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Topic:Equine Medicine

Equine Medicine encompasses the study and application of medical practices specifically related to the health and well-being of horses. This field involves the diagnosis, treatment, and prevention of diseases and disorders affecting equine species. It covers a wide range of topics, including internal medicine, surgery, reproduction, and pharmacology. Research in equine medicine often focuses on understanding the physiological and pathological processes unique to horses, as well as developing effective therapeutic interventions. This page aggregates peer-reviewed research studies and scholarly articles that explore various aspects of equine medicine, providing insights into the latest advancements and methodologies in the care and management of horse health.
Hair loss and endocrine dermatosis on horses raised in a Mimosa pudica var. unijuga-invaded area.
Toxicon : official journal of the International Society on Toxinology    July 1, 2024   Volume 247 107844 doi: 10.1016/j.toxicon.2024.107844
Machado M, Queiroz-Machado CRR, Queiroz F, Gardner DR, Riet-Correa F.A Mimosa pudica var. unijuga-associated toxicity affecting horses occurred in Araguari, Triângulo Mineiro, Southeast Brazil. Affected horses had gradual hair loss of the mane and tail and endocrine dermatosis after grazing for three months during the dry season on a paddock invaded by the plant. The main histological lesions include compact ortho-keratotic hyperkeratosis and numerous flame follicles. Toxicological analysis by HPLC-UV demonstrated 0.8 mg/g of mimosine in the leaves.
Suspected envenomation by the common European adder (Vipera berus berus) in 28 horses in Finland.
Journal of equine veterinary science    July 1, 2024   Volume 140 105145 doi: 10.1016/j.jevs.2024.105145
Leppänen V, Mykkänen A.Vipera berus berus is the only venomous snake present in the Nordic countries and cases of envenomation in horses are reported during the warmer months. Little is known about the presentation, treatment and survival of horses with common European adder envenomation. Clinical and laboratory findings, treatment and outcome are reported for 28 horses admitted to Helsinki University Equine Hospital in 2008-2023 due to suspicion of snake bite. Eleven of these horses received antivenom treatment. Other common treatments included non-steroidal anti-inflammatories (22/28), antimicrobials (19/28), intr...
Radiographic characterization of the maxillary septum and septal bullae in horses: An ex vivo study. Lima AE, Piñeros DDV, Alibrando BB, Bittar MJ, de Souza AF, Mendes RP, de Freitas SH, Bernardino T, Corrêa RR.The anatomical variations of the maxillary septum and the septal bullae can generate challenges during the interpretation of radiographs of the horses' heads and make it difficult to accurately identify the sites affected in sinus disorders. The description of the radiographic appearance of these structures is currently scarce in the scientific literature. This work aims to describe the anatomical and radiographic characteristics of the maxillary septum and maxillary septal bullae in horses. Six chemically preserved equine cadaver heads were used which, after being submitted to the maxillary o...
Histological and Histopathological Features of the Third Metacarpal/Tarsal Parasagittal Groove and Proximal Phalanx Sagittal Groove in Thoroughbred Horses with Racing History.
Animals : an open access journal from MDPI    June 30, 2024   Volume 14, Issue 13 1942 doi: 10.3390/ani14131942
Lin ST, Foote AK, Bolas NM, Sargan DR, Murray RC.Information regarding the histopathology of the proximal phalanx (P1) sagittal groove in racehorses is limited. Twenty-nine cadaver limbs from nine Thoroughbred racehorses in racing/race-training underwent histological examination. Histological specimens of the third metacarpal/metatarsal (MC3/MT3) parasagittal grooves and P1 sagittal grooves were graded for histopathological findings in hyaline cartilage (HC), calcified cartilage (CC), and subchondral plate and trabecular bone (SCB/TB) regions. Histopathological grades were compared between (1) fissure and non-fissure locations observed in a ...
Fluctuations in equine cutaneous pH and transepidermal water loss with time of day and ambient conditions.
Journal of equine veterinary science    June 29, 2024   105140 doi: 10.1016/j.jevs.2024.105140
Discepolo DR, Gaare E, Handlos G, Perry EB.Cutaneous pH and transepidermal water loss (TEWL) are commonly utilized measures in dermatological research as they provide information concerning barrier function. The importance of dermal health has become more evident in recent years. Accordingly, the aim of this work was to identify natural fluctuations in the biophysical parameters of healthy equine skin. Cutaneous pH and TEWL was collected on nine mares at 6:00 AM, 12:00 PM, and 6:00 PM daily for five days on the nose, withers, girth area, mid-back, and base of tail. Ambient temperature and humidity were measured at each collection. Stat...
Congenital variants of the ventral laminae of the sixth and seventh cervical vertebrae are not associated with clinical signs or other radiological abnormalities of the cervicothoracic region in Warmblood horses.
Equine veterinary journal    June 28, 2024   doi: 10.1111/evj.14127
Dyson S, Phillips K, Zheng S, Aleman M.There is controversy about the clinical relevance of congenital variants of the ventral laminae of the sixth (C6) and seventh (C7) cervical vertebrae and their relationship with other radiological abnormalities. Objective: To document the prevalence of congenital variants of C6 and C7 and that of other radiological abnormalities from C6 to the second thoracic vertebra (T2). Methods: Cross-sectional. Methods: The study included Warmblood horses ≥3 years of age undergoing clinical assessment at two referral institutions: 127 control horses and 96 cases (neurologic, neck pain or stiffness, or...
Comparative pharmacokinetics of phenylbutazone in healthy young-adult and geriatric horses.
American journal of veterinary research    June 28, 2024   Volume 85, Issue 8 doi: 10.2460/ajvr.24.01.0012
Zaghloul IY, Bedenice D, Ceresia ML, Jones PH, Sanchez-Londono A, Lobo MN, Böhlke M, Paradis MR.To evaluate the effects of aging on phenylbutazone (PBZ) disposition in older horses (≥ 25 years old) compared to young adults (4 to 10 years old) by characterizing the pharmacokinetic profile of PBZ and its active metabolite, oxyphenbutazone (OPBZ), following a 2.2-mg/kg dose, IV. We hypothesized that the disposition of PBZ will be affected by age. Methods: 16 healthy horses (8 young adults aged 4 to 10 years and 8 geriatric horses ≥ 25 years old). Methods: Horses were administered a single 2.2-mg/kg PBZ dose, IV. Plasma samples were collected at designated time points and frozen at -80 ...
Flow interruption compared to forced oscillatory maneuvers and esophageal balloon/pneumotachography for measurement of respiratory resistance in the horse.
Journal of applied physiology (Bethesda, Md. : 1985)    June 27, 2024   Volume 137, Issue 3 591-602 doi: 10.1152/japplphysiol.00213.2024
Mazan MR, Simotas C, Coons T, Barrow B, Bedenice D, Minuto J, Wendell K, Deveney EF.Pulmonary function testing is critical to the diagnosis of equine asthma (EA), an important cause of respiratory disease in the horse, but its clinical use has remained elusive, unfortunately, due to the complexity of reference methods, esophageal balloon/pneumotachography (EBP), and forced oscillatory mechanics (FOM), so we sought a noninvasive, portable method for use in horses through rapid interruption of airflow for equilibration of alveolar pressure with proximal airway pressure, termed flow interruption (FI). Resistance (RINT) was computed as the relationship between the change in press...
Influence of surgical intervention at the level of the dorsal spinous processes on the biomechanics of the equine thoracolumbar spine.
Equine veterinary journal    June 27, 2024   doi: 10.1111/evj.14123
Baudisch N, Singer E, Jensen KC, Eichler F, Meyer HJ, Lischer C, Ehrle A.Surgical treatment options for horses with overriding dorsal spinous processes include interspinous ligament desmotomy and partial spinous process ostectomy. The impact of spinal surgery on the three-dimensional biomechanics of the equine thoracolumbar spine and the epaxial musculature is unclear. Objective: To investigate the influence of interspinous ligament desmotomy and cranial wedge ostectomy on the biomechanics of the equine thoracolumbar spine and the paraspinal Musculi multifidi. Methods: Ex-vivo experiments. Methods: Twelve equine thoracolumbar spine specimens were mounted in a custo...
Microbial populations vary between the upper and lower respiratory tract, but not within biogeographic regions of the lung of healthy horses.
Journal of equine veterinary science    June 27, 2024   Volume 140 105141 doi: 10.1016/j.jevs.2024.105141
Bishop RC, Migliorisi A, Holmes JR, Kemper AM, Band M, Austin S, Aldridge B, Wilkins PA.Understanding normal microbial populations within areas of the respiratory tract is essential, as variable regional conditions create different niches for microbial flora, and proliferation of commensal microbes likely contributes to clinical respiratory disease. The objective was to describe microbial population variability between respiratory tract locations in healthy horses. Samples were collected from four healthy adult horses by nasopharyngeal lavage (NPL), transtracheal aspirate (TTA), and bronchoalveolar lavage (BAL) of six distinct regions within the lung. Full-length 16S ribosomal DN...
Eye Temperature Measured with Infrared Thermography to Assess Stress Responses to Road Transport in Horses.
Animals : an open access journal from MDPI    June 26, 2024   Volume 14, Issue 13 1877 doi: 10.3390/ani14131877
Aragona F, Rizzo M, Arfuso F, Acri G, Fazio F, Piccione G, Giannetto C.The aim of the present study was to investigate eye temperature modifications after road transport in athletic horses habituated to travel. Eight adult Italian saddle horses traveled 100 km and, two weeks later, 300 km. Eye temperature (ET), rectal temperature (RT) and serum cortisol concentration were assessed before (T1), after (T2) and 60 min (T3) after the road transport. ET was evaluated with infrared thermography (IRT) in three regions of interest: EL1 (medial canthus), EL2 (central cornea) and EL3 (lateral canthus). Two-way analysis of variance (ANOVA) for repeated measures showed stati...
Doping control analysis of myo-inositol trispyrophosphate and 10 bisphosphonates in equine plasma by ion chromatography-mass spectrometry and its application to clodronic acid horse administration.
Drug testing and analysis    June 25, 2024   Volume 17, Issue 4 506-516 doi: 10.1002/dta.3753
Wong ASY, Yuen BP, Wong COL, Kong FK, So YM, Kwok WH, Brooks L, Wan TSM, Ho EN.Bisphosphonates and myo-inositol trispyrophosphate (ITPP) are two classes of difficult-to-detect polar drugs that are prohibited under the rules of racing. ITPP is a drug capable of increasing the amount of oxygen in hypoxic tissues, and studies have shown that administration of ITPP increases the maximal exercise capacity in mice. The properties of ITPP make it an ideal candidate as a doping agent to enhance performance in racehorses. In recent years, ITPP had indeed been detected in racehorses and confiscated items. As for bisphosphonates, it is especially critical to control their use as si...
Clinically relevant doses of tiludronate do not affect bone remodelling in pasture-exercised horses.
Equine veterinary journal    June 25, 2024   Volume 57, Issue 2 513-521 doi: 10.1111/evj.14119
Tippen SP, Metzger CE, Sacks SA, Allen MR, Mitchell CF, McNulty MA.Bisphosphonates are widely used in equine athletes to reduce lameness associated with skeletal disorders. Widespread off-label use has led to concern regarding potential negative effects on bone healing, but little evidence exists to support or refute this. Objective: To investigate the influence of clinically relevant doses of tiludronate on bone remodelling and bone healing. Methods: Randomised, controlled in vivo experiments. Methods: Each horse had a single tuber coxae biopsied (Day 0), then were divided into a treatment (IV tiludronate) or control (IV saline) group. Treatments were admini...
Evaluation of pharmacokinetics of metoclopramide administered via subcutaneous bolus and intravenous constant rate infusion to adult horses.
Veterinary surgery : VS    June 24, 2024   doi: 10.1111/vsu.14128
Brandon AM, Williams JM, Davis JL, Martin EG, Capper AM, Crabtree NE.To determine the pharmacokinetics (PK) of metoclopramide administered via intravenous continuous rate infusion (IV CRI) and subcutaneous (SC) bolus and evaluate for gastrointestinal motility and adverse side effects. Methods: Experimental study; randomized, crossover design. Methods: Six healthy adult horses. Methods: Each horse received metoclopramide via IV CRI (0.04 mg/kg/h for 24 h) and SC bolus (0.08 mg/kg once), with ≥1 week washout period between. Plasma was analyzed by UPLC-MS/MS. Compartmental modeling was used to determine PK parameters for each treatment; nonparametric sup...
Globetrotting Horses: Welfare Discourses and Disciplinary Power in the Transportation of Horses by Air.
Animals : an open access journal from MDPI    June 24, 2024   Volume 14, Issue 13 doi: 10.3390/ani14131862
Gräschke L.Every year, many horses are transported by air. Alongside sport horses traveling to tournaments worldwide, mainly breeding horses, such as shuttle stallions and broodmares, thoroughbreds traded at auctions, and leisure horses are transported by air. Research in veterinary science has highlighted welfare concerns during air transportation. Equine welfare is constituted in the language and discourse evolving from social, political, and ethical views about the treatment of horses. Consequently, this study targets power in creating equine welfare by analyzing the welfare discourses, transportation...
Heterogeneous distribution of viscosupplements in vivo is correlated to ex vivo frictional properties of equine cartilage.
Journal of biomedical materials research. Part A    June 23, 2024   Volume 112, Issue 12 2149-2159 doi: 10.1002/jbm.a.37766
Vishwanath K, McClure SR, Bonassar LJ.Intra-articular injections of hyaluronic acid (HA) are the cornerstone of osteoarthritis (OA) treatments. However, the mechanism of action and efficacy of HA viscosupplementation are debated. As such, there has been recent interest in developing synthetic viscosupplements. Recently, a synthetic 4 wt% polyacrylamide (pAAm) hydrogel was shown to effectively lubricate and bind to the surface of cartilage in vitro. However, its ability to localize to cartilage and alter the tribological properties of the tissue in a live articulating large animal joint is not known. The goal of this study was to...
Tetanus prophylaxis in horses: guidelines for New Zealand and Australia based on a critical appraisal of the evidence.
New Zealand veterinary journal    June 23, 2024   Volume 72, Issue 5 241-255 doi: 10.1080/00480169.2024.2365283
Lovett AL, Riley CB, Chapman V, Bell B, Bishop B, Grierson A, Johnstone LJ, Sykes BW.Horses are exquisitely sensitive to tetanus neurotoxin and are exposed to the risk of infection with throughout life. The vaccine against tetanus is highly effective at preventing disease, whereas tetanus in unvaccinated populations is associated with high mortality rates. Current guidelines in New Zealand and Australia for the available vaccine contain contradictions and limitations surrounding the optimal tetanus immunisation protocols for both adult horses and foals. This review critically evaluates the scientific literature on tetanus prophylaxis in horses within the context of equine pra...
Molecular prevalence and genotypic diversity of Theileria equi and Babesia caballi infecting horses in Kyrgyzstan.
Parasitology international    June 22, 2024   Volume 102 102915 doi: 10.1016/j.parint.2024.102915
Atabek B, Zhyldyz A, Aitakin K, Rysbek N, Jailobek O, Ahedor B, Mumbi NNM, Ma Y, Otgonsuren D, Perera WPPSI, Guswanto A, Sivakumar T, Yokoyama N.Equine piroplasmosis is caused by Theileria equi and Babesia caballi, which are hemoprotozoan parasites. Understanding the epidemiology and genotypes of T. equi and B. caballi is crucial for developing effective control strategies in endemic countries. However, the endemic status of these two parasite species remains uncertain in Kyrgyzstan due to lack of surveys. Our study, therefore, aimed to detect T. equi and B. caballi infections in Kyrgyzstan and identify their genotypes. Blood samples were collected from 226 horses across all seven provinces of Kyrgyzstan, namely Chuy, Issyk-Kul, Naryn,...
Using accelerometers to identify a high risk of catastrophic musculoskeletal injury in three racing Thoroughbreds.
Journal of the American Veterinary Medical Association    June 21, 2024   1-9 doi: 10.2460/javma.24.02.0114
Sweeney DM, Holmström M, Donohue KD, Lambert DH, Bayly WM.To describe the process whereby the screening of racing Thoroughbreds with accelerometer-based inertial measurement unit (IMU) sensors followed by clinical evaluation and advanced imaging identified potentially catastrophic musculoskeletal injuries in 3 horses. Methods: 3 Thoroughbred racehorses. Methods: All cases demonstrated an abnormal stride pattern either during racing (cases 1 and 2) or while breezing (case 3) and were identified as being at very high risk of catastrophic musculoskeletal injury by an algorithm derived from IMU sensor files from > 20,000 horses' race starts. Veterinary e...
Equine Corneal Wound Healing Using Mesenchymal Stem Cell Secretome: Case Report.
Animals : an open access journal from MDPI    June 21, 2024   Volume 14, Issue 13 doi: 10.3390/ani14131842
Casado-Santos A, González-Cubero E, González-Fernández ML, González-Rodríguez Y, García-Rodríguez MB, Villar-Suárez V.Corneal ulcers are a common and potentially vision-threatening condition in horses that can be challenging to treat with conventional therapies alone. This case report describes the successful treatment of a non-healing corneal ulcer in a 28-year-old Hispano-Bretón mare using the secretome derived from adipose tissue-derived mesenchymal stem cells (ASCs). Despite initial treatment with antibiotics, anti-inflammatory drugs, and surgical debridement, the corneal ulcer failed to heal properly, exhibiting persistent epithelial defects and stromal complications. As an alternative regenerative appr...
Validation and clinical application of implantable loop recorders for diagnosis of atrial fibrillation in horses.
Equine veterinary journal    June 21, 2024   Volume 57, Issue 2 449-458 doi: 10.1111/evj.14112
Kjeldsen ST, Nissen SD, Christensen NC, Haugaard SL, Schneider MJ, Vinther Z, Sattler SM, Carstensen H, Jøns C, Hopster-Iversen C, Buhl R.Paroxysmal atrial fibrillation (pAF) occurs sporadically and can impair athletic performance. Gold standard for diagnosis is surface electrocardiography (ECG), however, this requires AF to be sustained. Implantable loop recorders (ILRs) are routinely used for AF detection in human medicine. While ILR placement has been studied in horses, its AF detection performance is unknown. Objective: (I) Validation of ILRs for AF detection in horses. (II) Determining pAF incidence using ILRs and estimate the positive predictive value (PPV). Methods: (I) Experimental study; (II) Longitudinal observational ...
Metagenomic characterization of the equine endometrial microbiome during anestrus.
Journal of equine veterinary science    June 21, 2024   Volume 140 105134 doi: 10.1016/j.jevs.2024.105134
Heil BA, van Heule M, Thompson SK, Kearns TA, Beckers KF, Oberhaus EL, King G, Daels P, Dini P, Sones JL.The equine uterus is highly interrogated during estrus prior to breeding and establishing pregnancy. Many studies in mares have been performed during estrus under the influence of high estrogen concentrations, including the equine estrual microbiome. To date, it is unknown how the uterine microbiome of the mare is influenced by cyclicity; while, the equine vaginal microbiome is stable throughout the estrous cycle. We hypothesized that differences would exist between the equine endometrial microbiome of mares in estrus and anestrus. The aim of this study was two-fold: to characterize the reside...
Correction: Comparison of the broncoalveolar lavage fluid proteomics between foals and adult horses.
PloS one    June 21, 2024   Volume 19, Issue 6 e0306211 doi: 10.1371/journal.pone.0306211
Rivolta AA, Bujold AR, Wilmarth PA, Phinney BS, Navelski JP, Horohov DW, Sanz MG.[This corrects the article DOI: 10.1371/journal.pone.0290778.].
Determination of Equine Behaviour in Subjectively Non-Lame Ridden Sports Horses and Comparison with Lame Sports Horses Evaluated at Competitions.
Animals : an open access journal from MDPI    June 20, 2024   Volume 14, Issue 12 doi: 10.3390/ani14121831
Dyson S, Pollard D.The Ridden Horse Pain Ethogram (RHpE) was developed to facilitate the identification of musculoskeletal pain. The aim of the current study was to collate behavioural data using the RHpE from horses at competitions assumed by their owners and/or riders to be fit for competition. The objectives were to quantify the frequency of occurrence of behaviours in pain-free horses and those with lameness or abnormalities of canter and to determine any differences between disciplines and levels of competition. The RHpE was applied to 1358 horses competing in Grand Prix (GP) dressage (n = 211), 5* three-da...
Composition and diversity of 16S rRNA based skin bacterial microbiome in healthy horses.
Veterinary research communications    June 20, 2024   Volume 48, Issue 4 2847-2855 doi: 10.1007/s11259-024-10444-7
Strompfová V, Štempelová L.Characterization of microbiota structure on the skin of healthy horses is important for further development of modulation strategies to ensure optimal bacterial composition for physiological processes. This requirement is also supported by the relatively high incidence of dermatological diseases in horses and thus the need to manage them therapeutically. The taxonomic analysis of skin samples (n = 30) from five different body parts of clinically healthy Shetlands ponies females (neck, back, abdomen, pastern, muzzle) kept under homogeneous conditions (in open stalls with paddock, feed with ...
Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases.
Animals : an open access journal from MDPI    June 19, 2024   Volume 14, Issue 12 doi: 10.3390/ani14121826
Vázquez FJ, Argüelles D, Muñoz JA, Genton M, Méndez Angulo JL, Climent F, Roquet I, Iglesias M, Velloso Álvarez A, Vitoria A, Bulnes F, Saitua A....Inguinal hernias (IHs) and ruptures are a relatively common condition in horses, occurring in foals (congenital) and adult (acquired) animals. A retrospective observational analysis was conducted on 40 cases that underwent laparoscopic surgery to close the VRs using barbed sutures alone or combined with other techniques. Signalment, clinical presentation, surgery, and follow-up data were obtained. In total, fifty-nine VRs were closed using barbed sutures (alone or in combination with other methods), with six cases performed prophylactically and forty-four due to acquired IH. Of the forty-four ...
Plasma concentrations of buprenorphine administered via matrix-type transdermal patches applied at three different anatomical locations in healthy adult horses.
Frontiers in pain research (Lausanne, Switzerland)    June 19, 2024   Volume 5 1390322 doi: 10.3389/fpain.2024.1390322
Paranjape VV, Knych HK, Berghaus LJ, Giancola S, Cathcart J, Reed RA.Anatomical location-dependent differences in transdermal opioid penetration are well described in human patients. Although this has been investigated in horses with fentanyl, there is no literature available on location-dependent plasma buprenorphine concentrations when administered as a transdermal matrix-type patch. Unassigned: This study aims to compare the plasma concentrations achieved from the matrix-type transdermal buprenorphine patches placed at different anatomical sites (metacarpus, gaskin, and ventral tail base) in healthy adult horses. Unassigned: This is a randomized experimental...
Lipids in Equine Airway Inflammation: An Overview of Current Knowledge.
Animals : an open access journal from MDPI    June 18, 2024   Volume 14, Issue 12 1812 doi: 10.3390/ani14121812
Mönki J, Mykkänen A.Mild-moderate and severe equine asthma (MEA and SEA) are prevalent inflammatory airway conditions affecting horses of numerous breeds and disciplines. Despite extensive research, detailed disease pathophysiology and the differences between MEA and SEA are still not completely understood. Bronchoalveolar lavage fluid cytology, broadly used in clinical practice and in equine asthma research, has limited means to represent the inflammatory status in the lower airways. Lipidomics is a field of science that can be utilized in investigating cellular mechanisms and cell-to-cell interactions. Studies ...
Impact of the educational setting on the teaching and learning of the equine distal limb ultrasonography.
Anatomical sciences education    June 18, 2024   doi: 10.1002/ase.2475
Romeiro PS, Weber SH, Justino EJ, Michelotto PV.The use of immersive methodologies is a trend in the educational environment, but their outcomes in the teaching-learning process need to be better understood. This study aimed to assess the impact of the educational environment on learning equine distal limb ultrasonography, comparing immersive classroom, traditional classroom, and virtual classroom. A total of 153 veterinary medicine students from the first to the third semester participated in this study. The students were divided into four groups: traditional (n = 22), immersive (n = 100), online (n = 31), and traditional-immer...
Flowmetry and spectrophotometry for the assessment of intestinal viability in horses with naturally occurring strangulating small intestinal lesions.
Equine veterinary journal    June 18, 2024   doi: 10.1111/evj.14118
Verhaar N, Grages AM, Bienert-Zeit A, Schwieder A, Reineking W, Hewicker-Trautwein M, Kästner S, Geburek F.Ancillary diagnostic methods to enhance the accuracy of viability assessment have not been established for use in clinical practice. Objective: To assess intestinal microperfusion measured by Laser Doppler Flowmetry and Spectrophotometry (LDFS) in naturally occurring small intestinal strangulations of different origins and to compare this between viable and non-viable segments. Methods: Prospective clinical trial. Methods: Forty horses undergoing colic surgery for naturally occurring small intestinal strangulations were included. Tissue oxygen saturation (tSO), haemoglobin (tHB) and blood flow...
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