Table 3.
Author (year [references] | Species | Setting | Albumin concentration | Total dose | Dose per hour* | Duration of administration | Adverse events |
---|---|---|---|---|---|---|---|
Mathews and Barry, (174) | 64 dogs 2 cats | Retrospective study, critically ill | 25% | Mean: 1.25 g/kg | 0.025–0.43 g/kg/h | Range 4–72 h | Facial edema in 2 dogs |
Trow et al. (173) | 73 dogs | Retrospective case series, critically ill | 10% | Median 1.4 g/kg (range 0.1–6) | ~0.12 g/kg/h | 12 h | 23% acute adverse reactions (mild: tachypnea, tachycardia, increased temperature, peripheral edema, and ventricular arrhythmias; severe: coagulopathies, cardiac arrest). 4% delayed complications |
Vigano et al. (175) | 418 dogs 170 cats | Retrospective study, critically ill | 5% | Mean: 1 g/kg/day | 0.1 g/kg/h | Dogs: Median 96 h (range 28–264 h) Cats: Median 72 h (range 48–168 h) | No acute severe adverse reaction. Minor acute adverse reactions (diarrhea, hyperthermia, and/or tremors) in 43.5% dogs and 36.5% cats (no specific treatment) |
Powell et al. (172) | 2 dogs | Case series, critically ill | 5% | Dog 1: 1.4 g/kg Dog 2: 1.3 g/kg | 0.35 g/kg/h 0.43 g/kg/h | 4 h 3 h | Type III hypersensitivity reaction (leukocytoclastic vasculitis and dermal antigen-antibody complexes) 8-16 days after exposure |
Horowitz et al. (176) | 22 dogs + 17 negative control dogs | Retrospective study, septic peritonitis | 25% | Mean: 2.55 g/kg (range: 0.95–6.38) | n/a | Mean: 39.2 h (range: 11–98 h) | No evaluation for adverse reactions |
Loyd et al. (177) | 21 dogs | Retrospective study, PLE | 25% | Dose: 0.5 g/kg | ~0.16–0.25 g/kg/h | 2–3 h | 2/21 acute reaction; 1 dog euthanized 2/21 delayed reaction; 1 euthanized |
Vigano et al. (178) | 40 cats + 20 control cats | Prospective study, critically ill | 5% | Mean: 0.72 g/kg (range: 0.5–1) | 0.07–0.1 g/kg/h | Mean: 7 h (range: 5–10 h) | No acute or delayed adverse reaction |
Mazzaferro et al. (171) | 2 dogs | Case series, septic peritonitis | 25% | Dog 1: 1.5 g/kg Dog 2: ~2.6 g/kg | 0.13 g/kg/h 0.33 g/kg/h | 12 h 8 h | Delayed type III hypersensitivity reaction with AKI; euthanasia |
Martin et al. (179) | 14 critically ill + 2 healthy dogs 21 critically ill + 47 healthy dogs | Prospective, healthy and critically ill | 25% | Healthy: 1st time 0.5 g/kg 2nd time 0.25 g/kg Critically ill: Median: 1.3 g/kg (0.45–11.8) | 0.25 g/kg/h 0.125 g/kg/h 0.2 g/kg/h | 2 h 1 h | Critically ill: transient fever in 1 dog, no other acute or delayed adverse reaction Healthy: 1st time: facial edema in 1 dog day 8 2nd time: acute adverse reaction in both dogs |
Cohn et al. (169) | 9 dogs | Prospective study, healthy | 25% | 1st time: 2.5 g/kg (9 dogs) after 5 weeks 2nd time: 2.5 g/kg (2 dogs) | 0.66 g/kg/h | Mean: 3.75 h (range 3–4.5 h) | 1/9, acute hypersensitivity (1st time) 2/2 acute hypersensitivity (2nd time) 2/9 urticaria/ edema after 2 weeks (1st time) 9/9 developed anti-HSA antibodies |
Francis et al. (170) | 6 dogs | Prospective study, healthy | 25% | 0.5 g/kg | 0.5 g/kg/h | 1 h | 6/6 Delayed type III hypersensitivity reaction |
Doses were converted into grams according to data in the publications; PLE, protein loosing enteropathy; h, hours.