The Veterinary clinics of North America. Small animal practice
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This is an introductory article on abdominal vascular ultrasound in dogs. An overview of the hemodynamics of venous and arterial blood flow and Doppler principles, spectral analysis, and velocity waveforms is given. The anatomic and Doppler features of major abdominal vessels that can be examined routinely with ultrasonography are discussed. Select cases of vascular pathology affecting various abdominal vessels in the dog and cat are described.
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Vet. Clin. North Am. Small Anim. Pract. · Jul 1998
ReviewUltrasonography of the thorax (excluding the heart).
Until recently, ultrasonography has had a subordinate role in the evaluation of the thorax in both small animals and humans, most likely due to the inability of sound to penetrate air-filled lung. When pathologic processes such as pleural effusion and lung consolidation provide an acoustic window to the thorax, however, thoracic ultrasonography becomes feasible. As this article illustrates, ultrasonography may be effectively employed in the diagnosis and management of various thoracic wall, pleural, mediastinal, pulmonary, and diaphragmatic diseases by providing valuable information not obtainable with routine radiography and enabling percutaneous aspiration or tissue core biopsy of lesions.
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Vet. Clin. North Am. Small Anim. Pract. · May 1998
ReviewFluid therapy in the hypoproteinemic patient.
Hypoproteinemia can result in many adverse consequences, including hypovolemia and the formation of edema. An understanding of the normal forces governing plasma will help the clinician tailor appropriate fluid therapy in these patients. Various fluids that can be used including crystalloids, colloids, and blood products will be discussed.
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Vet. Clin. North Am. Small Anim. Pract. · May 1998
Review Comparative StudyThe various types of parenteral fluids and their indications.
Assessment of hydration and perfusion is essential in patient evaluation. The acid-base and electrolyte disturbances that accompany many illnesses should also be considered. The duration of illness and body systems involved are also of major importance in patient evaluation. ⋯ This article has introduced the clinician to the parenteral fluids available and their indications in veterinary patients; it also contains a discussion of how to utilize preferred solutions for treatment of specific diseased states. Although there are definite "right" and "wrong" fluids to select for specific problems, there also remains individual preference in fluid choice, which is based on appropriate laboratory data and the practitioner's clinical judgment of the status of the individual patient vis-à-vis the spectrum of its disease. Recommendations for selection of different fluid types to treat similar conditions are usually based on these variables.
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Correcting fluid deficits and preventing fluid overload in patients with cardiac disease can be challenging. The purpose of the fluid therapy, the projected duration of the therapy, and the type of heart disease affecting the patient play important roles in the decision-making process. In addition, the distinction between patients who are not symptomatic (NYHA Class I) and those who are symptomatic (NYHA Classes II to IV) for their cardiac disease should be made early in fluid therapy planning.