Laura Jones

Replying to scott@vtx-cpd.com 09/11/2024 - 01:37

We find the same regarding mild reactions and slowing the rates!

Replying to Louise L. 04/11/2024 - 14:20

SUB cats are always so nervous aren’t they – unsurprising how often we see them and how much they go through! I’m a HUGE fan of gabapentin/IM sedation right off of the bat for these guys when they come in for their flushes, it works so well for them and they then don’t sit in kennels getting wound up ☺️

Ooh good to know regarding that study! Thanks for sharing.

To administer HFOT you’ll either need a ventilator or a dedicated high flow unit (we have this high flow unit: https://www.fphcare.com/en-gb/hospital/adult-respiratory/optiflow/airvo-2-system/ in addition to our ventilator: https://www.getinge.com/int/products/servo-u-mechanical-ventilator/)

It uses specialised nasal cannulas (https://www.fphcare.com/en-gb/hospital/adult-respiratory/optiflow/optiflow-3s/) which, in combination with the unit, allow warmed, humidified oxygen to be administered at much higher flow rates than normal nasal cannulas.

Once it’s set up, it is very straightforward to use! The hardest thing is often keeping the cannulas in the patient!

Replying to scott@vtx-cpd.com 20/10/2024 - 20:47

Ooooh great question!

So I’d say it really depends on how hypoxaemic your patient is.

These are rough numbers but you’re looking at an inspired oxygen concentration (FiO2) of around 30-50% with unilateral cannulas, and up to 70% with bilateral (reference here for those of you interested: https://todaysveterinarypractice.com/respiratory-medicine/providing-supplemental-oxygen-to-patients/)

The lower your patient is saturating (or the lower their PaO2 if you’re measuring arterial blood gases), the higher the FiO2 you want to achieve.

We tend to start with 2 in most patients and then reduce to one as their saturation improves, though it does depend on their SpO2/PaO2 of course! If they’re saturating below 90% we tend to go for high flow oxygen therapy rather than cannulas.

What do you tend to do?

Replying to scott@vtx-cpd.com 21/10/2024 - 03:46

Mostly just glue, though I do find that these guys get more skin irritation the more glue you add.

I find that clipping really close to the skin and giving it a good alcohol prep to remove as much oils etc helps a lot too.

In some patients I have also used the human over-sensor plasters (https://www.amazon.co.uk/Type-Strong-Adhesive-Freestyle-Medtronic/) and these work well!

Replying to scott@vtx-cpd.com 16/10/2024 - 15:25

Here you go: https://www.dechra.co.uk/products/cat/diets/intensive-support#F-C-IN-L-Intensive-support ☺️

Replying to Louise L. 15/10/2024 - 15:37

Cholangiohepatitis/triaditis is SO common in cats isn’t it! We are seeing lots of cases at the moment too 🙂