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Topic:Diagnostic Technique

Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Development and validation of a periarticular injection technique of the sacroiliac joint in horses.
Equine veterinary journal    May 28, 2004   Volume 36, Issue 4 324-330 doi: 10.2746/0425164044890599
Engeli E, Haussler KK, Erb HN.Sacroiliac joint osteoarthritis has been recognised as a significant cause of poor performance in competition and racehorses. Reliable diagnostic tools are currently lacking. The diagnosis has been based typically on exclusion of other possible causes of poor performance, back pain and hindlimb lameness. Objective: To develop a safe, reliable and minimally invasive periarticular or intra-articular injection technique of potential use for diagnosis and therapy of sacroiliac joint disease in horses. Methods: Twenty-six horses were used to develop and assess a medial approach to the sacroiliac jo...
Accuracy of diagnostic arthroscopy for the assessment of cartilage damage in the equine metacarpophalangeal joint.
Equine veterinary journal    May 28, 2004   Volume 36, Issue 4 331-335 doi: 10.2746/0425164044890544
Brommer H, Rijkenhuizen AB, Brama PA, Barneveld A, van Weeren PR.There are many noninvasive diagnostic methods used for evaluating chronic progressive joint disease, but each has severe limitations in the detection of early articular cartilage damage. Objective: To evaluate the accuracy of arthroscopy as a diagnostic method for the assessment of the severity of cartilage surface damage on the proximal articular margin of the equine first phalanx (P1). Objective: That arthroscopic assessment of the visible cartilage provides 1) a good indication of the integrity of the cartilage surface and 2) a good estimation of the status of the cartilage surface of the e...
Follicle profile and plasma gonadotropin concentration in pubertal female ponies.
Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas    May 27, 2004   Volume 37, Issue 6 913-922 doi: 10.1590/s0100-879x2004000600018
Nogueira GP.Twelve female ponies were examined daily for 30 days and classified as ovulating (OV; N = 6; 197 +/- 6 kg) or prepubertal (PP; N = 6; 196 +/- 9 kg). Follicles were detected by ultrasound and gonadotropins quantified by radioimmunoassay. The mean diameter of the largest follicles was significantly larger in OV (38 +/- 1 mm) than in PP (26 +/- 2 mm) but there was no difference between groups in the size of the second largest follicle. There were more small follicles (29 mm than the OV fillies. Follicle-stimulating hormone (FSH) levels did not differ between groups but PP fillies had lower lutein...
Estrogen metabolism in the equine conceptus and endometrium during early pregnancy in relation to estrogen concentrations in yolk-sac fluid.
Biology of reproduction    May 26, 2004   Volume 71, Issue 4 1120-1127 doi: 10.1095/biolreprod.104.028712
Raeside JI, Christie HL, Renaud RL, Waelchli RO, Betteridge KJ.Because estradiol (E(2)) production by the early equine conceptus is considered crucial to the establishment of pregnancy, the amounts of E(2), estrone (E(1)), and their sulfates (E(2)S, E(1)S) were measured by RIA in yolk-sac fluid of 63 conceptuses collected by transcervical lavage over the period of 11-26 days after ovulation. Amounts increased significantly with age of conceptus, especially for E(1)S. Then, the metabolism of E(2), which may be highly relevant for its action, was examined in the conceptus and endometrium over the period when the conceptus ceases to migrate within the uterus...
Equine Cryptosporidium parvum infections in western Poland.
Parasitology research    May 20, 2004   Volume 93, Issue 4 274-278 doi: 10.1007/s00436-004-1111-y
Majewska AC, Solarczyk P, Tamang L, Graczyk TK.A total of 564 fecal specimens from 318 horses used for recreational riding, child hippotherapy, and racing at ten commercial and government-run stables in western Poland were tested for Cryptosporidium parvum oocysts by microscopic examination of Ziehl-Neelsen stained smears, enzyme immunoassay, and combined direct immunofluorescent antibody and fluorescent in situ hybridization. Also, seven stool specimens from five personnel who had repeated contact with these horses were tested for C. parvum oocysts. Eleven horses that shed C. parvum oocysts were found in five of ten stables (50%). The pre...
Evaluation of urinary TBARS in normal and chronic laminitic ponies.
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 292-294 doi: 10.2746/0425164044877233
Neville RF, Hollands T, Collins SN, Keyte FV.No abstract available
Sirius red is able to selectively stain eosinophil granulocytes in bovine, ovine and equine cervical tissue.
Anatomia, histologia, embryologia    May 18, 2004   Volume 33, Issue 3 180-182 doi: 10.1111/j.1439-0264.2004.00532.x
Wehrend A, Hetzel U, Huchzermeyer S, Klein C, Bostedt H.The aim of the present study was to examine the suitability of sirius red staining for selective light microscopic demonstration of eosinophil granulocytes in cervical tissue of mares, cows and sheep. For this purpose, tissue was fixed in 4% neutral buffered formol or in Bouin's solution. Paraffin sections of 5-microm thickness were stained with sirius red. In cows, mares and sheep a selective distinction of eosinophilic infiltration is successful after both fixation methods.
Desmoplakin and Plakoglobin–specific markers of lymphatic vessels in the skin?
Anatomia, histologia, embryologia    May 18, 2004   Volume 33, Issue 3 168-171 doi: 10.1111/j.1439-0264.2004.00529.x
Fedele C, Berens D, Rautenfeld V, Pabst R.Monoclonal antibodies against Desmoplakin and Plakoglobin were tested for their suitability as specific markers of lymphatic vessels. The tissue samples were taken from horse skin in an attempt to establish the horse as a model for human lymphatic diseases. To obtain a clear, positive identification of blood and lymphatic vessels, immunohistochemical staining with antibodies against vascular endothelial growth factor receptor 3 (VEGFR-3) and platelet endothelial adhesion molecule (PECAM-1, CD31), was compared with Desmoplakin and Plakoglobin. Because anti-VEGFR-3 is specific for lymphatic vess...
Evaluation of a sensor-based system of motion analysis for detection and quantification of forelimb and hind limb lameness in horses.
American journal of veterinary research    May 15, 2004   Volume 65, Issue 5 665-670 doi: 10.2460/ajvr.2004.65.665
Keegan KG, Yonezawa Y, Pai PF, Wilson DA, Kramer J.To compare a sensor-based accelerometer-gyroscopic (A-G) system with a video-based motion analysis system (VMAS) technique for detection and quantification of lameness in horses. Methods: 8 adult horses. Methods: 2 horses were evaluated once, 2 had navicular disease and were evaluated before and after nerve blocks, and 4 had 2 levels of shoe-induced lameness, alternatively, in each of 4 limbs. Horses were instrumented with an accelerometer transducer on the head and pelvis, a gyroscopic transducer on the right forelimb and hind feet, and a receiver-transmitter. Signals from the A-G system were...
Effects of enteral and intravenous fluid therapy, magnesium sulfate, and sodium sulfate on colonic contents and feces in horses.
American journal of veterinary research    May 15, 2004   Volume 65, Issue 5 695-704 doi: 10.2460/ajvr.2004.65.695
Lopes MA, White NA, Donaldson L, Crisman MV, Ward DL.To assess changes in systemic hydration, concentrations of electrolytes in plasma, hydration of colonic contents and feces, and gastrointestinal transit in horses treated with IV fluid therapy or enteral administration of magnesium sulfate (MgSO4), sodium sulfate (NaSO4), water, or a balanced electrolyte solution. Methods: 7 horses with fistulas in the right dorsal colon (RDC). Methods: In a crossover design, horses alternately received 1 of 6 treatments: no treatment (control); IV fluid therapy with lactated Ringer's solution; or enteral administration of MgSO4, Na2SO4, water, or a balanced e...
Antimicrobial susceptibility of equine and environmental isolates of Clostridium difficile.
Microbial drug resistance (Larchmont, N.Y.)    May 14, 2004   Volume 10, Issue 1 57-63 doi: 10.1089/107662904323047817
Båverud V, Gunnarsson A, Karlsson M, Franklin A.The antimicrobial susceptibility of 50 Clostridium difficile isolates, 36 of them from horse feces and 14 from environmental sites, was determined by broth microdilution. The antimicrobial agents tested were avilamycin, cephalothin, chloramphenicol, clindamycin, erythromycin, gentamicin, neomycin, oxacillin, oxytetracycline, penicillin, spiramycin, streptomycin, trimethoprim/sulfamethoxazole, vancomycin, and virginiamycin. All isolates were susceptible to vancomycin (MIC 16 microg/ml), oxytetracycline (MIC >/=32 microg/ml), spiramycin (MIC > 16 microg/ml), and virginiamycin (MIC 8-16 mi...
Assessment of subchondral bone mineral density in equine metacarpophalangeal and stifle joints.
Biomedical sciences instrumentation    May 12, 2004   Volume 40 272-276 
Walker JE, Lewis CW, MacLeay JM, Kawcak CE, Wheeler DL.Functional relationships between articular cartilage and underlying subchondral bone have been shown to be associated with the progression of osteoarthritis (OA). However, quantifiable factors substantiating this relationship do not exist. Therefore, the study objective involved quantifying subchondral bone mineral density (BMD) of the equine metacarpophalangeal (MCP) and stifle joints as a step in determining if regional subchondral BMD may be associated with OA changes. BMD was bilaterally quantified using dual energy xray absorptiometry (DEXA) for four subchondral regions: palmer and dorsal...
Effect of furosemide on urine specific gravity and osmolality in thoroughbred racehorses.
Veterinary therapeutics : research in applied veterinary medicine    May 12, 2004   Volume 4, Issue 3 292-298 
Bosken JM, Tobin T, Mundy GD, Fisher M, Gantz MG, Banks RO.Postrace urine samples from thoroughbred horses were examined to compare osmolality and specific gravity between horses treated with furosemide and those not treated. Samples were assigned to groups in relation to reported medication (furosemide) status, race finish position, and distance of race. Urine osmolality was significantly (P <.05) lower in samples from horses treated with furosemide when compared with untreated horses. Specific gravity determinations are less precise at measuring urine osmolality at lower levels (1.01 g/ml or less). The measurement of osmolality is a superior meth...
The effects of extracorporeal shock-wave therapy on the ultrasonographic and histologic appearance of collagenase-induced equine forelimb suspensory ligament desmitis.
Ultrasound in medicine & biology    May 4, 2004   Volume 30, Issue 4 461-467 doi: 10.1016/j.ultrasmedbio.2003.12.005
McClure SR, VanSickle D, Evans R, Reinertson EL, Moran L.Extracorporeal shock-wave therapy (ESWT) may stimulate healing of desmitis in multiple species. The objective of this study was to evaluate the ultrasonographic and histologic appearance of collagenase-induced suspensory ligament (SUL) desmitis in untreated ligaments and ligaments treated with ESWT in horses. Four mature horses had SUL desmitis induced in both forelimbs. Beginning 3 weeks after induction of the lesions, one ligament per horse was treated 3 times at 3-week intervals with ESWT. The percent lesion, echogenicity and fiber alignment scores of the SULs were evaluated at 3-week inter...
The effect of three types of rasps on the occlusal surface of equine cheek teeth: a scanning electron microscopic study.
Journal of veterinary dentistry    April 28, 2004   Volume 21, Issue 1 8 
Wilson G.Two hand rasps (tungsten chip blade, solid carbide blade) and an electrically-driven solid carbide axial bur were used to treat the cheek teeth of 2 horses immediately postmortem. All teeth were normal and were rasped to a standard considered satisfactory in practice. Six teeth from each horse served as untreated controls. Following treatment, the teeth were extracted and the clinical crown removed and prepared for scanning electron microscopy. Teeth were also extracted and examined from a horse that had excessive dental treatment previously. Dental debris created by the procedures was collect...
Evaluation of a larval development assay (DrenchRite) for the detection of anthelmintic resistance in cyathostomin nematodes of horses.
Veterinary parasitology    April 28, 2004   Volume 121, Issue 1-2 125-142 doi: 10.1016/j.vetpar.2003.09.016
Tandon R, Kaplan RM.A larval development assay (LDA, DrenchRite) was evaluated to determine the effectiveness of this method in detecting anthelmintic resistance in cyathostomin nematodes of horses. A total of 15 horse farms from Georgia and South Carolina (USA) and Population S ponies from the University of Kentucky (USA) were included in this study. Nematode eggs were extracted from pooled fecal samples and placed into the wells of a DrenchRite plate for testing against thiabendazole (TBZ), levamisole (LEV) and 2 ivermectin (IVM) analogs (IVM-1, IVM-2). After a 7-day incubation larvae in each well were counted ...
Periapical curettage: an alternative surgical approach to infected mandibular cheek teeth in horses.
Veterinary surgery : VS    April 24, 2004   Volume 33, Issue 3 267-271 doi: 10.1111/j.1532-950X.2004.04039.x
Carmalt JL, Barber SM.To evaluate an alternative surgical method for treating periapical infection of the mandibular cheek teeth of horses. Methods: Retrospective study. Methods: Eleven horses (3-13 years) with periapical mandibular tooth infection. Methods: Hospital records (1992-2002) of horses that had periapical curettage for the treatment of mandibular cheek tooth root infection were retrieved. Clinical signs, radiographic, and surgical reports were reviewed. Outcome was obtained by telephone questionnaire for 7 horses and by physical examination in 2. Results: Eleven horses (14 infected mandibular molariform ...
Breath condensate hydrogen peroxide correlates with both airway cytology and epithelial lining fluid ascorbic acid concentration in the horse.
Free radical research    April 24, 2004   Volume 38, Issue 2 201-208 doi: 10.1080/10715160310001638047
Deaton CM, Marlin DJ, Smith NC, Smith KC, Newton RJ, Gower SM, Cade SM, Roberts CA, Harris PA, Schroter RC, Kelly FJ.The relationship between hydrogen peroxide (H2O2) concentration in expired breath condensate (EBC) and cytology of the respiratory tract obtained from tracheal wash (TW) or bronchoalveolar lavage (BAL), and epithelial lining fluid (ELF) antioxidant status is unknown. To examine this we analysed the concentration of H2O2 in breath condensate from healthy horses and horses affected by recurrent airway obstruction (RAO), a condition considered to be an animal model of human asthma. The degree of airway inflammation was determined by assessing TW inflammation as mucus, cell density and neutrophil ...
Comparison of tracheal aspirates and bronchoalveolar lavage in racehorses. 1. Evaluation of cytological stains and the percentage of mast cells and eosinophils.
Australian veterinary journal    April 17, 2004   Volume 81, Issue 11 681-684 doi: 10.1111/j.1751-0813.2003.tb12538.x
Hughes KJ, Malikides N, Hodgson DR, Hodgson JL.To compare a fast Romanowsky cytological stain (Diff-Quik) and Leishman's stain for the detection of mast cells in samples from the lower airways of racehorses, and to compare the proportion of mast cells and eosinophils in the total inflammatory cells in tracheal aspirate (TA) with those in paired bronchoalveolar lavage (BAL) samples. Methods: Retrospective case series of 48 young Thoroughbred and Standardbred racehorses. Methods: Fifty-one paired TA and BAL samples were collected after treadmill exercise from 48 horses with poor racing performance. Two slides were prepared from each sample; ...
Comparison of tracheal aspirates and bronchoalveolar lavage in racehorses. 2. Evaluation of the diagnostic significance of neutrophil percentage.
Australian veterinary journal    April 17, 2004   Volume 81, Issue 11 685-687 doi: 10.1111/j.1751-0813.2003.tb12540.x
Malikides N, Hughes KJ, Hodgson DR, Hodgson JL.To determine whether diagnosis of airway inflammation, using cut-off percentages for neutrophils, differs when based on samples from tracheal aspirate (TA) and bronchoalveolar lavage (BAL) collected concomitantly from the same racehorse. Methods: Retrospective case series of 48 young Thoroughbred and Standardbred racehorses in race training, but showing poor performance. PROCEDURE TA and BAL samples were collected from all horses 1 to 2 h after high-speed treadmill exercise. Aliquots of the retrieved fluid were cytocentrifuged and smears stained with Diff-Quik. The mean percentage of neutrophi...
Polymerase chain reaction tests for the identification of Ross River, Kunjin and Murray Valley encephalitis virus infections in horses.
Australian veterinary journal    April 16, 2004   Volume 81, Issue 1-2 76-80 doi: 10.1111/j.1751-0813.2003.tb11438.x
Studdert MJ, Azuolas JK, Vasey JR, Hall RA, Ficorilli N, Huang JA.To develop and validate specific, sensitive and rapid diagnostic tests using RT-PCR for the detection of Ross River virus (RRV), Kunjin virus (KV) and Murray Valley encephalitis virus (MVEV) infections in horses. Methods: Primer sets based on nucleotide sequence encoding the envelope glycoprotein E2 of RRV and on the nonstructural protein 5 (NS5) of KV and MVEV were designed and used in single round PCRs to test for the respective viruses in infected cell cultures and, in the case of RRV, in samples of horse blood and synovial fluid. Results: The primer pairs designed for each of the three vir...
Aberrant blood flow area and plasma gonadotropin concentrations during the development of dominant-sized transitional anovulatory follicles in mares.
Biology of reproduction    April 14, 2004   Volume 71, Issue 2 637-642 doi: 10.1095/biolreprod.104.028498
Acosta TJ, Beg MA, Ginther OJ.Color Doppler transrectal ultrasound was used to evaluate blood flow area in the wall of dominant anovulatory follicles versus ovulatory follicles in mares during the transition between anovulatory and ovulatory seasons. Daily examinations were done in 11 control mares toward the end of the anovulatory season. In 13 separate mares, follicular fluid was collected from 30-mm follicles, and blood flow areas from control mares were used as a basis for designating the sampled follicle as either anovulatory or ovulatory. Blood flow area in the controls ranged from 0.18 to 0.35 cm(2) in six mares on ...
Validation of diagnostic tests for determination of magnesium status in horses with reduced magnesium intake.
American journal of veterinary research    April 14, 2004   Volume 65, Issue 4 422-430 doi: 10.2460/ajvr.2004.65.422
Stewart AJ, Hardy J, Kohn CW, Toribio RE, Hinchcliff KW, Silver B.To evaluate the diagnostic value of serum concentrations of total magnesium (tMg) and ionized magnesium (iMg), concentrations of magnesium (Mg) in muscle, intracellular Mg (icMg) concentrations, urinary Mg excretion (EMg), Mg clearance (CMg), and fractional clearance of Mg (FCMg) in horses fed diets with Mg content above and below National Research Council recommendations. Methods: 9 young female horses. Methods: 6 horses were fed a reduced-Mg diet for 29 days followed by an Mg-supplemented diet for 24 days. Control horses (n = 3) were fed grass hay exclusively. Blood, urine, and tissue sample...
In vivo investigation of the efficacy of a customized solution to attenuate injury following low-flow ischemia and reperfusion injury in the jejunum of horses.
American journal of veterinary research    April 14, 2004   Volume 65, Issue 4 485-490 doi: 10.2460/ajvr.2004.65.485
Van Hoogmoed LM, Nieto JE, Spier SJ, Snyder JR.To evaluate the efficacy of a customized solution to attenuate intestinal injury following 20% low-flow ischemia and reperfusion in the jejunum of horses. Methods: 10 healthy adult horses. Methods: Two 30.5-cm-long segments of jejunum were exteriorized through a ventral midline incision and the mesenteric artery and vein supplying that portion of the intestine were instrumented with flow probes. Blood flow was decreased to 20% of baseline for 90 minutes followed by 90 minutes of reperfusion. In 5 horses, 60 mL of the customized solution was placed in the lumen of each segment (treatment-group ...
Use of distraction osteogenesis for the correction of deviated nasal septum and premaxilla in a horse.
Journal of the American Veterinary Medical Association    April 13, 2004   Volume 224, Issue 7 1147-1112 doi: 10.2460/javma.2004.224.1147
Puchol JL, Herrán R, Durall I, López J, Díaz-Bertrana C.A 13-month-old female Andalusian was evaluated because of a congenital left deviation of the maxilla and nasal septum, which had resulted in a gross malocclusion of the maxillary incisor teeth. Surgical correction of a deviated nasal septum and premaxilla in a horse was first reported in 1978 and involved a pre-maxilla osteotomy and use of an autogenous rib graft, with a nasal septum osteotomy performed in a second surgery; to the authors' knowledge, no alternative surgical treatments have since been described. In this horse, a new surgical treatment by distraction osteogenesis without nasal s...
In vitro study of heat production during power reduction of equine mandibular teeth.
Journal of the American Veterinary Medical Association    April 13, 2004   Volume 224, Issue 7 1128-1132 doi: 10.2460/javma.2004.224.1128
Allen ML, Baker GJ, Freeman DE, Holmes KR, Marretta SM, Scoggins RD, Constable P.To measure the amount of heat generated during 3 methods of equine dental reduction with power instruments. Methods: In vitro study. Methods: 30 premolar and molar teeth removed from mandibles of 8 equine heads collected at an abbatoir. Methods: 38-gauge copper-constantan thermocouples were inserted into the lingual side of each tooth 15 mm (proximal) and 25 mm (distal) from the occlusal surface, at a depth of 5 mm, which placed the tip close to the pulp chamber. Group-NC1 (n = 10) teeth were ground for 1 minute without coolant, group-NC2 (10) teeth were ground for 2 minutes without coolant, a...
Treatment for a severe reaction to intravenous administration of diatrizoate in an anesthetized horse.
Journal of the American Veterinary Medical Association    April 13, 2004   Volume 224, Issue 7 1143-1112 doi: 10.2460/javma.2004.224.1143
Gunkel CI, Valverde A, Robertson SA, Thompson MS, Keoughan CG, Ferrell EA.A mature horse developed acute signs of bronchoconstriction causing hypoxemia and hypercapnia during anesthesia for computerized tomography of the maxillary sinus after i.v. administration of diatrizoate contrast medium. The horse was treated with aerosolized albuterol, atropine, and oxygen insufflation and recovered uneventfully despite severe hypoxemia and low hemoglobin saturation. The horse's condition continued to improve after treatment, and the horse was discharged with no further complications. Caution is advised with the use of contrast media in anesthetized horses.
Differential blood flow changes between the future dominant and subordinate follicles precede diameter changes during follicle selection in mares.
Biology of reproduction    April 7, 2004   Volume 71, Issue 2 502-507 doi: 10.1095/biolreprod.104.027896
Acosta TJ, Gastal EL, Gastal MO, Beg MA, Ginther OJ.Diameter deviation during a follicular wave is characterized by the continued growth of the developing dominant follicle and reduced growth and regression of the subordinate follicles. This study considered the hypothesis that reduced blood flow in the future largest subordinate follicle precedes the beginning of diameter deviation. The hypothesis was tested by quantifying the daily changes in blood-flow velocities and blood-flow area within the wall of follicles before and during diameter deviation in mares (n = 7). The blood-flow end points were quantified daily by transrectal color Doppler ...
Reproductive performance of thoroughbred mares in sweden.
Reproduction in domestic animals = Zuchthygiene    April 7, 2004   Volume 39, Issue 2 81-85 doi: 10.1111/j.1439-0531.2004.00482.x
Hemberg E, Lundeheim N, Einarsson S.During 1997-2001, a total of 430 Thoroughbred mares were mated by one of the two Thoroughbred stallions on a well-managed stud farm in the central part of Sweden. On arrival, a thorough gynaecological examination of all mares was performed. An early pregnancy examination was performed on days 14 and 15 after ovulation. The overall conception rates for the two stallions were 92.2 and 88.8%, and the corresponding live foal rates were 82.6 and 75.2%, respectively. The mean number of served oestrous cycles was 1.60 per mare per conception and 1.86 per live foal. The first and second cycle concepti...
Monitoring the critically ill equine patient.
The Veterinary clinics of North America. Equine practice    April 6, 2004   Volume 20, Issue 1 11-39 doi: 10.1016/j.cveq.2003.12.001
Magdesian KG.Measurements of physiologic parameters, such as blood pressure or lactate concentration, are useful to detect occult derangements, such as tissue hypoxia and dysoxia. These tools are also useful in determining the effects of therapy. Monitoring techniques are now widely available for the intensive management of critically ill horses and foals. A number of these have evolved into noninvasive or minimally invasive devices and procedures and provide information that can be used for earlier and more dynamic therapeutic intervention. The goal of increased monitoring is to improve the level of care ...