Evaluation of oxygen administration with a high-flow nasal cannula to clinically normal dogs

Am J Vet Res. 2017 May;78(5):624-630. doi: 10.2460/ajvr.78.5.624.

Abstract

OBJECTIVE To evaluate the safety and efficacy of oxygen administration by use of a high-flow nasal cannula (HFNC) in sedated clinically normal dogs. ANIMALS 6 healthy adult dogs undergoing routine dental prophylaxis. PROCEDURES Dogs were sedated with butorphanol tartrate and dexmedetomidine. An esophageal balloon catheter was inserted into the esophagus, a double-pronged nasal cannula was inserted into the nares, and a catheter was inserted into the dorsal pedal artery. Dogs were positioned in right lateral recumbency. After a 6-minute acclimation period, baseline blood gas values and transpulmonary pressure were measured. Dogs then received supplemental oxygen via conventional oxygen therapy (COT) at a rate of 100 mL/kg/min (COT-100 treatment) and an HFNC at a rate of 20 L/min (HF-20 treatment) and 30 L/min (HF-30 treatment). Arterial blood gas and transpulmonary pressure were measured after a 6-minute acclimation period for each oxygen delivery method. Radiographs were obtained before and after oxygen administration to evaluate gastric distension. RESULTS Median Pao2 was significantly higher for HF-20 (519.9 mm Hg) and HF-30 (538.1 mm Hg) treatments, compared with median Pao2 for the COT-100 treatment (202.9 mm Hg). The Pao2 did not differ significantly between the HF-20 and HF-30 treatments. There was no significant difference in Paco2 or change in transpulmonary pressure between baseline and any oxygen delivery method. CONCLUSIONS AND CLINICAL RELEVANCE In this study, HFNC appeared to be a safe and effective method for oxygen delivery to sedated healthy dogs. Further studies are needed to evaluate use of HFNCs for oxygen administration to hypoxemic patients.

MeSH terms

  • Animals
  • Blood Gas Analysis
  • Blood Pressure
  • Butorphanol / administration & dosage
  • Cannula / adverse effects
  • Cannula / veterinary*
  • Catheters / veterinary
  • Dexmedetomidine / administration & dosage
  • Dogs*
  • Hypnotics and Sedatives / administration & dosage
  • Oxygen / administration & dosage*
  • Oxygen / blood

Substances

  • Hypnotics and Sedatives
  • Dexmedetomidine
  • Butorphanol
  • Oxygen