Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial

Abstract Background Prolonged slow expiration (PSE) and assisted cough (AC) are airway clearance techniques feasible and well tolerated in dogs. Objectives To evaluate the effectiveness of PSE and AC as chest physiotherapy (CP) techniques in dogs with airway fluid accumulation. Animals Thirty‐one cl...

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Autores principales:	Céline Pouzot‐Nevoret, Mathieu Magnin, Anthony Barthélemy, Isabelle Goy‐Thollot, Maxime Cambournac, Alexandra Nectoux, Bernard Allaouchiche
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	canine dyspnea pneumonia respiratory physiotherapy Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/14015ab3867d4d9089cd1f30b2634fd6
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spelling	oai:doaj.org-article:14015ab3867d4d9089cd1f30b2634fd62021-11-30T17:01:04ZEffectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial1939-16760891-664010.1111/jvim.16088https://doaj.org/article/14015ab3867d4d9089cd1f30b2634fd62021-05-01T00:00:00Zhttps://doi.org/10.1111/jvim.16088https://doaj.org/toc/0891-6640https://doaj.org/toc/1939-1676Abstract Background Prolonged slow expiration (PSE) and assisted cough (AC) are airway clearance techniques feasible and well tolerated in dogs. Objectives To evaluate the effectiveness of PSE and AC as chest physiotherapy (CP) techniques in dogs with airway fluid accumulation. Animals Thirty‐one client‐owned dogs hospitalized in an intensive care unit from October 2014 to May 2018. Methods Prospective randomized controlled trial. Dogs presented with or developing acute dyspnea during hospitalization associated with airway fluid accumulation were assigned to CP group (medical treatment and CP, 15 dogs) or control group (medical treatment alone, 16 dogs). The arterial partial pressure of oxygen (PaO2) to fraction of inspired oxygen (FiO2) ratio (P/F ratio; PaO2/FiO2 × 100) was calculated daily for the 1st 48 hours of hospitalization and using the last arterial blood gas performed before discharge or death. The ratio of days of hospitalization with oxygen/total number of hospitalization days (ratio of oxygen‐free‐days [O2Free]) was calculated. Results During the 1st 48 hours, the P/F ratio increased significantly in the CP group compared to the control group (+ 35.1 mm Hg/day; 95% confidence interval [CI] = 0.4‐57.5; P = .03). The (median; 1st quartile to 3rd quartile) difference between the P/F ratio at discharge and inclusion was significantly higher in the CP group (178 mm Hg; 123‐241) than in the control group (54 mm Hg; −19 ‐ 109; P = .001). Mean O2Free increased by 46.4% in the CP group compared with control group (95% CI = 16‐59; P = .001). Mortality was 13% (2/15) in the CP group and 44% (7/16) in the control group (P = .07). Conclusions and Clinical Importance Prolonged slow expiration and AC improved P/F ratio within 48 hours and decreased need for oxygenation in dyspneic dogs with acute airway fluid accumulation.Céline Pouzot‐NevoretMathieu MagninAnthony BarthélemyIsabelle Goy‐ThollotMaxime CambournacAlexandra NectouxBernard AllaouchicheWileyarticlecaninedyspneapneumoniarespiratory physiotherapyVeterinary medicineSF600-1100ENJournal of Veterinary Internal Medicine, Vol 35, Iss 3, Pp 1525-1535 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	canine dyspnea pneumonia respiratory physiotherapy Veterinary medicine SF600-1100
spellingShingle	canine dyspnea pneumonia respiratory physiotherapy Veterinary medicine SF600-1100 Céline Pouzot‐Nevoret Mathieu Magnin Anthony Barthélemy Isabelle Goy‐Thollot Maxime Cambournac Alexandra Nectoux Bernard Allaouchiche Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial
description	Abstract Background Prolonged slow expiration (PSE) and assisted cough (AC) are airway clearance techniques feasible and well tolerated in dogs. Objectives To evaluate the effectiveness of PSE and AC as chest physiotherapy (CP) techniques in dogs with airway fluid accumulation. Animals Thirty‐one client‐owned dogs hospitalized in an intensive care unit from October 2014 to May 2018. Methods Prospective randomized controlled trial. Dogs presented with or developing acute dyspnea during hospitalization associated with airway fluid accumulation were assigned to CP group (medical treatment and CP, 15 dogs) or control group (medical treatment alone, 16 dogs). The arterial partial pressure of oxygen (PaO2) to fraction of inspired oxygen (FiO2) ratio (P/F ratio; PaO2/FiO2 × 100) was calculated daily for the 1st 48 hours of hospitalization and using the last arterial blood gas performed before discharge or death. The ratio of days of hospitalization with oxygen/total number of hospitalization days (ratio of oxygen‐free‐days [O2Free]) was calculated. Results During the 1st 48 hours, the P/F ratio increased significantly in the CP group compared to the control group (+ 35.1 mm Hg/day; 95% confidence interval [CI] = 0.4‐57.5; P = .03). The (median; 1st quartile to 3rd quartile) difference between the P/F ratio at discharge and inclusion was significantly higher in the CP group (178 mm Hg; 123‐241) than in the control group (54 mm Hg; −19 ‐ 109; P = .001). Mean O2Free increased by 46.4% in the CP group compared with control group (95% CI = 16‐59; P = .001). Mortality was 13% (2/15) in the CP group and 44% (7/16) in the control group (P = .07). Conclusions and Clinical Importance Prolonged slow expiration and AC improved P/F ratio within 48 hours and decreased need for oxygenation in dyspneic dogs with acute airway fluid accumulation.
format	article
author	Céline Pouzot‐Nevoret Mathieu Magnin Anthony Barthélemy Isabelle Goy‐Thollot Maxime Cambournac Alexandra Nectoux Bernard Allaouchiche
author_facet	Céline Pouzot‐Nevoret Mathieu Magnin Anthony Barthélemy Isabelle Goy‐Thollot Maxime Cambournac Alexandra Nectoux Bernard Allaouchiche
author_sort	Céline Pouzot‐Nevoret
title	Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial
title_short	Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial
title_full	Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial
title_fullStr	Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial
title_full_unstemmed	Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial
title_sort	effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: a randomized controlled trial
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/14015ab3867d4d9089cd1f30b2634fd6
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Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial

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