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Welcome to our monthly VetLit Clinical Publication update, where Dr Simon Cook, founder of VetLit.org, provides an overview and update on recently released studies from a wide range of veterinary publications.
Have you ever diagnosed anaphylaxis in a dog with acute gastrointestinal signs, collapse and cardiovascular instability, needing a good amount of volume, after the dog has stabilised well with volume alone? I definitely have.
I think these are really cool cases to think about because there is a strong case that we sometimes ‘miss(ed)’ these diagnoses, but over time we’re diagnosing them more readily because ultrasound is so accessible. The question about what role adrenaline plays is a separate one entirely.
This study describes 49 dogs with anaphylaxis that were not administered adrenaline as part of initial treatment. (Nine of the 49 went on to receive noradrenaline infusions during hospitalisation). Forty-five survived. The median total volume of fluids administered was 53ml/kg (range 24-100) and the median hospitalisation length was 31 hours (range 12-115).
Simon graduated from the University of Bristol in 2011 with degrees in veterinary science and veterinary pathogenesis. After a rotating internship at the Royal Veterinary College and two years in a busy 24 hour small animal hospital, he completed a residency in emergency and critical care at the Royal Veterinary College. He is currently a senior lecturer in emergency and critical care at the Royal Veterinary College, London. Clinical and research interests combined include immunomodulation, cardiovascular monitoring, patient side ultrasonography and aspiration pneumonia. VetLit.org is his passion project, making literature more accessible to anyone and everyone.
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