Successful cardiopulmonary resuscitation following cardiopulmonary arrest in a geriatric chinchilla

Christina M. Fernandez, Jamie L. Peyton, Mona Miller, Eric G Johnson, Jan P. Kovacic

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To describe the successful application of CPR in a geriatric chinchilla employing basic and advanced life support measures during cardiopulmonary arrest (CPA). Case Summary: A 13-year-old female intact chinchilla presented to a general and multispecialty referral hospital for a dental procedure. During recovery from anesthesia the patient suffered CPA and CPR was initiated. Noninvasive positive pressure mask ventilation was initiated and external chest compressions were performed. An 18-Ga needle was introduced into the medullary cavity of the right humerus as an intraosseous catheter and provided access for administration of drugs and fluids. After return of spontaneous circulation was noted mannitol was administered via the intraosseous catheter to alleviate suspected increased intracranial pressure. Clinical improvement was noted shortly after administration. Monitoring during the recovery period showed a normal sinus cardiac rhythm and a SpO2 of 100% while on supplemental oxygen. Neurologic function continued to improve over the following hours. Oxygen therapy was provided via an oxygen cage, and administration of antimicirobials, gastrointestinal protectants, and nutritional supplementation were part of the post resuscitation care. Oxygen therapy was discontinued after 24 hours, during which time normal behaviors were observed and neurologic status was considered appropriate. The patient was discharged 48 hours after CPA. New or Unique Information Provided: Published reports from clinical practice on the outcomes of CPR for exotic small mammals are limited. This report details the successful outcome of the use of combined basic and advanced life support measures for the provision of CPR in a chinchilla. This report also highlights the utility of an intraosseous catheter for administration of drugs and fluids novel to this species during resuscitation and recovery. To the authors' knowledge this is the first published report of successful CPR following CPA in a geriatric chinchilla.

Original languageEnglish (US)
Pages (from-to)657-662
Number of pages6
JournalJournal of Veterinary Emergency and Critical Care
Volume23
Issue number6
DOIs
StatePublished - Nov 2013

Fingerprint

cardiopulmonary resuscitation
Chinchilla
cardiac arrest
Cardiopulmonary Resuscitation
Heart Arrest
Geriatrics
catheters
oxygen
Oxygen
nervous system
funding
Catheters
Resuscitation
Nervous System
drugs
therapeutics
humerus
chest
sinuses
mannitol

Keywords

  • Anesthetic complication
  • CPR
  • Exotic species

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Successful cardiopulmonary resuscitation following cardiopulmonary arrest in a geriatric chinchilla. / Fernandez, Christina M.; Peyton, Jamie L.; Miller, Mona; Johnson, Eric G; Kovacic, Jan P.

In: Journal of Veterinary Emergency and Critical Care, Vol. 23, No. 6, 11.2013, p. 657-662.

Research output: Contribution to journalArticle

Fernandez, Christina M. ; Peyton, Jamie L. ; Miller, Mona ; Johnson, Eric G ; Kovacic, Jan P. / Successful cardiopulmonary resuscitation following cardiopulmonary arrest in a geriatric chinchilla. In: Journal of Veterinary Emergency and Critical Care. 2013 ; Vol. 23, No. 6. pp. 657-662.
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