Master of Science, The Ohio State University, 2011, Veterinary Clinical Sciences
The microcirculation consists of vessels less than ten microns in diameter. Each microcirculatory unit has a feeder arteriole, capillaries and draining venules. Traditionally, when monitoring perfusion in patients, macrocirculatory parameters such as heart rate, blood pressure, cardiac output, lactate levels and central venous oxygen saturation have been utilized. Unfortunately, research in humans and dogs has demonstrated that these macrovascular parameters show poor correlation with changes at the microvascular level and thereby may poorly reflect tissue perfusion. Newer technologies, such as sidestream dark field microscopy (SDF) allow for direct imaging of the microcirculation and the ability to evaluate changes related to various stimuli, such as anesthesia, surgery, shock, and sepsis. This technology has been validated in humans, rodents and dogs, but has not yet been explored in cats. We sought to establish baseline clinical values for microcirculatory parameters in healthy, anesthetized cats using SDF and to determine if surgical manipulation alters these values during ovariohysterectomy.
Eighteen healthy cats presenting for elective ovariohysterectomy were anesthetized using a standardized protocol. Three 20-second microcirculatory videos were obtained from the sublingual mucosa at three intervention points: after induction but before placement of the first towel clamp, after ligation of the first ovarian pedicle and after placement of the final skin suture and towel clamp removal. At each time point, macrovascular parameters (heart rate, respiratory rate, blood pressure), pulse oximetry, end tidal carbon dioxide, and end tidal inhalant anesthetic concentrations were recorded. In addition, SDF videos of the microcirculation were obtained from the sublingual mucosa using previously established consensus criteria.
Videos were assessed for quality; only those deemed acceptable were included. Qualifying videos were analyzed by a single observer blinded to in (open full item for complete abstract)
Committee: Edward Cooper VMD (Advisor); Richard Bednarski DVM (Committee Member); Mary McLoughlin DVM (Committee Member); Amy Butler DVM (Committee Member)
Subjects: Animals; Medical Imaging; Veterinary Services