{"id":3264,"date":"2024-05-10T14:07:25","date_gmt":"2024-05-10T12:07:25","guid":{"rendered":"https:\/\/ifevet.com\/uk\/?p=3264"},"modified":"2025-01-09T09:32:43","modified_gmt":"2025-01-09T09:32:43","slug":"emergency-management-of-patients-with-tracheal-collapse","status":"publish","type":"post","link":"https:\/\/ifevet.com\/uk\/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"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Emergency management of patients with tracheal collapse - Ifevet International - UK<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/uk\/emergency-management-of-patients-with-tracheal-collapse\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Emergency management of patients with tracheal collapse - Ifevet International - UK\" \/>\n<meta property=\"og:description\" content=\"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;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/uk\/emergency-management-of-patients-with-tracheal-collapse\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - UK\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-10T12:07:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-09T09:32:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/uk\/wp-content\/uploads\/sites\/16\/2024\/05\/collpaso-tracheal.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ifevet.com\/uk\/emergency-management-of-patients-with-tracheal-collapse\/\",\"url\":\"https:\/\/ifevet.com\/uk\/emergency-management-of-patients-with-tracheal-collapse\/\",\"name\":\"Emergency management of patients with tracheal collapse - 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