{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T11:09:08Z","timestamp":1784632148255,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T00:00:00Z","timestamp":1577059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate arterial blood gas parameters and pulmonary radiography, before and after provision of continuous positive airway pressure (CPAP) via a pediatric helmet in dogs with acute hypoxemic respiratory failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Single\u2010center, observational study conducted from 2016 to 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Seventeen dogs presenting with clinical signs compatible with respiratory failure, confirmed by arterial blood gas analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>For each animal arterial blood samples and thoracic radiographs were performed at arrival (T<jats:sub>0<\/jats:sub>). Hypoxemic dogs (PaO<jats:sub>2<\/jats:sub>\u00a0&lt;80\u00a0mm\u00a0Hg), without evidence of pneumothorax or pleural effusion, received CPAP ventilation via a pediatric Helmet for at least 1 hour. At the end of CPAP ventilation, a second arterial blood gas analysis was performed at room air (T<jats:sub>1<\/jats:sub>). The F\u2010shunt was also calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurement and Main Results<\/jats:title><jats:p>Respiratory rate, heart rate and rhythm, mean blood pressure, mucosal membrane color, and rectal temperature were recorded. Tolerance to the helmet was evaluated using a predetermined scoring system. Two dogs were excluded from the study for low tolerance to the helmet. In 15 of 17 dogs, a significant difference between T<jats:sub>0<\/jats:sub> and T<jats:sub>1<\/jats:sub> was noted for PaO<jats:sub>2<\/jats:sub> (60.84\u00a0\u00b1\u00a03\u00a0mm\u00a0Hg vs 80.2\u00a0\u00b1\u00a05.5\u00a0mm\u00a0Hg), P(A\u2010a)O<jats:sub>2<\/jats:sub> (52.4\u00a0\u00b1\u00a04.4\u00a0mm\u00a0Hg vs 35.2\u00a0\u00b1\u00a06\u00a0mm\u00a0Hg), PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub> (289.7\u00a0\u00b1\u00a014.3 vs 371\u00a0\u00b1\u00a021), and %SO<jats:sub>2<\/jats:sub> (91.3 vs 98.8). In 15 of 17 dogs, the helmet was well tolerated. F\u2010shunt significantly decreased following provision of CPAP (37%; range, 8.4\u201368% vs 6%; range, \u22125.6\u201364.3%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of a pediatric helmet appears to be a suitable device for delivery of CPAP in dogs with hypoxemic acute respiratory failure. The device appears to be reasonably tolerated and improved oxygenation in most dogs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vec.12920","type":"journal-article","created":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T07:25:51Z","timestamp":1577172351000},"page":"41-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Continuous positive airway pressure (CPAP) provision with a pediatric helmet for treatment of hypoxemic acute respiratory failure in dogs"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9976-987X","authenticated-orcid":false,"given":"Gianila","family":"Ceccherini","sequence":"first","affiliation":[{"name":"Department of Veterinary Science, Veterinary Teaching Hospital University of Pisa  San Piero a Grado Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Lippi","sequence":"additional","affiliation":[{"name":"Department 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