- 12 year old YST presented with collapse episode, thought to be neurological with neck pain
- Had a G 2/6 left apical systolic murmur, normal respiration
- Was sedated for xrays and subsequently had fluid/froth from nose and was cyanotic
- Xrays show alveolar pattern
- I have only seen the dog once when he was clinically normal for heart scan which showed a mild mitral regurg and no LAE
- The dog was sedated again a month later and similar symptoms occured
- 12 year old YST presented with collapse episode, thought to be neurological with neck pain
- Had a G 2/6 left apical systolic murmur, normal respiration
- Was sedated for xrays and subsequently had fluid/froth from nose and was cyanotic
- Xrays show alveolar pattern
- I have only seen the dog once when he was clinically normal for heart scan which showed a mild mitral regurg and no LAE
- The dog was sedated again a month later and similar symptoms occured
- He had furosemide on that day only on both episodes and returned to normal
- Any opinions on this case? Could this be a non cardiogenic pulmonary oedema?
Comments
Yes absolutely, based on the
Yes absolutely, based on the rad findings this could well be a non-cardiogenic pulmonary edema – especially when cardiogenic is ruled out. Most likely causes in this case would be neurogenic, reexpansion edema (in/after episodes of upper airway collapse – note: the dog has a T collapse) and ARDS.
Thanks, i suspected the
Thanks, i suspected the trachea as cause of upper obstruction too. It is worrying if he needs a sedation/GA in future. I was not present for the sedations but maybe a GA with intubation would be safer?
Yes for sure
Yes for sure
Were the same drugs used both
Were the same drugs used both times? as could be an adverse reaction the drugs used.
Yes I think he would have had
Yes I think he would have had medetomodine and butorphanol im on both occasions but he also had this sedation on another occasion without problem.