دورية أكاديمية
The use of small-bore wire-guided chest drains for the management of feline pyothorax: A retrospective case series.
| العنوان: | The use of small-bore wire-guided chest drains for the management of feline pyothorax: A retrospective case series. |
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| المؤلفون: | Del Magno S; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy., Foglia A; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy., Golinelli L; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy., De Bastiani D; Clinica Veterinaria Gran Sasso, Milano, Italy., Cola V; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy., Pisoni L; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy., Grassato L; Fitzpatrick Referrals -Orthopaedics & Neurology, Surrey, UK., Pelizzola M; San Marco Veterinary Clinic, Veggiano, Italy., Troia R; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy., Giunti M; Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano dell'Emilia, Italy. |
| المصدر: | Open veterinary journal [Open Vet J] 2021 Jan; Vol. 10 (4), pp. 443-451. Date of Electronic Publication: 2020 Dec 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Faculty of Veterinary Medicine, University of Tripoli Country of Publication: Libya NLM ID: 101653182 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2218-6050 (Electronic) Linking ISSN: 22186050 NLM ISO Abbreviation: Open Vet J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Nov. 2016 -: Tripoli, Libya : Faculty of Veterinary Medicine, University of Tripoli Original Publication: Tripoli, Libya : Faculty of Veterinary Medicine, University of Tripoli : National Authority for Scientific Research |
| مواضيع طبية MeSH: | Cat Diseases/*surgery , Chest Tubes/*veterinary , Empyema, Pleural/*veterinary , Thoracostomy/*veterinary, Animals ; Cats ; Chest Tubes/statistics & numerical data ; Empyema, Pleural/surgery ; Female ; Male ; Postoperative Complications/veterinary ; Retrospective Studies ; Thoracostomy/methods |
| مستخلص: | Background: Pyothorax in cats is routinely managed, at least initially, with thoracic tube placement associated with systemic antimicrobial administration. Traditionally, large-bore trocar-type thoracostomy tubes have preferentially been used for the drainage of thick material from the pleural space. In recent years, the use of small-bore wire-guided thoracic drains has increased in both small animals and in humans. Few studies have highlighted the efficacy of small-bore wire-guided thoracostomy tubes. Aim: The purpose of this study was to describe the use of small-bore wire-guided thoracostomy tubes in feline pyothorax in terms of efficacy, safety, and outcome. Methods: Cats with pyothorax managed with small-bore thoracostomy tubes (SBTTs) (2015-2018) were retrospectively studied. The number of drains inserted, the need for anesthesia and analgesia for chest tube placement and maintenance, and related major and minor complications were reviewed. Clinical data, diagnostic results, treatment, and outcome were recorded. Results: Ten cats were enrolled. Thoracostomy tube placement was unilateral in 7/10 cats, despite the presence of bilateral effusion in 9/10 cats, and required sedation (8/10) or anesthesia (2/10). Three cats experienced minor complications during the chest tube insertion, including self-limiting pneumothorax (1/3) and malpositioning (2/3). One cat had a major complication (non-functional malposition) requiring reposition of the drain. Pain management was adequately achieved using opioids (8/10) or opioids plus nonsteroidal anti-inflammatory drugs (2/10). Partial chest tube occlusion occurred in three cases and it was resolved with lavage. In one case, the occlusion was complete, requiring drain removal. Three out of 10 cats were treated medically, combining thoracostomy tubes and antibiotics, while 7/10 cats underwent surgery. All the cats survived. Conclusion: SBTTs represent a safe and effective option for the initial management of feline pyothorax. In fact, mainly minor complications were reported during insertion and usage. The SBTTs were well tolerated by the cats with a satisfactory performance in terms of exudate drainage in most cases. The combined use of a small-bore thoracostomy drain together with the common practice of surgical treatment might have resulted in the successful management of the cases presented. Competing Interests: The authors declare that there is no conflict of interest. The authors received no financial support for the research, authorship, and/or publication of this article. |
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| فهرسة مساهمة: | Keywords: Cat; Pyothorax; Thoracic empyema; Thoracic surgery; Thoracostomy drain |
| تواريخ الأحداث: | Date Created: 20210222 Date Completed: 20210927 Latest Revision: 20210927 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7830175 |
| DOI: | 10.4314/ovj.v10i4.12 |
| PMID: | 33614440 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2218-6050 |
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| DOI: | 10.4314/ovj.v10i4.12 |