Deep dive into insulin CRI for dogs and cats with diabetic ketoacidosis (DKA)

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If you're new to my channel, I am Igor Yankin, a small animal emergency and critical care specialist based in Texas.

You might know me as the founder of vetemcrit.com, where I’ve spent the last several years creating evidence-based tools, case discussions, and training for veterinarians working on the front lines of emergency and critical care.

My story in ECC started back in 2010 when I worked full-time ER shifts. After five intense years, I completed a small animal rotating internship at Oregon State University, followed by an ECC residency at the University of Florida. Since 2019, I’ve been practicing as a veterinary criticalist.

Over the years, I’ve noticed that what most ER vets and techs need isn’t just more information — it’s a way to connect, discuss real cases, and keep growing together without judgment. That realization inspired me to create something new — a space where emergency and critical care professionals can come together, learn, and support each other in a meaningful way.

That space is now called the VetEmCrit Academy — a growing community for those who want to stay sharp, confident, and connected in ECC practice.

If you’re ready to see what’s inside and how it works, learn more by going to https://academy.vetemcrit.com/join

Check out our online courses on acid-base and electrolyte disorders: https://academy.vetemcrit.com/courses

Check out our free veterinary emergency tools, protocols, and articles: https://vetemcrit.com/

FREE RACE-APPROVED CE on IV potassium supplementation: https://academy.vetemcrit.com/iv-pota...

This YouTube video delves into the intricacies of administering insulin as a constant rate infusion (CRI) for treating diabetic ketoacidosis (DKA) in dogs and cats. The discussion covers practical tips for setting up insulin infusions, including insights from a recent randomized clinical trial comparing fixed-rate intravenous insulin infusions with conventional variable-rate protocols. The importance of DKA management, alongside considerations such as electrolyte imbalances and insulin dosing strategies, is explored. Furthermore, the video presents a comparison between fixed-rate and variable-rate infusion protocols, shedding light on their respective advantages and limitations. Through detailed explanations and real-life scenarios, viewers gain valuable insights into optimizing DKA treatment protocols for veterinary patients. Additionally, the video offers a free online course on intravenous potassium supplementation for interested viewers.
00:00 Introduction to Insulin Infusion for DKA
00:56 Understanding Diabetic Ketoacidosis (DKA)
02:08 Variable Rate Insulin Infusion Protocol
05:58 Fixed Rate Insulin Infusion Protocol
09:44 Implementing Fixed Rate Protocol in Practice
14:13 Variable Rate Protocol in Detail
17:06 Study Results: Comparing Protocols in Cats
19:48 Study Results: Comparing Protocols in Dogs
22:31 Key Takeaways and Conclusion
24:35 Final Thoughts and Additional Resources

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