Current Trends in the Management of Canine Traumatic Brain Injury: An Internet-based Survey

Overview

Journal Can Vet J

Specialty Veterinary Medicine

Date 2019 Jan 18

PMID 30651654

Authors

Emma Kathryn Evans

Alberto L Fernandez

Affiliations

Soon will be listed here.

Abstract

This study characterized trends in management of canine traumatic brain injury (TBI) among 182 small animal veterinarians grouped as follows: Board-certified specialists at a veterinary teaching hospital (BCS-VTH), Board-certified specialists in private practice (BCS-PP), non-specialists at a teaching hospital (DVM-VTH), and non-specialists in private practice (DVM-PP). The BCS-VTH, BSC-PP, and DVM-VTH groups were more comfortable using the modified Glasgow Coma Scale (MGCS) than the DVM-PP group ( < 0.001, < 0.001, and = 0.009, respectively). All respondents chose the following diagnostics most frequently: packed cell volume/total solids (95.6%), blood glucose (96.7%), and blood pressure (95.0%). The DVM-VTH group chose the following more frequently than the DVM-PP group: computed tomography (19.4% 4.5%; = 0.027), venous or arterial blood gas (83.9% 46.3%; < 0.001), electrocardiography (71.0% 44.8%; = 0.018), lactate (87.1% 59.7%; = 0.009), and brief thoracic ultrasound (87.1% 62.7%; = 0.017). BCS-PP chose hypertonic saline more frequently than DVM-PP (94.1% 74.6%; = 0.005). The DVM-PP group chose corticosteroid therapy and anticonvulsant therapy more frequently than BCS-PP (10.4% 0.0%; = 0.019; 73.1% 43.1%; = 0.004, respectively). This study highlights variability in management of canine TBI.

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