi, Jacqueline R; Hopper, Kate; Epstein, Steven E

doi:10.1111/vec.13290

Cited by 4 publications

(4 citation statements)

References 17 publications

(54 reference statements)

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“…The dog was extubated after mechanical ventilation for 24 hours. Similar to the present case, rapid onset and recovery of neurogenic pulmonary edema have been reported in dogs ( Drobatz et al , 1995 ; Drobatz, 2019 ; Herrería-Bustillo et al , 2022 ; Nemi et al , 2023 ; Unger and Martin, 2023 ). A high mortality rate was observed in dogs treated with mechanical ventilation for neurogenic pulmonary edema ( Drobatz et al , 1995 ; Nemi et al , 2023 ).…”

Section: Discussionsupporting

confidence: 89%

“…Similar to the present case, rapid onset and recovery of neurogenic pulmonary edema have been reported in dogs ( Drobatz et al , 1995 ; Drobatz, 2019 ; Herrería-Bustillo et al , 2022 ; Nemi et al , 2023 ; Unger and Martin, 2023 ). A high mortality rate was observed in dogs treated with mechanical ventilation for neurogenic pulmonary edema ( Drobatz et al , 1995 ; Nemi et al , 2023 ). The unfavorable outcomes are attributed to the severity of the underlying disease rather than to the complications of pulmonary edema or mechanical ventilation ( Drobatz et al , 1995 ; Drobatz, 2019 ; Unger and Martin, 2023 ).…”

Section: Discussionsupporting

confidence: 89%

“…If oxygenation or ventilation impairment is severe, long-term mechanical ventilation is required. The outcomes of mechanical ventilation for canine respiratory diseases appear to be heavily determined by the underlying disease ( Drobatz et al , 1995 ; Hopper et al , 2007 ; Edwards et al , 2014 ; Cagle et al , 2022 ; Herrería-Bustillo et al , 2022 ; Nemi et al , 2023 ).…”

Section: Introductionmentioning

confidence: 99%

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Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

Tamura,

Yoshida,

Nagata

et al. 2023

Open Vet J

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Background: Acute respiratory failure has been reported one of the manifestations of hypertensive crisis in pheochromocytoma in human medicine. In dogs, no reports have been described acute respiratory failure following hypertensive crisis. Here, we report the clinical presentation, course, and treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Case Description: A 12-year-old neutered male toy poodle was referred for the diagnostic evaluation of a right adrenal gland mass. The dog suddenly exhibited severe dyspnea with abnormal hypertension (systolic blood pressure > 200 mmHg) 15 minutes after recovery from the anesthesia for the computed tomography (CT) examination. Pulmonary CT and ultrasonography findings suggested acute onset of severe pulmonary edema. Pulmonary edema was treated with mechanical ventilation (pressure-support ventilation with continuous positive airway pressure) and negative fluid balance after the administration of furosemide. Weaning from mechanical ventilation was successful 24 hours after the onset of respiratory failure. Finally, the dog was discharged 3 days after weaning from ventilation without complications. Conclusion: This report outlines a case of acute respiratory failure following a hypertensive crisis requiring mechanical ventilatory management in a dog. The onset and progression of pulmonary edema were extremely rapid. However, improvement in pulmonary edema was also rapid. Hemodynamic stability, in addition to prompt diagnosis and aggressive therapeutic intervention, including mechanical ventilation, may have contributed to the good prognosis of pulmonary edema following hypertensive crisis in a dog, which we attribute to a catecholamine storm.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

Tamura,

Yoshida,

Nagata

et al. 2023

Open Vet J

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“…3,4 The treatment of dogs should be symptomatic, seeking to relieve signs of congestion, improve cardiac function, promote tissue perfusion and reduce the dog's stress level. 5 The oxygen therapy is indicated in dogs with respiratory distress, 6 and diuretic drugs 7 are used in an attempt to reduce circulating fluid volume and preload of heart. The use of vasodilators, such as nitroglycerin and nitroprusside is recommended with constant monitoring of blood pressure essential to avoid severe hypotension caused by the use of these drugs.…”

Section: Introductionmentioning

confidence: 99%

A case report of pulmonary edema associated with left cardiac failure secondary with mitral insufficiency in dog

Errante¹

2023

JDVAR

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The cardiac left insufficiency with mitral dysfunction is a relevant cardiac pathology with importante repercussion in the lung, leads to pulmonary edema. Pulmonary edema corresponds to the accumulation of fluid in the lung parenchyma and alveoli, and can be classified as cardiogenic or non-cardiogenic. Clinical signs and symptoms include presence of dyspnea, cough, tachypnea, and alteration of normal sounds during lung auscultation. In this case report, a 16 year old female Lhasa Apso dog breed was presented to the clinical facility with signals of apathy, hyporexia, cough and dyspnea. After emergency treatment with oxygen therapy to stabilize the respiratory condition, imaging tests (radiography, Doppler echocardiography) were performed, confirming the suspicion of cardiogenic pulmonary edema due to left heart disease. The treatment of cardiac dysfunction was recommended through the use of pimobendan, which has a positive inotropic effect on the heart, and benzepril, an angiotensin-converting enzyme inhibitor. These drugs are important to control pulmonary vascular pressure, reducing the risk of developing pulmonary edema. Even though it is a veterinary clinical emergency, cardiogenic pulmonary edema when treated immediately and correctly tends to present a favorable prognosis in affected dogs.

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Vascular Disorders

2024

Canine and Feline Respiratory Medicine

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Retrospective evaluation of noncardiogenic pulmonary edema in dogs and cats (2000–2021): 31 cases

Abstract: Objective: To characterize the clinical features of noncardiogenic pulmonary edema (NCPE), etiology, and outcome in dogs and cats. The study also aimed to evaluate associations with mortality.

Cited by 4 publications

References 17 publications

Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

A case report of pulmonary edema associated with left cardiac failure secondary with mitral insufficiency in dog

Vascular Disorders

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