Page 2787 - Cote clinical veterinary advisor dogs and cats 4th

Upper Airway Obstruction/Choking 1453
Upper Airway Obstruction/Choking
VetBooks.ir
No
• Intubate and ventilate
• Tracheostomy if needed
• Pursue cause
UPDATED AND EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Scott P. Shaw, DVM, DACVECC
Upper airway obstruction
Conscious?
Yes
Suspect dynamic obstruction
(e.g., laryngeal paralysis)?
No Yes
• Laryngeal exam (biopsy • Sedate (acepromazine
mass or abnormal tissue, or butorphanol)
remove foreign body) • Supplemental oxygen
• Intubate • Monitor for decline
• Tracheostomy if needed • Consider glucocorticoids
No change or worse Functional laryngeal exam,
with treatment of identified
abnormalities (e.g., arytenoid
lateralization for laryngeal
paralysis, soft palate
resection for elongated
palate)
Clinical Algorithms
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