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Severe hypercapnia associated with a chemodectoma causing profound tracheal narrowing in a cat
Author(s) -
Lord Samuel,
Bavcar Spela,
Lodzinska Joanna,
GozaloMarcilla Miguel
Publication year - 2020
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2020-001232
Subject(s) - medicine , butorphanol , chemodectoma , cannula , anesthesia , capnography , insufflation , lumen (anatomy) , surgery , paraganglioma
An 11‐year‐old, domestic short‐haired cat presented out‐of‐hours with a 1‐day history of dyspnoea and open‐mouthed breathing. Ninety minutes after arrival, the cat acutely deteriorated. Butorphanol (0.2 mg/kg) was administered intravenously via a preplaced cephalic vein cannula, after which anaesthesia was induced (1.3 mg/kg alfaxalone). The cat’s trachea was intubated with a 3.5 mm internal diameter cuffed endotracheal tube (ETT), but it was not possible to give a manual breath and a capnograph trace was absent; therefore the ETT was replaced with a 4.5 mm internal diameter cuffed ETT. A manual breath was still not possible but a capnograph trace was present (end‐tidal carbon dioxide tension of 95 mmHg (12.7 kPa)). Intravenous dexamethasone (0.15 mg/kg) and terbutaline (0.01 mg/kg) were administered. Computed tomography revealed a heart base mass compressing the trachea and decreasing its lumen to 1 mm diameter. The cat was euthanased due to poor prognosis. Histopathology revealed a chemodectoma.