{"id":3264,"date":"2024-05-10T14:07:25","date_gmt":"2024-05-10T12:07:25","guid":{"rendered":"https:\/\/ifevet.com\/uk\/?p=3264"},"modified":"2024-05-10T14:07:25","modified_gmt":"2024-05-10T12:07:25","slug":"emergency-management-of-patients-with-tracheal-collapse","status":"publish","type":"post","link":"https:\/\/ifevet.com\/eu\/emergency-management-of-patients-with-tracheal-collapse\/","title":{"rendered":"Emergency management of patients with tracheal collapse"},"content":{"rendered":"<p><strong>Introduction<\/strong><\/p>\n<p>Tracheal collapse occurs frequently in small breeds. Both the intrathoracic and extrathoracic portions may be affected, also extending into the main bronchus.<\/p>\n<p>Its aetiology lies in a deficiency in the cartilage matrix, which results in a collapse of the tracheal lumen.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Diagnosis<\/strong><\/p>\n<p>I) Clinical signs: cough, severe cough after exercise-excitation, syncope after coughing episode, hyperthermia, moderate to severe respiratory distress.<\/p>\n<p>II) Cervical &#8211; thoracic, lateral and dorsoventral radiographs: &#8211; Inspiration: a narrowing of the extrathoracic tracheal portion and a widening of the intrathoracic portion can be seen on the lateral radiograph. &#8211; Exhalation: the lateral X-ray shows a dilatation of the cervical-extrathoracic portion and a narrowing of the intrathoracic portion.<\/p>\n<p>III) Fluoroscopy<\/p>\n<p>IV) Bronchoscopy<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Emergency management and treatment<\/strong><\/p>\n<p>I) Oxygen therapy and sedation (butorphanol and\/or acepromazine).<\/p>\n<p>II) Anti-inflammatory doses of corticosteroids: 0.5 mg\/kg IV methylprednisone.<\/p>\n<p>III) Terbutaline 0.01 mg\/kg IV, SC<\/p>\n<p>IV) Active cooling of the patient if temperature &gt; 39.5\u00baC.<\/p>\n<p>V) Patients who must be intubated and cannot be extubated due to further collapse each time it is attempted are candidates for emergency surgery or tracheal stenting.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Tracheal collapse occurs frequently in small breeds. Both the intrathoracic and extrathoracic portions may be affected, also extending into the main bronchus. Its aetiology lies in a deficiency in the cartilage matrix, which results in a collapse of the tracheal lumen. &nbsp; Diagnosis I) Clinical signs: cough, severe cough after exercise-excitation, syncope after coughing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3265,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-3264","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-content"],"_links":{"self":[{"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/posts\/3264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/comments?post=3264"}],"version-history":[{"count":0,"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/posts\/3264\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/media\/3265"}],"wp:attachment":[{"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/media?parent=3264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/categories?post=3264"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ifevet.com\/eu\/wp-json\/wp\/v2\/tags?post=3264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}