Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs

Abstract Background Urinary bladder volume (UBV) and urine residual volume (URV) provide important information for hospitalized dogs and might allow recognition of urine retention. Objective Using 3‐dimensional (3D) ultrasound to monitor daily URV is a safe and effective way to recognize urinary ret...

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Main Authors: Edward J. Vasquez, Allison Kendall, Sarah Musulin, Shelly L. Vaden
Format: Article
Language:English
Published: Wiley 2021-09-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.16232
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author Edward J. Vasquez
Allison Kendall
Sarah Musulin
Shelly L. Vaden
author_facet Edward J. Vasquez
Allison Kendall
Sarah Musulin
Shelly L. Vaden
author_sort Edward J. Vasquez
collection DOAJ
description Abstract Background Urinary bladder volume (UBV) and urine residual volume (URV) provide important information for hospitalized dogs and might allow recognition of urine retention. Objective Using 3‐dimensional (3D) ultrasound to monitor daily URV is a safe and effective way to recognize urinary retention. Animals Twenty‐five client‐owned hospitalized dogs. Methods Prospective, observational study. UBV and URV were measured using 3D ultrasound daily at approximately the same time. UBV was measured, the dog was taken for a 5‐minute controlled leash walk, then URV was estimated. Concurrent use of opioids, anesthetics, and fluids administered IV were recorded. Results Daily URVs were >0.4 mL/kg in 22 of 25 dogs on at least 1 day of hospitalization. Seventeen of 25 dogs had an abnormal URV at the time of discharge. Of 18 dogs that were anesthetized while hospitalized, 16 had a URV >0.4 mL/kg with a mean of 4.34 mL/kg (range, 0.5‐13.4 mL/kg). No statistical difference in degree of URV was found based on the use of anesthesia, administration of fluids IV, or opioids. Weight was significantly associated with URV; dogs <10 kg had a higher URV per unit mass than dogs >10 kg (P = .001). Conclusions and Clinical Importance Use of a 3D ultrasound device to measure daily UBV and URV in hospitalized dogs provides a safe estimate of bladder volume in real‐time. Monitoring daily URV might help in early identification of patients that are retaining urine, thereby preventing potential adverse effects of urethral catheterization or prolonged urinary retention.
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spelling doaj.art-fb5ea224cda3468d9cafef5e9ba27e682022-12-21T22:08:07ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762021-09-013552256226210.1111/jvim.16232Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogsEdward J. Vasquez0Allison Kendall1Sarah Musulin2Shelly L. Vaden3Department of Clinical Sciences College of Veterinary Medicine, North Carolina State University Raleigh NC 27607 USADepartment of Clinical Sciences College of Veterinary Medicine, North Carolina State University Raleigh NC 27607 USADepartment of Clinical Sciences College of Veterinary Medicine, North Carolina State University Raleigh NC 27607 USADepartment of Clinical Sciences College of Veterinary Medicine, North Carolina State University Raleigh NC 27607 USAAbstract Background Urinary bladder volume (UBV) and urine residual volume (URV) provide important information for hospitalized dogs and might allow recognition of urine retention. Objective Using 3‐dimensional (3D) ultrasound to monitor daily URV is a safe and effective way to recognize urinary retention. Animals Twenty‐five client‐owned hospitalized dogs. Methods Prospective, observational study. UBV and URV were measured using 3D ultrasound daily at approximately the same time. UBV was measured, the dog was taken for a 5‐minute controlled leash walk, then URV was estimated. Concurrent use of opioids, anesthetics, and fluids administered IV were recorded. Results Daily URVs were >0.4 mL/kg in 22 of 25 dogs on at least 1 day of hospitalization. Seventeen of 25 dogs had an abnormal URV at the time of discharge. Of 18 dogs that were anesthetized while hospitalized, 16 had a URV >0.4 mL/kg with a mean of 4.34 mL/kg (range, 0.5‐13.4 mL/kg). No statistical difference in degree of URV was found based on the use of anesthesia, administration of fluids IV, or opioids. Weight was significantly associated with URV; dogs <10 kg had a higher URV per unit mass than dogs >10 kg (P = .001). Conclusions and Clinical Importance Use of a 3D ultrasound device to measure daily UBV and URV in hospitalized dogs provides a safe estimate of bladder volume in real‐time. Monitoring daily URV might help in early identification of patients that are retaining urine, thereby preventing potential adverse effects of urethral catheterization or prolonged urinary retention.https://doi.org/10.1111/jvim.16232bladder volumedogsultrasoundurineurine residual volume
spellingShingle Edward J. Vasquez
Allison Kendall
Sarah Musulin
Shelly L. Vaden
Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
Journal of Veterinary Internal Medicine
bladder volume
dogs
ultrasound
urine
urine residual volume
title Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
title_full Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
title_fullStr Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
title_full_unstemmed Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
title_short Three‐dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
title_sort three dimensional bladder ultrasound to measure daily urinary bladder volume in hospitalized dogs
topic bladder volume
dogs
ultrasound
urine
urine residual volume
url https://doi.org/10.1111/jvim.16232
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