Retrospective evaluation of the use of autologous blood‐patch treatment for persistent pneumothorax in 8 dogs (2009–2012). (March 2014)

• Record Type: Journal Article
• Authors: Oppenheimer, Nama; Klainbart, Sigal; Merbl, Yael; Bruchim, Yaron; Milgram, Josh; Kelmer, Efrat
• Is Part Of: Journal of veterinary emergency and critical care. Volume 24:Number 2(2014:Mar./Apr.)
• Page Start: 215
• Page End: 220
• Publication Date: 2014-03
• Subjects: Veterinary emergencies -- Periodicals; Veterinary critical care -- Periodicals; 636.089
• DOI: 10.1111/vec.12152
• Languages: English
• ISSNs: 1479-3261

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="vec12152-sec-0010" sec-type="section"> <title>Objective</title> <p>To describe the clinical course, outcome and success rate of 8 dogs with persistent pneumothorax treated with autologous blood‐patch pleurodesis (ABP).</p> </sec> <sec id="vec12152-sec-0020" sec-type="section"> <title>Design</title> <p>Retrospective case series.</p> </sec> <sec id="vec12152-sec-0030" sec-type="section"> <title>Setting</title> <p>University teaching hospital</p> </sec> <sec id="vec12152-sec-0040" sec-type="section"> <title>Animals</title> <p>Eight client‐owned dogs.</p> </sec> <sec id="vec12152-sec-0050" sec-type="section"> <title>Intervention</title> <p>Non‐coagulated blood was aseptically collected from the jugular vein and injected immediately into the pleural cavity of dogs with persistent pneumothorax.</p> </sec> <sec id="vec12152-sec-0060" sec-type="section"> <title>Measurements and Main Results</title> <p>The procedure was successful in 7 of 8 dogs. The median duration of pneumothorax until the ABP was performed was 4 days (range 2–6 days). Pneumothorax resolved immediately after 1 treatment in 4 dogs. Pleurodesis was repeated once in 3 dogs, and twice in 1 case after which it resolved in 3 of the 4 dogs. Out of a total of 13 ABP procedures performed in 8 dogs, 5 (62.5%) were successful after 1 procedure and the success rate increased to 87.5% after additional procedures. One dog failed ABP and was euthanized 3 days later due to continued deterioration and a hospital acquired pneumonia. Mild to moderate complications occurred in 2 other dogs and resolved in both.</p> </sec> <sec id="vec12152-sec-0070" sec-type="section"> <title>Conclusions</title> <p>ABP is a simple, inexpensive, and relatively safe procedure which can be considered in dogs with persistent pneumothorax that have failed conservative or surgical management. Infections following ABP were documented in 2 of the 8 dogs and resolved in 1 dog.</p> </sec> </abstract>