Browsing by Author "Sharma Kunal Manojkumar"

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    Management of Surgical Affections of High-Rise Syndrome in Feline
    (MAFSU, Nagpur, 2024-04-10) Sharma Kunal Manojkumar; Tripathi, S. D.
    The research project entitled “Management of surgical affections of high-rise syndrome in feline” was undertaken to study the incidence and the surgico-therapeutic management of different surgical affections associated with high-rise syndrome (HRS) and also to study the changes in haemato-biochemical along with serum lactate levels in feline high rise syndrome. The prevalence of feline high-rise syndrome in Mumbai city was found to be 9.82% from January 2023 to November 2023, while the incidence of HRS in BSDPHA in the prospective study was found to be 7.5%. Out of the total high-rise syndrome cases reported in the retrospective study, 146 cases (19%) were related to cleft palate (n=146/772) followed by 70 cases (9%) of mandibular fractures (n=70/772) and 49 cases (6%) of ocular trauma (n=49/772) and 89 cases (11%) were related to pneumothorax (n=89/772). 14% of the HRS cases reported were related to femur fracture (n=110/772), 12% were related to tibia fracture (n=89/772), 11% were related to pelvic fractures (n=85/772), 7% were related to spinal trauma (n=55/772), 3%) were related to the humerus fracture (n=20/772), 6% were related to radius ulna fracture (n=50/772) and 3% were related to metacarpal affections (n=20/772) respectively. In the prospective study, out of 30 cases, 6 cases (20%) were of cleft palate (n=6), 8 cases (26.66%) were of spinal affections which include compression (n=8), luxation or fracture. 2 cases (6.6%) were of mandibular symphysial fracture (n=2), 3 cases (10%) were of tibial fractures (n=3), 3 cases (10%) of radius ulna affections (n=3) 6 cases (20%) were related to femur affections (n=6), 1 case (3.3%) was of pelvis fracture (n=1) and 1 case (3.3%) of humerus affections (n=1) were noted. There were 30 cases of incidence which had a history of falling from a height amongst which 15 were DSH cats & 15 were Persian cat breeds. 60% of cases reported were males and 40 % of cases were females. It was noted that 10% of male cats were neutered and 50% were non neutered. Female cats had 6 cases which were neutered and non-neutered adding 20% each respectively in feline high-rise cases. Non neutered males showed higher incidence of fallen from height in comparison with neutered males whereas females which were neutered or non-neutered reported in same numbers. The cases which had fallen from lower floors (2-4 floors) had orofacial manifestations such as cleft palate, eyeball proptosis, mandibular symphysial fracture and above 4th floors showed orthopaedic affections such as femoral fracture, tibial fractures, pelvic fractures or spinal compressions, luxations. All the cases were pre anaesthetized with Butorphanol (0.2 mg/kg BW IV) and immediately by Midazolam (0.2 mg/kg BW IV) and anaesthetized with Propofol (3-5 mg/kg BW IV) and intermittent maintenance with Propofol (1-3 mg/kg BW IV). There was a significant decrease in total erythrocyte count, neutrophil count, lymphocyte count, alanine transaminase, alanine aminotransferase, alkaline phosphatase, Bilirubin total and Bilirubin indirect respectively. Serum lactate also showed a significant decrease after surgico-therapeutic management of HRS cases. Increased serum lactate levels were also associated with increased days of hospitalization and prognosis of the patient. Serum lactate values also increased with an increase in floors from which the cases had fallen. Results suggested that feline high-rise patients can be stabilized with basic protocol and triage evaluation along with diagnostic tests and imaging techniques. From this study, it can be concluded that initial stabilization of cats with therapeutic management followed by surgicotherapeutic management of orofacial, orthopaedic and vertebral injuries in cats can help saving the lives of the majority of the patients (70%, n=21).