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. 2021 Jul 2;8:624049. doi: 10.3389/fvets.2021.624049

Table 3.

List of small animal publications using human serum albumin solutions and its doses.

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.