Article ; Online: Impact of cytidine diphosphocholine on oxygenation in client-owned dogs with aspiration pneumonia.
Journal of veterinary internal medicine
2022 Volume 36, Issue 3, Page(s) 1089–1099
Abstract: Background: New drugs for veterinary patients with acute respiratory distress syndrome (ARDS) are urgently needed. Early or late postinfection treatment of influenza-infected mice with the liponucleotide cytidine diphosphocholine (CDP-choline) resulted ... ...
Abstract | Background: New drugs for veterinary patients with acute respiratory distress syndrome (ARDS) are urgently needed. Early or late postinfection treatment of influenza-infected mice with the liponucleotide cytidine diphosphocholine (CDP-choline) resulted in decreased hypoxemia, pulmonary edema, lung dysfunction, and inflammation without altering viral replication. These findings suggested CDP-choline could have benefit as adjunctive treatment for ARDS in veterinary patients (VetARDS). Objectives: Determine if parenterally administered CDP-choline can attenuate mild VetARDS in dogs with aspiration pneumonia. Animals: Dogs admitted to a veterinary intensive care unit (ICU) for aspiration pneumonia. Methods: Subjects were enrolled in a randomized, double-blinded, placebo-controlled trial of treatment with vehicle (0.1 mL/kg sterile 0.9% saline, IV; n = 8) or CDP-choline (5 mg/kg in 0.1 mL/kg 0.9% saline, IV; n = 9) q12h over the first 48 hours after ICU admission. Results: No significant differences in signalment or clinical findings were found between placebo- and CDP-choline-treated dogs on admission. All dogs exhibited tachycardia, tachypnea, hypertension, hypoxemia, hypocapnia, lymphopenia, and neutrophilia. CDP-choline administration resulted in rapid, progressive, and clinically relevant increases in oxygenation as determined by pulse oximetry and ratios of arterial oxygen partial pressure (P Conclusions and clinical importance: Ctyidine diphosphcholine acts rapidly to promote gas exchange in dogs with naturally occurring aspiration pneumonia and is a potential adjunctive treatment in VetARDS patients. |
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MeSH term(s) | Animals ; Dogs ; Cytidine ; Cytidine Diphosphate Choline/therapeutic use ; Dog Diseases/drug therapy ; Hypoxia/drug therapy ; Hypoxia/veterinary ; Lung ; Oxygen/therapeutic use ; Pneumonia, Aspiration/veterinary ; Respiratory Distress Syndrome/veterinary ; Saline Solution |
Chemical Substances | Cytidine (5CSZ8459RP) ; Cytidine Diphosphate Choline (536BQ2JVC7) ; Oxygen (S88TT14065) ; Saline Solution |
Language | English |
Publishing date | 2022-04-29 |
Publishing country | United States |
Document type | Journal Article ; Randomized Controlled Trial, Veterinary |
ZDB-ID | 92798-3 |
ISSN | 1939-1676 ; 0891-6640 |
ISSN (online) | 1939-1676 |
ISSN | 0891-6640 |
DOI | 10.1111/jvim.16434 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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