Bronchodilators in bronchoscopy-induced airflow limitation in allergen-sensitized cats

J Vet Intern Med. 2005 Mar-Apr;19(2):161-7. doi: 10.1892/0891-6640(2005)19<161:bibali>2.0.co;2.

Abstract

This study investigated the effect of bronchoscopy and bronchoalveolar lavage (BAL) on respiratory function, determined by barometric whole-body plethysmography (BWBP), of healthy and allergen-sensitized cats. Furthermore, the efficacy of inhaled bronchodilators in preventing changes in respiratory function was determined. For test 1, 18 healthy experimental cats were investigated on day 1 by BWBP. On day 2, the cats underwent BWBP after sedation (medetomidine), after anesthesia induction (propofol), and after bronchoscopy and BAL. Enhanced pause (Penh) was significantly increased after bronchoscopy and BAL (1.64 +/- 0.17 versus 1.23 +/- 0.07, P < .05). For test 2, 6 cats were sensitized to ovalbumin (OVA), 6 cats were sensitized to Ascaris suum (AS), and 6 cats served as controls. On day 0, OVA- and AS-sensitized cats underwent an inhaled allergen challenge, whereas controls were exposed to saline. On days 1 and 2, the same protocol as described for test 1 was repeated. Post-BAL Penh of the AS-sensitized cats was significantly higher than at test 1 (2.28 +/- 0.22 versus 1.69 +/- 0.33, P < .05) and was correlated with BAL fluid neutrophil count (r = 0.55, P < .05). During tests 3, 4, and 5, the same protocol as used for test 2 was applied to each cat group, with the animals being randomly treated before sedation with inhaled salbutamol (200 microg), ipratropium bromide (40 microg), or a combination of both (200 + 40 microg). Post-BAL Penh of the AS-sensitized group was significantly decreased after the salbutamol + ipratropium bromide treatment (1.56 +/- 0.18 versus 2.28 +/- 0.22, P < .05). This study suggests that bronchoscopy and BAL induce airflow limitation in cats, which is more severe in the presence of lower airway inflammation. Inhaled salbutamol + ipratropium bromide reduce BAL-induced bronchoconstriction in AS-challenged cats and might be recommended as preventive treatment of asthmatic cats undergoing bronchoscopy.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuterol / pharmacology
  • Animals
  • Antigens / immunology
  • Ascaris suum / immunology
  • Bronchoalveolar Lavage / adverse effects*
  • Bronchodilator Agents / pharmacology*
  • Bronchoscopy / adverse effects*
  • Cat Diseases / etiology
  • Cat Diseases / immunology
  • Cat Diseases / prevention & control
  • Cats / physiology*
  • Drug Therapy, Combination
  • Dyspnea / etiology
  • Dyspnea / immunology
  • Dyspnea / prevention & control
  • Dyspnea / veterinary
  • Ipratropium / pharmacology
  • Ovalbumin / immunology
  • Plethysmography, Whole Body / veterinary
  • Pulmonary Ventilation / drug effects*

Substances

  • Antigens
  • Bronchodilator Agents
  • Ovalbumin
  • Ipratropium
  • Albuterol