Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2011 Stabilisation of the emergency patient Part I: Airway and breathing Sigrist, Nadja Abstract: Patients with respiratory distress are, regardless of the underlying cause, emergency patients and the initial approach to these patients determines prognosis and survival. Animals with respiratory distress are stressed which makes most diagnostic procedures impossible or counter-productive. By lo- calising the respiratory problem using the initial clinical exam of the animal, the clinician can narrow down the causes of respiratory distress. Looking at the type of breathing, type of dyspnoea and using auscultation findings and information from the history, the problem can be localised, limiting possible differential diagnoses. This allows institution of not only supportive measures such as oxygen supple- mentation, stress-free handling or analgesia but also a more specific therapy of the problem causing respiratory distress. The stabilised animal can then undergo further diagnostic procedures and receive specific treatment. Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-123884 Journal Article Published Version Originally published at: Sigrist, Nadja (2011). Stabilisation of the emergency patient Part I: Airway and breathing. European Journal of Companion Animal Practice (EJCAP), 21(1):13-21. V1-0111-generic-range:ejcap 11.02.2011 11:55 Seite 1 VOL. 21 - (1) - APRIL 2011 ISSN 1018-2357 The European Journal of Companion Animal Practice Feline ear polyps: Two case reports and a model for pathogenesis - chronic otitis media with effusion 23 Objective interpretation of dental disease in rabbits, guinea pigs and chinchillas 47 The FECAVA Hygiene and Antimicrobial Resistance Symposium 86 THE OFFICIAL JOURNAL OF FECAVA Federation of European Companion Animal Veterinary Associations www.fecava.org Volume 21 (1) April 2011 The European Journal of The Official Journal of the Federation of (EJCAP) European Companion Animal Veterinary Companion Animal Practice Associations (FECAVA). EDITOR Dr. Keith Davies 43, Hill Top Road - Newmillerdam GB-WF2 6PZ Wakefi eld Contents Tel.: (44) 1924 250486 (UK) (33) 4 68 39 50 29 (F) The Federation of European Companion Animal Veterinary Associations (FECAVA) 2 Fax: (44) 1924 259572 Editorial 5 E-mail: [email protected] News 8 PRODUCTION COMMITTEE Dr. Johan VAN TILBURG, FECAVA President Dr. Keith DAVIES, Editor CRITICAL CARE Dr. Joaquin ARAGONES Stabilisation of the emergency patient. Part I: Airway and breathing 13 Dr. Peter STERCHI Nadja Sigrist Dr. Denis NOVAK Dr. Monique MEGENS EAR NOSE AND THROAT Dr Ellen BJERKÅS Dr Milosˇ URBAN Feline ear polyps: Two case reports and a model for pathogenesis - 23 Dr Janne ORRO chronic otitis media with effusion EDITORIAL BOARD (FOR NEW WORK) M. Colcuc, B. Degasperi, K. Alton Dermatology Didier-Noël CARLOTTI (F) Cardiology Anna TIDHOLM (S) INFECTIOUS DISEASE Internal Medicine Åke HEDHAMMAR (S) Herpes virus infection in the dog – A review 31 Orthopaedics Aldo VEZZONI (I) V. Rootwelt, A. Lund, A. Krogenæs Surgery Simon ORR (GB) Imaging Ingrid GIELEN (B) GASTEROINTESTINAL SYSTEM Eiliv SVALASTOGA (DK) Reproduction Stefano ROMAGNOLI (I) A retrospective study of surgically treated cases of septic peritonitis in the cat 39 Dentistry Peter FAHRENKRUG (D) K.J. Parsons, L.J. Owen, K. Lee, M.S. Tivers, S.P. Gregory Ophthalmology Ellen BJERKÅS (N) Neurology André JAGGY (CH) EXOTICS AND CHILDRENS PETS Endocrinology Mike HERRTAGE (GB) Oncology Jane DOBSON (GB) Objective interpretation of dental disease in rabbits, guinea pigs and chinchillas 47 New Material should be sent to: Prof. Ellen BJERKÅS, E. Böhmer, D. Crossley Norwegian School of Veterinary Science, PO Box 8146-Dep, N- 0033, Oslo. ORTHOPAEDICS E-mail: [email protected] Long-term follow-up after arthroscopic tenotomy for partial rupture ADVERTISEMENT BOOKINGS of the biceps brachii tendon 57 Sould be sent to: The Editor (see above) A. Bergenhuyzen, K. Vermote, H. van Bree, B. van Ryssen CIRCULATION All members of the Associations belonging to ENDOCRINOLOGY the Federation of European Companion Animal Diabetes mellitus in dogs and cats – clinical experience with bioactive Veterinary Associations receive the European chromium supplementation in dogs treated with insulin 62 Journal of Companion Animal Practice as a part of their membership subscription (26,000 copies). P. Muzˇík, J. Mainz, O. Huml, C.D. Sindberg, S. Moesgaard PURCHASE OF COPIES NEUROLOGY For others interested in purchasing copies the Spinal haemorrhage associated with factor VII deficiency in a young Beagle 68 price is 62 € per Volume (2 issues). Payment is only accepted by electronic transfer in euros. L. Motta, U.M. Altay, N. Carmichael, G. C. Skerritt Orders should be sent to: FECAVA HQ, rue Defacqz 1, B-1000 Brussels PRACTICE MANAGEMENT Telemedicine: a time management and learning tool for vets and EDITORS NOTE The language of EJCAP is English (UK). Where service clinics and what it can offer to pet owners 73 reprint papers have been translated, or where A. Lanevschi-Pietersma et al other versions of English were originally used, these Health check for practising veterinarians 77 have been translated to English (UK). J. Østerbye THANKS The production Committee of EJCAP thanks: New norms and new directions 83 Dr Craig Harrison, Dr Sue Roberts, J. Østerbye Dr Sarah Packman, Dr Geoff Little who have spent time correcting the translations. The FECAVA Hygiene and Antimicrobial Resistance Symposium 86 PRINTED BY MRSA in humans – epidemiology and clinical importance 87 Roto Smeets GrafiServices, p.o. box 7052, 3502 KB Utrecht, T. Haustein The Netherlands. Tel +31 (30) 282 28 22 Stewardship of antimicrobials and hygiene protocols in veterinary practice 90 A. Mateus DISCLAIMER Recognising and controlling risk factors for antimicrobial resistance 98 “The Federation of European Companion Animal Veterinary Associations and the D. H. Lloyd Production Committee of the European Journal Methicillin-resistant staphylococcal infections in pets 101 of Companion Animal Practice accept no J. S. Weese responsibility for any omissions and/or errors in information printed in this journal.We specifically draw readers attention to the need to follow Book Reviews 111 instructions of manufacturers products. In any specific situation readers are strongly advised not Calendar and Secretariat - contact address for information 114 merely to rely on the material contained in the journal. Any views and opinions expressed are those of the writer and not the Federation or the Production Committee.” 1 The Federation of European Companion Animal Veterinary Associations (FECAVA) FECAVA Headquarter’s address: C/O Federation of Veterinarians of Europe rue Defacqz, 1 B-1000 Brussels Tel: +32 2 533 70 20 – Fax: +32 2 537 28 28 FECAVA Website: www.fecava.org Participating Associations: SKSAVA Slovak Small Animal Veterinary Association AFVAC Association Française des Vétérinaires pour Animaux de Compagnie Director: Dr. Igor KRAMPL Director: Dr. Jean-François ROUSSELOT SASAP Serbia Association of Small Animal Practitioners AIVPA Associazione Italiana Veterinari Piccoli Animali Director: Dr. Denis NOVAK Director: Dr. Andrea VERCELLI SSAVA Swedish Small Animal Veterinary Association AMVAC The Association of Veterinarions for Pets from Romania Director: Dr Alexandra VILÉN President: Dr. Nicolae VALENTIN SVK/ASMPA Schweizerische Vereinigung für Kleintiermedizin/Association APMVEAC Associação Portuguesa de Médicos Veterinários Especialistas Suisse pour la Médecine des Petits Animaux em Animais de Companhia Director: Dr. Kathy BRUNNER Director: Dr. José H. DUARTE CORREIA SZVMZ Slovensko Zdruzenje Veterinariev Za Male Zivali AVEPA Associación de Veterinarios Españoles Especialistas Pequeños Director: Dr. Bojan ZORKO Animales TSAVA Turkish Small Animal Veterinary Association Director: Dr. Xavier MANTECA Director: Dr. Erkut GOREN BASAV Bulgarian Association of Small Animal Veterinarians USAVA Ukrainian Small Animal Veterinary Association Director: Dr. Boyko GEORGIEV Director: Dr. Vladimir CHARKIN BHSAVA Bosnia and Herzegovina Small Animal Veterinary Association VICAS Veterinary Ireland Companion Animal Society Director: Dr. Josip KRASNI Director: Dr. Peter A. MURPHY BSAVA British Small Animal Veterinary Association VÖK Vereinigung Österreichischer Kleintiermediziner Director: Dr. Wolfgang DOHNE Director: Dr. Silvia LEUGNER CSAVA Czech Small Animal Veterinary Association Director: Dr. Milosˇ URBAN Associate Associations: CSAVS Croatian Small Animal Veterinary Section Director: Dr. Davorin LUKMAN ECVD European College of Veterinary Dermatology DSAVA Danish Small Animal Veterinary Association Contact: Dr. Dominique HERIPRET Director: Dr. Hanne WERNER ECVS European College of Veterinary Surgeons ESAVA Estonian Small Animal Veterinary Association Contact: Monika GUTSCHER Director: Dr. Janne ORRO ESAVS European School for Advanced Veterinary Studies (A part of the FAVP Finnish Association of Veterinary Practitioners European Association for Veterinary Specialisation (EAVS)) Director: Dr. Oili GYLDEN Contact: Dr. Hans KOCH GSAVA German Small Animal Veterinary Association ESVC European Society of Veterinary Cardiology Director: Dr.Dr. Peter FAHRENKRUG Contact: Dr. Nicole VAN ISRAËL HSAVA Hungarian Small Animal Veterinary Association ESFM European Society of Feline Medicine Director: Dr. Ferenc BIRÓ Contact: Claire BESSANT