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Oral thermal injury associated with puncture of a salbutamol metered‐dose inhaler in a dog
Author(s) -
Mackenzie Shawn D.,
Blois Shauna,
Hayes Galina,
Vince Andrew R.
Publication year - 2012
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/j.1476-4431.2012.00781.x
Subject(s) - medicine , anesthesia , salbutamol , metered dose inhaler , airway obstruction , trismus , pneumomediastinum , lethargy , vomiting , stridor , subcutaneous emphysema , surgery , inhaler , airway , complication , asthma
Objective To describe the clinical features, diagnostic work‐up, treatment, and outcome of a dog with oral thermal injury secondary to chewing on a salbutamol metered‐dose inhaler ( MDI ). Case Summary A Boxer dog was presented after chewing on a salbutamol MDI . The dog was anxious, tachycardic and had moderate hypokalemia. The dog was treated with potassium supplementation and discharged after 24‐hour hospitalization. Five hours after the discharge, the dog represented for dysphagia, anorexia, cervical pain, and a left‐sided head tilt. Oral examination revealed edematous and erythematous swelling of the soft palate causing airway compromise; histopathology demonstrated vascular necrosis and infarction. The dog was treated with supportive care including the placement of a tracheostomy tube. The dog recovered fully and was discharged 8 days after initial presentation. New or Unique Information Provided Salbutamol toxicity has been documented previously in dogs but oral thermal injury associated with a salbutamol MDI has not been reported in dogs. Although a rare complication, dogs who have been exposed to MDI s should have a thorough oral exam and be monitored closely for signs of respiratory compromise.