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Objectives: To describe the change in the caudal vena cava to aorta ratio (CVC:Ao) ratio during fluid resuscitation of circulatory shock in dogs and compare these results with those of the physical examination and blood lactate. Materials and Methods: Perfusion parameters and blood lactate were recorded at admission. An abdominal point‐of‐care ultrasound protocol was performed, during which the caudal vena cava to aorta ratio was measured on the spleno‐renal view. Measurements were performed within 5 minutes before and after a 10 mL/kg crystalloid fluid bolus. Investigators were not blinded to therapeutic interventions. Results: Twenty‐nine dogs with physical signs of circulatory shock were enrolled. Caudal vena cava to aorta ratios were below reference interval in 28 of 29 dogs. After bolus administration, median caudal vena cava diameter increased by 0.14 cm (0.69 to 0.83 cm) and median aorta diameter increased by 0.03 cm (0.87 to 0.90 cm) and caudal vena cava to aorta ratio returned to within reference range in 65% of dogs (13/29). Bolus administration was associated with an increase in median caudal vena cava to aorta ratio of 0.10 (95% CI:0.05 to 0.16, P=0.0005). Blood lactate did not change significantly. Heart rate and capillary refill time decreased significantly after fluid bolus (heart rate: estimate=−19 bpm, 95% CI:−30 to −8, P=0.002; capillary refill time: estimate=−1.0 s, 95% CI:−1.3 to −0.7, P < 0.0001). Clinical Significance: In this population of dogs with circulatory shock, the caudal vena cava to aorta ratio significantly increased after a fluid bolus. Future studies that implement blinding of the outcome assessors are warranted to confirm these findings. [ABSTRACT FROM AUTHOR]

Objectives: To prospectively describe the impact of gas flow rate and temperature on dog's tolerance of high‐flow nasal oxygen therapy during recovery from anaesthesia, hypothesizing that higher flow rates and temperatures will decrease tolerance. Materials and Methods: Twelve non‐dyspnoeic client‐owned dogs recovering from general anaesthesia were included in this study. After extubation, a nasal cannula was positioned and high‐flow nasal oxygen therapy was initiated. Two flow rates (two or four time the theoretical minute ventilation: HF2 and HF4), each of them combined with two temperatures (31 and 37°C: T31 and T37), were randomly applied (four conditions per dog). For each condition, cardiovascular and respiratory parameters (heart rate, respiratory rate, systolic arterial blood pressure and pulse oximeter oxygen saturation), sedation score and tolerance score were recorded at initiation (T0) and after 10 minutes of accommodation (T10). Results: Sedation scores were not significantly different between the four conditions. Cardiovascular and respiratory parameters were not significantly different between any condition at both T0 and T10. Tolerance scores were good and not significantly different between any flow rate or temperature (HF2‐T31: 4 (2‐4), HF4‐T31: 4 (2‐4), HF2‐T37: 4 (2‐4), HF4‐T37: 4 (1‐4)). Clinical Significance: The gas flow rates and temperatures studied have no impact on tolerance during the recovery period of non‐dyspnoeic dogs, and high‐flow nasal cannula is well tolerated. Further studies are required to confirm these results in dyspnoeic dogs. [ABSTRACT FROM AUTHOR]

Background Leptospirosis in dogs is occasionally associated with a hemorrhagic syndrome, the pathophysiology of which is not fully understood. Hypothesis/Objectives To characterize hematologic, hemostatic, and thromboelastometric abnormalities in dogs with leptospirosis and to study their association with hemorrhagic diatheses and outcomes. Animals Thirty-five client-owned dogs. Methods A prospective observational single cohort study was conducted. Results from the CBC, coagulation tests (prothrombin, activated partial thromboplastin and thrombin times, fibrinogen, fibrin(ogen) degradation products, and D-dimer concentrations), rotational thromboelastometry ( TEM), signalment, hemorrhagic diatheses, occurrence of disseminated intravascular coagulation ( DIC) at admission, and survival to discharge were recorded. Results The most common hematologic and hemostatic abnormalities were anemia (30/35), thrombocytopenia (21/35), and hyperfibrinogenemia (15/35). Eight dogs were diagnosed with DIC. A normal TEM profile was found in 14 dogs, a hypercoagulable profile in 14 dogs, and a hypocoagulable profile in 7 dogs. The 8 dogs with hemorrhagic diatheses at admission had significantly decreased platelet counts ( P = .037) and increased D-dimer concentrations ( P = .015) compared with other dogs. Dogs with a hypocoagulable profile exhibited more hemorrhagic diatheses compared with the dogs that had normal and hypercoagulable profiles ( P = .049). The mortality rate was lower in dogs with a hypercoagulable profile than in those with a hypocoagulable profile (21% vs 57%; P = .043). Disseminated intravascular coagulation was not a significant prognostic factor. Conclusions and Clinical Importance Thromboelastometric parameters were altered in dogs with both hypercoagulable and hypocoagulable profiles. A hypocoagulable profile was significantly correlated with hemorrhagic diathesis and higher mortality rate. [ABSTRACT FROM AUTHOR]