TY - JOUR KW - anatomy KW - histology KW - trachea KW - surgery KW - complications AU - J Zimmermann AU - S Vincenti AB -

Permanent tracheostomy in cats is associated with a high rate of complications and mortality. The aim of this study was to compare surgical methods and post-operative care protocols for tracheostomy in cats and children. Therefore, a literature research was performed using online databases and common textbook chapters. Sixty-six publications were identified for this review. The results showed, that in many ways the feline and pediatric respiratory tract are very similar. However, the feline respiratory tract has significantly more respiratory glands, which extend further into the bronchioles. This increases the risk of excessive mucus secretion after tracheostomy. To date, precise anatomical dimensions of the feline trachea have not been documented. In pediatric medicine, surgical and postoperative treatment protocols for permanent tracheostomy are well researched, which keeps complication and mortality rates low. Only one surgical procedure for permanent tracheostomy of the feline patient has been described and no standardized postoperative guidelines exist. In order to establish and optimize surgical protocols for the cat, further studies of the feline tracheal dimensions are warranted. The effect of the alteration of mucosal glands with chronic irritation are needed to help reduce excessive mucus secretion. Standardized postoperative guidelines should be established for medical staff and owners.
 

BT - Kleintierpraxis CY - Hannover DA - 07/2022 DO - 10.2377/0023-2076-67-372 ET - 7 LA - English N2 -

Permanent tracheostomy in cats is associated with a high rate of complications and mortality. The aim of this study was to compare surgical methods and post-operative care protocols for tracheostomy in cats and children. Therefore, a literature research was performed using online databases and common textbook chapters. Sixty-six publications were identified for this review. The results showed, that in many ways the feline and pediatric respiratory tract are very similar. However, the feline respiratory tract has significantly more respiratory glands, which extend further into the bronchioles. This increases the risk of excessive mucus secretion after tracheostomy. To date, precise anatomical dimensions of the feline trachea have not been documented. In pediatric medicine, surgical and postoperative treatment protocols for permanent tracheostomy are well researched, which keeps complication and mortality rates low. Only one surgical procedure for permanent tracheostomy of the feline patient has been described and no standardized postoperative guidelines exist. In order to establish and optimize surgical protocols for the cat, further studies of the feline tracheal dimensions are warranted. The effect of the alteration of mucosal glands with chronic irritation are needed to help reduce excessive mucus secretion. Standardized postoperative guidelines should be established for medical staff and owners.
 

PB - M. & H. Schaper GmbH PP - Hannover PY - 2022 EP - 372–385 T1 - Comparing aspects of permanent tracheostomy between cats and children – can we learn from pediatric medicine? T2 - Kleintierpraxis TI - Comparing aspects of permanent tracheostomy between cats and children – can we learn from pediatric medicine? TT - Vergleichende Aspekte der permanenten Tracheotomie bei Katzen und Kindern – können wir von der Kindermedizin lernen? VL - 67 SN - 0023-2076 ER -