搜索结果：Journal of the American Veterinary Medical Association

To describe the effect of bronchoalveolar lavage (BAL) on the ultrasonographic and radiographic appearances of lungs of horses being evaluated for equine asthma syndrome (EAS). Prospective observational study enrolling 32 adult horses evaluated for EAS. Ultrasonographic and radiographic examinations of the thorax were performed before and within 3 hours following BAL and scored using previously validated systems. The differences in scores between groups (normal, mild EAS, moderate/severe EAS) were evaluated through the Kruskal-Wallis test, and the differences in scores before and following BAL were evaluated by the Wilcoxon signed-rank test (paired test). Statistical significance was set at P < .05. There were significant increases in the total ultrasonographic and radiographic scores in the overall group following BAL. Ultrasonographically, there was a statistically significant increase in score on the right side following BAL; radiographically, the score was significantly higher following BAL in the caudoventral lung and caudodorsal lung. There was no correlation between the magnitude of ultrasonographic score increase, the percent recovery of BAL fluid (BALF), and the percent of neutrophils on BAL fluid cytology. The BAL procedure can induce changes in the ultrasonographic and radiographic appearances of lungs in horses evaluated for suspicion of EAS. Clinicians should be aware of these imaging changes when evaluating horses for EAS and ruling out other differential diagnoses.

The purpose of this scoping review was to compile reported outcomes in relation to service-learning in veterinary medicine and identify underrepresented areas that warrant further initiative to support a more intentional model of community partnership. The Bramer et al method was utilized in this scoping review across 3 bibliographic databases to obtain a comprehensive literature search, yielding 715 eligible publications for screening. The screening process was charted with the use of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. All citations were initially double-screened, with conflicts resolved by a third reviewer; in the final stages, fulltext screening was conducted by 2 reviewers. Only models of veterinary service-learning publications were included in the review, excluding all those in which education of veterinary students was not the primary population. Results yielded 36 studies for review that all documented student-centered outcomes, with only 12 mentioning community partners. Six core themes were noted across the studies evaluated, including skill building, shaping of career motivations and identity, mentorship as a support structure, and development of empathy and social justice orientation. While community engagement models in veterinary medicine are mutually beneficial by design, with clear benefits to experiential learning, there has been a lack of exploration past an internal institutionalized focus with limited representation of community perspective. A clearer understanding of community outcomes in service-learning programs is critical in supporting an equitable program design that offers a more meaningful and ethical clinical practice model while, in parallel, meeting the needs of the populations they aim to serve.

Honey bees (Apis mellifera) are food-producing animals. Veterinarians are necessary to provide appropriate antibiotic treatment for bees and can support beekeepers by learning to diagnose diseases, manage parasites, and provide nutritional and husbandry recommendations similar to other livestock industries. The objective of this study was to identify the challenges faced by veterinarians contemplating the addition of honey bee medicine to their practice. In this observational, cross-sectional study, the survey was deployed via multiple electronic avenues across the US to veterinarians, veterinary technicians, and veterinary students starting on February 20, 2023. Information from the first 22 months of data collection is included herein. Survey response frequency distributions are presented as counts and percentages and associations between variables as &#x3c7;2 and P values. On the basis of survey distribution channels, self-selection bias is expected to be present. Nearly 1,400 surveys were included in the analysis. Over half of the respondents indicated moderate to high interest in working with beekeepers. Numerous challenges were identified; the most commonly cited (40.2%) was a lack of knowledge, education, skills, and training. The challenges identified did not vary by type of practice, but did vary significantly by interest level. While interest levels are high, many barriers to accepting beekeeping clients have been identified. As a livestock species upon which we are highly dependent for food production, honey bees are suffering from an unacceptable mortality rate. There is both a need and opportunity for veterinarians to engage in this important and emerging area of practice.

To examine the effectiveness of crowdfunding by veterinary clients hoping to defray the costs of pacemaker implantation in dogs. Data were collected from all fundraising campaigns on the GoFundMe website looking to help cover costs of canine pacemaker implantation. Efficacy was defined as the percentage of the target amount raised, and success was defined as raising &#x2265; 80% of the target amount. Relationships between the target amount or campaign age and percentage raised and the target amount over time were examined. Finally, costs of pacemaker implantation from various geographic regions were compared. 76 campaigns were identified. Only 10% raised the target amount, 16% of campaigns succeeded in raising > 80% of the target amount, 10% failed to raise any funds, and 50% raised < 50% of their target amount. Success was not related to the target amount or age of the campaign. Pacemaker implantation costs differed between regions: costs in Europe were lowest, and those in North America were highest. Only approximately 10% of crowdfunding campaigns succeed in raising at least 80% of their target amount. The percentage raised is weakly associated with the target amount and very weakly associated with the age of the campaign. The target amounts have not changed substantially over the existence of the GoFundMe website. Finally, pacemaker implantation costs are greatest in North America and lowest in Europe. Clients should not expect to raise funds sufficient to cover the costs of pacemaker implantation using crowdfunding, and veterinarians should explain the probabilities of success with crowdfunding campaigns.

To document the opinions of owners presenting to veterinary teaching hospitals regarding the disclosure of medical errors. This cross-sectional study surveyed pet owners from 7 veterinary teaching hospitals in the US from 2021 to 2022. Data collected included demographics, personality traits, animal ownership, animal death experiences, animal-owner bond, and experiences with medical error. Multivariate regression models were built to assess the relationship between the belief that medical errors are inevitable and respondent characteristics. A total of 5,026 pet owners completed the survey, and 1,629 people provided descriptive accounts. The belief that medical errors are inevitable was negatively associated with extroversion and positively associated with education level. The majority (72%) indicated that they wanted to know about every medical error, 72% wanted to be notified immediately if an error occurred, and 88% wanted to know if a medical error had the potential to cause harm to their pet. The vast majority of respondents (87%) indicated that when a veterinarian poorly communicated about medical errors, they lost trust in the practitioner. When a veterinarian communicated a medical error well, 58% reported an improvement in trust. Respondents indicated that errors in communication, treatment, and diagnosis resulted in negative patient case outcomes. Participants in this study wanted to know about all medical errors and wanted to be informed of those errors immediately. Communication, misdiagnosis, and treatment errors leading to poor case outcomes were reasons pet owners believed errors occur. Veterinarians should be prepared to communicate completely with clients when a medical error occurs.

To evaluate risk factors for the recurrence of teat fistulas following surgery and to assess the long-term outcomes of surgery for teat fistulas in lactating dairy cows. A retrospective case series was conducted on 92 lactating dairy cows that underwent surgical repair for congenital or acquired teat fistulas from 1994 to 2019 at the Veterinary Teaching Hospital of Urmia University, Iran. Acquired fistulas were further subdivided etiologically into 2 distinct categories: (1) primary chronic fistulas, defined as full-thickness teat lacerations that were not recognized promptly and healed by second intention, and (2) surgery-related fistulas, defined as fistulas arising as a postoperative complication of primary laceration closure. Defects were closed using a 2- or 3-layer technique with polyglactin 910 or chromic gut sutures. A binary logistic regression model was used to analyze the association between fistula recurrence and the predictor variables in cows with acquired fistulas. Surgical repair was uniformly successful for congenital fistulas, whereas the overall recurrence rate following surgery for acquired fistulas was 40.5%. The presence of postsurgical mastitis was the most significant risk factor, increasing the odds of recurrence more than 16-fold. Holstein cows with surgery-related fistulas had 4.7 times the odds of recurrence compared with Holsteins with primary chronic fistulas. The prognosis is favorable for congenital teat fistulas, while it is guarded for acquired fistulas. Postoperative mastitis is a profound risk factor for failure. Successful surgical outcomes depend more on infection control than the specific choice of closure technique or suture material.

To assess lameness prevalence and associations between lameness and animal- and husbandry-related factors at the pen and farm levels of finishing pigs at 2 ages in 3 states. In 3 states, farms were visited when pigs were at 15 &#xb1; 2 weeks and 21 &#xb1; 2 weeks of age from February 20, 2023, to July 31, 2024. Pigs were scored for lameness from 0 (not lame) to 2 (moderate to severe lameness), and farm- and pen-level factors were recorded. Associations between these factors and lameness prevalence at the pen and farm levels were assessed with binomial generalized linear mixed models. 53 farms were visited at least once. At the farm level, poor feeder adjustment and pelleted feed were associated with increased lameness. The presence of porcine reproductive and respiratory syndrome virus (PRRSV) antibody and Mycoplasma hyosynoviae were associated with decreased lameness. At visit 1, feed levels of zearalenone and zinc were associated with increased and decreased risk of lameness, respectively. At the second visit, lameness prevalence on visit 1 was the strongest predictor, while increased space allowance was associated with decreased lameness. Lameness in finishing pigs is multifactorial. Feed, husbandry, and facilities play a role. The decrease in lameness associated with pathogens detected by oral fluids should be further studied. A multifactorial approach to decreasing lameness in growing pigs is needed. Costs should be weighed against economic impacts of lameness and pig welfare. Veterinarians should submit lameness cases to laboratories to explore the role of pathogens in the etiology of lameness.

This study aimed to describe clinical characteristics, prognosis, and therapeutic approaches for central corneal degeneration syndrome (CCDS) in dogs. 11 eyes from 9 client-owned dogs diagnosed with CCDS between 2015 and 2024. CCDS was diagnosed on the basis of the presence of central corneal facets that progressively deepened and widened in the absence of corneal ulceration. The mean age at diagnosis was 14.2 years (range, 10 to 17 years). At the time of diagnosis, the facet depth was < 50% in 5 eyes, between 50% and 90% in 4 eyes, and > 90% in 2 eyes. The lesions were located in the axial cornea in 5 eyes and in the paraxial cornea in 6 eyes. At the final follow-up (mean follow-up period, 500.2 days; range, 87 to 1,195 days), progression of the facet depth to > 90% was observed in 10 of 11 eyes. Corneal perforation occurred in 3 eyes, and 2 unperforated eyes underwent corneoconjunctival transposition, resulting in restoration of normal corneal thickness. CCDS is a rare condition in dogs, characterized by progressive thinning of the axial or paraxial corneal stroma without evidence of corneal ulceration, leading to the formation of corneal facets, potentially resulting in corneal perforation. Our findings suggested that CCDS occurs exclusively in older dogs and may be bilateral in some cases. When there is a risk of corneal perforation, surgical intervention, such as corneoconjunctival transposition, is recommended.

To describe the complications and short-term outcome following the use of perioperative nasotracheal oxygen administered through a nasotracheal tube (NTT) placed prophylactically or as a rescue during anesthetic recovery for brachycephalic dogs. 35 brachycephalic dogs were included in this retrospective study. Medical records were searched between January 2017 and September 2025 for dogs with brachycephalic obstructive airway syndrome that received supplemental oxygen through an NTT during the anesthetic recovery period. Dogs were divided into 2 groups depending on timing of tube placement. Tubes were placed prophylactically prior to extubation or as a rescue when reintubation was required. Follow-up information was obtained from medical records, referring veterinarians, or a phone call with the owner. Minor complications associated with NTTs occurred in 23% of dogs (8 of 35). Non-tube-related complications occurred in 63% of dogs (22 of 35), with severe respiratory complications occurring in 17% of dogs (6 of 35). Four of 6 dogs (67%) with severe respiratory complications had rescue tubes. Nasotracheal tubes were successful in 66% of dogs (23 of 35). Success was associated with 10-Fr or larger tubes. Nasotracheal oxygen supplementation was another tool to assist in successful anesthetic recovery of high-risk brachycephalic dogs. Larger tubes were associated with improved success rates. NTTs placed either prophylactically or as a rescue were generally well tolerated. Dogs that undergo rescue tube placement may experience severe postoperative respiratory complications, including temporary tracheostomy, need for mechanical ventilation, and euthanasia or death. Further evaluation on timing of NTT placement is warranted.

To determine the efficacy of lorazepam in reducing the rate of recurrence in first-time feline urethral obstruction (UO) and frequency of lower urinary tract (LUT) signs following hospitalization, as well as adverse effects of the medication. This was a prospective, randomized, double-blinded, placebo-controlled study of 80 client-owned male cats presenting to a university teaching hospital with UO between 2021 and 2025. Cats with urolithiasis or urinary tract infection were excluded. Cats received lorazepam or placebo for 1 month after hospitalization for UO. 41 cats received lorazepam and 39 cats received placebo. Sixty-four cats completed the study. Five of 64 cats experienced recurrence of UO, all receiving placebo. No cats receiving lorazepam had UO recurrence (0%; 95% CI, 0.0% to 10.9%) compared to the placebo group (15.7%; 95% CI, 5.2% to 33.7%); this was statistically significant. There was a statistically significant reduction in LUT signs for 2 of 33 cats during days 8 to 15 (95% CI, 0.7% to 20.2%) and 1 of 31 cats during days 16 to 30 (95% CI, 0.1% to 16.7%) for the lorazepam group. Ataxia was the only statistically significant side effect of lorazepam, occurring in 4 of 31 cats (13%); other reported effects included sedation, increased appetite, and vocalization. Lorazepam administration was associated with a reduction in the recurrence of UO in this study population, as well as reduced LUT signs compared to cats receiving placebo. Lorazepam administration was found to be safe. Lorazepam may be used safely in the reduction of both recurrent UO and LUT signs following alleviation of UO in male cats.

To report the proportion, pathogenic bacterial isolates (PBIs), and colonization rate of open, appendicular fractures in dogs and cats. To evaluate whether the time to antibiotic administration and to definitive surgical debridement was associated with colonization rate, number of PBIs, complication rate, or complication severity. The electronic medical records of patients transferred to a veterinary referral center's surgery department between September 2019 and August 2024 were reviewed. Data were collected for all dogs and cats transferred with fractures. All cases with open fractures were included for bacterial isolate and antibiotic susceptibility reporting and statistical analysis. 466 dogs and cats were transferred for fracture management. Open fractures occurred in 44 of 357 dogs (12%) and 11 of 70 cats (16%) with appendicular fractures. Thirty-two dogs and 6 cats were included for statistical analysis and had culture results reported. Twenty-one fractures grew 42 PBIs from 15 genera. The most frequently cultured isolates included 22 Enterobacterales and 9 Enterococcus sp. There was an increased frequency of gram-negative aerobes compared to human medicine. There was a 47% complication rate including 3 minor, 13 major, and 1 catastrophic complication. Open fractures in dogs and cats appeared to be colonized with a higher proportion of gram-negative aerobes than human patients. Empiric antibiotic therapy for open fractures in dogs and cats should cover gram-positive and gram-negative aerobes. Monotherapy with penicillins or cephalosporins may not provide sufficient antibiotic coverage due to frequent resistance.

Equine minimally invasive soft tissue surgical techniques have increased in demand and frequency with concurrent expansion of training programs under the oversight of the American College of Veterinary Surgeons. Benefits of recent advances in laparoscopic techniques include reduced cost and risk associated with general anesthesia and anesthetic recovery, improved visualization of the surgical field relative to open procedures, and more rapid return to performance, further improving patient welfare and limiting economic loss to the industry following surgical interventions. The evolution of laparoscopic techniques and instrumentation in human and veterinary practice predates contemporary practice by more than a thousand years. Current strategies in equine minimally invasive surgery emphasize applications related to gastrointestinal and urogenital disease, with thoracoscopic approaches less frequently applied, representing an area for growth in the field. This review seeks to summarize the origins and development of laparoscopic procedures and instrumentation in large animal surgery, current applications, and opportunities for expansion to meet evolving surgical demands such as integration of NOTES (ie, natural orifice transluminal endoscopic surgery), near-infrared technology for improved perfusion and lymphatic detection, and robotic control options. The overall aim is to provide background and incorporate perspectives from small animal and human practice toward a One Health approach to enhance acceptance and integration of minimally invasive procedures in large animal surgery.

To identify the most frequent underlying causes of chylothorax in cats and to assess whether clinical and laboratory findings at presentation could predict etiology and outcome. Cats diagnosed with chylothorax were retrospectively enrolled in 2 veterinary centers between 2006 and 2022. Data collected for each case included signalment, history, physical examination findings, pleural effusion analysis, hematologic and imaging results, etiology, treatment (medical and/or surgical), and survival time. Descriptive statistics and multinomial logistic regression were used to identify markers of etiology. Associations with survival were assessed with the Cox proportional hazards models. 35 cats met the inclusion criteria. Cardiac disease was the most common etiology (57%), followed by idiopathic (31%), neoplasia (9%), and peritoneopericardial diaphragmatic hernia (3%). Cats with neoplastic chylothorax were significantly older than those in other etiologic groups. Cats with cardiac chylothorax had a higher left atrial-to-aortic ratio (median, 2.4) than cats in other etiologic groups (< 1.4). Median survival times for cardiac, idiopathic, neoplastic, and peritoneopericardial diaphragmatic hernia etiology were 172, 416, 38, and 27 days, respectively. Regardless of the chylothorax etiology, survival was negatively correlated to older cats and low rectal temperature on initial arrival to the hospital. Cardiac disease was the predominant cause of chylothorax. All cats with a left atrial-to-aortic ratio > 1.4 had a cardiac etiology. All cats aged over 14 years had a neoplastic etiology. Felines with a cardiac etiology had a poorer prognosis than idiopathic cases. Neoplastic cats had the shortest survival time. An echocardiogram should be considered for all cats diagnosed with chylothorax.

To describe the clinical presentation, perioperative variables, surgical management, and outcomes in cats that underwent surgery for biliary cystadenomas. 21 cats met inclusion criteria. These cats had surgery for biliary cystadenomas between 2008 and 2023, with a corresponding histopathologic diagnosis. Cats were reported as domestic shorthair (15 of 21), domestic longhair (3 of 21), Himalayan (1 of 21), Ragdoll (1 of 21), and Persian (1 of 21). This included 13 neutered males and 8 spayed females with a median age of 13 years. Cats most commonly presented with nonspecific clinical signs such as vomiting, weight loss, hyporexia, and lethargy. Cats were occasionally subclinical with a liver mass identified on physical examination or abdominal imaging. Surgery was pursued based on a variety of factors, including comorbidities requiring surgery, features of the mass, and clinical signs attributed to the mass. Major surgical complications were uncommon, and the perioperative mortality rate was 10% (2 of 21). Three cats had concerns for malignant transformation on histopathology. The recurrence rate was 22% (4 of 18) for the cats with follow-up. The biliary cystadenoma was not the life-limiting issue for cats that survived the perioperative period. The median survival time was 570 days with 1-, 2-, and 3-year survival rates of 67%, 43%, and 15%, respectively. Cats had positive short-term outcomes and long-term prognosis, and surgery should be considered for suspected biliary cystadenomas to obtain a definitive diagnosis and address associated morbidity. The potential for malignant transformation exists for feline biliary cystadenomas.

To assess whether thoracic radiographs in dogs with gastric dilatation-volvulus (GDV) are associated with the decision to proceed with surgery and survival to discharge. A retrospective cohort study of dogs with GDV confirmed on right lateral abdominal radiographs at a single referral hospital (Veterinary Emergency Clinic and Referral Centre, Toronto, Ontario) from January 2000 to March 2025. Dogs with thoracic radiographs (or documented interpretation), complete signalment, and survival-to-discharge data were included. Thoracic findings were recorded and evaluated for associations with surgery and survival. Of 176 included dogs, 16 (9.1%) had findings suggestive of aspiration pneumonia and 15 (8.5%) had cardiomegaly. One dog had a solitary soft tissue opacity recorded as a structured interstitial pulmonary abnormality; none had evidence of disseminated pulmonary metastasis. Surgery was performed in 171 of 176 dogs (97.2%), and 162 of 171 (94.7%) survived to discharge. Radiographic findings suggestive of aspiration pneumonia and cardiomegaly were not associated with whether surgery was performed or survival to discharge. In dogs with GDV and documented thoracic radiographs, thoracic radiographic abnormalities were not associated with the decision to proceed with surgery or survival to discharge. Thoracic radiography findings were not associated with surgical decision-making or short-term survival in this cohort, suggesting limitations in the prognostic utility of routine thoracic radiography in dogs with GDV, although thoracic imaging may still provide clinically relevant information in select cases.

To quantitatively assess veterinarian perceptions of barriers and solutions to pet nutrition communication during small animal appointments in the US and Canada. An anonymous online survey was circulated by the Veterinary Information Network to its members between March 28 and April 13, 2022. Respondents included veterinarians in active practice. The survey included fixed-choice and free-text response items. Fixed-choice items were tabulated with R software. Free-text items were coded thematically with Atlas.ti software. From 561 survey respondents, the top 3 barriers identified were pet owner preconceived notions about nutrition (86% [483 of 561]), insufficient time (63% [352 of 561]), and pet owner resistance to discussing nutrition (41% [230 of 561]). The top 3 solutions identified were showing/talking to owners about what veterinary professionals feed their pets (59% [332 of 561]), having direct yet compassionate conversations with owners (58% [327 of 561]), and specific nutrition recommendations (49% [274 of 561]). Free-text responses clarified nuances within each potential solution, such as the importance of establishing veterinary-owner trust first and not being too technical with specific recommendations. Small animal veterinarians reported that pet owner preconceived notions about nutrition were the most common reported barrier to nutrition communication. What veterinary professionals feed their pets, direct yet compassionate conversations, and specific nutrition recommendations were reported as potential solutions, with the caveat that veterinary-owner trust was important to establish first. Building trust with pet owners, being proactive with direct yet compassionate nutrition conversations, and including specific nutrition recommendations may be helpful in breaking down barriers to nutrition communication.

To evaluate commercially available oral capsules providing fecal microbial transplant (FMT) as a practical option for adjunctive treatment of canine parvovirus (CPV) in an outpatient setting. We hypothesized that treatment with FMT capsules would improve survival and hasten resolution of clinical signs compared to placebo. This blinded, randomized controlled trial evaluated oral FMT capsules in shelter dogs with CPV treated with an outpatient protocol (September 2022 to August 2024). Eligible dogs were randomized to receive adjunctive FMT or placebo, with 3 dosing regimens assessed. The primary outcome was time to recovery; secondary outcomes included survival, escalation to ICU, and resolution of clinical signs. 101 dogs were enrolled, of which 52 were in the control group and 49 received FMT. Dogs that survived without escalation to ICU-level care in both the control (n = 42) and FMT groups (32) had a median duration to recovery of 5 days (P = .872). There was a 94% (49 of 52) survival rate in the control group compared to 82% (40 of 49) for the group receiving FMT (P = .051); there was no significant difference in survival between groups when controlling for age or weight (OR, 3.18; 95% CI, 0.74 to 17.28; P = .139). There was no evidence that oral FMT capsules hastened recovery or improved short-term survival rate in an outpatient setting. Future work is needed to determine whether oral FMT has negative effects in dogs with CPV. This study provides evidence that oral FMT treatment may not be helpful in the outpatient treatment of CPV.

Energy use is a major driver of greenhouse gas (GHG) emissions in veterinary practice, primarily through consumption of fossil fuel-generated electricity and heating, client travel, staff commute, and the extensive supply chain of healthcare products. Here we synthesize information on these key emission sources, outline the scientific and economic rationale for decarbonizing energy use and present 6 scalable strategies for reducing energy-related emissions in veterinary hospitals: procuring 100% renewable low-carbon electricity, electrifying clinical operations and infrastructure, reducing transport-related emissions, improving hospital energy efficiency, installing on-site renewable energy generation and storage, and addressing emissions from procurement and delivery. Together, these interventions provide a structured pathway for reducing emissions from veterinary practice while strengthening operational resilience, supporting long-term financial sustainability, and advancing the profession's role in protecting the health of animals, people, and the environments they share, consistent with a One Health approach.

To describe clinical progression of dogs with physiologic degloving injuries, including bloodwork abnormalities, nutritional management, wound care, and the need for advanced care such as blood products. Medical records of client-owned dogs with physiologic degloving injuries between 2011 and 2025 were retrospectively reviewed. Data collected included clinical presentation, bloodwork, wound progression, diagnostic imaging, and treatment interventions. Dogs were grouped based on survival to discharge (survivors or nonsurvivors). 18 dogs were identified following medical record review. Physiologic degloving was most frequently caused by vehicular trauma (10 of 18 [55.6%]) or attack by another animal (8 of 18 [44.4%]) and primarily affected the thorax (7 of 18 [38.9%]) and abdomen (6 of 18 [33.3%]). Concurrent injuries were present in 15 of 18 cases (83.3%). Clinicopathologic abnormalities affecting 50% or more of dogs included hypoalbuminemia, hypoproteinemia, and anemia. Treatments frequently included systemic antibiotics, blood product administration, and feeding tube placement. Multidrug-resistant organisms were identified on 6 of 15 cultures (40.0%). Wound management typically included negative pressure wound therapy or active suction drainage, with many dogs requiring prolonged open wound management. The overall mortality rate was 33.3% (12 survivors, 6 nonsurvivors), with a median hospitalization time of 9 days (IQR, 5 to 14 days). Dogs with physiologic degloving injuries may have substantial morbidity requiring intensive monitoring and wound management. Clinicians treating dogs with physiologic degloving should anticipate the need for intensive supportive care, including blood products and early nutritional intervention. Wound management may be prolonged. Mortality rates were high; however, dogs that survive appeared to have a good outcome.