Canis ISSN: 2398-2942

Kirby's rule of twenty

Contributor(s): Elisa Mazzaferro, Graham Bilbrough, Duana Mcbride

Introduction

  • Checklist developed by Dr Rebecca Kirby, one of the founding members of the American College of Veterinary Emergency and Critical Care and founding member of the Veterinary Institute of Trauma, Emergency and Critical Care.
  • Checklist involves monitoring multiple organ systems in the most critically ill patients.
  • Aids in the integration of disease processes and possible interactions of drugs associated with therapy.

Mortality

  • Mortality in patients who need Rule of Twenty monitoring is high, depending on primary disease state and response to aggressive therapy.

Pathogenesis

Etiology

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Checklist

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Records

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Further Reading

Publications

Refereed papers

  • Recent references from VetMed Resource and PubMed.
  • Purvis D and Kirby R (1994) Systemic Inflammatory Response Syndrome: Septic ShockVet Clin North Amer Sm Anim Pract 24(6),1225-1247 PubMed.

Other sources of information

  • Rozanski E (2003) Approach to the trauma patient. A Bridge to the Future Veterinary Conference.
  • Kirby R (1995) Septic Shock. In: Kirk's Veterinary Therapy XII Small Animal Practice.Eds J D Bonagura and R W Kirk. W B Saunders, Philadelphia. pp 139 - 146.


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