Tubular subdermal flap to dorsal nasal reconstruction in a dolichocephalic dog: case report

This case report described the use of tubular subdermal flap to dorsal nasal reconstruction of an old dolichocephalic dog. A nine-year-old Dachshund female dog-weighing 10 kg presented with deep and extensive wound in the dorsal nasal region was attended at veterinary clinic, Sorocaba city, São Paulo, Brazil. The reconstructive surgical procedure was performed in three stages with an interval time of 25 days, which included the preparation of the tubular subdermal flap; the advance of the flap to the region of the tissue defect, and the removal of excess flap. The region healed 14 days after the last stage. The tubular subdermal flap was effective for treating ulcerative epithelial wounds associated with interstitial lymphoplasmocyte dermatitis and vasculitis of the dorsal nasal region of an old Dachshund dog.

Suspected Transfusion Related Acute Lung Injury Improving following Administration of Tranexamic Acid: A Case Report

A 16-year-old woman with craniofacial injury developed severe acute respiratory failure under the primary reconstructive surgical procedure requiring several units of blood and plasma. A transfusion related acute lung injury (TRALI) was suspected and supportive treatment was initiated. Because of the severity of symptoms, acute extracorporeal membrane oxygenation (ECMO) was planned. During preparation for ECMO, a single intravenous dose, 1 g of tranexamic acid, was administered and a remarkable improvement was observed shortly thereafter. The patient was placed on ECMO for 16 hours. The further course was uncomplicated and the patient was discharged from ICU on the 6th day after admission fully and she recovered. A clinical improvement was observed in a timely fashion following the administration of tranexamic acid. The handling of a suspected TRALI and potential benefit from administration of tranexamic acid are discussed in this case report.