The authors describe two animals (one dog and one cat) that were presented with severe respiratory distress after trauma. Computerized tomographic imaging under general anesthesia revealed, in both cases, complete tracheal transection. Hypoxic episodes during anesthesia were relieved by keeping the endotracheal tube (ETT) positioned in the cranial part of the transected trachea and by allowing spontaneous breathing. Surgical preparation was performed quickly, and patients were kept in a sternal position to improve ventilation and oxygenation, and were only turned into dorsal recumbency shortly before surgical incision. A sterile ETT was guided into the distal part of the transected trachea by the surgeon, at which point mechanical ventilation was started. Both animals were successfully discharged from hospital a few days after surgery. Rapid and well-coordinated teamwork seemed to contribute to the good outcome. Precise planning and communication between anesthetists, surgeons, and technicians, as well as a quick course of action prior to correct ETT positioning helped to overcome critical phases.
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January/February 2015
Case Reports|
January 01 2015
Perioperative and Anesthetic Management of Complete Tracheal Rupture in One Dog and One Cat
Ute Morath, DVM;
Ute Morath, DVM
From the Anesthesiology and Pain Therapy Division, Department of Veterinary Clinical Science Vetsuisse Faculty, Berne, Switzerland.
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Karine Gendron, DVM, DECVDI;
Karine Gendron, DVM, DECVDI
From the Anesthesiology and Pain Therapy Division, Department of Veterinary Clinical Science Vetsuisse Faculty, Berne, Switzerland.
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Nuria Vizcaíno Revés, DVM;
Nuria Vizcaíno Revés, DVM
From the Anesthesiology and Pain Therapy Division, Department of Veterinary Clinical Science Vetsuisse Faculty, Berne, Switzerland.
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Chiara Adami, PhD, DVM, DACVAA, DECVAA
Chiara Adami, PhD, DVM, DACVAA, DECVAA
From the Anesthesiology and Pain Therapy Division, Department of Veterinary Clinical Science Vetsuisse Faculty, Berne, Switzerland.
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J Am Anim Hosp Assoc (2015) 51 (1): 36–42.
Citation
Ute Morath, Karine Gendron, Nuria Vizcaíno Revés, Chiara Adami; Perioperative and Anesthetic Management of Complete Tracheal Rupture in One Dog and One Cat. J Am Anim Hosp Assoc 1 January 2015; 51 (1): 36–42. doi: https://doi.org/10.5326/JAAHA-MS-6022
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