8 research outputs found

    Epidural space depth by ultrasound--lateral vs sitting

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    The Effects of Varying Concentrations of Dietary Protein and Fat on Blood Gas, Hematologic Serum Chemistry, and Body Temperature Before and After Exercise in Labrador Retrievers

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    Optimal dietary protocols for the athletic canine are often defined by requirements for endurance athletes, that do not always translate into optimal dietary interventions for all canine athletes. Prior research studying detection dogs suggests that dietary fat sources can influence olfaction; however, as fat is added to the diet the protein calories can be diminished potentially resulting in decreased red blood cell counts or albumin status. Optimal macronutrient profile for detection dogs may be different considering the unique work they engage in. To study a calorically high protein: low fat (18:57% ME), high protein: high fat (27:57% ME), and high protein: low fat (27:32% ME) approach to feeding, 17 dogs were provided various diets in a 3 x 3 cross over design. Dogs were exercised on a treadmill and blood was taken pre-exercise, immediately post-exercise, 10 minutes and 20 minutes post-exercise to assess complete blood count, serum chemistry, blood gases, and cortisol; as well as rectal and core body temperature. Exercise induced a decrease in serum phosphorus, potassium, and increases in non-esterified fatty acids and cortisol typical of moderate exercise bouts. A complete and balanced high protein: high fat diet (27:57% ME) induced decreases in serum cortisol and alkaline phosphatase. Corn oil top dressed low protein: high fat diet (18:57% ME) induced a slightly better thermal recovery than a complete and balanced high fat: high protein diet and a low fat: high protein (32:27% ME) diet suggesting some mild advantages when using the high fat: low protein diet that warrant further investigation regarding optimal protein and fat calories and thermal recovery

    Dural Tissue Trauma and Cerebrospinal Fluid Leak after Epidural Needle Puncture Effect of Needle Design, Angle, and Bevel Orientation

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    Background: The effects of epidural needle design, angle, and bevel orientation on cerebrospinal fluid leak after puncture have not been reported. The impact of these factors on leak rate was examined using a dural sac model. Dural trauma was examined using scanning electron microscopy. Methods: Human cadaveric dura, mounted on a cylindrical model, was punctured with epidural needles using a micromanipulator. Tissue was punctured at 15 cm H 2 O (left lateral decubitus) system pressure, and leak was measured at 25 cm H 2 O (semisitting) pressure. Leak rates and trauma were compared for the following: (1) six different epidural needles at 90°, bevel parallel to the dural long axis; (2) 18-gauge Tuohy and 18-gauge Special Sprotte ® epidural needles, 30°versus 90°; (3) 18-gauge Tuohy, bevel perpendicular versus parallel to the dural long axis. Results: With the 90°puncture, bevel parallel, the greatest leak occurred with a 17-gauge Hustead (516 ؎ 319 ml/15 min), and the smallest leak occurred with a 20-gauge Tuohy (100 ؎ 112 ml/15 min; P ‫؍‬ 0.0018). A 20-gauge Tuohy puncture led to statistically significant reductions in leak (P value range, 0.0001-0.0024) compared with all needles except the Special Sprotte ® . With the 30°versus 90°angle, 30°punctures with an 18-gauge Tuohy produced nonstatistically significant leak reductions compared with the 18-gauge Tuohy at 90°. The punc

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