Patient Condition and History

Ginger, a 10-year-old spayed female Weimaraner, was brought to a specialty referral veterinary hospital after her owner noticed a swelling on her neck, difficulty eating, pain on opening the mouth, lethargy and fever. Ginger spent four days in the hospital, during which she underwent multiple tests and was diagnosed with Sialoadenitis, an inflammation of the salivary glands.

Ginger had a fever on all but the last day of hospitalization. New medication added on her third day led to resolution of the fever by the fourth. The normal temperature persisted after she was discharged from the hospital and continued her treatment at home.

A PetPace smart collar was placed on Ginger to monitor her temperature in the hospital and at home after discharge.

 

Monitoring Data

PetPace monitored Ginger’s vital signs, including temperature, on a minute-by-minute basis. Data was delivered in real time to the PetPace Professional Control Center and displayed on a computer screen placed near Ginger’s cage in the ICU.

The PetPace smart collar accurately reported persistent fever in the first three days of hospitalization. On the evening of the third day, after new medications (Prednisone and Phenobarbital) were added to Ginger’s treatment protocol, the PetPace collar accurately documented the fever gradually subsiding. Following overnight temperature fluctuations, the fever finally abated on the morning of the fourth day. Ginger’s temperature remained in the normal range until her follow-up exam two days later, as documented by PetPace collar, which was sent home with Ginger to monitor her progress.

 

* Ginger’s temperature chart from her first day in the hospital, showing persistent fever. The purple line, representing the patient’s body temperature, is consistently in the red, high temperature zone.

* Ginger’s temperature chart from her first day in the hospital, showing persistent fever. The purple line, representing the patient’s body temperature, is consistently in the red, high temperature zone.

 

*  Temperature chart from Ginger’s third day of hospitalization, accurately documenting in real time her temperature (the purple line) returning to normal (green zone) following change in treatment.

* Temperature chart from Ginger’s third day of hospitalization, accurately
documenting in real time her temperature (the purple line) returning to normal (green zone) following change in treatment.

 

* Temperature chart from Ginger’s fourth and last day of hospitalization, accurately documenting fever resolution following overnight fluctuations (purple line).

* Temperature chart from Ginger’s fourth and last day of hospitalization, accurately documenting fever resolution following overnight fluctuations (purple line).

 

Discussion

Core body temperature in conscious patients is routinely measured using a rectal thermometer. Unfortunately, this method causes discomfort, and many patients resist or struggle during the procedure. This makes it difficult to monitor patient temperature frequently. Even in intensive care units, temperature is rarely measured more than a few times per day. With traditional technology, continuous temperature monitoring can only be achieved with specialized equipment, used almost exclusively on sedated or obtunded patients. Home monitoring of temperature is nearly impossible for untrained pet owners.

The PetPace collar provided Ginger’s caretakers and owners with continuous and accurate core temperature data, without the need for uncomfortable probing. PetPace documented not only Ginger’s initial fever, but also its gradual resolution, providing her doctors with an indication that medication was helping to turn the condition around. Monitoring was continued at the patient’s home after discharge, reassuring clinicians that Ginger continued to recover.

Since fever was a primary clinical sign in this case, and its resolution was a key indicator of response to treatment, the continuous and reliable temperature data collected by the PetPace collar played an important case management role for Ginger.

“Prior to the PetPace smart collar, remote, continuous, and accurate core temperature assessment was not possible for conscious patients in veterinary medicine,” said Dr. Asaf Dagan, DVM, Diplomate ABVP (Canine and Feline practice), and PetPace’s Chief Veterinarian. “Now, practitioners can monitor this important parameter – both in the hospital or the patient’s home – with high resolution. This enables the timely detection of temperature changes that can make the difference between a good or a bad outcome,” he added.

“Intensive monitoring is often required in the cases we typically see in a referral specialty center,” said Dr. Teresa Lightfoot, DABVP, from BluePearl Veterinary Partners Specialty and Emergency Center in Tampa, FL, where Ginger was hospitalized. “The previously unavailable, high resolution temperature monitoring provided by the PetPace collar was useful in managing this challenging case and documenting response to treatment” she continued.

 

Conclusions

Frequent temperature monitoring can now be accomplished noninvasively and remotely using the revolutionary PetPace smart collar. PetPace provides a significantly higher level of medical data, in real time, while actually reducing caretaker work and patient stress. PetPace monitoring can be reliably continued at the patient’s home, providing clinically valuable data and alerts in real time to clinicians, improving their ability to remotely assess the patient’s condition.