Sonographic pleural fluid volume estimation in cats

Abstract

The aims of this study were to evaluate whether a recently published study used to objectively monitor pleural fluid volumes in dogs could be successfully employed in cats and secondly to assess its accuracy. Eleven feline cadavers were selected. Using the trans-sternal view employed in dogs, linear measurements from the pleural surface of the midline of the sternebra at the centre of the heart to the furthest ventro-lateral point of both right and left lung edges were recorded. Isotonic saline was injected using ultrasound guidance into both right and left pleural spaces and the measurements were repeated using standard increments until 400 ml total volume was reached. The mean measurement increased in a linear relationship with the cube root of fluid volume for all cats individually. An equation was produced to predict the volume of fluid from the mean linear measurement for all cats combined: Volume=[-3.75+2.41(mean)](3)(P<0.001) but variability in the slope of the curve for individual cats limited the accuracy of the combined equation. Equations were derived to predict the constant and slope of the curve for individual cats using the thoracic measurements made, but the residual diagnostic graphs demonstrated considerable variability. As in dogs, good correlation was found between the ultrasonographic measurement and fluid volume within individual cats. An accurate equation to predict absolute pleural fluid volume was not identified. Further analysis with reference to thoracic measurements did not increase accuracy. In conclusion, this study does provide a method of estimating absolute pleural fluid volume in cats, which may be clinical useful for pleural fluid volume monitoring but this is yet to be validated in live cats.