Spontaneous pulmonary haemorrhage in a standing sedated horse

نویسندگان

چکیده

Abstract A 615 kg, 20‐year‐old, male, neutered Dutch warmblood horse was admitted for complete removal of incisor teeth under sedation. The sedated with intramuscular acepromazine (0.1 mg/kg) and several intravenous detomidine boli (total dose 0.008 mg/kg), followed by constant rate infusion. At the beginning surgery (47 minutes after starting sedation), retched coughed out haemorrhagic fluid. Surgery discontinued profuse bleeding started from nostrils. Mild hypoxaemia (PaO 2 = 63.4 mmHg) observed. Oxygen therapy nasal canula (10 L/min) started, infusion stopped antagonised atipamezole given intravenously to effect 0.14 mg/kg). also received tranexamic acid. Pulmonary haemorrhage suspected tracheal‐bronchoscopic examination. Fresh whole‐blood transfusion initiated (estimated blood loss: 4 L). Bleeding reduced gradually during following hours monitored in intensive care unit, supplemented oxygen. During days, oxygen administration finally discontinued. resumed 8 days initial episode, but euthanased due uncertainty prognosis.

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ژورنال

عنوان ژورنال: Veterinary Record Case Reports

سال: 2022

ISSN: ['2052-6121']

DOI: https://doi.org/10.1002/vrc2.319