Omneity® Pellets
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The Veterinary clinics of North America. Equine practice.
Publisher:
W.B. Saunders,
Frequency: Three no. a year
Country: United States
Language: English
Start Year:1985 -
ISSN:
0749-0739 (Print)
1558-4224 (Electronic)
0749-0739 (Linking)
1558-4224 (Electronic)
0749-0739 (Linking)
Impact Factor
1.1
2022
| NLM ID: | 8511904 |
| (DNLM): | SR0053812(s) |
| (OCoLC): | 11078671 |
| LCCN: | sn 84006968 |
| Classification: | W1 VE929F |
Toxins affecting the urinary system. Many different substances can induce toxic damage to various structural components of the equine kidney, and most lack pathognomonic signs. Some of these agents have specific treatments, although many do not. Supportive and symptomatic therapy is an important aspect of treatment of most cases of equine nephrotoxicosis. Regardless of cause, if the toxic substance is removed or neutralized before significant renal damage, full recovery of renal function may occur. Many horses already have significant renal damage before a definitive diagnosis is made, and the prognosis for full recovery thus rem...
Essentials of equine renal and urinary tract physiology. Knowledge of urinary tract anatomy and the numerous functions of the kidney in regulating fluids, electrolytes, acid-base balance, and waste products improves the ability of the clinician to diagnose, treat, and make appropriate recommendations for the management of the horse with renal disease. Several conditions can directly or indirectly affect renal function on a temporary or permanent basis. Endogenous and exogenous compounds (eg, drugs, toxins, hemoglobin) alone or in combination with inappropriate renal blood flow can promote or exacerbate renal disease.
Hematuria and pigmenturia of horses. Hematuria and pigmenturia of horses are discussed in this article. Equine urine is normally straw colored. Discolored urine can be caused by contamination with red blood cells, hemoglobin, myoglobin, oxidizing agents normally found in urine, and plant-derived pigments.
Acute renal failure in horses. Acute renal failure (ARF) in horses is usually prerenal or renal in origin and is most often caused by hemodynamic or nephrotoxic insults. The clinical management of patients that have ARF is largely supportive, including correction of fluid deficits and electrolyte and acid-base disturbances and treatment and reversal of the underlying cause. Use of dopamine and mannitol to promote renal blood flow and urine output is no longer recommended.
Chronic renal failure in horses. Chronic renal failure is a syndrome of progressive loss of renal function that results in loss of urinary concentrating ability, retention of nitrogenous and other metabolic end products, alterations in electrolyte and acid-base status, and dysfunction of several hormone systems. This article describes the prevalence, causes, clinical signs, diagnostic evaluation, and management of horses afflicted with chronic renal failure. It is hoped that this article illustrates that chronic renal failure, when detected in the earlier stages of disease, can be managed successfully in the short-term allowi...
Equine urolithiasis. The prevalence of equine urolithiasis has been estimated to be low. In horses with clinical signs of urolithiasis, uroliths are most commonly encountered in the urinary bladder, but it is not uncommon to detect uroliths in more than one location. The most common clinical signs for cystic calculi are urine scalding of the hind limbs, hematuria, tenesmus and dysuria. Numerous surgical techniques and approaches have been described for the treatment of urolithiasis in horses; however, independent of which approach is chosen, the goal should be to remove all calculi completely from the urinary trac...
Evidence-based immunization in horses. Evidence of vaccine efficacy is essential for practitioners when giving advice to clients about the relative merits of different vaccines or when trying to evaluate the economic benefits of instituting a vaccine program. In equine veterinary medicine, this sort of data, which are necessary to make informed decisions about vaccine use and effectiveness, are often not available. Veterinarians need to consider the epidemiology of the disease in question, the type of vaccine that they are administering to the animal, the immunologic constraints of the vaccine technology, and the available evidence...
Evidence-based equine nutrition. One of the most difficult problems in equine nutrition research is often the lack of objective and clinically relevant end points. Nevertheless, this article attempts to present the best evidence (or lack thereof) for some of the most common clinical questions pertaining to such topics as the evaluation of glucose and insulin tolerance and factors that may confound results, dietary management of horses prone to laminitis and rhabdomyolysis, nutritional prevention of gastric ulcers and developmental orthopedic disease, the efficacy of commonly used herbal products, and feeding geriatric horses....
Evidence-based equine dentistry: preventive medicine. Dental problems are some of the most common reasons for a horse to be presented to an equine veterinarian. Despite the importance of anecdotal evidence as a starting point, the science of equine dentistry (especially prophylactic dentistry) has remained poorly supported by evidence-based approaches to diagnosis and treatment. In the 21st century, veterinarians have an ethical responsibility to promote and use the results of evidence-based research and not propagate statements attesting to the purported benefits of intervention without supporting research. Consider also that society is becoming...
Evidence-based medicine in equine critical care. One of the fundamental skills required for practicing evidence-based medicine is the development of a well-built clinical question, which specifies the patient group or problem, intervention, and outcome of interest. For this purpose, various "levels of evidence" have been developed in the human literature, which rank the validity of evidence. Our established conclusions and advice are thus supported by specific "grades of recommendations," which are intended to give an indication of the "strength" of a clinical recommendation. This article was compiled with these principles in mind.
Evidence-based literature pertaining to thyroid dysfunction and Cushing’s syndrome in the horse. The evidence-based literature pertaining to thyroid dysfunction and Cushing's syndrome is discussed in this article. Summaries of and recommendations for the treatment of these conditions are made. There is a need for reliable diagnostic tests for these conditions in horses.
Evidence-based drug use in equine medicine and surgery. The nature of the equine industry and equine veterinary medicine often requires veterinarians to prescribe drugs with little evidence for a drug's formulation safety or efficacy, or even assurance of the chemistry of the drug used. This means that equine veterinarians must remain skeptics and understand the limitations in their ability to attribute safety and efficacy to a particular drug or treatment. An evidence-based approach to pharmacology demands rigorous testing and an unbiased analysis of results.
An evidence-based approach to selected joint therapies in horses. There is an enormous volume of published material about most of the agents used to treat or prevent arthritis in horses. Unfortunately, most of the claims made by nearly all purveyors of arthritis medications in such media are largely unsubstantiated. In addition, the quality of the available information is highly inconsistent, making evidence-based recommendations difficult. This article concentrates on injectable polysulfated glycosaminoglycan, injectable hyaluronan, and the common oral "nutraceuticals".
Evidence-based gastrointestinal medicine in horses: it’s not about your gut instincts. The use of an evidence-based approach allows veterinary clinicians to assess questions that are clinically relevant to the diagnosis and treatment of equine gastrointestinal tract disease. This approach involves formulating a clinical question, searching the literature, and answering the question with the best available evidence, with the results summarized as a clinical "bottom line." This article is organized to reinforce the principle that the cornerstone of evidence-based medicine is the clinical question. Specific questions are further categorized as to topic, with epidemiologic risk fact...
Common procedures in broodmare practice: what is the evidence? Many procedures performed as part of routine broodmare practice are based on sound clinical judgment and experience or scientific evidence; however, others are based on perceived problems and needs to address them. This article presents four procedures commonly used in broodmare practice, for which there is questionable evidence to substantiate their use.
Evidence-based lameness detection and quantification. Kinematic and kinetic gait analysis potentially offers veterinarians an objective method of determining equine limb lameness. Subjective analyses have been shown to be somewhat flawed, and there does not seem to be a high degree of intraobserver agreement when evaluating individual horses. In addition, recognition of the compensatory effects of primary lameness may be helpful for the practicing equine veterinarian.
Evidence-based parasitology in horses. This article focuses on what has been established concerning the interaction of equine parasites and their hosts, highlighting those issues for which convincing data are still lacking. There is a compelling need for the participation of the veterinarian in the design of appropriate anthelmintic treatments and prevention strategies.
Evidence-based gastrointestinal surgery in horses. Colic surgery is now performed at many equine hospitals around the world. Despite the tremendous improvements in survival rates over the past 30 years, the morbidity and mortality rates remain relatively high. This fact, coupled with the high cost of treatment, makes it important to apply evidence-based medicine principles to establish the best possible treatment plans and surgical techniques whereby the outcomes can be optimized. Factors affecting survival rates and rates of major complications (incisional complications and postoperative ileus) are discussed. Preoperative assessment and posto...
Evidence-based musculoskeletal surgery in horses. Musculoskeletal disorders comprise a large portion of the conditions treated by equine veterinarians. Surgical intervention is the treatment of choice in many cases. The body of literature describing and exploring surgical correction of musculoskeletal disorders in horses is steadily growing but still lacking. At this juncture, we can use what information we have with the understanding that as the quality of research advances, we should apply stricter standards to the evidence we use to answer our clinical questions.
An evidence-based assessment of the biomechanical effects of the common shoeing and farriery techniques. The first aim of this article is to review the progress made in the field of distal limb biomechanics. By understanding limb biomechanics, it is then possible to review the rationale behind a few of the more common techniques that veterinarians routinely use when treating their patients and to evaluate the evidence in support of them.
Evidence-based equine upper respiratory surgery. The purpose of this article is to review the veterinary literature for various surgical procedures of the equine upper respiratory tract in an effort to evaluate the evidence supporting various therapies. This article focuses on the therapeutic benefit from more widely occurring conditions, such as laryngeal hemiplegia, dorsal displacement of the soft palate, arytenoid chondritis, and epiglottic entrapment.
An evidence-based approach to clinical questions in the practice of equine neurology. The practice of equine neurology has special challenges posed by the size of the animal being examined. Many diagnostic procedures routinely used in small animal practice are unsafe when applied to the equine patient or unavailable to the equine practitioner. Therefore, astute observation is the mainstay of making a neuroanatomic diagnosis, and detailed evidence on the deficits present may be difficult to obtain. Because clinical observation can sometimes be ambiguous and somewhat subjective, it is even more important to approach equine neurology from an evidence-based point of view. Here, suc...
Evidence-based respiratory medicine in horses. It is clear from a review of the current scientific literature that an evidence-based approach to medical treatment of equine respiratory disease can be applied, at least in the instance of common lower respiratory diseases. In particular, there is clear evidence for efficacious treatments for recurrent airway obstruction and exercise-induced pulmonary hemorrhage, and with the recognition of this evidence, these treatments should be the first to be considered by a practitioner when treating these conditions. The purpose of this article is not only to identify the existence of relevant high-qua...
Trauma with neurologic sequelae. Spinal cord injury (SCI) in horses may arise from rearing and falling backward, collisions, kicks, and slipping. The pathophysiology of SCI comprises a primary mechanical injury followed by a cascade of secondary events. These secondary events include microvascular ischemia, oxidative stress, excitotoxicity, ion dysregulation, and inflammation. It is often the severity of secondary injury that limits the restoration of neurologic function. Clinical signs after SCI depend on the location of the lesion and the relative amount of damage to the gray and white matter. Acute management of SCI should...
Management of equine poisoning and envenomation. Acute poisoning and envenomation often represent a diagnostic and therapeutic challenge. Although identification ultimately may benefit the affected animal, treatment frequently must commence before an etiologic diagnosis is established. Therefore, the goals for the management of acutely intoxicated horses must be focused on emergency intervention and stabilization of the patient, prevention of further exposure, and aggressive decontamination. This article reviews the treatment steps that should be considered during the management of horses experiencing poisoning or envenomation.
Fire and smoke inhalation injury in horses. Although not common in horses, fire and smoke inhalation trauma may require veterinary assistance at several levels. Most commonly, the equine clinician is called on to provide care of potentially complex and emotionally charged cases. Thermal injury, along with smoke inhalation, can cause local and diffuse lesions. Massive tissue edema may occur, which can be a challenge to manage as well as creating organ dysfunction at distant sites. Further complications of severely affected patients are varied and include life-threatening sepsis. This article reviews some of the important features of this...
Neonatal foal resuscitation. Cardiac arrest in foals is generally secondary to other serious systemic diseases. Although it can often be anticipated, a clear plan is vital to success. Establishing cardiac output through chest compressions is the most important first step. This step should be followed by ventilation, drug therapy, identifying the nonperfusing cardiac rhythm, and following a preplanned treatment algorithm. Birth resuscitation requires special treatment considerations. The clinician should be prepared to perform resuscitation any time a birth is attended.
Flood injury in horses. There is no way to prepare for every situation that arises in a disaster. By working closely with other producers and agricultural leaders, however, horse owners can lessen the impact of a disaster on their operation. Preparation and detailed planning are the most important aspects of flood-related injury prevention. Encouraging animal owners and caretakers to have an evacuation plan and dispersing knowledge about local and regional disaster authorities are critical for a successful disaster response. Educational programs on future disaster response empower communities to care for their people...
Thoracic trauma in horses. Thoracic trauma represents an important cause of morbidity in mortality after injury in human beings and animals. After any form of suspected chest wall trauma, initial emergency management should include assurance of a patent airway and adequate ventilation, along with treatment for shock if present. As with any open wound, tetanus prophylaxis should be instituted. Types of trauma to the thoracic region of the horse include pectoral and axillary lacerations, penetrating chest wounds, flail chest, fractures of the ribs, blunt thoracic trauma, and several potential sequelae that include pneumot...
Oxidative stress. Oxidative stress refers to the cellular injury and pathologic change that occurs when there is an imbalance favoring oxidants over antioxidants within a living organism. In human medicine, oxidative stress has been implicated in numerous disease processes, which has led to further research into the clinical benefits and efficacy of antioxidant therapy. The evaluation of oxidative stress in the horse has been limited primarily to ischemia-reperfusion injury of the gastrointestinal tract, recurrent airway obstruction, exercise, osteoarthritis, equine motor neuron disease, and pituitary pars inte...
