1
|
Le-Bert CR, Bukoski A, Downs J, Hodgson DS, Thombs L, Ridgway SH, Bailey J. Apneustic anesthesia ventilation improves pulmonary function in anesthetized bottlenose dolphins ( Tursiops truncatus). Front Vet Sci 2024; 11:1287478. [PMID: 38645641 PMCID: PMC11027569 DOI: 10.3389/fvets.2024.1287478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 03/12/2024] [Indexed: 04/23/2024] Open
Abstract
Introduction Use of mechanical ventilation during general anesthesia is a necessary practice in the anesthetization of small cetaceans as spontaneous ventilation fails to provide adequate gas exchange. Currently available methods of ventilation do not account for the intermittent breathing strategy of representative species within this infraorder of fully aquatic mammals and may have a significant effect on cardiac and respiratory physiology. Methods To understand the impact of mechanical ventilation on cardiopulmonary function in one small species of cetacean, the bottlenose dolphin (Tursiops truncatus), we compared controlled mechanical ventilation (CMV) to a novel ventilation method known as apneustic anesthesia ventilation (AAV). AAV simulates the normal inspiratory breath-hold pattern of dolphins. Ten anesthetic procedures (dental procedure, n = 9; bronchoscopy, n = 2) were performed on nine dolphins (age range: 10-42 years; mean = 32 years; median = 37 years; female = 3, 40%; male = 6, 60%). In a cross-over study design, dolphins were instrumented and randomly assigned to AAV or CMV as the initial mode of ventilation, then switched to the alternate mode. Baseline cardiopulmonary data were collected and again after 30 min on each mode of ventilation. Cardiac index, stroke volume index, systemic vascular resistance, alveolar dead space, alveolar-arterial oxygen tension gradient, arterial oxygen content, oxygen delivery index, and dynamic respiratory system compliance index were calculated at each of the four time points. Results During AAV, dolphins had higher arterial oxygen tension, higher mean airway pressure, reduced alveolar dead space ventilation and lower alveolar-arterial oxygen difference. Cardiovascular performance was not statistically different between the two modes. Discussion Our study suggests AAV, which more closely resembles the conscious intermittent respiratory pattern phenotype of dolphins, improves ventilation and pulmonary function in the anesthetized dolphin. Future studies should evaluate the cardiopulmonary effects of neutral buoyancy and cardiopulmonary sparing drug protocols to reduce the need for hemodynamic support of current protocols.
Collapse
Affiliation(s)
- Carolina R. Le-Bert
- U.S. Navy Marine Mammal Program, Naval Information Warfare Center Pacific, San Diego, CA, United States
| | - Alex Bukoski
- Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO, United States
| | - John Downs
- Department of Anesthesiology, College of Medicine, University of Florida, Gainesville, FL, United States
- Innovative Veterinary Medicine, Ponte Vedra, FL, United States
| | - David S. Hodgson
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS, United States
| | - Lori Thombs
- Department of Statistics, College of Arts and Science, University of Missouri, Columbia, MO, United States
| | - Sam H. Ridgway
- U.S. Navy Marine Mammal Program, National Marine Mammal Foundation, San Diego, CA, United States
| | - James Bailey
- Innovative Veterinary Medicine, Ponte Vedra, FL, United States
| |
Collapse
|
2
|
Lee SB, Yuen AHL, Lee YM, Kim SW, Kim S, Poon CTC, Jung WJ, Giri SS, Kim SG, Jo SJ, Park JH, Hwang MH, Seo JP, Choe S, Kim BY, Park SC. Adhesive Bowel Obstruction (ABO) in a Stranded Narrow-Ridged Finless Porpoise ( Neophocaena asiaeorientalis sunameri). Animals (Basel) 2023; 13:3767. [PMID: 38136803 PMCID: PMC10741132 DOI: 10.3390/ani13243767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 11/28/2023] [Accepted: 12/05/2023] [Indexed: 12/24/2023] Open
Abstract
In this case report, we present a rare occurrence of a narrow-ridged finless porpoise (Neophocaena asiaeorientalis sunameri), discovered on the coast of Jeju Island, Republic of Korea, that was afflicted with adhesive bowel obstruction (ABO), a life-threatening condition that has scarcely been reported in cetaceans. Diagnosis of ABO was confirmed via radiological and clinical assessments. Post-mortem computed tomography and necropsy revealed ABO between two loops of the jejunum at the L8 level. The mesenteric tissue covering the intestinal lesion was severely thickened with increased tension. Both bowel loops were fixed to the mesentery and acutely angulated, leading to asymmetrical thickening of the cross-sectional bowel walls. The intestinal lumen was stenosed because of pressure from the firm mesenteric band, and no fecal matter was observed in the lumen of the posterior bowel or rectum. Calcified nodules were detected, and histological analysis suggested parasitic or suspected post-parasitic infections. The primary cause of the intestinal lesions is presumed to be a reaction related to parasitic infection. However, further investigations would establish a definitive link between parasitic infections and ABO in this species. This case highlights the importance of studying rare medical conditions in wildlife, providing valuable insights into marine mammal health.
Collapse
Affiliation(s)
- Sung Bin Lee
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Adams Hei Long Yuen
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
- Radiotherapy and Oncology Centre, Gleneagles Hospital Hong Kong, Wong Chuk Hang, Hong Kong SAR, China;
| | - Young Min Lee
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Sang Wha Kim
- Department of Microbiology and Immunology, Institute of Endemic Disease, College of Medicine, Seoul National University, Seoul 03080, Republic of Korea;
- College of Veterinary Medicine, Institute of Veterinary Science, Kangwon National University, Chuncheon 24341, Republic of Korea
| | - Sunmin Kim
- Department of Parasitology, Parasite Research Center, International Parasite Resource Bank, School of Medicine, Chungbuk National University, Cheongju 28644, Republic of Korea; (S.K.); (S.C.)
| | | | - Won Joon Jung
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Sib Sankar Giri
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Sang Guen Kim
- Department of Biological Sciences, Kyonggi University, Suwon 16227, Republic of Korea;
| | - Su Jin Jo
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Jae Hong Park
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Mae Hyun Hwang
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| | - Jong-pil Seo
- College of Veterinary Medicine, Veterinary Medical Research Institute, Jeju National University, Jeju 63243, Republic of Korea;
| | - Seongjun Choe
- Department of Parasitology, Parasite Research Center, International Parasite Resource Bank, School of Medicine, Chungbuk National University, Cheongju 28644, Republic of Korea; (S.K.); (S.C.)
| | - Byung Yeop Kim
- Department of Marine Industry and Maritime Police, College of Ocean Science, Jeju National University, Jeju 63243, Republic of Korea
| | - Se Chang Park
- Laboratory of Aquatic Biomedicine, College of Veterinary Medicine, Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of Korea; (S.B.L.); (Y.M.L.); (W.J.J.); (S.S.G.); (S.J.J.); (J.H.P.); (M.H.H.)
| |
Collapse
|
3
|
Erythrocyte sedimentation rate and hemoglobin-binding protein in free-living box turtles (Terrapene spp.). PLoS One 2020; 15:e0234805. [PMID: 32555669 PMCID: PMC7299368 DOI: 10.1371/journal.pone.0234805] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 06/02/2020] [Indexed: 11/19/2022] Open
Abstract
The acute phase response is a highly conserved reaction to infection, inflammation, trauma, stress, and neoplasia. Acute phase assays are useful for wildlife health assessment, however, they are infrequently utilized in reptiles. This study evaluated erythrocyte sedimentation rate (ESR) in eastern (Terrapene carolina carolina) and ornate box turtles (Terrapene ornata ornata) and hemoglobin-binding protein (HBP) in T. ornata. Erythrocyte sedimentation rate in 90 T. carolina and 105 T. ornata was negatively associated with packed cell volume and was greater in unhealthy turtles (p < 0.05). Female T. ornata had higher ESR values than males (p < 0.05). Measurement of ESR with a microhematocrit tube proportionally overestimated values from a commercial kit (Winpette), though both methods may retain utility with separate reference intervals. Hemoglobin-binding protein concentration in 184 T. ornata was significantly increased in adults and unhealthy turtles (p < 0.05). Erythrocyte sedimentation rate values were similar between seasons and populations, and HBP values were consistent between years, indicating that these analytes may have more stable baseline values than traditional health metrics in reptiles. This study demonstrates that ESR and HBP are promising diagnostics for health assessment in wild box turtles. Incorporating these tests into wild herptile health assessment protocols may support conservation efforts and improve ecosystem health monitoring.
Collapse
|
4
|
Dannemiller NG, Hendrickson DA. In vitro evaluation and in vivo use of a novel surgical stent to minimize suture pressure necrosis. Vet Surg 2020; 49:741-747. [PMID: 31916617 DOI: 10.1111/vsu.13371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 10/22/2019] [Accepted: 12/07/2019] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To evaluate the efficacy of stents to distribute pressure when incorporated into tension-relieving sutures. STUDY DESIGN An in vitro study and case report. ANIMAL One common bottlenose dolphin (Tursiops truncates). METHODS Three novel silicone stents, a traditional stent, and a control were tested in vitro by using a suture simulator. Stent surface area was measured by using a pressure mapping sensor. Pressure was derived from the measured surface area and the downward force of the suture simulator. Novel silicone stents were also used in the closure of an incision in a bottlenose dolphin. RESULTS No difference was found in surface area or pressure among the three silicone stents (adjusted P > .05). Silicone stents yielded an average, 2.69 cm2 more surface area and 842.37 kPa less pressure compared with the control as well as 1.67 cm2 more surface area and 110.67 kPa less pressure compared with the traditional stent. The traditional stent yielded 1.02 cm2 more surface area and 731.7 kPa less pressure compared with the control. Incision site and silicone stent assessment performed postoperatively revealed no obvious pressure necrosis. CONCLUSION Stents improved distribution of suture pressure, and novel silicone stents were more effective compared with traditional stents. Novel silicone stents appear to have preliminary clinical success in vivo. CLINICAL SIGNIFICANCE Our study provides evidence that stents effectively help distribute suture pressure, and their incorporation might minimize the risk of suture pressure necrosis. Novel silicone stents should be integrated into tension-relieving suture patterns when closing wounds and incisions, particularly in aquatic animals.
Collapse
Affiliation(s)
- Nicholas G Dannemiller
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado
| | - Dean A Hendrickson
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado
| |
Collapse
|
5
|
Lee C, Jensen ED, Meegan J, Ivančić M, Bailey J, Hendrickson D, Weiss J, Grindley J, Costidis AM, Wisbach G. Surgical Management of a Chronic Neck Abscess in a U.S. Navy Bottlenose Dolphin. Mil Med 2019; 184:e360-e364. [DOI: 10.1093/milmed/usy316] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 09/29/2018] [Accepted: 10/27/2018] [Indexed: 11/13/2022] Open
Abstract
Abstract
Surgical intervention on cetaceans is rarely performed due to challenges including general anesthesia and post-operative wound healing. This report describes the evaluation and treatment of an adult female bottlenose dolphin (Tursiops truncatus) with the US Navy Marine Mammal Program, with a chronic ventral cervical abscess caused by Candida glabrata. Despite aspiration and lavage along with multiple antifungal drugs, the patient developed inspiratory stridor with decreased performance level and surgical treatment was pursued. Under general anesthesia with the dolphin in dorsal recumbency position a 12-cm longitudinal ventral midline neck incision was used for exploration. Intraoperative ultrasound aided the identification of surgical landmarks and the abscess cavity. After adequate drainage and curettage, a closed-suction drain was placed in the surgical site. Retention sutures were used to close the incision and the external drain bulb was secured to a pectoral fin strap. One-year post-op, the dolphin was clinically normal and follow-up imaging showed no significant recurrence of the abscess. This case demonstrates a novel surgical approach of managing abscesses in dolphins, including placement and management of a negative suction drain in a submerged patient. The successful collaboration between veterinary anesthesiology, veterinary medicine, radiology, and general surgery allowed the patient to continue her normal activities as a full-duty service member.
Collapse
Affiliation(s)
- Clara Lee
- Naval Medical Center San Diego, San Diego, CA
| | | | - Jenny Meegan
- National Marine Mammal Foundation, San Diego, CA
| | | | - James Bailey
- Innovative Veterinary Medicine, Inc., Gainesville, FL
| | - Dean Hendrickson
- College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO
| | | | | | | | | |
Collapse
|