Finally, because this study was retrospective ...

Aspiration pneumonia refers to the inhalation of gastrointestinal contents into the lungs. Although aspiration pneumonia is a common clinical diagnosis in dogs, research on the causes, diagnostic findings, and outcome of patients with small dogs. The purpose of this study was to identify the underlying disease process is likely due to aspiration events and to determine whether the survival of dogs depends on the underlying disease and severity of pneumonia as defined by the new point system of the chest. Medical records of 88 dogs with presentation or developing aspiration pneumonia during hospitalization was a retrospective analysis. Diagnosis strattera prescription of aspiration pneumonia was based on a combination of widely recognized historical, clinical and radiographic data. Basic or both disorders subcategorized as the esophagus, causing vomiting disease, neurological disorders, diseases of the larynx, and postnarkoznom aspiration. Radiographs were subjectively scored based on the severity of interstitial or alveolar infiltrates, and the total score is multiplied by the number of regions affected lungs. In most cases (68%), a primary or a parallel process of the disease were found. The most common diseases associated with aspiration pneumonia were the ones causing dysfunction of the esophagus (39%), vomiting (38%) or neurological disorders (27%), laryngeal dysfunction and aspiration secondary to anesthesia has been diagnosed in only 18% and 13% of cases, respectively. Myasthenia gravis causes general weakness or megaesophagus was the most frequent diagnosis in both diseases of esophagus and neurological disorders groups. Seventy-seven percent of dogs with aspiration pneumonia survived to discharge, with no association found between survival and basic or parallel type of disease. In fact, even when two or three main disease were found in one animal had no effect on length of stay in hospital or the probability of survival for this population of dogs. Finally, there was no association between breast X-ray evaluation (in other words, the severity of pulmonary infiltrates or participating regions) and patient outcome. Identification and management COMMENT simultaneously attract diseases, probably an important role in long-term management of aspiration pneumonia because it is probably the best way to reduce the likelihood of recurrence of pneumonia. Thus, the results obtained in this study will help doctors in search of primary and opportunistic diseases in patients with unexpected aspiration pneumonia. However, the diagnosis of a draw against the other reasons, obviously, do not play a role in survival after the first episode of pneumonia, the authors did not apply it correctly and for long-term survival (total life). The fact that the type and distribution of abnormal radiographic pattern should not be used as a prognostic indicator similar to a recent report in which researchers found that survival of dogs after diagnosis of pulmonary blastomycosis does not affect radiographic data. Taken together, the results of these studies may be indirect evidence that the severity of abnormal chest radiographic results in dogs with lung disease should always be considered together with patients' clinical features, results of chest radiography alone may be unsuitable for the accurate determination of the true extent of certain lung diseases, or extent of disease may not play a role in the prognosis of the patient. Despite the relatively high probability of survival to discharge (77%) dogs with aspiration pneumonia, a number of research limitations should be considered when extrapolating these results to all patients in dogs. Only four of 88 dogs were respiratory sampling performed during their treatment of first episode of aspiration pneumonia, so it can be argued that this study is not definitive evidence of the desire of the gastrointestinal tract or the content of bacterial infection. In fact, three of 14 dogs autopsy was not gross or histological signs of aspiration pneumonia. In addition, because some dogs are presented aspiration pneumonia, while other atmospheric time in the hospital, it may not be appropriate to compare the clinical and radiological results of all this population. Finally, because this study was retrospective in nature, not all dogs received a complete neurological, larynx, esophagus or tests that may affect the relative proportions of the basic disease and its relationship with survival. Kogan D. Johnson LR, Sturges BK, et al. Etiology and clinical outcomes in dogs with aspiration pneumonia: 88 cases (2004-2006). J Am Vet Med Assoc 2008 233 (11) :1748-1755. The information contained in the study update was given Eric Mehler, DVM, MS, Barrak Pressler and, DVM, PhD, DACVIM, Department of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, Purdue University, West Lafayette, IN 47907. REFERENCE 1. Crews LJ, Fini DA, Jenssen CR, et al. Radiological results in dogs with pulmonary blastomycosis: 125 cases (1989-2006). J Am Vet Med Assoc 2008; 232 (2) :215-221. .