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Topic:Castration

Castration in horses is a surgical procedure that involves the removal of the testicles, primarily performed to reduce aggressive behavior and prevent breeding. This operation, typically conducted on young male horses, or colts, can be done using various techniques, including open, closed, or laparoscopic methods. The procedure is generally carried out under anesthesia and requires post-operative care to minimize complications such as infection, swelling, or hemorrhage. Castration can influence a horse's physiology and behavior, often resulting in calmer temperaments and easier handling. This page offers a collection of peer-reviewed research studies and scholarly articles that explore the methodologies, physiological impacts, and behavioral changes associated with castration in equines.
Postcastration analgesia in ponies using buprenorphine hydrochloride.
The Veterinary record    June 4, 2013   Volume 172, Issue 24 635 doi: 10.1136/vr.101440
Love EJ, Taylor PM, Whay HR, Murrell J.Buprenorphine has recently obtained UK Marketing Authorisation for horses. The analgesic effects are long lasting, and have considerable potential for postoperative pain relief. This observer blinded, randomised study aimed to evaluate postsurgical analgesia in ponies premedicated with buprenorphine prior to castration under intravenous anaesthesia. Ponies received either 0.01 mg/kg bodyweight (BW) buprenorphine (group B) or an equivalent volume of 5 per cent glucose (group C) given intravenously before induction of anaesthesia. Pain was assessed and recorded using dynamic interactive visual a...
Equine laparoscopy: gonadectomy.
Compendium (Yardley, PA)    March 28, 2013   Volume 35, Issue 2 E4 
Caron JP.Laparoscopic removal of the gonads from male and female horses is regularly performed for a variety of reasons. In female horses, common indications for ovariectomy include behavioral problems and signs of abdominal pain that are linked to estrus. Another indication is an abnormal, enlarged ovary, typically due to ovarian neoplasia, the most common being granulosa thecal cell tumor. Ovariectomy is also a treatment option for ovarian hematomas and other abnormalities. In addition, ovariectomy is used to sterilize mares intended for artificial insemination or embryo transfer programs.
Effect of surgical technique for unilateral orchiectomy on subsequent testicular function in Miniature Horse stallions.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 100-104 doi: 10.1111/j.2042-3306.2012.00639.x
McCormick JD, Valdez R, Rakestraw PC, Varner DD, Blanchard TL, Cavinder CA, Sudderth AK, Kiser A, Love CC.Management decisions on unilateral orchiectomy are often influenced by the potential for post operative return to successful breeding. The effects of 2 surgical methods (first intention [FI] vs. second intention [SI] incision healing) for unilateral orchiectomy on resulting semen quality and scrotal temperature were evaluated. Objective: To evaluate the effects of 2 surgical unilateral orchiectomy techniques on scrotal healing, size of the remaining testis and post operative sperm quality. Methods: Unilateral orchiectomy was performed on mature Miniature Horse stallions. Semen was collected pr...
Incidence, management, and outcome of complications of castration in equids: 324 cases (1998-2008).
Journal of the American Veterinary Medical Association    March 1, 2013   Volume 242, Issue 6 820-825 doi: 10.2460/javma.242.6.820
Kilcoyne I, Watson JL, Kass PH, Spier SJ.To determine the incidence of complications and identify risk factors associated with development of complications following routine castration of equids. Methods: Retrospective case series. Animals-311 horses, 10 mules, and 3 donkeys. Methods: Medical records of equids undergoing routine castration were reviewed. Age, breed, surgical techniques (closed vs semiclosed castration and use of ligatures), anesthesia method (general IV anesthesia vs standing sedation with local anesthesia) and repeated administration of IV anesthetic agents, administration of antimicrobials and anti-inflammatory dru...
How securely is the testicular artery occluded in the spermatic cord by using a ligature?
Equine veterinary journal    January 7, 2013   Volume 45, Issue 5 649-652 doi: 10.1111/evj.12016
Rijkenhuizen AB, Sommerauer S, Fasching M, Velde K, Peham C.There are no studies on the ideal ligature technique for the spermatic cord. Objective: To compare the maximal resistance pressure in the testicular artery and the maximal tensile forces to produce failure of 2 different ligature techniques used for ligation of the equine spermatic cord. Methods: The capabilities of 2 types of ligatures, single knot loop and double knot loop, were assessed using a pressure-resistance test in testicular arteries and with an in vitro mechanical evaluation of the tensile strength by single cycle-to-failure testing. Results: In the pressure-resistance test, the me...
Comparison of peritoneal fluid values after laparoscopic cryptorchidectomy using a vessel-sealing device (Ligasure™) versus a ligating loop and removal of the descended testis.
Veterinary surgery : VS    November 21, 2012   Volume 42, Issue 5 600-606 doi: 10.1111/j.1532-950X.2012.01065.x
Seabaugh KA, Goodrich LR, Morley PS, Bohn A, Rao S, Hendrickson DA.To determine the effect of unilateral laparoscopic cryptorchidectomy and removal of the descended testis on peritoneal fluid values, and to compare effect between 2 methods for cryptorchid testis vessel hemostasis. Methods: Randomized clinical study. Methods: Stallions (n = 10) with unilateral abdominal cryptorchid testis. Methods: During standing laparoscopic cryptorchidectomy, blood vessels within the mesorchium of the cryptorchid testis were either sealed and transected with the LigaSure Atlas™ or 2 ligating loops were placed proximal to the testis and the tissue transected with laparosco...
Use of a deslorelin implant for influencing sex hormones and male behaviour in a stallion – Case report.
Acta veterinaria Hungarica    November 20, 2012   Volume 60, Issue 4 511-519 doi: 10.1556/AVet.2012.045
Schönert S, Reher M, Gruber AD, Carstanjen B.This case report describes the use of a subcutaneously applied 4.7-mg deslorelin acetate implant in a three-year-old Arabian crossbred stallion showing unwanted strong male behaviour. Following deslorelin acetate implantation the stallion showed a short transitional increase in male behaviour. A 'gelding-like' behaviour was noted 15 days (D15) after treatment. The horse was surgically castrated at the owners request at D52 after treatment. Serum testosterone, oestradiol-17β and oestrone sulphate values decreased after deslorelin acetate implantation, but serum LH and FSH levels remained uncha...
Characteristics of stallion epididymal spermatozoa at collection and effect of two refrigeration protocols on the quality of the frozen/thawed sperm cells.
Animal reproduction science    November 1, 2012   Volume 136, Issue 1-2 85-89 doi: 10.1016/j.anireprosci.2012.10.028
Guimarães T, Lopes G, Ferreira P, Leal I, Rocha A.Cryopreservation of epididymal spermatozoa is a useful tool to preserve genetic material of valuable stallions after emergency castration or unexpected death. For that, testicles and epididymides are generally sent refrigerated to the laboratory. Collection of epididymal spermatozoa is a simple procedure that reduces the volume of the material to be shipped, and may improve the quality of the chilled epididymal sperm cells. In the present study we compared the characteristics of frozen/thawed epididymal spermatozoa after refrigeration of the epididymis or after direct refrigeration of the exte...
Equine spermatozoa stored in the epididymis for up to 96h at 4°C can be successfully cryopreserved and maintain their fertilization capacity.
Animal reproduction science    November 1, 2012   Volume 136, Issue 4 280-288 doi: 10.1016/j.anireprosci.2012.10.027
Vieira LA, Gadea J, García-Vázquez FA, Avilés-López K, Matás C.After injury or death of a valuable male, recovery of epididymal spermatozoa may be the last chance to ensure preservation of its genetic material. The objective of this research was to study the effect of sperm storage, at 4°C up to 96h, in the epididymides obtained from castrated horses and its effect on different functional sperm parameters. Aims were to study the effect of (1) sperm storage on viability and chromatin condensation; (2) pre-incubation of recovered epididymal sperm in the freezing extender, prior cryopreservation, on viability and chromatin condensation; and (3) freezing-tha...
Alfaxalone and medetomidine intravenous infusion to maintain anaesthesia in colts undergoing field castration.
Equine veterinary journal    September 25, 2012   Volume 45, Issue 3 315-319 doi: 10.1111/j.2042-3306.2012.00645.x
Goodwin WA, Keates HL, Pearson M, Pasloske K.The use of alfaxalone and medetomidine administered as an i.v. infusion to maintain anaesthesia has not previously been reported in the horse. Objective: To investigate the use of alfaxalone in hydroxpropyl-beta-cyclodextrin (Alfaxan) and medetomidine infusion as a field anaesthetic for short-term surgical procedures in the horse. Objective: Alfaxalone-medetomidine anaesthesia is suitable for short-term field anaesthesia in horses. Methods: Eleven healthy colts underwent 45 min of anaesthesia with an i.v. infusion of alfaxalone (2 mg/kg bwt/h) and medetomidine (5 μg/kg bwt/h) for routin...
Identification of gonadal tissue in cryptorchid stallion can be improved by molecular biological analysis – a case report.
Anatomia, histologia, embryologia    January 16, 2012   Volume 41, Issue 4 311-315 doi: 10.1111/j.1439-0264.2011.01132.x
Stumpf G, Fietz D, Ezer J, Litzke LF, Bergmann M.Surgically removed testicular tissue in cryptorchid stallions is sometimes difficult to identify because of morphological and histological malformation. Therefore, a sure method to characterise the removed tissue is required. A 2-year-old Haflinger stallion was castrated after diagnosis of cryptorchidism to remove the left intra-abdomnial testis. Intra-operative exploration of the abdominal cavity revealed a firm, dysmorphic structure, which could not be identified as testis based on macroscopic anatomy. The removed tissue was Bouin-fixed and paraffin-embedded for histological examination. We ...
Clinical evaluation of detomidine-butorphanol-guaifenesin-ketamine as short term TIVA in Spiti ponies.
Pakistan journal of biological sciences : PJBS    January 13, 2012   Volume 14, Issue 11 647-652 doi: 10.3923/pjbs.2011.647.652
Thakur BP, Sharma SK, Sharma A, Kumar A.Veterinarians working under remote field conditions are routinely presented with variety of surgical interventions in equines like castrations, management of wound, traumatic and congenital hernias and musculoskeletal disorders thus necessitating the use of general anaesthesia for management of these conditions. The present study was carried out to evaluate and recommend the suitable short term anaesthetic technique for Spiti ponies under field conditions. Seven clinically healthy male Spiti ponies presented for castration were evaluated for short term Total Intravenous Anaesthesia (TIVA) usin...
Sequence variations and two levels of MCT1 and CD147 expression in red blood cells and gluteus muscle of horses.
Gene    September 16, 2011   Volume 491, Issue 1 65-70 doi: 10.1016/j.gene.2011.08.030
Koho NM, Mykkänen AK, Reeben M, Raekallio MR, Ilves M, Pösö AR.MCT1-CD147 complex is the prime lactate transporter in mammalian plasma membranes. In equine red blood cells (RBCs), activity of the complex and expression of MCT1 and CD147 is bimodal; high in 70% and low in 30%. We studied whether sequence variations contribute to the bimodal expression of MCT1 and CD147. Samples of blood and cremaster muscle were collected in connection of castration from 24 horses. Additional gluteus muscle samples were collected from 15 Standardbreds of which seven were known to express low amounts of CD147 in RBCs. The cDNA of MCT1 and CD147 together with a promoter regi...
Metabolic acidosis in healthy mules under general anaesthesia with halothane.
Veterinary anaesthesia and analgesia    August 13, 2011   Volume 38, Issue 5 484-489 doi: 10.1111/j.1467-2995.2011.00632.x
Grint NJ, Lorena SE, Johnson CB, Luna SP, Whay HR, Murrell JC.To report the severe metabolic acidosis identified in a group of 11 healthy mules anaesthetized with halothane for castration. Methods: Data generated from a prospective study. Methods: Eleven mules aged 2.5-8 years, weighing 230-315 kg and 11 horses aged 1.5-3.5 years, weighing 315-480 kg. Methods: Animals were anaesthetized for castration as part of an electroencephalographic study. Preanaesthetic medication was acepromazine (0.03 mg kg(-1) ) administered through a preplaced jugular venous catheter. Anaesthesia was induced 30-90 minutes later with intravenous thiopental (10 mg kg(-1) ). ...
Clinical evaluation of total intravenous anesthesia using a combination of propofol and medetomidine following anesthesia induction with medetomidine, guaifenesin and propofol for castration in Thoroughbred horses.
The Journal of veterinary medical science    July 26, 2011   Volume 73, Issue 12 1639-1643 doi: 10.1292/jvms.11-0153
Oku K, Kakizaki M, Ono K, Ohta M.Seven Thoroughbred horses were castrated under total intravenous anesthesia (TIVA) using propofol and medetomidine. After premedication with medetomidine (5.0 µg/kg, intravenously), anesthesia was induced with guaifenesin (100 mg/kg, intravenously) and propofol (3.0 mg/kg, intravenously) and maintained with constant rate infusions of medetomidine (0.05 µg/kg/min) and propofol (0.1 mg/kg/min). Quality of induction was judged excellent to good. Three horses showed insufficient anesthesia and received additional anesthetic. Arterial blood pressure changed within an acceptable range in all horse...
Cortisol, adrenocorticotropic hormone, serotonin, adrenaline and noradrenaline serum concentrations in relation to disease and stress in the horse.
Research in veterinary science    June 7, 2011   Volume 93, Issue 1 103-107 doi: 10.1016/j.rvsc.2011.05.013
Ayala I, Martos NF, Silvan G, Gutierrez-Panizo C, Clavel JG, Illera JC.No detailed comparative data are available on the hormonal parameters of horses suffering from a number of diseases. The aim of our study was to measure concentrations of cortisol, adrenocorticotropic hormone (ACTH), serotonin, adrenaline and noradrenaline in horses with various diseases and following surgery, to assess the response of the HPA axis and adrenal medulla. Blood samples were obtained from six groups of horses comprising a total of 119 animals as follows: laminitis, acute abdominal syndrome (AAS), castration surgery, acute diseases, chronic diseases and healthy controls. Serum horm...
A synergistic effect of insulin-like growth factor (IGF-I) on equine luteinizing hormone (eLH)-induced testosterone production from cultured Leydig cells of horses.
Animal reproduction science    May 24, 2011   Volume 126, Issue 3-4 195-199 doi: 10.1016/j.anireprosci.2011.05.008
Yoon MJ, Roser JF.Localization of IGF-I and IGF-IR were observed in Leydig cells of horses using immunohistochemistry (IHC), suggesting IGF-I may play a role in equine Leydig cell steroidogenesis. Previous studies in other species have indicated that IGF-I increases basal and/or LH/hCG-induced testosterone production. The objectives of this study were to (1) test the synergistic effect of IGF-I on eLH-induced testosterone production in cultured equine Leydig cells and (2) determine if this effect is reproductive stage-dependent. Testes were collected from five pubertal (1.1±0.1 year; 1-1.5 year) and eight post...
Immunolocalization of estrogen receptor alpha, estrogen receptor beta and androgen receptor in the pre-, peri- and post-pubertal stallion testis.
Animal reproduction science    March 23, 2011   Volume 125, Issue 1-4 103-111 doi: 10.1016/j.anireprosci.2011.03.007
Pearl CA, Mason H, Roser JF.In various species, androgens and estrogens regulate the function of testicular Leydig, Sertoli, peritubular myoid, and germ cells by binding to their respective receptors and eliciting a cellular response. Androgen receptor (AR) is expressed in Sertoli cells, peritubular myoid cells, Leydig cells and perivascular smooth muscle cells in the testis depending on the species, but its presence in germ cells remains controversial. Two different estrogen receptors have been identified, estrogen receptor alpha (ERα) and estrogen receptor beta (ERβ), and their localization and function in testicular...
Immunomodulation during and after castration under inhalation anaesthetic without genotoxic effects on equine lymphocytes.
Research in veterinary science    February 26, 2011   Volume 92, Issue 2 306-310 doi: 10.1016/j.rvsc.2011.01.021
Strasser A, Kühnel H, Velde K, Dadak A.Genotoxic DNA damage due to inhalation anaesthesia has been demonstrated in human lymphocytes. In order to evaluate anaesthesia-associated changes in cell-mediated immunity on the basis of a potential DNA damage as a health risk in horses, single cell gel electrophoresis and lymphocyte proliferation assay were performed on equine lymphocytes which were obtained before, during and after regular castration under inhalation anaesthetic. No significant lymphocytic DNA damage due to isoflurane anaesthesia was observed, whereas lymphocyte proliferative reactivity and lymphocyte counts decreased sign...
Expression of steroidogenic enzymes during equine testicular development.
Reproduction (Cambridge, England)    February 7, 2011   Volume 141, Issue 6 841-848 doi: 10.1530/REP-10-0499
Almeida J, Conley AJ, Mathewson L, Ball BA.In the mammalian testis, Leydig cells are primarily responsible for steroidogenesis. In adult stallions, the major endocrine products of Leydig cells include testosterone and estrogens. 3β-hydroxysteroid dehydrogenase/Δ(5)-Δ(4)-isomerase (3βHSD) and 17α-hydroxylase/17,20-lyase (P450c17) are two key steroidogenic enzymes that regulate testosterone synthesis. Androgens produced by P450c17 serve as substrate for estrogen synthesis. The aim of this study was to investigate localization of the steroidogenic enzymes P450c17, 3βHSD, and P450arom and to determine changes in expression during dev...
Identification of Arcanobacterium haemolyticum isolated from postcastrational complications of a horse.
Folia microbiologica    January 21, 2011   Volume 55, Issue 6 666-668 doi: 10.1007/s12223-010-0108-4
Hijazin M, Ulbegi-Mohyla H, Alber J, Lämmler C, Hassan AA, Prenger-Berninghoff E, Weiss R, Zschöck M.An Arcanobacterium haemolyticum strain isolated from a postcastrational lesion of a horse was identified phenotypically and genotypically. The latter was performed by sequencing the 16S-23S rDNA intergenic spacer region (ISR), by amplification of the gene encoding A. haemolyticum phospholipase D, by amplification of A. haemolyticum specific parts of ISR-23S rDNA and by amplification of the newly described CAMP factor family protein encoding gene of A. haemolyticum. This indicates (as described previously for seven additional A. haemolyticum strains; Hassan et al. 2009) that A. haemolyticum see...
Comparison of ketamine and alfaxalone for induction and maintenance of anaesthesia in ponies undergoing castration.
Veterinary anaesthesia and analgesia    January 11, 2011   Volume 38, Issue 1 37-43 doi: 10.1111/j.1467-2995.2010.00584.x
Klöppel H, Leece EA.To compare alfaxalone with ketamine for total intravenous anaesthesia in ponies undergoing castration. Methods: Prospective, randomised, blinded clinical study. Methods: Forty-two, 12-month-old Welsh Mountain ponies. Methods: Ponies were assigned randomly to receive ketamine or alfaxalone. After administration of romifidine 100 μg kg(-1) and butorphanol 50 μg kg(-1) intravenously (IV), sedation and response to tactile stimulation were scored. If sedation was insufficient, romifidine 30 μg kg(-1) was administered IV. Anaesthesia was induced with ketamine 2.2 mg kg(-1) or alfaxalone 1 mg kg(-...
Penile and preputial tumours in the horse: literature review and proposal of a standardised approach.
Equine veterinary journal    November 3, 2010   Volume 42, Issue 8 746-757 doi: 10.1111/j.2042-3306.2010.00290.x
Van Den Top JG, Ensink JM, Gröne A, Klein WR, Barneveld A, Van Weeren PR.Penile and preputial tumours are not uncommon in the horse, but can cause discomfort and lead to serious complications. Several types of tumour of the male external genitalia have been described. The most common type is the squamous cell carcinoma (SCC), which is found mainly in older horses. Reports of a breed predilection for penile tumour formation are equivocal, but castration, coat colour, poor hygiene and various infectious agents have all been suggested to predispose to the development of some types of tumour (e.g. SCC, papilloma and melanoma). Careful assessment of the primary tumour i...
Clinical, hormonal and ultrasonograph approaches to diagnosing cryptorchidism in horses.
Polish journal of veterinary sciences    November 3, 2010   Volume 13, Issue 3 473-477 
Raś A, Rapacz A, Raś-Noryńska M, Janowski TE.Cryptorchidism is a partial or total failure of testicular descent. For a proper diagnosis different methods are required. The main aim of this study was to compare different diagnostic methods. Sixty two horses (15 stallions, 32 cryptorchids and 15 geldings) were used in the experiment. They were clinically examined and ultrasonography was used to locate the testes. Blood samples were taken from the animals to measure the plasma level of testosterone and total estrogen (RIA method). In 22 horses suspected of cryptorchidism, the hCG stimulation test was performed. Blood samples were taken ever...
Castration clinics fight unwanted horse problem. States, national coalition offering them at no, low cost to owners.
Journal of the American Veterinary Medical Association    October 21, 2010   Volume 237, Issue 8 892-893 
Larkin M.No abstract available
Insulin-like growth factor-I (IGF-I) protects cultured equine Leydig cells from undergoing apoptosis.
Animal reproduction science    October 21, 2010   Volume 122, Issue 3-4 353-358 doi: 10.1016/j.anireprosci.2010.10.001
Yoon MJ, Roser JF.Leydig cells located in the interstitial space of the testicular parenchyma produce testosterone which plays a critical role in the maintenance and restoration of spermatogenesis in many species, including horses. For normal spermatogenesis, maintaining Leydig cells is critical to provide an optimal and constant level of testosterone. Recently, an anti-apoptotic effect of IGF-I in testicular cells in rats has been reported, but a similar effect of IGF-I on equine Leydig cells remains to be elucidated. If IGF-I also protects stallion testicular cells from undergoing apoptosis, then IGF-I may ha...
Use of a modified Vinsot technique for partial phallectomy in 11 standing horses.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 82-86 doi: 10.2460/javma.237.1.82
Arnold CE, Brinsko SP, Love CC, Varner DD.6 geldings and 5 stallions were evaluated from January 2007 through April 2009 for the following conditions requiring phallectomy: chronic paraphimosis (n = 7), squamous cell carcinoma of the penis (3), and priapism (1). Results: None of the 7 horses with paraphimosis was able to retract the penis. Chronicity of the paraphimosis in 6 horses ranged from 2 weeks to 2 months and was unknown in the seventh horse. Horses with paraphimosis had been medically treated without success. The horse with priapism had developed the condition secondary to acepromazine administration 2 days prior to referral ...
Administration of perioperative penicillin reduces postoperative serum amyloid A response in horses being castrated standing.
Veterinary surgery : VS    April 29, 2010   Volume 39, Issue 5 638-643 doi: 10.1111/j.1532-950X.2010.00704.x
Busk P, Jacobsen S, Martinussen T.To compare postoperative inflammatory responses in horses administered perioperative procaine penicillin and those not administered penicillin using acute phase protein serum amyloid A (SAA) as a marker of inflammation. Methods: Randomized clinical trial. Methods: Stallions (n=50) castrated under field conditions. Methods: SAA concentrations were determined on days 0, 3, and 8. Six horses were subsequently excluded because of elevated SAA concentrations on day 0. Of the remaining 50 horses, 26 were administered nonsteroidal anti-inflammatory drug (NSAID) therapy and 24 were administered NSAID ...
Post-anaesthetic myelopathy in a 3-year-old Friesian gelding.
Tijdschrift voor diergeneeskunde    April 27, 2010   Volume 135, Issue 7 272-277 
van Loon JP, Meertens NM, van Oldruitenborgh-Oosterbaan MM, van Dijk R.A 3-year-old Friesian stallion was referred to the Department of Equine Sciences at Utrecht University with signs of colic. Laparotomy was performed and the stallion was castrated bilaterally because of an incarcerated inguinal hernia. Intestinal resection was not performed. Eight days postoperatively, the horse showed signs of severe colic and was admitted for re-laparotomy. After resection of 1.5 m of strangulated jejunum and severe intraoperative hypotension, bradycardia, and electrolyte disorders, the horse showed problems during recovery with signs of hindquarter paralysis. There was no p...
Post-anesthetic pulmonary edema in two horses.
Veterinary anaesthesia and analgesia    March 17, 2010   Volume 37, Issue 2 136-143 doi: 10.1111/j.1467-2995.2009.00505.x
Kaartinen MJ, Pang DS, Cuvelliez SG.CASE 1: A two-year old, 462 kg Standard bred horse was anesthetized for arthroscopy and castration. During anesthesia, hyperemia of the mucosal membranes and urticaria were noticed. During 5 hours of anesthesia subcutaneous edema of the eyelids and neck region developed. In the recovery box, the orotracheal (OT) tube was left in situ and secured in place with tape. Following initial attempts to stand, the horse became highly agitated and signs consistent with pulmonary edema developed subsequently. Arterial hypoxemia (PaO(2): 3.7 kPa [28 mmHg]) and hypocapnia (PaCO(2): 3.1 kPa [23 mmHg]) were ...
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