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Topic:Hemorrhage

Hemorrhage in horses refers to the escape of blood from blood vessels into surrounding tissues or outside the body, which can occur due to trauma, surgical procedures, or underlying health conditions. It presents in various forms, such as internal bleeding, external bleeding, or bleeding into body cavities. Hemorrhage can affect different systems within the horse, including the respiratory, gastrointestinal, and musculoskeletal systems, depending on the location and severity of the bleeding. The management of hemorrhage involves identifying the source of bleeding, controlling blood loss, and providing supportive care to maintain the horse's physiological stability. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, mechanisms, and management strategies of hemorrhage in equine medicine.
Frequency of and risk factors for epistaxis associated with exercise-induced pulmonary hemorrhage in horses: 251,609 race starts (1992-1997).
Journal of the American Veterinary Medical Association    May 10, 2001   Volume 218, Issue 9 1462-1464 doi: 10.2460/javma.2001.218.1462
Takahashi T, Hiraga A, Ohmura H, Kai M, Jones JH.To determine the frequency of epistaxis during or after racing among racehorses and identify factors associated with development of epistaxis. Methods: Retrospective study. Methods: 247,564 Thoroughbred and 4,045 Anglo-Arab race starts. Methods: Race start information (breed, age, sex, racing distance, and race type) was obtained for Thoroughbred and Anglo-Arab horses racing in Japan Racing Association-sanctioned races between 1992 and 1997. All horses that raced were examined by a veterinarian within 30 minutes of the conclusion of the race; any horse that had blood at the nostrils was examin...
Effect of venous strangulation obstruction on length of equine jejunum and relevance to small-intestinal resection.
Veterinary surgery : VS    May 8, 2001   Volume 30, Issue 3 218-222 doi: 10.1053/jvet.2001.23349
Freeman DE, Kilgallon EG.To determine if venous strangulation obstruction (VSO) of the distal half of the equine small intestine would increase length of that segment. Methods: Halothane-anesthetized horses were assigned randomly to 3 groups of 5 horses: Group 1 (controls)--the entire small intestine was measured and rubber-shod clamps were applied to mark each end of the most distal 50% of the small intestine; Group 2--same procedure, except that VSO was induced in the distal 50% of the small intestine for 180 minutes; and Group 3--same initial procedure, except that VSO was induced for 90 minutes and followed by rep...
Intravenous pentoxifylline does not affect the exercise-induced pulmonary arterial, capillary or venous hypertension in Thoroughbred horses.
Journal of veterinary pharmacology and therapeutics    December 7, 2000   Volume 23, Issue 5 317-322 doi: 10.1046/j.1365-2885.2000.00262.x
Manohar M, Goetz TE, Rothenbaum P, Humphrey S.The present study was carried out to examine whether intravenously administered pentoxifylline-a phosphodiesterase inhibitor which increases red blood cell deformability and decreases blood viscosity-would attenuate the magnitude of exercise-induced pulmonary capillary hypertension in healthy, fit Thoroughbred horses and in turn, diminish the occurrence of exercise-induced pulmonary hemorrhage (EIPH). Experiments were carried out on six healthy, sound, exercise-trained Thoroughbred horses. Hemodynamic data were collected at rest, and during exercise performed at 8 and 14 m/sec on 3.5% uphill g...
Clenbuterol administration does not attenuate the exercise-induced pulmonary arterial, capillary or venous hypertension in strenuously exercising Thoroughbred horses.
Equine veterinary journal    November 28, 2000   Volume 32, Issue 6 546-550 doi: 10.2746/042516400777584604
Manohar M, Goetz TE, Rothenbaum P, Humphrey S.The present study was carried out to ascertain whether beta2-adrenergic receptor stimulation with clenbuterol would attenuate the pulmonary arterial, capillary and venous hypertension in horses performing high-intensity exercise and, in turn, modify the occurrence of exercise-induced pulmonary haemorrhage (EIPH). Experiments were carried out on 6 healthy, sound, exercise-trained Thoroughbred horses. All horses were studied in the control (no medications) and the clenbuterol (0.8 pg/kg bwt, i.v.) treatments. The sequence of these treatments was randomised for every horse, and 7 days were allowe...
Marginal siderosis and degenerative myelopathy: a manifestation of chronic subarachnoid hemorrhage in a horse with a myxopapillary ependymoma.
Veterinary pathology    October 31, 2000   Volume 37, Issue 5 483-485 doi: 10.1354/vp.37-5-483
Huxtable CR, de Lahunta A, Summers BA, Divers T.Marginal siderosis is recognized in humans as an uncommon clinicopathologic entity characterized by degeneration of neural tissue at the surface of the brain and spinal cord, in association with the accumulation of hemosiderin, and resulting from chronic subarachnoid hemorrhage. The sources of hemorrhage are various and include neoplasms, malformations, cysts, and vasculopathy. Marginal siderosis of the spinal cord due to a myxopapillary ependymoma was diagnosed in a 19-year-old Dutch Warm Blood horse with clinical signs of myelopathy. There is only one previous report of marginal siderosis in...
Counting red cells–is it an answer to EIPH ?
Equine veterinary journal    October 19, 2000   Volume 32, Issue 5 362-363 doi: 10.2746/042516400777591084
Hinchcliff KW.No abstract available
Surgical treatment of 45 horses affected by squamous cell carcinoma of the penis and prepuce.
Equine veterinary journal    October 19, 2000   Volume 32, Issue 5 406-410 doi: 10.2746/042516400777591093
Mair TS, Walmsley JP, Phillips TJ.The medical records of 45 horses treated for suspected squamous cell carcinoma of the penis and/or prepuce were reviewed. The age of 40 horses was known, and these had a mean age of 17.4 years. The duration of neoplasia was known for only 3 of the 45 horses. The results of histological evaluation of lesions, available for 35 horses, confirmed that the diseased tissue was squamous cell carcinoma. The location of gross neoplastic lesions was recorded for 43 horses; the glans penis was involved in 24 horses, the body of the penis or the inner lamina of the preputial fold in 27 horses, and the ext...
Relationship of pulmonary arterial pressure to pulmonary haemorrhage in exercising horses.
Equine veterinary journal    October 19, 2000   Volume 32, Issue 5 379-384 doi: 10.2746/042516400777591066
Langsetmo I, Meyer MR, Erickson HH.Exercise-induced pulmonary haemorrhage (EIPH) is characterised by blood in the airways after strenuous exercise and results from stress failure of the pulmonary capillaries. The purpose of this experiment was to establish a threshold value of transmural pulmonary arterial pressure at which haemorrhage occurs in the exercising horse. Five geldings, age 4-14 years, were run in random order once every 2 weeks at 1 of 4 speeds (9, 11, 13, 15 m/s); one day with no run was used as a control. Heart rate, pulmonary arterial pressure and oesophageal pressure were recorded for the duration of the run. T...
Haemodynamic response to exercise in Standardbred trotters with red cell hypervolaemia.
Equine veterinary journal    October 19, 2000   Volume 32, Issue 5 426-431 doi: 10.2746/042516400777591057
Funkquist P, Nyman G, Persson SG.In order to evaluate the haemodynamic response to exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 trotters with RCHV were compared with 9 normovolaemic (NV) trotters. Haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Oxygen uptake was determined with an open bias flow system. Pulmonary artery pressure (PAP), systemic artery pressure (SAP), heart rate, packed cell volume (PCV) and plasma lactate and haemoglobin ([Hb]) concentrations were measured. Arteriovenous O2 content difference, cardiac output, stroke volume, pulmonary vascular r...
Transarterial coil embolization of the internal and external carotid and maxillary arteries for prevention of hemorrhage from guttural pouch mycosis in horses.
Veterinary surgery : VS    September 22, 2000   Volume 29, Issue 5 389-397 doi: 10.1053/jvet.2000.7537
Lévéille R, Hardy J, Robertson JT, Willis AM, Beard WL, Weisbrode SE, Lepage OM.To develop a transarterial coil embolization technique for occlusion of the internal carotid artery (ICA), external carotid artery (ECA), and maxillary arteries (MA) in normal horses and to evaluate this technique for prevention of hemorrhage in horses affected with guttural pouch mycosis. Methods: Ten adult, normal horses and 4 horses with guttural pouch mycosis. Methods: All horses had transarterial coil embolization of the rostral and caudal ICA, caudal MA, and rostral ECA. In 1 affected horse, an aberrant actively bleeding branch of the ECA was also occluded. Normal horses had a premortem ...
The effects of frusemide on racing times of Standardbred pacers.
Equine veterinary journal    August 22, 2000   Volume 32, Issue 4 334-340 doi: 10.2746/042516400777032264
Soma LR, Birks EK, Uboh CE, May L, Teleis D, Martini J.Seven hundred and eighty-eight Standardbred pacers competing in 8378 races at one racetrack were analysed to determine the effects of the administration of prerace frusemide on racing times (RT). Frusemide was administered i.v. 4 h before the race to pacers diagnosed with exercise-induced pulmonary haemorrhage (EIPH). Of the pacers, starting in the 1997 racing season, 32.5% received prerace frusemide. This study demonstrated that administration of frusemide prior to racing significantly decreased RT. There was an overall significant decrease (P<0.00001) in RT of 0.67 s. The overall RT for h...
Equine viral arteritis.
Veterinary pathology    July 15, 2000   Volume 37, Issue 4 287-296 doi: 10.1354/vp.37-4-287
Del Piero F.Equine viral arteritis (EVA) can cause prominent economic losses for the equine industry. The purpose of this review is to provide the pathologist some familiarity with the clinical history, lesions, pathogenesis, and diagnosis of EVA. EVA is caused by an arterivirus (equine arteritis virus, EAV), and the vascular system is the principal but not unique viral target. EVA has variable presentations, including interstitial pneumonia, panvasculitis with edema, thrombosis and hemorrhage, lymphoid necrosis, renal tubular necrosis, abortion, and inflammation of male accessory genital glands. EAV anti...
Laparoscopic intra-abdominal ligation of the testicular artery following castration in a horse.
Journal of the American Veterinary Medical Association    May 29, 2000   Volume 216, Issue 10 1596-1569 doi: 10.2460/javma.2000.216.1596
Trumble TN, Ingle-Fehr J, Hendrickson DA.A 364-kg (800-lb) 1-year-old mixed-breed horse was admitted for treatment of uncontrolled bleeding after castration. Multiple attempts to ligate the testicular artery through the scrotal incisions prior to referral had been unsuccessful. Because of the owner's concerns about cost, an attempt was made to control the bleeding by applying pressure to the inguinal region and administering formalin IV. However, hemorrhage continued. A decision was made to use laparoscopy to ligate the testicular artery. The horse was anesthetized and positioned in dorsal recumbency, and a routine ventral laparoscop...
Ligature slippage during standing laparoscopic ovariectomy in a mare.
The Canadian veterinary journal = La revue veterinaire canadienne    May 19, 2000   Volume 41, Issue 5 395-397 
Rodgerson DH, Hanson RR.Suture ligature failure is a potential complication during laparoscopic ovariectomy techniques utilizing ligatures as a means of hemostasis. This complication in the standing mare and the successful use of laparoscopic electrosurgical instrumentation as the sole means of providing hemostasis to the mesovarium of a mare are described.
Treatment of progressive ethmoidal haematoma using intralesional injections of formalin in three horses.
Australian veterinary journal    May 17, 2000   Volume 77, Issue 6 371-373 doi: 10.1111/j.1751-0813.1999.tb10306.x
Marriott MR, Dart AJ, Hodgson DR.Three Thoroughbred horses with unilateral progressive ethmoid haematomas were treated using intralesional injections of 10% formalin (4% formaldehyde solution). Injections were performed in the standing sedated horse through the nasal passages under endoscopic guidance and, when the ethmoid haematoma involved the paranasal sinuses, through holes trephined into the affected sinus. Regression of the lesions occurred in all cases after repeated injections. This technique appears to be a safe and effective treatment for progressive ethmoid haematomas in the horse.
Halicephalobus gingivalis (H. deletrix) infection in two horses in southern California. Kinde H, Mathews M, Ash L, St Leger J.Two horses, a 16-year-old male Holsteiner and a 5-year-old male miniature horse, were diagnosed with halicephalobiasis at the California Veterinary Diagnostic Laboratory System, San Bernardino Branch, in April and June of 1998. Over a period of 4 weeks, the Holsteiner horse developed renal dysfunction, blepharospasm, and blindness in the right eye. A 15-cm-diameter mass was detected on ultrasound examination in the right kidney. Terminally, the animal developed seizures and was euthanized. The miniature horse had a 6-week-long illness characterized by testicular enlargement and uveitis. This a...
Detection of Borna disease virus in a pregnant mare and her fetus.
Veterinary microbiology    March 23, 2000   Volume 72, Issue 3-4 207-216 doi: 10.1016/s0378-1135(99)00206-0
Hagiwara K, Kamitani W, Takamura S, Taniyama H, Nakaya T, Tanaka H, Kirisawa R, Iwai H, Ikuta K.A pregnant mare showing pyrexia, reduced appetite, ataxia and paresis was euthanized and examined for the presence of Borna disease virus (BDV). Her brain, showing multiple neuronal degeneration and necrosis with hemorrhage, and the histologically normal brain of the fetus were both positive for BDV RNA. The BDV nucleotide sequences were identical in the mare and fetus in the second open reading frame (ORF). This is the first report of the possible vertical transmission of BDV in a horse.
Detachable latex balloon occlusion of an internal carotid artery with an aberrant branch in a horse with guttural pouch (auditory tube diverticulum) mycosis.
Journal of the American Veterinary Medical Association    March 15, 2000   Volume 216, Issue 6 888-865 doi: 10.2460/javma.2000.216.888
Cheramie HS, Pleasant RS, Dabareiner RM, Carolan RO.An aberrant branch of the internal carotid artery was detected by angiography in a horse with guttural pouch (auditory tube diverticulum) mycosis after the distal portion of the artery had been occluded by use of a detachable latex balloon. A second balloon was placed to eliminate retrograde hemorrhage from the aberrant branch. The horse recovered and returned to its previous activity. Vascular anomalies of the internal carotid artery my be more common than expected, and have resulted in fatal complications during and after surgical treatment in guttural pouch mycosis. Intraoperative identific...
Intrapelvic hemangiosarcoma in a horse. Kiupel M, Frank N, Stevenson GW, Siems J, Snyder PW.No abstract available
Survey of retinal haemorrhages in neonatal thoroughbred foals.
The Veterinary record    February 22, 2000   Volume 146, Issue 4 95-101 doi: 10.1136/vr.146.4.95
Munroe G.Twenty-seven of 167 neonatal thoroughbred foals (16 per cent) were found to have retinal haemorrhages after a careful examination of the entire fundus. Experience in differentiating haemorrhages from other lesions, and the selection of foals from normal populations, were considered to have an important effect on their apparent incidence. Bilateral haemorrhages were more common and there was a significantly higher incidence in female foals. The numbers of haemorrhages ranged between one and 20; 36 per cent of eyes with retinal haemorrhages had the small punctate type and 56 per cent had the spl...
Horse IgG isotypes and cross-neutralization of two snake antivenoms produced in Brazil and Costa Rica.
Toxicon : official journal of the International Society on Toxinology    February 15, 2000   Volume 38, Issue 5 633-644 doi: 10.1016/s0041-0101(99)00177-4
Fernandes I, Lima EX, Takehara HA, Moura-da-Silva AM, Tanjoni I, Gutiérrez JM.Horse IgG isotypes and cross-neutralization of two snake antivenoms produced in Brazil and Costa Rica. Toxicon 000-000. This work compared the specificity, ELISA titers and IgG subclass content of the polyvalent antivenom (anti-Bothrops asper, Crotalus durissus durissus and Lachesis muta stenophrys) of Instituto Clodomiro Picado (Costa Rica) and the bothropic antivenom (anti-Bothrops jararaca, B. jararacussu, B. moojeni, B. neuwiedi and B. alternatus) of Instituto Butantan (Brazil). The role of IgG(T) and IgGa subclasses in neutralization of some venom toxic activities and the cross neutraliza...
Disseminated hemangiosarcoma in the horse: 35 cases.
Journal of veterinary internal medicine    February 11, 2000   Volume 14, Issue 1 105-109 doi: 10.1892/0891-6640(2000)014<0105:dhithc>2.3.co;2
Southwood LL, Schott HC, Henry CJ, Kennedy FA, Hines MT, Geor RJ, Hassel DM.Thirty-five cases of disseminated hemangiosarcoma (21 clinical cases and 14 previously reported cases) were reviewed to describe the disease in horses. Hemangiosarcoma occurred in mature, particularly middle-aged horses, with no apparent sex predilection. Thoroughbreds seemed to be overrepresented (13 cases) but a true breed predilection could not be established. The respiratory and musculoskeletal systems were most commonly affected and presenting complaints included dyspnea (26%), subcutaneous or muscular swelling (24%), epistaxis (17%), and lameness (12%). Heart and respiratory rates were u...
Clinical and neuropathological features of West Nile virus equine encephalomyelitis in Italy.
Equine veterinary journal    February 8, 2000   Volume 32, Issue 1 31-35 doi: 10.2746/042516400777612080
Cantile C, Di Guardo G, Eleni C, Arispici M.West Nile (WN) virus infection is a mosquito-borne flavivirosis endemic in Africa and Asia. Clinical disease is usually rare and mild and only in a few cases the infection causes encephalomyelitis in horses, fever and meningoencephalitis in man. We report here the clinical and pathological findings in an epidemic of the disease involving 14 horses from Tuscany, Italy. All cases were observed from August to October 1998. Affected horses showed ataxia, weakness paresis of the hindlimbs and, in 6 cases, there was paraparesis progressing to tetraplegia and recumbency within 2 to 9 days. Eight anim...
Exercise-induced pulmonary haemorrhage workshop.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 642-644 doi: 10.1111/j.2042-3306.1999.tb05304.x
Roberts CA, Erickson HH.No abstract available
Effects of frusemide on pulmonary capillary pressure in horses exercising on a treadmill.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 102-106 doi: 10.1111/j.2042-3306.1999.tb05198.x
Gleed FD, Ducharme NG, Hackett RP, Hakim TS, Erb HN, Mitchell LM, Soderholm LV.We hypothesised that frusemide would decrease pulmonary capillary pressure in horses during strenuous exercise. Seven horses were tested after receiving saline or frusemide (2 mg/kg bwt) in random order with an interval of at least one week. Measurements were made with the horses standing, exercising at 75, 90 and 100% HRmax (maximal heart rate), and then walking 2 min after cessation of 100% HRmax. The exercise tests lasted for approximately 3 min with an interval of walking between them. Pulmonary artery and oesophageal pressures were recorded continuously and subsequent analysis of the pulm...
Functional and compositional changes in pulmonary surfactant in response to exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 62-66 doi: 10.1111/j.2042-3306.1999.tb05190.x
Morrison KE, Slocombe RF, McKane SA, Dargaville PA.Pulmonary surfactant from bronchoalveolar lavages was obtained from 2 groups of horses. A control group consisting of 6 healthy racehorses that were paddock-rested and lavaged weekly for 6 consecutive weeks were compared with an experimental group of 10 healthy racehorses, lavaged weekly the same period, consisting of a 5 week incremental-intensity treadmill training programme and one week post training paddock rest. Phospholipid content of lavage fluid was determined indirectly by phosphorus assay, and surfactant functional activity was determined by bubble surfactometry. Total cell counts an...
Sequential changes in bronchoalveolar cytology after autologous blood inoculation.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 126-130 doi: 10.1111/j.2042-3306.1999.tb05202.x
McKane SA, Slocombe RF.Six horses, free of recent exercise-induced pulmonary haemorrhage (EIPH), each had 8 bronchial segments inoculated with 40 ml of autologous blood lavaged on Days 3, 5, 7, 10, 14 and 21 after inoculation. The bronchoalveolar lavage (BAL) fluid samples were analysed, and total leucocyte counts and differential cell percentages determined. Statistical analysis of the differences between the 8 post inoculation and 1 pre-inoculation (control) lavage sites demonstrated an early neutrophilic response, rising from < 5% of alveolar leucocytes to 10% by 24-48 h post inoculation. As this response wane...
Modelling impact-initiated wave transmission through lung parenchyma in relation to the aetiology of exercise-induced pulmonary haemorrhage.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 34-38 doi: 10.1111/j.2042-3306.1999.tb05184.x
Schroter RC, Leeming A, Denny E, Bharath A, Marlin DJ.Recently we proposed that exercise-induced pulmonary haemorrhage (EIPH) results from locomotory-impact-induced trauma by impact of the scapula on the chest wall during footfall and the consequent transmission of waves through the lung. A computational model has been developed to demonstrate that wave amplification and focusing occur in the dorsocaudal tip of the lung for waves originating on the anterior subscapular surface. The propagation of an acoustic wave was investigated in a simplified 2-dimensional representation of a vertical anterio-dorsal section of horse lung. It was demonstrated t...
Feasibility of scintigraphy in exercise-induced pulmonary haemorrhage detection and quantification: preliminary studies.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 137-142 doi: 10.1111/j.2042-3306.1999.tb05204.x
Votion DM, Roberts CA, Marlin DJ, Lekeux PM.We hypothesised that scintigraphic imaging of the lungs following injection of 99mTc labelled red blood cells (99mTc-RBC) in the exercising horse might enable exercise-induced pulmonary haemorrhage (EIPH) quantification. Ideally, to favour detection of bleeding, circulating 99mTc-RBC not involved in the haemorrhage should be removed from the circulation quickly. Altering RBC during labelling to stimulate splenic uptake of 99mTc-RBC may encourage this. In order to investigate this hypothesis, 99mTc-RBC distribution was followed for 1 h in 2 groups of horses. Group 1 was injected i.v., at rest, ...
Bone marrow response to large volume blood collection in the horse.
Research in veterinary science    December 23, 1999   Volume 67, Issue 3 285-293 doi: 10.1053/rvsc.1999.0323
Malikides N, Kessell A, Hodgson JL, Rose RJ, Hodgson DR.Evaluation of erythropoietic regeneration in horses is difficult unless serial bone marrow aspirates are performed. To investigate the acute and chronic erythropoietic regenerative response of equine bone marrow following acute removal or loss of blood, sequential bone marrow aspirates over 4 weeks were taken from the sternum of five horses from which 20 ml kg(-1)of blood had been removed. We found that the total number of erythroid cells counted (expressed as a percentage of the total number of erythroid and myeloid cells counted) expanded initially by 13.7 per cent within 3 days after blood ...
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