Carbon monoxide toxicity: A case series

Allyson C. Berent, Jeffrey Todd, Jennifer Sergeeff, Lisa L. Powell

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective: To describe diagnostics, therapy, and sequelae of acute carbon monoxide (CO) toxicity because of a motor vehicle generator in 4 dogs and 2 cats. Series summary: Four dogs and 2 cats presented for recumbency, disorientation, dyspnea, and stiffness after an estimated 6-8 hour exposure to exhaust from a generator. Diagnostics included a serum carboxyhemoglobin levels evaluation, arterial blood gas analysis, pulse oximetry readings, and blood pressure measurements. Initial therapy included oxygen (O2) administration, intravenous bronchodilators, fluids, and a hemoglobin-based O2 carrying (HBOC) molecule. Following administration of the HBOC, 4 of the 6 animals showed dramatic clinical improvement. Two weeks after hospital discharge, the owner reported potential hearing deficits in all animals. Brain auditory evoked response (BAER) tests were conducted in all surviving animals and some degree of hearing impairment was documented in all cases, with complete clinical resolution noted 6 weeks later. Unique information provided: This report describes the therapeutic use of an HBOC in acute isolated CO toxicity (i.e. without the complications of smoke inhalation). In addition, delayed nervous system dysfunction was documented in all surviving animals.

Original languageEnglish (US)
Pages (from-to)128-135
Number of pages8
JournalJournal of Veterinary Emergency and Critical Care
Volume15
Issue number2
DOIs
StatePublished - Jun 2005

Keywords

  • Carboxyhemoglobin
  • Delayed nervous system dysfunction
  • Dysacousis
  • Hemoglobin-based oxygen carrying molecule

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