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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.
Applicability of fetal thoracic aortic diameter measurement in the prediction of birth weight in Holstein-Friesian cows – Short communication.
Acta veterinaria Hungarica    March 1, 2017   Volume 65, Issue 1 60-65 doi: 10.1556/004.2017.006
Vincze B, Gáspárdy A, Kovács L, Albert E, Kézér L, Baska F, Szenci O.Transabdominal ultrasonography has been shown to be a useful and reliable method for assessing fetal well-being in horses and cattle. To test the applicability of fetal aortic diameter measurement in cattle, 44 late-term pregnant cows and heifers were examined 21 to 0 days prior to calving. Mean fetal aortic diameter was 2.07 ± 0.14 cm and mean fetal heart rate (FHR) was 109 ± 17 bpm. Three dead calves were dissected and their aortic diameter was measured in a water bath. The mean birth weight (n = 44) was 39.9 ± 5.8 kg. There was a significant negative correlation between FHR and fetal aor...
Gasterophilus intestinalis (Diptera: Oestridae) in the diaphragmatic muscle: An unusual finding.
Veterinary parasitology    March 1, 2017   Volume 237 117-121 doi: 10.1016/j.vetpar.2017.02.030
Cavallero S, Pombi M, Perrone V, Milardi GL, D'Amelio S, Giuliani C, Gabrielli S.Larval forms of the bot-fly Gasterophilus are obligate parasites commonly found in the gastrointestinal tract of equids, causing intestinal myiasis. Five species are reported so far in Italy, mostly observed during necroscopy, located in different portion of gastrointestinal tract of equids: G. intestinalis, G. nasalis, G. inermis, G. pecorum and G. haemorrhoidalis. An unusual finding of larval Gasterophilus intestinalis deeply inserted into the diaphragmatic muscle is here reported. Due to the uncommon localization, to the absence of clinical signs related to myiasis and subsequent uncertaint...
Purified horse milk exosomes contain an unpredictable small number of major proteins.
Biochimie open    March 1, 2017   Volume 4 61-72 doi: 10.1016/j.biopen.2017.02.004
Sedykh SE, Purvinish LV, Monogarov AS, Burkova EE, Grigor'eva AE, Bulgakov DV, Dmitrenok PS, Vlassov VV, Ryabchikova EI, Nevinsky GA.Exosomes are 40-100 nm nanovesicles containing RNA and different proteins. Exosomes containing proteins, lipids, mRNAs, and microRNAs are important in intracellular communication and immune function. Exosomes from different sources are usually obtained by combination of centrifugation and ultracentrifugation and according to published data can contain from a few dozens to thousands of different proteins. Crude exosome preparations from milk of eighteen horses were obtained for the first time using several standard centrifugations. Exosome preparations were additionally purified by FPLC gel fi...
What is your diagnosis? Nasal lesion in a horse.
Veterinary clinical pathology    March 1, 2017   Volume 46, Issue 2 361-362 doi: 10.1111/vcp.12466
Leissinger MK, McCauley C, Fowlkes N, Grasperge BJ.No abstract available
Comprehensive characteristics of microRNA expression profile of equine sarcoids.
Biochimie    March 1, 2017   Volume 137 20-28 doi: 10.1016/j.biochi.2017.02.017
Pawlina K, Gurgul A, Szmatoła T, Koch C, Mählmann K, Witkowski M, Bugno-Poniewierska M.Equine sarcoids are the most common neoplasms occurring in horses. Despite frequent occurrence, they are still not well described at the molecular level. Thus, in the present study, we performed a comprehensive comparative analysis of sarcoid miRNAome profile to identify aberrantly expressed microRNAs, along with their structural variants, potentially useful as biomarkers and, in a wider perspective, broaden the knowledge about this tumor and underlying mechanisms. To this end, we conducted next generation sequencing and as a result we identified both known and potentially novel miRNAs. Differ...
Efficacy of a morantel-abamectin combination for the treatment of resistant ascarids in foals.
Australian veterinary journal    February 28, 2017   Volume 95, Issue 3 85-88 doi: 10.1111/avj.12559
Wilkes E, McConaghy FF, Thompson RL, Dawson K, Sangster NC, Hughes KJ.This study was performed to investigate the efficacy of a morantel-abamectin combination for the treatment of macrocyclic lactone (ML)-resistant Parascaris spp. infections in foals. Methods: Foals on five properties with a Parascaris faecal egg count (FEC) > 50 eggs per gram were used to estimate the FEC reduction (FECR) and efficacy of the anthelmintic combination. Conclusions: On all properties, resistance to ivermectin and abamectin was present and the Parascaris FECR in foals administered the morantel-abamectin combination was > 99%, indicating that this combination effective...
Parasites of domestic and wild animals in South Africa. L. Ixodid ticks infesting horses and donkeys.
The Onderstepoort journal of veterinary research    February 28, 2017   Volume 84, Issue 1 e1-e6 doi: 10.4102/ojvr.v84i1.1302
Horak IG, Heyne H, Halajian A, Booysen S, Smit WJ.The aim of the study was to determine the species spectrum of ixodid ticks that infest horses and donkeys in South Africa and to identify those species that act as vectors of disease to domestic livestock. Ticks were collected opportunistically from 391 horses countrywide by their owners or grooms, or by veterinary students and staff at the Faculty of Veterinary Science, University of Pretoria. Ticks were also collected from 76 donkeys in Limpopo Province, 2 in Gauteng Province and 1 in North West province. All the ticks were identified by means of a stereoscopic microscope. Horses were infest...
An ultrasound-guided, tendon-sparing, lateral approach to injection of the navicular bursa.
Equine veterinary journal    February 28, 2017   Volume 49, Issue 5 655-661 doi: 10.1111/evj.12673
Nottrott K, De Guio C, Khairoun A, Schramme M.Navicular disease in the horse often requires injection of the navicular bursa. We have developed an ultrasound-guided, lateral needle approach to navicular bursocentesis, which avoids penetration of the deep digital flexor tendon (DDFT) and the need for radiographic control. Objective: To describe and evaluate the feasibility and efficacy of an ultrasound-guided, lateral bursocentesis technique. Methods: Cadaveric and in vivo experiments. Methods: The navicular bursa in 62 cadaveric forelimbs of 31 horses and in both forelimbs of 26 live horses, positioned with the foot flexed in a navicular ...
Clinical study evaluating the accuracy of injecting the distal tarsal joints in the horse.
Equine veterinary journal    February 28, 2017   Volume 49, Issue 5 668-672 doi: 10.1111/evj.12667
Seabaugh KA, Selberg KT, Mueller POE, Eggleston RB, Peroni JF, Claunch KM, Markwell HJ, Baxter GM.Osteoarthritis (OA) of the centrodistal (CD) and tarsometatarsal (TMT) joints is a common cause of lameness in horses. Intra-articular diagnostic anaesthesia and/or therapeutic injection are relied upon to help diagnose and treat many horses with OA of these joints. Objective: The objective of this study was to determine the accuracy of arthrocentesis of the CD and TMT joints using a sample population of equine surgeons and surgery residents. Methods: Randomised experimental study. Methods: Six operators each injected four CD and four TMT joints in 12 sedated horses. The operators were randoml...
Cardiorespiratory function in Thoroughbreds during locomotion on a treadmill at an incline or decline.
American journal of veterinary research    February 28, 2017   Volume 78, Issue 3 340-349 doi: 10.2460/ajvr.78.3.340
Ohmura H, Mukai K, Takahashi T, Aida H, Jones JH.OBJECTIVE To determine cardiorespiratory responses of Thoroughbreds to uphill and downhill locomotion on a treadmill at identical gradients. ANIMALS 5 highly trained Thoroughbred geldings. PROCEDURES Thoroughbreds were exercised for 2-minute intervals on a treadmill at 1.7, 3.5, 6.0, 8.0, and 10.0 m/s at a 4% incline, 0% incline (horizontal plane), and 4% decline in random order on different days. Stride frequency, stride length, and cardiopulmonary and O-transport variables were measured and analyzed by means of repeated-measures ANOVA and Holm-Šidák pairwise comparisons. RESULTS Horses com...
Cartilage oligomeric matrix protein neoepitope in the synovial fluid of horses with acute lameness: A new biomarker for the early stages of osteoarthritis.
Equine veterinary journal    February 28, 2017   Volume 49, Issue 5 662-667 doi: 10.1111/evj.12666
Skiöldebrand E, Ekman S, Mattsson Hultén L, Svala E, Björkman K, Lindahl A, Lundqvist A, Önnerfjord P, Sihlbom C, Rüetschi U.Clinical tools to diagnose the early changes of osteoarthritis (OA) that occur in the articular cartilage are lacking. Objective: We sought to identify and quantify a novel cartilage oligomeric matrix protein (COMP) neoepitope in the synovial fluid from the joints of healthy horses and those with different stages of OA. Methods: In vitro quantitative proteomics and assay development with application in synovial fluids samples obtained from biobanks of well-characterised horses. Methods: Articular cartilage explants were incubated with or without interleukin-1β for 25 days. Media were analysed...
Evaluation of contractile phenotype in airway smooth muscle cells isolated from endobronchial biopsy and tissue specimens from horses.
American journal of veterinary research    February 28, 2017   Volume 78, Issue 3 359-370 doi: 10.2460/ajvr.78.3.359
Vargas A, Peltier A, Dubé J, Lefebvre-Lavoie J, Moulin V, Goulet F, Lavoie JP.OBJECTIVE To develop a method to maintain the initial phenotype of airway smooth muscle (ASM) cells isolated from equine endobronchial biopsy specimens in long-term cell culture. SAMPLE Endobronchial tissue specimens (8 to 10/horse) collected from the lungs of previously healthy horses at necropsy (n = 12) and endobronchial biopsy specimens collected from standing, sedated, heaves-affected horses in clinical remission of the disease (5) and control horses (4). PROCEDURES A sampling protocol was developed to recover and maintain a contractile phenotype in ASM cells from endobronchial specimens ...
A simple method for equine kinematic gait event detection.
Equine veterinary journal    February 28, 2017   Volume 49, Issue 5 688-691 doi: 10.1111/evj.12669
Holt D, St George LB, Clayton HM, Hobbs SJ.Previous studies have validated methods for determining kinematic gait events using threshold-based techniques. However, a simple method that can be successfully applied to walk, trot and canter is yet to be identified. Objective: To develop a simple kinematic method to identify the timing of hoof contact (hoof-on), peak vertical force and lift off (hoof-off), which can be applied in walk, trot and canter. Methods: In vivo method authentication study. Methods: Horses (n = 3) were ridden in walk, trot and canter down a runway on which four force plates were arranged linearly. Three-dimensional ...
Ovarian fragment sizes affect viability and morphology of preantral follicles during storage at 4°C.
Reproduction (Cambridge, England)    February 28, 2017   Volume 153, Issue 5 577-587 doi: 10.1530/REP-16-0621
Gastal GD, Alves BG, Alves KA, Souza ME, Vieira AD, Varela AS, Figueiredo JR, Feugang JM, Lucia T, Gastal EL.The method of transportation and the conditions imposed on the ovarian tissue are pivotal aspects for the success of ovarian tissue cryopreservation (OTC). The aim of this study was to evaluate the effect of the size of the ovarian tissue (e.g. whole ovary, biopsy size and transplant size) during different times of storage (0, 6, 12 and 24 h) on the structural integrity of equine ovarian tissue transported at 4°C. Eighteen pairs of ovaries from young mares (<10 years old) were harvested in a slaughterhouse and processed to simulate the fragment sizes (biopsy and transplant size groups) o...
Repeated intra-articular injection of allogeneic mesenchymal stem cells causes an adverse response compared to autologous cells in the equine model.
Stem cell research & therapy    February 28, 2017   Volume 8, Issue 1 42 doi: 10.1186/s13287-017-0503-8
Joswig AJ, Mitchell A, Cummings KJ, Levine GJ, Gregory CA, Smith R, Watts AE.Intra-articular injection of mesenchymal stem cells (MSCs) is efficacious in osteoarthritis therapy. A direct comparison of the response of the synovial joint to intra-articular injection of autologous versus allogeneic MSCs has not been performed. The objective of this study was to assess the clinical response to repeated intra-articular injection of allogeneic versus autologous MSCs prepared in a way to minimize xeno-contaminants in a large animal model. Intra-articular injections of bone marrow-derived, culture-expanded MSCs to a forelimb metacarpophalangeal joint were performed at week 0 ...
Gastrointestinal Pharmacology.
Handbook of experimental pharmacology    February 27, 2017   Volume 239 147-176 doi: 10.1007/164_2016_119
Saps M, Miranda A.There is little evidence for most of the medications currently used to treat functional abdominal pain disorders (FAPDs) in children. Not only are there very few clinical trials, but also most have significant variability in the methods used and outcomes measured. Thus, the decision on the most appropriate pharmacological treatment is frequently based on adult studies or empirical data. In children, peppermint oil, trimebutine, and drotaverine have shown significant benefit compared with placebo, each of them in a single randomized clinical trial. A small study found that cyproheptadine was be...
CCL2 and CCL5 driven attraction of CD172a+ monocytic cells during an equine herpesvirus type 1 (EHV-1) infection in equine nasal mucosa and the impact of two migration inhibitors, rosiglitazone (RSG) and quinacrine (QC).
Veterinary research    February 27, 2017   Volume 48, Issue 1 14 doi: 10.1186/s13567-017-0419-4
Zhao J, Poelaert KCK, Van Cleemput J, Nauwynck HJ.Equine herpesvirus type 1 (EHV-1) causes respiratory disease, abortion and neurological disorders in horses. Besides epithelial cells, CD172a monocytic cells become infected with EHV-1 in the respiratory mucosa and transport the virus from the apical side of the epithelium to the lamina propria en route to the lymph and blood circulation. Whether CD172a monocytic cells are specifically recruited to the infection sites in order to pick up virus is unknown. In our study, equine nasal mucosa explants were inoculated with EHV-1 neurological strains 03P37 and 95P105 or the non-neurological strains ...
The Influence of the Size, Age and Sex on the Computed Tomographic Measured Size of the Pituitary Gland in Normal Horses.
Anatomia, histologia, embryologia    February 27, 2017   Volume 46, Issue 3 267-273 doi: 10.1111/ahe.12266
Crijns CP, Van Bree HJ, Broeckx BJG, Schauvliege S, Van Loon G, Martens A, Vanderperren K, Dingemanse WB, Gielen IM.The objective of this study was to examine the influence of the size, age and sex of the horse on the size of the pituitary gland and determine the possibility of using the pituitary gland height-to-brain area ratio (P:B ratio) to allow comparison of different sized and aged horses. Thirty-two horses without pituitary pars inter-media dysfunction that underwent a contrast-enhanced computed tomographic (CT) examination were included in a cross-sectional study. On the CT images, the pituitary gland height was measured and the P:B ratio was calculated. These measurements were correlated to the si...
Long-term follow-up of Norwegian horses affected with acquired equine polyneuropathy.
Equine veterinary journal    February 27, 2017   Volume 49, Issue 5 577-583 doi: 10.1111/evj.12674
Hanche-Olsen S, Kielland C, Ihler CF, Hultin Jäderlund K.Acquired equine polyneuropathy (AEP), a neurological disease clinically characterised by knuckling of metatarsophalangeal joints, has been described in numerous Nordic horses during the last 20 years. Although clinical recovery has been reported, large-scale data on long-term follow-up of survivors have been lacking. Objective: To describe long-term survival of AEP affected horses registered in Norway, with a focus on athletic performance and possible residual clinical signs connected to the disease. Methods: A retrospective cohort study. Methods: The study includes 143 horses recorded with A...
Pharmacological indices and pulmonary distribution of rifampicin after repeated oral administration in healthy foals.
Equine veterinary journal    February 25, 2017   Volume 49, Issue 5 618-623 doi: 10.1111/evj.12662
Berlin S, Kirschbaum A, Spieckermann L, Oswald S, Keiser M, Grube M, Venner M, Siegmund W.The treatment of equine lung infections by Rhodococcus equi with rifampicin is empirically based because pharmacokinetic/pharmacodynamic (PK/PD) indices and pivotal clinical outcome data are not available. Objective: To evaluate the pharmacokinetics and pulmonary distribution of rifampicin into epithelial lining fluid (ELF) and bronchoalveolar lavage cells (BALC) to predict antimicrobial activity in the lung using PK/PD indices. Methods: Controlled, randomised, two-period, crossover, repeated-dose study with an initial arm to measure disposition after i.v. administration of rifampicin. Methods...
Revealing the influence of glucocorticoid treatment on the excretion of anabolic-androgenic steroids in horses through in vitro digestive simulations and an in vivo case study.
Research in veterinary science    February 24, 2017   Volume 115 132-137 doi: 10.1016/j.rvsc.2017.02.024
Decloedt A, Damen S, Vanhaecke L.Anabolic-androgenic steroids (AAS) are strictly forbidden in equine sports because of their stimulating effect on muscle growth and performance. Nevertheless, low levels of AAS have been found in some horses, untreated with AAS. Glucocorticoids (GC), used as an anti-inflammatory therapy and structurally related to AAS, might play a role in this phenomenon. In order to unravel this possible correlation the influence of glucocorticoid treatment on the excretion of AAS was studied both in vivo and in vitro. In vivo effects were investigated by analysing urine samples collected from a gelding trea...
Characterisation and intracellular labelling of mesenchymal stromal cells derived from synovial fluid of horses and sheep.
Veterinary journal (London, England : 1997)    February 24, 2017   Volume 222 1-8 doi: 10.1016/j.tvjl.2017.02.006
Burk J, Glauche SM, Brehm W, Crovace A, Francioso E, Hillmann A, Schubert S, Lacitignola L.Multipotent mesenchymal stromal cells (MSCs) derived from synovial fluid (SF) are considered to be a promising cell type for therapeutic applications in joint disease. However, despite their potential relevance for clinical and experimental studies, there is insufficient knowledge about SF-derived MSCs isolated from horses and sheep. In this study, cells were recovered from healthy SF and bone marrow (BM) of sheep, and from healthy and osteoarthritic SF of horses. Ovine SF-MSCs were used to assess the efficiency of intracellular labelling with quantum dots (QDs). Colony forming units, generati...
Proteomic, toxicological and immunogenic characterization of Mexican west-coast rattlesnake (Crotalus basiliscus) venom and its immunological relatedness with the venom of Central American rattlesnake (Crotalus simus).
Journal of proteomics    February 24, 2017   Volume 158 62-72 doi: 10.1016/j.jprot.2017.02.015
Segura Á, Herrera M, Reta Mares F, Jaime C, Sánchez A, Vargas M, Villalta M, Gómez A, Gutiérrez JM, León G.The venom of the Mexican west-coast rattlesnake (Crotalus basiliscus) was characterized for its protein composition, toxicological profile and immunogenic properties. This venom is composed of 68% Zn2+-dependent metalloproteinases (SVMPs), 14% phospholipases A2 (PLA2s), 11% serine proteinases, 4% SVMPs-inhibitor tripeptides (SVMP-ITs), 2% bradykinin-potentiating peptides (BPPs), 0.6% cysteine-rich secretory proteins (CRISPs), and 0.2% l-amino acid oxidases (LAAOs). SVMPs present in the venom are responsible for azocasein hydrolysis and hemorrhagic activity, but their contribution to the lethal...
An outbreak of psittacosis at a veterinary school demonstrating a novel source of infection.
One health (Amsterdam, Netherlands)    February 24, 2017   Volume 3 29-33 doi: 10.1016/j.onehlt.2017.02.003
Chan J, Doyle B, Branley J, Sheppeard V, Gabor M, Viney K, Quinn H, Janover O, McCready M, Heller J.In November 2014, New South Wales Health was notified of a cluster of respiratory illness in a veterinary school. Active case finding identified another case at a local equine stud. All cases had exposure to the equine fetal membranes of Mare A. This tissue subsequently tested positive for Chlamydia psittaci using quantitative real-time polymerase chain reaction. We conducted a cohort study of the university and stud farm staff to determine risk factors for disease. Nine people were exposed to the fetal membranes of Mare A. Of these, five cases of psittacosis were identified. Two required hosp...
Cross-sectional study of the prevalence of and risk factors for hoof disorders in horses in The Netherlands.
Preventive veterinary medicine    February 24, 2017   Volume 140 53-59 doi: 10.1016/j.prevetmed.2017.02.013
Holzhauer M, Bremer R, Santman-Berends I, Smink O, Janssens I, Back W.Information is scarce on the prevalence of hoof disorders in horses. In this study, we examined the prevalence of and risk factors for hoof disorders in a population of horses in The Netherlands. In a group of 942 randomly selected horses, hoof health was scored during regular foot trimming (one horse/farm). Hooves were assessed for the occurrence of one of 12 hoof disorders by a group of 21 certified farriers in two periods i.e. winter and summer of 2015. The mean age of the group of horses was 11.2±5.6years. They were mainly used for recreation (28.2%), dressage (26.8%), other disciplines (...
Left paralumbar laparoscopic bilateral ovariectomy in mares.
Veterinary surgery : VS    February 24, 2017   Volume 46, Issue 4 574-579 doi: 10.1111/vsu.12637
Colbath AC, Hackett ES, Lesser CS, Hendrickson DA.To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares. Methods: Prospective descriptive clinical study. Methods: Twelve client-owned mares. Methods: Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with...
Evaluation of the pharmacokinetics of imipenem following regional limb perfusion using the saphenous and the cephalic veins in standing horses.
Research in veterinary science    February 24, 2017   Volume 114 64-68 doi: 10.1016/j.rvsc.2017.02.020
Kelmer G, Tatz AJ, Kdoshim E, Britzi M, Segev G.This prospective experimental study goal was to determine the pharmacokinetics of imipenem after intravenous regional limb perfusion (IV-RLP) in standing horses. Nine horses participated in the study; that was approved by the University Animal Care and Use Committee. One thoracic limb or one pelvic limb of each horse was randomly selected. After the veins were catheterized, an Esmarch bandage tourniquet was applied and the catheter was injected with a solution containing 500mg of imipenem. Synovial fluid samples were collected from the fetlock joint and blood samples were collected from the ju...
Equine infectious anemia prevalence in feral donkeys from Northeast Brazil.
Preventive veterinary medicine    February 24, 2017   Volume 140 30-37 doi: 10.1016/j.prevetmed.2017.02.015
Oliveira FG, Cook RF, Naves JHF, Oliveira CHS, Diniz RS, Freitas FJC, Lima JM, Sakamoto SM, Leite RC, Issel CJ, Reis JKP.Equine infectious anemia virus (EIAV) is an important cause of morbidity and mortality throughout the world. Although the virus infects all members of the Equidae the vast majority of studies have been conducted in horses (Equus caballus) with comparatively little information available for other equid species. Brazil has one of the most abundant donkey (E. asinus) populations of any nation although the economic importance of these animals is declining as transportation becomes increasingly mechanized. As a result, considerable numbers of donkeys especially in the Northeast of the country have ...
Testosterone metabolism of equine single CYPs of the 3A subfamily compared to the human CYP3A4.
Toxicology in vitro : an international journal published in association with BIBRA    February 24, 2017   Volume 41 83-91 doi: 10.1016/j.tiv.2017.02.017
Vimercati S, Büchi M, Zielinski J, Peduto N, Mevissen M.Cytochrome P450 enzymes (CYPs) are responsible for the phase I metabolism of drugs, xenobiotics and endogenous substances. Knowledge of single CYPs and their substrates is important for drug metabolism, helps to predict adverse effects and may prevent reduced drug efficacy in polypharmacy. In this study, three equine isoenzymes of the 3A subfamily, the equine flavoprotein NADPH-P450 oxidoreductase (POR), and the cytochrome b5 (CYB5) were cloned, sequenced and heterologously expressed in a baculovirus expression system. Testosterone, the standard compound for characterization of the human CYP3A...
A case of airway obstruction caused by probable nasotracheal tube cuff herniation in a horse.
Veterinary anaesthesia and analgesia    February 23, 2017   Volume 44, Issue 1 191-192 doi: 10.1111/vaa.12401
Richardson E, McMillan M.No abstract available