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Topic:Adult Horses

Adult horses encompass a category of equines that have reached maturity, typically considered to be around five years of age and older. This stage of life is characterized by full physical development and the potential for peak performance in various activities such as riding, racing, and work. Adult horses require specific nutritional, health, and management practices to maintain optimal condition and performance. The study of adult horses covers a range of topics, including physiology, behavior, and the impact of environmental factors on their well-being. This page compiles peer-reviewed research studies and scholarly articles that explore the physiology, health management, and performance aspects of adult horses.
Effect of Fluorescence Biomodulation on Dermal Healing in an Equine Experimental In Vivo Wound Model.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 26, 2025   Volume 39, Issue 2 117-125 doi: 10.1055/a-2655-9312
Loyd A, Neto R, Caldwell F, Boone L, White A.This study aimed to determine the safety and macroscopic/microscopic effects of fluorescence biomodulation (FBM) on experimentally induced, full-thickness, distal limb wounds in horses.This was an experimental study ( = 6 horses). Two full-thickness wounds were created on both dorsal metacarpi of six adult horses. Each forelimb was randomly allocated to either control (no FBM) or treatment (FBM) and randomly allocated to visual or histological assessment of healing. Wounds were treated within each experimental group every 7 days for four treatments. Fluorescence biomodulation wounds were ...
Inflammatory response following intra-articular injection of decellularized porcine amnion/chorion in horses.
Veterinary surgery : VS    August 25, 2025   Volume 54, Issue 7 1454-1462 doi: 10.1111/vsu.70005
Cormier KV, Fontenot RL, Eddy A, Williams ML, Wills RW, Jumper WI, Mochal-King CA.The objective of the study was to evaluate effects of intra-articular decellularized porcine amnion/chorion suspension (dPACLS) in horses. Methods: Controlled, randomized, prospective study. Methods: A total of 10 adult horses. Methods: One randomly selected radiocarpal joint (RCJ) was injected with a high dose (HD) of 50 mg (n = 5) or low dose (LD) of 5 mg of dPACLS (n = 5). The contralateral RCJ received saline as control. Systemic serum amyloid A (SAA), synovial fluid analysis (including SAA) and subjective lameness evaluation were performed prior to injection (time 0) and 24, 4...
Oral cannabidiol increases thermal threshold in horses without physiologic adverse effects.
American journal of veterinary research    August 25, 2025   Volume 86, Issue 11 ajvr.25.05.0185 doi: 10.2460/ajvr.25.05.0185
Carroll AT, Reed RA, Berghaus LJ, McNabney D, Knych HK.To investigate the effect of cannabidiol (CBD) on thermal and mechanical thresholds and physiologic variables in horses. Unassigned: 6 horses (3 geldings and 3 mares) were enrolled in a prospective, randomized, masked crossover design from March 18 through May 3, 2025. Horses received 3.48 mg/kg CBD oil or placebo (sesame oil) orally every 24 hours for 3 days. Thermal and mechanical thresholds were determined at baseline and 4 and 12 hours after treatment administration on each day. Physiologic variables, including heart rate, respiratory rate, and rectal temperature, were recorded at the same...
Flow-controlled expiration improves gas exchange in anaesthetised horses undergoing orthopaedic surgery.
Equine veterinary journal    August 21, 2025   doi: 10.1111/evj.70079
Hopster K, Soares JHN, Levine D, Ortved K, Driessen B, Araos J.Flow-controlled expiration (FLEX) has been shown to significantly enhance oxygenation in horses under laboratory conditions. Objective: This study aims to corroborate these findings by evaluating the effects of FLEX on gas exchange in a randomised clinical trial involving a large population of clinical horses undergoing orthopaedic surgery. Methods: Prospective randomised clinical trial. Methods: A total of 406 healthy adult horses scheduled for elective orthopaedic procedures were recruited for this prospective clinical trial. Horses were randomly assigned to FLEX or VCV (volume-controlled ve...
Synovial Fluid Biomarker Profile After Intra-Articular Administration of Neosaxitoxin in Horses: A Feasibility Study.
Animals : an open access journal from MDPI    August 21, 2025   Volume 15, Issue 16 2453 doi: 10.3390/ani15162453
Dörner C, Lagos N, Oyaneder L, Menarim BC, Ramírez-Toloza G.Osteoarthritis (OA) is an inflammatory joint disease and the leading cause of musculoskeletal disability affecting human and veterinary patients. New therapeutics halting inflammation while preserving joint homeostasis remain a critical need. Voltage-gated sodium (NaV) channels regulate the pro-inflammatory response of macrophages in the synovium, the central driver of joint homeostasis. Neosaxitoxin (NeoSTX) is a phycotoxin that blocks NaV channels, conferring a unique potential to regulate joint inflammation. This study evaluated the safety of intra-articular administration of NeoSTX in hors...
Exploratory Study of the Urine Protein-to-Creatinine Ratio in Apparently Healthy Horses.
Veterinary sciences    August 21, 2025   Volume 12, Issue 8 783 doi: 10.3390/vetsci12080783
Kovarikova S, Blahova J, Steffenova V, Vaskova N, Jahn P.Currently, there is relatively little published information on the urine protein-to-creatinine (UPC) ratio in horses, a parameter commonly used in dogs and cats. The aim of this study was to determine the reference range of UPC in urine samples of apparently healthy horses and to assess the influence of age and sex. Urinalysis and the determination of urinary protein and creatinine concentrations and ratios were performed. A total of 118 urine samples from apparently healthy horses were included in the study: 10 from foals younger than 6 months and 108 from horses older than 1 year. The median...
Optimizing equine standing sedation: continuous infusion of detomidine and butorphanol enhances stability but prolongs ataxia.
Frontiers in veterinary science    August 21, 2025   Volume 12 1606585 doi: 10.3389/fvets.2025.1606585
Arantes JA, Rabelo IP, Bermudes L, Lacerenza MD, Mendes RP, Corrêa RR, Yamada DI, Valadão CAA, Dória RGS.This study aimed to compare the sedation quality and cardiorespiratory and behavioral effects of detomidine administered intravenously, either in intermittent boluses or as a continuous rate infusion, with butorphanol in horses pre-medicated with acepromazine for odontoplasty procedures. Unassigned: A prospective clinical study was conducted with fifteen adult horses randomly assigned to two groups: Bolus group (BG, = 7) and Infusion group (IG, = 8). Both groups received acepromazine premedication, followed by detomidine administration (bolus or infusion). Butorphanol was administered either...
Hemoperfusion with a polymer-based column alters inflammatory responses in lipopolysaccharide-treated horses in vivo.
American journal of veterinary research    August 18, 2025   Volume 86, Issue 11 ajvr.25.05.0189 doi: 10.2460/ajvr.25.05.0189
Hobbs KJ, Ueda Y, Le Sueur ANV, Cooper BL, Burke MJ, Sheats MK.To determine the effect of hemoperfusion with a polymer-based column on systemic cytokine concentrations and neutrophil dysfunction in lipopolysaccharide-treated horses in vivo. Unassigned: 6 university-owned horses received 60 ng/kg lipopolysaccharide, IV, as a bolus and then 60 ng/kg, IV, as a constant rate infusion over 1 hour. Endotoxemia was confirmed by clinical signs and neutropenia. In a crossover model that was completed from January 2024 through July 2024, hemoperfusion was performed for 4 hours with either a sham or polymer column. Blood was collected at 5 time points over a 72-hour...
Road transportation is associated with decreased intestinal motility in horses.
Frontiers in veterinary science    August 18, 2025   Volume 12 1647236 doi: 10.3389/fvets.2025.1647236
Raidal SL, Freccero F, Carstens A, Weaver S, Padalino B.Transportation of horses has been associated with colic and changes to the gastrointestinal microbiome. Percutaneous abdominal ultrasonography using wireless, point-of-care transducers can be used to assess gastrointestinal motility in field settings. Unassigned: Characterization of intestinal motility and salivary cortisol responses of horses completing commercial transportation of 10-12h. Unassigned: Prospective observational study of 30 horses with diverse signalment and transport histories. Clinical parameters, sonographic assessment of intestinal motility and saliva samples, were collecte...
Comparison of Gait Characteristics for Horses Without Shoes, with Steel Shoes, and with Aluminum Shoes.
Animals : an open access journal from MDPI    August 13, 2025   Volume 15, Issue 16 2376 doi: 10.3390/ani15162376
Gottleib K, Trager-Burns L, Santonastaso A, Bogers S, Werre S, Burns T, Byron C.Differences in horseshoe materials may have effects on gait that could change perceived esthetic qualities. Objective information regarding effects of shoeing on gait characteristics of horses is scant. The aim of this study was to determine differences in gait characteristics for horses under various experimental shoeing conditions (barefoot, aluminum shoes, steel shoes) on two surfaces (asphalt and soft footing) using body- and hoof-mounted sensors. We hypothesized that shoeing would affect hoof arc height during early (arc height a) and late (arc height b) swing phases but would not affect ...
Primary Jejunal Impactions Resolved via Exploratory Celiotomy in Six Horses: 2017-2023.
Animals : an open access journal from MDPI    August 12, 2025   Volume 15, Issue 16 2363 doi: 10.3390/ani15162363
Willette J, Guinn A, Munsterman A.Impactions of the jejunum are rarely described in the literature. The current case series describes six cases of adult horses with jejunal impactions with feed material diagnosed by exploratory celiotomy. Horses underwent exploratory celiotomy based off of their degree of pain despite medical management and concerns for a primary strangulating small intestinal lesion. All jejunal impactions were relieved via manual decompression of the impaction into the cecum. None of the cases underwent a resection or anastomosis at the site of impaction. All horses were treated with gastroprotectants (omepr...
Retrospective Evaluation of Synchronous Diaphragmatic Flutter in Horses: 37 Cases (2004-2022). Faircloth J, Fielding L, Epstein K, Crabtree N, Mochal C, Magdesian G, Major D.To describe the clinical presentation of horses with synchronous diaphragmatic flutter (SDF) and identify clinical and laboratory variables associated with survival. Methods: Retrospective study from January 2004 to September 2022. Methods: Five large animal referral hospitals in the United States. Methods: Thirty-seven horses of various breeds and ages presenting with clinical signs of SDF, excluding animals participating in an endurance competition. All horses were >1 year of age. Methods: None. Results: Variables recorded and analyzed included signalment, clinical and laboratory data, trea...
Ultrasound-Guided Radiofrequency Ablation and Pulsed Radiofrequency Treatment for Chronic Lameness Due to Distal Forelimb Disease in Horses: A Pilot Study.
Animals : an open access journal from MDPI    August 10, 2025   Volume 15, Issue 16 2341 doi: 10.3390/ani15162341
Amari M, Brioschi FA, Auletta L, Ravasio G.Radiofrequency ablation (RFA) and pulsed radiofrequency (PRF) are non-pharmacological techniques employed in humans for chronic pain, but their veterinary application is unexplored. This pilot study evaluated clinical effects of RFA and PRF in twenty-four horses with chronic distal forelimb lameness. Ultrasound-guided RFA (N = 8; 60-90 °C, 2-8 min) or PRF (N = 16; 42 °C; 12 min) was applied to palmar digital nerves. Lameness was scored (American Association of Equine Practitioners scale) at baseline and monthly for six months (T1-T6). At T2, partial- and non-responders in both groups receive...
Radiographic area of large intestinal sand accumulation in horses may determine clinical significance.
Australian veterinary journal    August 8, 2025   doi: 10.1111/avj.70007
Entwisle IG, Byrne DP, Lester GD, McConnell EJ.Sand enteropathy is a common disease in horses worldwide. The presence of sand does not always cause disease. The amount of sand required to cause clinical disease is not well established. Objective: To establish a weight-indexed cut-off for the diagnosis of clinically relevant sand enteropathy based on radiographic area. Methods: Cross-sectional. Methods: Abdominal radiographs were acquired from clinically normal horses and compared with horses with clinical sand enteropathy. Sand area and sand area per kilogram of body weight were calculated. A receiver operating characteristic (ROC) curve w...
Science-in-brief: Report on the 2nd Dorothy Russell Havemeyer Foundation workshop on acute colitis of the adult horse.
Equine veterinary journal    August 6, 2025   doi: 10.1111/evj.14554
Arroyo LG, Whitehead AE, Uzal F.No abstract available
The effect of cervical epidural injection of morphine and the combination of morphine and detomidine on recovery from anesthesia in adult horses.
Veterinary anaesthesia and analgesia    August 6, 2025   Volume 52, Issue 6 779-785 doi: 10.1016/j.vaa.2025.07.012
Carroll AT, Reed RA, Perlini M, Clough AE, Rocha M, Moorman VJ.To evaluate the effect of cervical epidural injection of morphine alone and morphine in combination with detomidine on recovery from anesthesia in horses. Methods: Blinded, randomized, crossover, Latin square design. Methods: A group of six healthy adult horses aged 9 ± 3 years and weighing 471 ± 76 kg (mean ± standard deviation). Methods: Horses were administered each of three treatments during a 1 hour general anesthetic with a 4 day washout period. Treatments were: 1) cervical epidural injection of saline 0.011 mL kg (S); 2) morphine 0.1 mg kg (M); and 3) morphine 0.1 mg kg with detomidi...
Utility of Infrared Thermography for Monitoring of Surface Temperature Changes During Horses’ Work on Water Treadmill with an Artificial River System.
Animals : an open access journal from MDPI    August 1, 2025   Volume 15, Issue 15 2266 doi: 10.3390/ani15152266
Sikorska U, Maśko M, Rey B, Domino M.Water treadmill (WT) exercise is used for horses' rehabilitation and training. Given that each training needs to be individualized for each horse, the goal is to assess whether infrared thermography (IRT) can serve as a non-invasive tool for daily monitoring of individual training and rehabilitation progress in horses undergoing WT exercise. Fifteen Polish Warmblood school horses were subjected to five WT sessions: dry treadmill, fetlock-depth water, fetlock-depth water with artificial river (AR), carpal-depth water, and carpal-depth water with AR. IRT images, collected pre- and post-exercise,...
Trigeminal Nerve Asymmetry in Horses With Idiopathic Trigeminal-Mediated Headshaking: A Retrospective Case-Control Magnetic Resonance Imaging Study.
Journal of veterinary internal medicine    July 31, 2025   Volume 39, Issue 5 e70196 doi: 10.1111/jvim.70196
Heun F, Delarocque J, Feige K, Hellige M.Nerve atrophy results in trigeminal nerve (TN) asymmetry detectable by magnetic resonance imaging (MRI) in humans, but similar studies have not been performed in horses with idiopathic trigeminal-mediated headshaking (ITMHS). Objective: Horses with ITMHS show greater MRI-detected trigeminal-nerve asymmetry than controls. Methods: A total of 20 adult horses with ITMHS and six unaffected control horses. Methods: Retrospective case-control study of the TN cross-sectional area (TNCSA) based on 3-Tesla MRI scans of the equine brain. TNCSA and its side-to-side differences at four defined measurement...
Morphological and morphometric characterization of the aorta of Brazilian horses (Equus ferus caballus, Linnaeus-1758): Comparative analysis of the aortic bulb and ascending aorta.
Anatomical record (Hoboken, N.J. : 2007)    July 31, 2025   doi: 10.1002/ar.70026
Böck MJ, Fernandez TJ, Pereira VP, da Veiga ML, de Mello Bertoncheli Dos Santos C, de Morais-Pinto L.We examined 52 horse aortas to characterize the morphological aspects of the aortic bulb wall and the ascending aorta. The morphometric data were analyzed using ImageJ®-Fiji 1.5 software. The Tunica intima was composed of endotheliocytes with scarce cytoplasm and ellipsoid nuclei, supported by a collagenous subendothelial stratum. The Tunica media was composed entirely of fascicles of vascular smooth muscle cells interspersed with bundles of collagen fibers and elastic lamellae, characterizing the aortic medial lamellar unit. The Tunica adventitia consisted of two distinct sub-layers: the ext...
Alterations in the Microbiome of Horses Affected with Fecal Water Syndrome.
Veterinary sciences    July 31, 2025   Volume 12, Issue 8 724 doi: 10.3390/vetsci12080724
Porter MM, Davis DJ, McAdams ZL, Townsend KS, Martin LM, Wilhite C, Johnson PJ, Ericsson AC.Fecal water syndrome (FWS) in horses is characterized by two-phase defecation, including both solid and liquid phases. While satisfactory explanations for FWS are unavailable, bacterial dysbiosis has been suggested as a contributing or causative factor. The objectives of this study were to determine whether fecal bacterial dysbiosis is associated with FWS in horses in the midwestern USA. Fecal samples were collected from horses with FWS and from unaffected horses at the same location. In total, 16S rRNA amplicon libraries produced from fecal bacterial DNA were sequenced using the Illumina sequ...
Advanced equine duodenoscopy technique.
Journal of equine veterinary science    July 30, 2025   Volume 152 105659 doi: 10.1016/j.jevs.2025.105659
Agrícola R, Ribeiro G, Borges J, Carvalho L, Roquet I, Carvalho LM, Prazeres J.Duodenal pathologies are underreported in equine medicine, probably not due to little occurrence, but due to the limitations of current diagnostic techniques. The aim of this report is to describe a novel duodenoscopic approach, that allows a complete visualization of a region inaccessible via standard techniques. Gastroduodenoscopy was performed in a clinical setting in 60 adult horses referred to us due to complaints suspected to be related to gastroduodenal diseases. The initial steps of the procedure were performed using previously published techniques. Once the video-endoscope reached the...
Detection of Antibodies Against Leptospira interrogans Serovars Among Stabled Horses in Qazvin Province of Iran as a One-Health Concern.
Veterinary medicine and science    July 28, 2025   Volume 11, Issue 5 e70520 doi: 10.1002/vms3.70520
Imandar M, Javadi A, Abdollahpour G, Mahale PRS, Qanbari A, Mirzaalimohammadi M, Taherkhani E, Olfatifar M, Nikkhahi F, Eslahi AV, Badri M.Leptospirosis, a global zoonotic disease caused by pathogenic Leptospira spp., poses significant health risks to both animals and humans. This study aimed to assess the seroprevalence of antibodies against Leptospira interrogans serovars in stabled horses in Qazvin province, Northwest Iran. From January 2023 to April 2024, a total of 83 blood samples were collected from asymptomatic horses using the microscopic agglutination test (MAT). Results indicated a seroprevalence of 40.96% (95% CI: 31-52), with notable variations among regions: 38.89% (95% CI: 27-52) in Qazvin, 38.46% (95% CI: 18-64) i...
Gastric Candidiasis in Five Horses: A Case Series.
Microorganisms    July 25, 2025   Volume 13, Issue 8 1746 doi: 10.3390/microorganisms13081746
Neira-Egea P, Alamar Malvoisin C, de la Cuesta-Torrado M, Bautista-Erler C, Vitale V, Jolly S, Cesarini C. spp. are ubiquitous yeasts that are part of most mammals' microbiota and can become opportunistic pathogens under predisposing conditions. Interestingly, recent studies in human medicine report an increased abundance of spp. in association with inflammatory bowel disease (IBD). Gastrointestinal candidiasis has been primarily reported in neonatal foals, but not in adult horses. The aim of this study is to describe the morphological, histopathological, and microbiological features of gastric lesions associated with infiltration in five horses referred to two tertiary hospitals for different r...
Crusting pastern dermatitis in a 15-year-old warmblood gelding.
Journal of the American Veterinary Medical Association    July 11, 2025   1-3 doi: 10.2460/javma.25.05.0315
McKeever JM, Linn-Peirano SC.No abstract available
Reference Intervals for Biochemical Analytes in Clinically Healthy Adult Lusitano Horses.
Veterinary sciences    July 11, 2025   Volume 12, Issue 7 656 doi: 10.3390/vetsci12070656
Pires MJ, Cotovio M, Queiroga F, Pires CA, Silvestre-Ferreira AC.To date, serum biochemical analytes reference intervals (RIs) in Lusitano horses have not been studied. This study aimed to establish the RIs for biochemical analytes following the American Society of Veterinary Clinical Pathology guidelines and to compare them with the general equine population's RIs. Blood samples were collected from 76 clinically healthy adult Lusitano horses, and RIs of 22 biochemical variables were determined using Reference Value Advisor software. Lusitano horse-specific RIs are proposed for the following variables: total protein (3.9-7.0 g/dL), albumin (2.5-3.8 g/dL), g...
Aetiological relevance of haematological, biochemical and endocrine parameters on equine odontoclastic tooth resorption and hypercementosis (EOTRH).
Equine veterinary journal    July 8, 2025   doi: 10.1111/evj.14555
Tretow M, Hain AM, Bienert-Zeit A.The dental syndrome EOTRH is a painful, progressive dental disease with an unknown aetiology. The often painful nature of EOTRH emphasises the need for a better knowledge of the underlying pathogenic mechanism and risk factors. A comparative analysis of haematological, biochemical and endocrine values in EOTRH-affected and non-affected horses has not been described. Objective: To compare haematological, biochemical, and endocrine parameters in EOTRH-affected and non-affected horses to detect risk factors for horses developing EOTRH. Methods: Cross sectional. Methods: Blood samples of 154 Icela...
Multi-Detector Helical Computed Tomography, Transrectal Ultrasonography, and Histology of the Sacroiliac Joint: A Comparative Study in Adult Warmblood Horse Cadavers.
Animals : an open access journal from MDPI    July 7, 2025   Volume 15, Issue 13 1995 doi: 10.3390/ani15131995
Mathys RA, Schmitz TR, Geyer H, Borel N, Hilbe M, Ohlerth S, Bischofberger AS.This study described, assessed and correlated ultrasonographic, computed tomographic, and histological findings in the sacroiliac joints of adult Warmblood horse cadavers. In total, 25 joints from 15 horses were examined post-mortem using transrectal ultrasonography and helical computed tomography. Findings on computed tomography were graded in the caudal joint third (caudally) and for the entire joint as mild, moderate, or severe. In total, 11 joints from nine horses were evaluated histologically. All joints (100%) showed abnormalities on computed tomography, and 92% (23/25) displayed abnorma...
The effects of a long-duration intravenous infusion of detomidine, with and without vatinoxan, on equine energy metabolism and urine composition.
Veterinary anaesthesia and analgesia    July 2, 2025   S1467-2987(25)00142-4 doi: 10.1016/j.vaa.2025.06.011
Jantunen N, Raekallio M, Obrochta B, Tapio H, Gracia Calvo L, Rivera Pöyhönen R, Hagman K, Karikoski N.To assess the effects of a 4 hour detomidine constant rate infusion (CRI) with and without a vatinoxan CRI on energy metabolism and urine composition. Methods: Randomized, blinded, crossover study. Methods: Eight Finnhorses, 587 (550-620) kg [median (range)] and 13 (4-16) years old. Methods: Horses were administered an intravenous (IV) detomidine loading dose (0.01 mg kg) followed by 240 minutes CRI (0.015 mg kg hour) (DET) and the same detomidine protocol combined with an IV vatinoxan loading dose (0.15 mg kg) and CRI (0.05 mg kg hour) (DET+VAT). Blood samples for glucose, insulin, non-esteri...
Heart Rate and Heart Rate Variability Are Affected by Age and Activity Level in Athletic Horses.
Veterinary sciences    June 28, 2025   Volume 12, Issue 7 624 doi: 10.3390/vetsci12070624
Wonghanchao T, Sanigavatee K, Petchdee S, Chettaratanont K, Thongyen T, Wanichayanon B, Poochipakorn C, Chanda M.The physiological capabilities of horses begin to decline after they reach 15 years of age. However, some exceptionally talented horses can continue their sports careers beyond this age, raising concerns about their welfare. This study investigated animal welfare by observing resting heart rate (HR) and heart rate variability (HRV) metrics in geriatric horses participating in similar training or physical activities compared to younger adult horses over 30 min periods. Forty-six horses of varying ages and activity levels were divided into four groups, including horses under 15 years practising ...
Comparison of early and late time-controlled adaptive ventilation on pulmonary gas exchange in anesthetized horses.
Veterinary anaesthesia and analgesia    June 25, 2025   S1467-2987(25)00138-2 doi: 10.1016/j.vaa.2025.06.007
Vicenti C, Cercone M, Nieman G, Habashi NM, Andrews P, Satalin J, Velarde P, Mitchell KJ, Louie EW, Albano V, Ali H, King A, Staffieri F, Gleed R....To compare early versus late time-controlled adaptive ventilation (TCAV) for setting airway pressure release ventilation (APRV) on arterial oxygenation in dorsally recumbent anesthetized horses. Methods: A crossover, nonrandomized, experimental study. Methods: Six healthy adult horses. Methods: Each horse underwent two anesthetics: 1) volume-controlled ventilation (VCV) began for 30 minutes before switching to APRV using the TCAV method (late TCAV, TCAV); and 2) ventilation began immediately with TCAV (early TCAV, TCAV). The study lasted 180 minutes, with arterial blood gases and respiratory m...