Sharp Claire R, Ringen Davin, Nagy Dusty W
Department of Veterinary Medicine and Surgery, University of Missouri, Columbia, MO 65211, USA.
J Vet Emerg Crit Care (San Antonio). 2010 Apr 1;20(2):258-63. doi: 10.1111/j.1476-4431.2010.00522.x.
To describe the successful management of an alpaca with severe hypoventilation and hypercapnia, suspected to be secondary to an anesthesia-related event.
A 3-year-old, female alpaca underwent a routine eye enucleation under general anesthesia after traumatic globe perforation. Severe hypoventilation and associated hypercapnia developed postoperatively resulting in a severe primary respiratory acidosis. The awake alpaca was supported with positive-pressure ventilation for approximately 20 hours before successful weaning. Recovery to hospital discharge occurred over the subsequent 5 days with the alpaca regaining apparently normal respiratory function.
To the knowledge of the authors, this is the first report describing positive-pressure ventilation of an alpaca in the veterinary literature. In this case of severe hypoventilation, ventilatory support was essential to the positive outcome. As South American camelids continue to increase in popularity there may be an increased demand for high-quality and sophisticated veterinary care for these animals. Mechanical ventilation can be used to help restore and maintain normal PO2, PCO2, and respiratory acid-base status in alpacas with ventilatory dysfunction.
描述一只疑似继发于麻醉相关事件的患有严重通气不足和高碳酸血症的羊驼的成功治疗过程。
一只3岁雌性羊驼在眼球外伤穿孔后接受了全身麻醉下的常规眼球摘除术。术后出现严重通气不足及相关高碳酸血症，导致严重的原发性呼吸性酸中毒。清醒的羊驼在成功撤机前接受了约20小时的正压通气支持。在随后的5天里，羊驼恢复至出院，其呼吸功能明显恢复正常。
据作者所知，这是兽医文献中第一篇描述羊驼正压通气的报告。在这种严重通气不足的情况下，通气支持对取得良好预后至关重要。随着南美骆驼科动物越来越受欢迎，对这些动物的高质量和复杂兽医护理的需求可能会增加。机械通气可用于帮助恢复和维持通气功能障碍的羊驼的正常氧分压、二氧化碳分压和呼吸酸碱状态。
