Topic:Blood Gas Analysis
Blood gas analysis in horses involves the measurement of gases and pH levels in blood to assess respiratory and metabolic function. This diagnostic tool provides information on oxygen and carbon dioxide levels, as well as acid-base balance, which are critical for evaluating the respiratory efficiency and metabolic state of equine patients. Blood gas parameters commonly measured include partial pressures of oxygen (PaO2) and carbon dioxide (PaCO2), bicarbonate (HCO3-), and blood pH. These measurements aid in the diagnosis and management of respiratory disorders, metabolic imbalances, and conditions affecting the horse's overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the methodology, interpretation, and clinical applications of blood gas analysis in equine medicine.
Capnographic monitoring during anesthesia with controlled ventilation in the horse. Forty-five horses were maintained on halothane or isoflurane anesthesia for at least 90 minutes and received positive pressure ventilation after the first 30 minutes of anesthesia. Parameters monitored included end-tidal partial pressure of carbon dioxide (ETPCO2), arterial blood pressure, and arterial blood gases and pH. There was a statistically significant correlation between end-tidal carbon dioxide and arterial partial pressure of carbon dioxide (PaCO2) for both halothane and isoflurane anesthesia. There was no significant correlation between end-tidal carbon dioxide and either body weigh...
Comparison of the effects of two sets of anaesthetic agents and posture on respiratory rate, heart rate, pH, blood gas and acid-base status in the horse. Two methods of anaesthesia were evaluated in the horse for their effects on the cardiovascular and respiratory systems and on the acid-base status of the animal. In addition the effect of the position—dorsal and lateral recumbency—of the anaesthetized horse on these systems was evaluated.
Isoflurane anesthesia for equine colic surgery. Comparison with halothane anesthesia. Isoflurane was compared with halothane as an anesthetic agent for emergency colic surgery in a series of 38 juvenile and adult horses. After presurgical stabilization with fluids and supportive medications, anesthesia was induced by intravenous xylazine and/or diazepam followed by ketamine. Anesthesia was maintained with isoflurane or halothane in oxygen with controlled ventilation. Heart rates (HR), arterial blood gases, mean arterial pressures (MAP), rate pressure products (RPP), requirements for cardiovascular support medications, and recovery times to standing were compared using nonparame...
Pulmonary function in the horse during anaesthesia: a review. The effect of abnormal body position on cardiovascular and pulmonary function in the awake and anaesthetised horse is reviewed. Parameters such as pulmonary shunt, lung volumes, blood gases and alveolar-arterial oxygen partial pressure differences are discussed. Withholding food for 24 hours and mechanical ventilation may be used to improve blood gas values associated with abnormal recumbency during anaesthesia. During prolonged recovery, horses should be encouraged to adopt sternal recumbency.
Arterial to end-tidal CO2 tension and alveolar dead space in halothane- or isoflurane-anesthetized ponies. The correlation between end-tidal partial pressure of CO2 (PETCO2) and arterial (PaCO2) was determined for spontaneously breathing ponies under halothane or isoflurane anesthesia. The PETCO2 was useful as a trend indicator of PaCO2 during the first 60 minutes of halothane or isoflurane anesthesia when PaCO2 values were less than 60 to 70 mm of Hg. Halothane anesthesia lasting greater than 90 minutes was associated with PaCO2 values in excess of 60 to 70 mm of Hg, a large arterial- to end-tidal PCO2 difference (PaCO2-PETCO2) and a significant increase in alveolar dead space. These effects were ...
Pharmacologic and pharmacokinetic properties of methocarbamol in the horse. The hemodynamic, respiratory, and behavioral effects, as well as the pharmacokinetic properties of methocarbamol, were determined in horses. Heart rate, cardiac output, arterial and venous blood pressures, respiratory rate, and arterial blood gases did not change after IV methocarbamol (4.4, 8.8, 17.6 mg/kg) administration. There were no signs of behavior modification or ataxia observed. Analysis of plasma concentration time data indicated that the disposition of methocarbamol may be dose-dependent. Clearance and steady-state volume of distribution decreased as the dose increased. Plasma conce...
Pharmacokinetic disposition of theophylline in horses after intravenous administration. The pharmacokinetics of theophylline were determined in 6 healthy horses after a single IV administration of 12 mg of aminophylline/kg of body weight (equivalent to 9.44 mg of theophylline/kg). Serum theophylline was measured after the IV dose at 0.25, 0.5, 1, 2, 4, 6, 8, 12, and 15 hours. Serum concentration plotted against time on semilogarithmic coordinates, indicated that theophylline in 5 horses was best described by a 2-compartment open model and in 1 horse by a 1-compartment open model. The following mean pharmacokinetic values were determined; elimination half-life = 11.9 hours, distri...
Developments in management of the newborn foal in respiratory distress 1: Evaluation. Developments in evaluation of newborn foals with respiratory distress are discussed. Major causes of respiratory distress are outlined and discussed in terms of the similar respiratory signs exhibited by foals with this clinical syndrome. History, physical examination, clinical pathology, chest radiography and blood gas analyses are discussed as important elements of the evaluation of the condition of these foals. Foals with respiratory disease are grouped into three major categories on the basis of clinical signs and arterial blood gas profiles. The evaluation of foals with respiratory distre...
Effect of upper airway carbon dioxide on ventilation and blood gases in the awake pony. Carbon dioxide concentrations were increased during expiration in the upper one-half of the trachea, pharynx, and nasal sinuses to determine if elevation of upper airway CO2 would alter breathing or arterial blood gases in the awake pony. Carbon dioxide (100%) was injected into the midcervical trachea via a chronically implanted transcutaneous cannula during the first part of the animal's expiration. This maneuver elevated upper airway expiratory CO2 concentrations but prevented any exogenous CO2 from entering the lung and being absorbed into the arterial blood. Twelve experiments were perform...
Response to oxygen administration in foals: effect of age, duration and method of administration on arterial blood gas values. The effect of oxygen administration on blood gas values was examined in six newborn foals from birth to seven days old. Three variables were studied: the effect of increasing age on the ability to elevate arterial oxygen tension (Pao2), the effect of duration of oxygen delivery on Pao2 and the effect of method of administration. The results demonstrated a significant effect of age on the ability to increase Pao2 values, with the highest Pao2 values being found at seven days old. The duration of oxygen administration caused little change in Pao2 values; peak values were reached after 2 mins of ...
Cardiovascular and pulmonary effects of recumbency in two conscious ponies. Respiratory dead-space, tidal volume, respiratory rate, blood gases, cardiac output, heart rate and arterial and pulmonary arterial blood pressures were measured in two conscious, trained ponies in the standing position and in left lateral recumbency. The ponies were reluctant to remain lying down for more than about 20 mins but the reason for this did not become apparent. Tidal volume was reduced during recumbency but the respiratory rate increased, tending to maintain the minute volume at about that of the standing animal. Arterial carbon dioxide tension did not change significantly from sta...
Observations on the use of glyceryl guaiacolate as an adjunct to general anaesthesia in horses. Twenty-one horses undergoing clinical surgery and diagnostic procedures received 15% glyceryl guaiacolate followed by a rapid intravenous injection of a thiobarbiturate for induction of anaesthesia. Premedication was with atropine and acepromazine. Induction was smooth and free from problems apart from transient apnoea in some horses. Maintenance of anaesthesia was with oxygen and halothane administered by means of a closed circle system with soda-lime absorber and with the vaporiser out of circuit. During the period immediately following induction, the heart rate increased and the respiratory...
Combined use of sedatives and opiates in horses. The effects of four intravenous combinations, xylazine (0.7 mg/kg)/methadone (0.1 mg/kg), xylazine (0.7 mg/kg)/buprenorphine (0.004 and 0.006 mg/kg) and acepromazine (0.05 mg/kg)/buprenorphine (0.006 mg/kg) on arterial blood pressure, central venous pressure, heart rate, respiratory rate and blood gases were studied in four experimental ponies. With xylazine/buprenorphine and xylazine/methadone onset of sedation was rapid and obvious and although no surgical or diagnostic procedures were carried out, sedation was judged to be satisfactory for the next 30 to 40 minutes. Onset of sedation after ...
Effects of clenbuterol hydrochloride on certain respiratory and cardiovascular parameters in horses performing treadmill exercise. Five standardbred geldings received intravenous clenbuterol hydrochloride and saline in a crossover experiment to evaluate the effects of clenbuterol on certain cardiorespiratory parameters during and after treadmill exercise. The exercise test consisted of four steps. Step 1 at a speed of 76 m per minute, step 2 at 129 m per minute, step 3 at 190 m per minute and step 4 at 236 m per minute. The duration of each step was two minutes, except step 4 which was four minutes. The treadmill was set at a grade of 19 per cent. Before exercise, 30 minutes after clenbuterol or saline administration, art...
Effect of intranasal oxygen administration on arterial blood gas and acid base parameters in spontaneously delivered, term induced and induced premature foals. The effect of intranasal administration of oxygen at a flow rate of 10 litres per minute for 10 minutes, was studied in a total of 19 foals (thoroughbred and pony) aged between 0.5 and 12 hours. Arterial blood samples were collected before and after oxygen administration for the determination of paO2, paCO2, pHa and base excess. The foals were divided into three groups: five spontaneously delivered thoroughbred and pony foals (group 1), seven term induced thoroughbred foals (group 2) and seven induced premature pony foals (group 3). To examine the effect of duration of oxygen administration on...
Multiple congenital heart anomalies in five Arabian foals. Five Arabian or half-Arabian foals with suspected multiple cardiac anomalies were examined. Various combinations of clinical examination, electrocardiography, angiocardiography, cardiac catheterization, blood gas analysis, radiography, and echocardiography resulted in clinical data that allowed accurate antemortem diagnoses to be made. In 4 cases, the clinical diagnosis was substantiated by postmortem findings. The confirmed diagnoses were: pseudotruncus arteriosus, a combination of patent ductus arteriosus, pulmonic stenosis, and tricuspid stenosis, pentalogy of Fallot, and tricuspid atresia....
Pharmacodynamic and pharmacokinetic properties of diazepam in horses. The cardiopulmonary, behavioral, and pharmacokinetic properties of diazepam were determined in horses. Heart rate, cardiac output, mean pulmonary artery, aortic and right atrial blood pressures, respiratory rate, and arterial pH and blood gas values did not change after IV diazepam (0.05, 0.1, 0.2, 0.4 mg/kg) administration. Increasing doses of diazepam resulted in signs of muscle weakness including fixed stance, muscle fasciculations of the head, neck, and thorax muscles, ataxia, and then recumbency. Dosages of diazepam exceeding 0.2 mg/kg produced mild sedation. Behavioral changes persisted ...
Effects of dexamethasone on endotoxin shock in the anesthetized pony: hematologic, blood gas, and coagulation changes. The effects of dexamethasone (1 mg/kg of body weight) on hematologic, blood gas, and blood coagulation values in anesthetized ponies during endotoxin-induced shock were evaluated. Fifteen ponies were assigned to 3 groups of 5 ponies each: group 1, anesthetized nontreated and dexamethasone-treated controls; group 2, endotoxin, nontreated; group 3, endotoxin, dexamethasone treated. The hematologic changes in this endotoxin shock model included leukopenia and hemoconcentration. Significant hematologic effects were not seen in ponies after administration of dexamethasone. However, dexamethasone tr...
Cardiopulmonary effects of butorphanol tartrate in horses. The cardiopulmonary and behavioral effects of butorphanol were evaluated in pain-free adult horses. Butorphanol tartrate was administered IV in doses of 0.1, 0.2, and 0.4 mg/kg to the same horses on 3 separate occasions. There were no significant (P less than 0.05) changes in heart rate, mean and diastolic arterial pressure, mean and diastolic pulmonary arterial blood pressure, or cardiac output recorded in the horses given these doses. Systolic arterial blood pressure was significantly (P less than 0.05) increased in only the horses given the 0.2 mg/kg dose. Significant (P greater than 0.05) ...
Lactic acidosis and arterial hypoxemia during sublethal endotoxemia in conscious ponies. Effects of a sublethal IV dose (10 micrograms/kg of body weight) of Escherichia coli endotoxin were studied in 7 conscious ponies. Arterial blood gases and plasma lactic acid were determined periodically throughout the 180 minutes of the study. Arterial hypoxemia occurred within 5 minutes despite intense hyperventilation. Colic and diarrhea occurred in all ponies within 30 minutes after endotoxin administration. Metabolic acidosis developed within 30 minutes and persisted throughout the study, indicating widespread reduced tissue perfusion.
Evaluation of the demand valve for resuscitation of horses. Arterial blood gas values, rate of pulmonary nitrogen washout, respiratory rate, arterial blood pressure, heart rate, and cardiac output were determined during ventilation of six anesthetized horses, with a demand valve. The horses were allowed to ventilate spontaneously, or intermittent positive pressure ventilation was utilized. When compared with spontaneous ventilation, intermittent positive pressure ventilation caused a significant increase in the rate of pulmonary nitrogen washout and a significant decrease of arterial carbon dioxide. It was concluded that intermittent positive pressure ...
Hemodynamic and respiratory effects of xylazine-morphine sulfate in horses. The cardiopulmonary effects of two xylazine-morphine sulfate drug combinations (mixtures) given IV were evaluated in horses. In horses given xylazine (0.66 mg/kg of body weight) and morphine sulfate (0.12 mg/kv) IV (experiment 1), there were significant (P less than 0.05) decreases in heart rate, cardiac output, and respiratory rate. Central venous pressure was significantly (P less than 0.05) increased. Arterial and pulmonary arterial blood pressures increased significantly (P less than 0.05) but transiently. Arterial blood gas tensions (PaCO2 and PaO2) and pH remained unchanged. In the horse...
Cardiopulmonary effects of narcotic agonists and a partial agonist in horses. The cardiopulmonary effects of the narcotic agonists morphine, meperidine, oxymorphone, and methadone and of the partial agonist pentazocine were examined in the pain-free adult horse. The drugs produced dysphoric followed by euphoric effects. Increases in heart rate, arterial blood pressure, and cardiac output were observed in all horses with all drugs. Arterial blood pressure remained increased even after heart rate and cardiac output had returned to base-line values. Respiratory rate generally remained unchanged or increased shortly after drug administration and then decreased insignificant...
Cerebrospinal fluid acid-base balance during muscular exercise. Ventilation, metabolism, arterial blood gases, and blood and cerebrospinal fluid (CSF) acid-base status were measured in exercise studies on seven ponies during mild, moderate, and near-maximal treadmill exercise. CSF and arterial blood were sampled via indwelling catheters. Generally measurements were made during the 3rd, 6th, and 9th minute of steady-state exercise, with CSF sampled only during the 9th minute. Alveolar ventilation (VA) and metabolic rate (VO2) increased proportionately during exercise below the anaerobic threshold, but above this threshold, VA increased at a faster rate than...
Some metabolic effects of maximal exercise in the horse and adaptations with training. The effects of intermittent maximal exercise (galloping) before and after a 10 week training programme were studied in 6 horses. Determinations were carried out on venous blood for packed cell volume, total plasma protein, glucose, glycerol, free fatty acids, lactate, 11-hydroxycorticosteroids, blood gases and pH. There were marked changes associated with galloping and some of these could be modified with training. The major findings included (i) an elevated blood glucose, (ii) a large increase in glycerol, which was greatest at 30 min post-exercise and was higher following training, (iii) sma...
Body position and mode of ventilation influences arterial pH, oxygen, and carbon dioxide tensions in halothane-anesthetized horses. Effects of body position and type of ventilation were determined on arterial blood gases (PaO2, PaCO2) and pH during and immediately following clinical halothane anesthesia in 36 young, physically conditioned horses. Horses in dorsal recumbency had a lower PaO2 than did similarly breathing horses in a lateral position. Predictably controlled positive-pressure ventilation inproved arterial oxygenation and permitted maintenance of a normal PaCO2. Most horses, regardless of type of ventilation and operative body positioning, were hypoxemic in the immediate postanesthetic period.
Acid-base values of standardbred horses recovering from strenuous exercise. Blood gases, lactic acid concentrations, and pH were measured in arterial and mixed venous blood in moderately conditioned Standardbred horses after a standardized exercise load of 1.6 km in 2 minutes, 40 seconds. Samples were obtained at rest, immediately after exercise, and at 3, 6, 15, 30, and 60 minutes after exercise. Arterial oxygen tension and mixed venous oxygen tension increased after exercise, reaching peak values at 6 minutes. Arterial oxygen tension returned to the resting (preexercise) value by 15 minutes, and mixed venous oxygen tension by 30 minutes. Arterial carbon dioxide tens...
Postnatal lung growth and function in the foal. Respiratory function in newborn foals is discussed with particular reference to the important part played by functional residual capacity and chest wall compliance in maintaining blood gaseous exchange within normal limits.
Influence of the neuroleptanalgesic combination of etorphine and acepromazine on the horse: blood gases and acid-base balance. Respiratory function and acid-base variables were studied in Welsh Mountain ponies before and at predetermined times after the intravenous injection of Immobilon and Revivon.A marked depression of respiratory rate was accompanied by large reductions in arterial blood oxygen tension and saturation and the development of a mild respiratory acidosis following the injection of Immobilon. It was concluded that at least three factors contributed to the hypoxic hypoxia produced by Immobilon; the posture of lateral recumbency, the decrease in respiratory rate and the laboured character of the respirat...