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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Speech-Language Pathology Incorporating Horses.
Seminars in speech and language    February 8, 2022   Volume 43, Issue 1 35-53 doi: 10.1055/s-0041-1741553
Macauley BL.Incorporating horses into speech-language pathology services is a valid treatment strategy that can be used to help the client achieve their communication and/or swallowing goals. The purpose of this article is to discuss the history and terminology of incorporating horses into rehabilitation, explain theories for why incorporating horses works, and provide clinical applications to the American Speech-Language-Hearing Association's nine areas of practice with clinical reports.
Antibacterial Properties of Biodegradable Silver Nanoparticle Foils Based on Various Strains of Pathogenic Bacteria Isolated from the Oral Cavity of Cats, Dogs and Horses.
Materials (Basel, Switzerland)    February 8, 2022   Volume 15, Issue 3 doi: 10.3390/ma15031269
Rutkowski M, Krzemińska-Fiedorowicz L, Khachatryan G, Kabacińska J, Tischner M, Suder A, Kulik K, Lenart-Boroń A.Frequent occurrence of microbial resistance to biocides makes it necessary to find alternative antimicrobial substances for modern veterinary medicine. The aim of this study was to obtain biodegradable silver nanoparticle-containing (AgNPs) foils synthesized using non-toxic chemicals and evaluation of their activity against bacterial pathogens isolated from oral cavities of cats, dogs and horses. Silver nanoparticle foils were synthesized using sodium alginate, and glucose, maltose and xylose were used as reducing agents. The sizes of AgNPs differed depending on the reducing agent used (xylose...
Parasite dynamics in untreated horses through one calendar year.
Parasites & vectors    February 8, 2022   Volume 15, Issue 1 50 doi: 10.1186/s13071-022-05168-z
Steuer AE, Anderson HP, Shepherd T, Clark M, Scare JA, Gravatte HS, Nielsen MK.Horses are host to a plethora of parasites. Knowledge of the seasonality of parasite egg shedding and transmission is important for constructing parasite control programs. However, studies describing these patterns are sparse, and have largely been conducted only in the United Kingdom. This study evaluated strongylid egg shedding patterns and transmission dynamics of Strongylus vulgaris in naturally infected and untreated mares and foals through one calendar year in Kentucky, USA. The study also investigated the existence of a peri-parturient rise (PPR) in strongylid egg counts in foaling mare...
World association for the advancement of veterinary parasitology (WAAVP): Third edition of guideline for evaluating the efficacy of equine anthelmintics.
Veterinary parasitology    February 8, 2022   Volume 303 109676 doi: 10.1016/j.vetpar.2022.109676
Nielsen MK, von Samson-Himmelstjerna G, Kuzmina TA, van Doorn DCK, Meana A, Rehbein S, Elliott T, Reinemeyer CR.This guideline have been developed to assist in the design, execution, and interpretation of studies to assess the efficacy of anthelmintic drugs against internal parasites of equines, including nematodes, cestodes, and larval instars of Gasterophilus spp. The design and execution of critical and controlled studies are outlined, and their advantages and disadvantages are discussed. Unique considerations for specific target parasites are included. Information is also provided on selection of animals, procedures for randomization, housing, feeding, dosage titration, dosage confirmation and field...
Computed tomographic geometrical analysis of surgical treatments for equine recurrent laryngeal neuropathy.
American journal of veterinary research    February 8, 2022   Volume 83, Issue 5 443-449 doi: 10.2460/ajvr.21.03.0040
Tucker ML, Wilson DG, Reinink SK, Carmalt JL.To characterize the 3-D geometry of the equine larynx replicating laryngeal hemiplegia and 4 surgical interventions by use of CT under steady-state airflow conditions. Secondly, to use fluid mechanic principles of flow through a constriction to establish the relationship between measured airflow geometries with impedance for each surgical procedure. Methods: 10 cadaveric horse larynges. Methods: While CT scans were performed, inhalation during exercise conditions was replicated for each of the following 5 conditions: laryngeal hemiplegia, left laryngoplasty with ventriculocordectomy, left lary...
Molecular assessment of Theileria equi and Babesia caballi prevalence in horses and ticks on horses in southeastern France.
Parasitology research    February 7, 2022   Volume 121, Issue 3 999-1008 doi: 10.1007/s00436-022-07441-7
Rocafort-Ferrer G, Leblond A, Joulié A, René-Martellet M, Sandoz A, Poux V, Pradier S, Barry S, Vial L, Legrand L.Equine piroplasmosis (EP) is a tick-borne disease caused by Babesia caballi and Theileria equi that is potentially emerging in non-endemic countries. We conducted a descriptive study to investigate EP prevalence and spatial distribution in an endemic region: the Camargue and the Plain of La Crau in France. In spring 2015 and 2016, we carried out sampling at stables (total n = 46) with a history of horses presenting chronic fever or weight loss. Overall, we collected blood from 632 horses, which were also inspected for ticks; these horses had been housed in the target stables for at least 1...
Pain severity scores for common equine disorders as provided by horse owners and equine veterinarians.
Equine veterinary journal    February 7, 2022   Volume 54, Issue 6 1094-1102 doi: 10.1111/evj.13559
Sellon DC, Sanz M, Kopper JJ, Mattei D.Understanding factors influencing assessment of pain in horses will facilitate communication between veterinarians and horse owners. Objective: To compare estimates of pain experienced by horses as provided by veterinarians and horse owners and to determine factors associated with individuals who perceive horses to be experiencing extreme pain or minimal pain. Methods: Cross-sectional study. Methods: Internet-based questionnaires for horse owners and veterinarians included items related to recognition of pain in horses, estimated degree of pain experienced by horses, and demographic informatio...
Measurement accuracy of foot conformation parameters on low-field magnetic resonance images in horses.
Journal of equine veterinary science    February 7, 2022   Volume 112 103894 doi: 10.1016/j.jevs.2022.103894
Bolt DM, Carrier ME, Sheridan KS, Manso-Diaz G, Berner D.Foot imbalance and malalignment of the digits are common in horses. Angle and distance measurements performed on bones, joints and hoof wall on radiographs provide essential guidance for precise corrective trimming and shoeing. This study aimed to investigate, if selected standing low-field magnetic resonance (MR) images can be used to accurately measure dorsopalmar and lateromedial foot conformation parameters in comparison to the radiographic gold standard. Images of 100 horses referred for standing low-field MR examination were selected. Foot conformation angles and distances were measured ...
Ex vivo biomechanical evaluation of polyester and polyblend suture techniques to perform equine laryngoplasty.
Veterinary surgery : VS    February 7, 2022   Volume 51, Issue 3 497-508 doi: 10.1111/vsu.13777
Pressanto MC, Pascoletti G, Perkins JD, Zanetti EM, Beccati F, Santalucia V, Pepe M.To validate the use of a polyblend tape suture in equine laryngoplasty (PL). Methods: Experimental study. Methods: Thirty-two cadaveric larynges. Methods: Each larynx was randomly assigned to 1 of 4 groups: PL with polyblend tape suture (TigerTape), without (TT) or with a cannula (TTC) in the muscular process of the arytenoid cartilage, and PL with polyester suture (Ethibond), without (EB) or with a cannula (EBC). Construct stiffness, total migration, creep, and drift values were measured after 3000 cycles. The specimens were then loaded to failure to assess their residual properties: load a...
Effects of intravenous ethyl pyruvate on cardiopulmonary variables and quality of recovery from anesthesia in horses.
Veterinary anaesthesia and analgesia    February 7, 2022   Volume 49, Issue 3 282-290 doi: 10.1016/j.vaa.2022.01.008
Muñoz KA, Szarek M, Manfredi JM, Robertson SA, Hubbell JA, Holcombe SJ.To determine the effects of intravenous ethyl pyruvate, an anti-inflammatory with putative benefits in horses with endotoxemia, on cardiopulmonary variables during anesthesia and the quality of anesthetic recovery. Methods: Randomized, crossover, blinded experimental design. Methods: A total of six healthy Standardbred geldings, aged 13 ± 3 years and weighing 507 ± 66 kg (mean ± standard deviation). Methods: Horses were anesthetized for approximately 90 minutes on two occasions with a minimum of 2 weeks apart using xylazine for sedation, ketamine and diazepam for induction, and isoflurane i...
Infectious Uveitis in Horses and New Insights in Its Leptospiral Biofilm-Related Pathogenesis.
Microorganisms    February 7, 2022   Volume 10, Issue 2 doi: 10.3390/microorganisms10020387
Wollanke B, Gerhards H, Ackermann K.Uveitis is a sight-threatening eye disease in equids known worldwide that leads to considerable pain and suffering. By far the most common type of uveitis in Germany and neighboring countries is classical equine recurrent uveitis (ERU), which is caused by chronic intraocular leptospiral infection and is the main cause of infectious uveitis in horses. Other infectious causes are extremely rare and are usually clinically distinguishable from ERU. ERU can be treated very effectively by vitreous cavity lavage (vitrectomy). For proper indications of this demanding surgery, it is necessary to differ...
Physical Activities and Morphologic Aspects of the Equine Fetus During Days 40-150.
Journal of equine veterinary science    February 7, 2022   Volume 112 103891 doi: 10.1016/j.jevs.2022.103891
Ginther OJ.Intrauterine mobility of the fetal-amniotic unit is unique in equids among domestic species. Intrinsic activity begins as head nods on ∼ Day 40 (Day 0 = ovulation) and by Day 60 has progressed into intermittent subtle to vigorous head, neck, limb, and body movements. On Days 60-100, fetal mobility is maximal with traveling of the fetal-amniotic unit throughout an allantoic pool that encompasses the uterine horns, and uterine body. The fetus may be entirely within one uterine horn with the horn entrance closed behind it, and then may work through the entrance into the uterine body. Mobility...
Repair of experimentally induced femoral chondral defect in a rabbit model using Lyophilized growth promoting factor extracted from horse blood platelets (L-GFequina).
Injury    February 5, 2022   Volume 53, Issue 4 1375-1384 doi: 10.1016/j.injury.2022.02.004
Abd El-Rahman SS, Amer MS, Hassan MH, Fahmy HM, Shamaa AA.Lyophilized equine platelet derived growth factors (LGF) is a novel advanced platelet rich protein growth factor. It has been successfully applied in various fields of regenerative medicine to treat a variety of inflammatory and degenerative musculoskeletal conditions. Our study aimed to evaluate the efficacy of intraarticularly injected LGF for the remedy of articular cartilage injury, commonly characterized by progressive pain and loss of joint function in osteoarthritic rabbits. Full-thickness cylindrical cartilage defects were generated in both femoral condylar articular surfaces in twenty...
Seroprevalence and risk factors of brucellosis in Arabian horses.
Veterinary medicine and science    February 5, 2022   Volume 8, Issue 3 1056-1064 doi: 10.1002/vms3.759
Lotfi Z, Pourmahdi Borujeni M, Ghorbanpoor M, Ghadrdan Mashhadi AR.Brucellosis, as a zoonotic disease, mainly occurs in horses by Brucella abortus, Brucella canis and Brucella suis. The disease in equines is often asymptomatic, but the clinical signs in horses are mostly characterized by bursitis, arthritis and tenosynovitis. This study, thus, aimed to determine the seroprevalence of brucellosis and its associated risk factors in the Arabian horses of Khuzestan province, South-west Iran. To that end, the blood samples randomly collected from 180 Arabian horses were analyzed for the presence of anti-Brucella antibodies by Rose Bengal plate test (RBPT), serum a...
Antimicrobial Susceptibility of Bacterial Isolates from Donkey Uterine Infections, 2018-2021.
Veterinary sciences    February 5, 2022   Volume 9, Issue 2 67 doi: 10.3390/vetsci9020067
Zhao Y, Zhu Y, Liu B, Mi J, Li N, Zhao W, Wu R, Holyoak GR, Li J, Liu D, Zeng S, Wang Y.Endometritis is a common reproductive disease in equine animals. No investigation about the bacterial characteristics and antimicrobial susceptibility pattern of donkeys with endometritis has thus far been reported. Objective: To determine the common uterine bacterial isolates from donkeys with endometritis and to evaluate their susceptibility to antimicrobials used for the treatment thereof. Methods: Retrospective case-series. Methods: Medical records at an equine clinical diagnostic center were retrospectively reviewed to identify submissions from donkeys with bacterial endometritis between ...
A survey of veterinarians’ practices, recommendations and perceptions associated with the prevention of tetanus in horses in Australia.
Australian veterinary journal    February 5, 2022   Volume 100, Issue 4 181-186 doi: 10.1111/avj.13144
Dennis ST, El Hage CM, Brookes VJ.Identify veterinarians' practices, recommendations and perceptions when preventing tetanus in horses in Australia. Methods: Graduated members of Equine Veterinarians Australia participated in an online survey about the prevention of tetanus in horses in Australia. Results: Of 77 respondents (response rate ~ 8%), 50 (65%) reported that they had attended collectively 145-152 cases of tetanus in horses in Australia (1.1 cases of tetanus observed/10 veterinarian-years since qualification). The estimated case fatality rate (CFR) was at least 79%. Puncture wounds were most frequently suspected a...
On the Description of Equine Somatic Growth Using Nonlinear Functions.
Journal of equine veterinary science    February 5, 2022   Volume 111 103893 doi: 10.1016/j.jevs.2022.103893
Darmani Kuhi H, Hossein-Zadeh NG, France J, López S.A better knowledge of the growth of horses can facilitate sounder intervention in their health control, nutrition and management. This study compared five growth functions with either diminishing returns (monomolecular and Michaelis-Menten) or asymptotic sigmoidal (Gompertz, Richards and Lopez) behavior for describing the growth curves of horses, based on the relationship between a given somatic growth trait (body weight, withers height, or body weight to withers height ratio) and age. Data used in this study were those available in the literature for quarter horse males and thoroughbred foals...
The effect of stress and exercise on the learning performance of horses.
Scientific reports    February 4, 2022   Volume 12, Issue 1 1918 doi: 10.1038/s41598-021-03582-4
Henshall C, Randle H, Francis N, Freire R.Domestic horses are widely used for physically demanding activities but the effect of exercise on their learning abilities has not been explored. Horses are also frequently exposed to stressors that may affect their learning. Stress and exercise result in the release of glucocorticoids, noradrenaline and other neurotransmitters that can influence learning. It is not currently possible to directly measure concentrations of neurotransmitters in the brains of behaving horses, however the inference of neurobiological processes from peripheral markers have been widely used in studies of human cogni...
Advances in the Diagnosis of Equine Respiratory Diseases: A Review of Novel Imaging and Functional Techniques.
Animals : an open access journal from MDPI    February 4, 2022   Volume 12, Issue 3 doi: 10.3390/ani12030381
Kozłowska N, Wierzbicka M, Jasiński T, Domino M.The horse, as a flight animal with a survival strategy involving rapid escape from predators, is a natural-born athlete with enormous functional plasticity of the respiratory system. Any respiratory dysfunction can cause a decline in ventilation and gas exchange. Therefore, respiratory diseases often lead to exercise intolerance and poor performance. This is one of the most frequent problems encountered by equine internists. Routine techniques used to evaluate respiratory tract diseases include clinical examination, endoscopic examination, radiographic and ultrasonographic imaging, cytological...
Microbiota, Phagocytic Activity, Biochemical Parameters and Parasite Control in Horses with Application of Autochthonous, Bacteriocin-Producing, Probiotic Strain Enterococcus faecium EF 412.
Probiotics and antimicrobial proteins    February 4, 2022   Volume 15, Issue 1 139-148 doi: 10.1007/s12602-022-09918-4
Lauková A, Micenková L, Kubašová I, Bino E, Kandričáková A, Plachá I, Štrkolcová G, Gálik B, Kováčik A, Halo M, Simonová MP.The beneficial influence of bacteriocin-producing, probiotic, mostly non-autochthonous bacteria has already been reported in various animals. However, their use in horses provides limited information, and results with autochthonous bacteria have not been reported. Therefore, the main objective of this model study was to test the effect of autochthonous, bacteriocin-producing faecal strain Enterococcus faecium EF 412 application in horses. One gram of freeze-dried EF 412 strain (10 CFU/mL for 21 days) was applied to horses in a small feed ball. Clinically healthy horses (12), Slovak warm-blood ...
Streptococcus equi culture prevalence, associated risk factors and antimicrobial susceptibility in a horse population from Colombia.
Journal of equine veterinary science    February 3, 2022   Volume 111 103890 doi: 10.1016/j.jevs.2022.103890
Jaramillo-Morales C, Gomez DE, Renaud D, Arroyo LG.The objectives of this study were to determine the prevalence of S. equi in a horse population in Colombia, to determine the risk factors associated with its detection in the guttural pouches and to report the antimicrobial susceptibility of the isolates. Fifteen farms and 137 horses >6 months of age were enrolled. Sampling was randomly, stratified and proportional to the population size of each farm. The guttural pouch (GP) was swabbed via endoscopic guidance and culture was performed. DNA extraction and conventional PCR were performed in colonies compatibles with S. equi, the PCR products we...
Platelet Lysate Enhances Equine Skeletal Muscle Regeneration in A Bupivacaine-Induced Muscle Injury Model☆.
Journal of equine veterinary science    February 3, 2022   Volume 112 103892 doi: 10.1016/j.jevs.2022.103892
Fukuda K, Kuroda T, Tamura N, Mita H, Miyata H, Kasashima Y.This study aimed to verify the effects of platelet lysate (PL) administration on the repair of injured horse tissue. Skeletal muscle injuries were induced in 26 Thoroughbreds by bupivacaine administration. PL or saline was administered 1 day (1D) after injury. Muscle samples from 22 horses injected with PL or saline were obtained by needle biopsy at 2, 3, 4, or 7 days (2D, 3D, 4D, or 7D, respectively) after injury, and growth-factor concentrations and muscle regeneration-associated gene expression levels were determined. Intact samples were similarly collected before injury, and samples of inj...
Pathology in Practice.
Journal of the American Veterinary Medical Association    February 2, 2022   Volume 260, Issue 8 1-3 doi: 10.2460/javma.20.09.0497
de Cecco BS, Sasaki E, Nevarez JG, Cummings CO, Langohr IM, Piero FD.No abstract available
The nutrient requirements of horses: historical perspectives.
Translational animal science    February 2, 2022   Volume 6, Issue 1 txac021 doi: 10.1093/tas/txac021
Lawrence L.The National Research Council (NRC) published the Recommended Nutrient Allowances for Horses in 1949. The subsequent publication was renamed the Nutrient Requirements of Horses and the 6th revised edition was published in 2007. The document has increased in size and scope from the initial publication in 1949 that contained 29 pages to the most recent version with 341 pages. Several formats for expressing requirements (dietary concentrations or daily amounts) have been utilized. In addition, a variety of methods have been employed to determine the nutrient requirements of horses since 1949. Man...
Increasing tourniquet number has no effect on amikacin concentration within the radiocarpal joint in horses undergoing intravenous regional limb perfusion.
American journal of veterinary research    February 2, 2022   Volume 83, Issue 4 364-370 doi: 10.2460/ajvr.21.08.0110
Bergstrom TC, Kilcoyne I, Magdesian KG, Nieto JE.To determine whether IV regional limb perfusion (IVRLP) performed in the cephalic vein with a wide rubber tourniquet (WRT) applied proximal and distal to the carpus results in a higher peak concentration (Cmax) of amikacin in the radiocarpal joint (RCJ), compared with the Cmax for IVRLP using a single WRT proximal to the carpus. Methods: 7 healthy adult horses. Methods: Horses underwent IVRLP using standing sedation with 2 g of amikacin sulfate diluted to 60 mL by use of saline (0.9% NaCl) solution in the cephalic vein with 2 different tourniquet techniques; proximal WRT (P) and proximal and d...
Agreement of High-Definition Oscillometry (HDO) and Invasive Blood Pressure Measurements at a Metatarsal Artery in Isoflurane-Anaesthetised Horses.
Animals : an open access journal from MDPI    February 2, 2022   Volume 12, Issue 3 363 doi: 10.3390/ani12030363
Twele L, Neudeck S, Delarocque J, Verhaar N, Reiners J, Noll M, Tünsmeyer J, Kästner SBR.High-definition oscillometry (HDO) over the metatarsal artery (MA) in anaesthetised horses has not yet been evaluated. This study aimed to assess agreement between HDO and invasive blood pressure (IBP) at the metatarsal artery, and to evaluate compliance with the American College of Veterinary Internal Medicine (ACVIM) consensus guidelines. In this experimental study, 11 horses underwent general anaesthesia for an unrelated, terminal surgical trial. Instrumentation included an IBP catheter in one and an HDO cuff placed over the contralateral MA, as well as thermodilution catheters. Systolic ar...
Fecal extract from obese horses induces an inflammatory response by murine macrophages in vitro.
American journal of veterinary research    February 2, 2022   Volume 83, Issue 5 419-425 doi: 10.2460/ajvr.21.02.0024
Roth P, Stanley J, Chamoun-Emanuelli A, Whitfield-Cargile C, Coleman M.To compare the inflammatory response of murine macrophages exposed to the enteric microbiome of obese horses versus nonobese horses. Methods: Fecal samples from 12 obese horses (body condition score ≥ 7/9) and 12 nonobese horses (body condition score 4 to 5/9) with similar dietary management. Methods: Fecal supernatant was prepared from frozen fecal samples. RAW 264.7 macrophage cells were exposed to the fecal extract. Inflammatory cytokine (interleukin-1β, tumor necrosis factor-α, and interleukin-6) gene expression was quantified via real-time quantitative reverse transcription PCR assay,...
Assessment of listing and categorisation of animal diseases within the framework of the Animal Health Law (Regulation (EU) No 2016/429): antimicrobial-resistant Rhodococcus equi in horses.
EFSA journal. European Food Safety Authority    February 2, 2022   Volume 20, Issue 2 e07081 doi: 10.2903/j.efsa.2022.7081
Nielsen SS, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin-Bastuji B, Gonzales Rojas JL, Gortázar C, Herskin M, Michel V, Miranda Chueca MÁ.... () was identified among the most relevant antimicrobial-resistant (AMR) bacteria in the EU for horses in a previous scientific opinion. Thus, it has been assessed according to the criteria of the Animal Health Law (AHL), in particular criteria of Article 7 on disease profile and impacts, Article 5 on its eligibility to be listed, Annex IV for its categorisation according to disease prevention and control rules as in Article 9 and Article 8 for listing animal species related to the bacterium. The assessment has been performed following a methodology previously published. The outcome is the med...
First reported case of fragile foal syndrome type 1 in the Thoroughbred caused by PLOD1 c.2032G>A.
Equine veterinary journal    February 1, 2022   Volume 54, Issue 6 1086-1093 doi: 10.1111/evj.13547
Grillos AS, Roach JM, de Mestre AM, Foote AK, Kinglsey NB, Mienaltowski MJ, Bellone RR.Warmblood Fragile Foal Syndrome Type 1 (WFFS) is an autosomal recessive disorder reported previously only in warmbloods and thought to be caused by a variant in the gene procollagen-lysine,2-oxoglutarate 5-dioxygenase 1 (PLOD1, c.2032G>A, p.Gly678Arg). Given the presentation of this Thoroughbred case, we hypothesised that a similar genetic mechanism caused this phenotype. Objective: To describe the pathological and genetic findings on a foal presenting to a veterinary practice in the UK with skin lesions similar to other Ehlers-Danlos Syndromes, including those documented for warmbloods with W...
Effect of 15° Reverse Trendelenburg Position on Arterial Oxygen Tension during Isoflurane Anesthesia in Horses.
Animals : an open access journal from MDPI    February 1, 2022   Volume 12, Issue 3 353 doi: 10.3390/ani12030353
Tucker L, Almeida D, Wendt-Hornickle E, Baldo CF, Allweiler S, Guedes AGP.Lower than expected arterial oxygen tension (PaO) continues to be an unresolved problem in equine anesthesia. The aim of this randomized, crossover, and prospective study using six adult horses is to determine if a 15° reverse Trendelenburg position (RTP) increases PaO during inhalation anesthesia. Under constant-dose isoflurane anesthesia, dorsally recumbent horses were positioned either horizontally (HP) or in a 15° RTP for 2 h. Lungs were mechanically ventilated (15 mL/kg, 6 breaths/min). Arterial carbon dioxide tension (PaCO), PaO, inspired oxygen fraction (FiO), and end-tidal carbon dio...