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Topic:Noninvasive Procedures
Noninvasive procedures in horses refer to diagnostic and therapeutic techniques that do not require incision into the body or removal of tissue. These procedures are designed to minimize discomfort and risk to the animal while providing valuable information for veterinary care. Common noninvasive methods include ultrasonography, thermography, and endoscopy, which allow for the examination of internal structures without surgery. Additionally, techniques such as laser therapy and extracorporeal shock wave therapy are employed for treatment purposes. These procedures are beneficial for assessing and managing a variety of conditions, including musculoskeletal disorders and soft tissue injuries. This page compiles peer-reviewed research studies and scholarly articles that explore the application, effectiveness, and advancements of noninvasive procedures in equine medicine.
Effect of inhalation anaesthetics on total respiratory resistance in conscious ponies. Total respiratory resistance was measured rapidly and non-invasively in 6 conscious ponies before and after they inhaled approximately 25% of the minimal anaesthetic concentration (0.25 MAC) of either enflurane, halothane, or isoflurane, over a 10 min period. The forced random noise (FRN) method was used to measure the impedance over the frequency range of 5 to 40 Hz and its real part, the resistance, was extracted from these impedance measurements. At the concentrations used, halothane appeared to have no effect on the total respiratory resistance; enflurane and isoflurane seemed to increase ...
Determination of sensitivity to metocurine in exercised horses. On the basis of results in dogs, conditioning exercise may increase sensitivity to nondepolarizing muscle relaxants. Five Thoroughbreds were exercised/conditioned 3 times weekly on a treadmill for 8 months. Increasing maximal rate of O2 consumption verified that the horses were responding to exercise conditioning. Six nonexercised Thoroughbreds served as the control group. Studies were done with horses under general anesthesia by use of halothane during partial paralysis by a brief constant-rate infusion with the muscle relaxant, metocurine iodide. Quantification of degree of paralysis of the ...
Nonsurgical treatment of cubital subchondral cyst-like lesions in horses: seven cases (1983-1987). Subchondral cyst-like lesions of the cubital joint were diagnosed in 7 horses at the teaching hospital between 1983 and 1987. Diagnosis of the lesions was made by administration of intra-articular local anesthesia and/or radiographically. Initial treatment for all horses consisted of stall rest for 60 to 90 days. In addition, 2 horses were administered sodium hyaluronate intra-articularly, 1 horse was given injections of polysulfated glycosaminoglycans IM, and 1 horse was given phenylbutazone orally. Follow-up information was compiled 6 weeks to 4 years after initial examination. At the time o...
In vivo measurement of bone quality in the horse: estimates of precision for ultrasound velocity measurement and single photon absorptiometry. The in vivo precision of ultrasound velocity measurement and single photon absorptiometry for the assessment of equine bone quality is discussed. In vivo precisions for ultrasound velocity measurements were less than 0.5 per cent, whereas cortical cross-sectional area, compact bone density and modulus of elasticity were around 1 per cent, and bone mineral content and density were just over 2 per cent. Except for ultrasound velocity, substantial improvements could be achieved by taking the mean of five readings for each measurement. The long-term precision of the techniques was also high, with ...
Standing urogenital surgery. Caslick's, episioplasty, urethroplasty, cervical, and rectovestibular laceration repair are, by preference, performed in the standing patient. Normal castration is performed routinely uneventfully in the standing patient. The duration of the procedures and the ease with which they are accomplished in a standing horse of normal temperament make general anesthesia unnecessary. More invasive procedures, such as removal of urinary bladder calculi in male horses or removal of a neoplastic ovary in a mare, can be accomplished in a standing patient but serious consideration should be given to the use...
Ultrasonic determination of fetal gender in horses and cattle under farm conditions. Accuracy of transrectal ultrasonic diagnosis of fetal gender by identifying and locating the genital tubercle was assessed in 85 horses and 102 dairy heifers and cows. Examinations were made once (horses and cattle) under farm conditions (cattle) on approximately Days 50 to 100. Definite diagnosis was made by removal of fetuses (horses) or after calving or abortion (cattle). In both species and both parities, accuracy was 100% (109 109 totaled over both species) when the certainty level recorded at the time of examination was 95 or 99%. At the lower levels of certainty (65 to 80%, 85 to 90%), ...
Use of nonimaging nuclear medicine techniques to assess the effect of flunixin meglumine on effective renal plasma flow and effective renal blood flow in healthy horses. The effect of flunixin meglumine on renal function was studied in 6 healthy horses by use of nonimaging nuclear medicine techniques. Effective renal plasma flow (ERPF) and effective renal blood flow (ERBF) were determined by plasma clearance of 131I-orthoiodohippuric acid before and after administration of flunixin meglumine. Mean ERPF and ERBF was 6.03 ml/min/kg and 10.7 ml/min/kg, respectively, before treatment and was 5.7 ml/min/kg and 9.7 ml/min/kg, respectively, after treatment. Although ERPF and ERBF decreased after flunixin meglumine administration, the difference was not statistically ...
Nonsurgical removal of chondroid masses from the guttural pouches of two horses. Chondroid masses were successfully removed from the guttural pouches of 2 horses, using an endoscope, a snare, and a vacuum pump. This technique is an alternative to surgical removal of chondroid masses in patients when basic lavage of the affected guttural pouch is ineffective. Complications were not encountered. Advantages of this snare technique include avoidance of surgery and its potential complications, minimal recovery time, and minimal expense.
Thermography as an aid to the clinical lameness evaluation. Thermography has been shown to be a practical aid in the clinical evaluation of lameness. This modality specifically increases the accuracy of diagnosis. Thermography represents skin temperature, usually pictorially. The techniques involve contacting and noncontacting modalities. Noncontacting thermography, which detects infrared radiation, is the most accurate. In order to be accurate, thermography must be performed in a temperature-controlled, draft-free area. The area should be protected from sunlight to avoid erroneous heating of the skin, and the hair length should be uniform. Thermograph...
Nonsurgical removal of a catheter embolus from the heart of a foal. Nonsurgical, percutaneous, transvenous removal of a catheter fragment embolus was performed in a 14-day-old Thoroughbred foal. A basket retrieval catheter was introduced into the jugular vein and manipulated under fluoroscopic guidance to remove the fragment from the right side of the heart. Percutaneous retrieval should be considered as an alternative to thoracotomy for retrieval of intracardiac or intravascular foreign bodies.
Pathway of ultrasound waves in the equine third metacarpal bone. The velocity of ultrasound waves through bone has been used widely as a non-invasive method for assessing bone quality. Accurate measurement of velocity depends on accurate assessment of the distance travelled by the sound wave. It has been argued that the sonic pathway is deflected around the marrow cavity and so does not follow a straight line through the bone; therefore, correction factors have been developed to account for the extra distance travelled. This hypothesis was examined in vitro using sections from the equine third metacarpal bone. Two 1 MHz transducers used with the transmittin...
Percutaneous drainage of an abscess in the lateral neck region of a horse. A large abscess in the lateral neck region of a horse was treated with percutaneous drainage. The abscess was localized with ultrasonography and aspirated by use of a 7.7-cm spinal needle. A stainless-steel guide wire was passed through the needle, and tissue dilators were used to enlarge the percutaneous hole. A multiperforated polyvinylchloride catheter that was placed within the abscess cavity permitted aspiration and lavage of the abscess. The abscess resolved over the next 10 days with no complications. Percutaneous abscess drainage is commonly performed in people and may have application...
Uterine and fetal dynamics during early pregnancy in mares. Fetal activity and mobility and changes in diameter of the allantoic fluid compartment in the uterine horns were studied in mares between days 69 and 81 of pregnancy by use of transrectal ultrasonography (n = 12) and transcervical videoendoscopy (n = 8). The insertion tube of the videoendoscope was positioned within the allantoic sac to permit viewing of the fetus and entrance to each uterine horn. Each uterine horn was divided ultrasonographically into 3 segments of equal length, and the horns were designated on the basis of side of umbilical attachment (cord vs noncord horns). The diameter o...
Non-invasive assessment of the incidences of pregnancy and pregnancy loss in the feral horses of Sable Island. Field observations of 400 totally unmanaged feral horses on Sable Island, Nova Scotia, were complemented by oestrogen determinations in faecal samples from 154 identified females over a 4-year period (454 mare-years). Of mares that were sampled throughout the year and subsequently produced foals, 92.1% exhibited elevated faecal oestrogens between 15 October and 30 March. The results confirm that faecal oestrogens are a useful indicator of pregnancy after approximately 120 days gestation. Distribution of foaling resembled that seen in other feral populations, with 95% of births occurring from A...
Ultrasonographic evaluation of the healing of ventral midline abdominal incisions in the horse. Ultrasonography was used to evaluate the ventral midline incisions of 21 ponies following exploratory laparotomy. The incisions were evaluated before surgery and at weekly intervals from one to seven weeks after surgery. Both 5.0 and 7.5 MHz linear array and 7.5 MHz sector transducers were used for the evaluations. The incisional complications observed were drainage, oedema, suture sinus formation, suture abscess, superficial dehiscence and incisional hernia. Ultrasonographic imaging of the ventral midline incision was an easy, reliable and objective method for detecting and monitoring the pro...
A rapid, non-invasive method for measuring total respiratory impedance in the horse. Total respiratory impedance was measured rapidly and noninvasively in conscious horses over the frequency range 3 to 40 Hz by the forced random noise method. The shape of curve of impedance versus frequency in horses was markedly different from that of humans. Respiratory resistance was readily found as the real part of impedence and both its absolute value and frequency dependence are useful indices of pulmonary function. It was difficult to obtain meaningful results in intubated animals with the method because of the mechanical properties of the endotracheal tube itself.
Ultrasonographic diagnosis of small-intestinal intussusception in three foals. Small-intestinal intussusceptions were diagnosed in 3 foals. Cross-sectional ultrasonography through the apex of the intussusceptum revealed a target-like pattern with a thick hypoechoic rim. The thick hypoechoic rim was caused by severe edema of the entering and returning walls of the intussusceptum. At the more proximal portion of the intestines, where parietal edema was less severe, the image appeared as 2 concentric rings and an inner circular area. The outer ring and inner circular area were hypoechoic and represented the returning and the entering wall of the intussusceptum. An additiona...
Non-invasive measurement of bone: a review of clinical and research applications in the horse. The current methods for non-invasive measurement of bone quality are reviewed. In the horse this has traditionally involved the use of radiography, but there are now two other modalities available for the critical evaluation of cortical bone quality and strength. These utilise single photon absorptiometry and ultrasound velocity. Photon absorptiometry gives a direct measurement of bone mineral content, by using a monoenergetic radionuclide source, and transverse ultrasound velocity in bone gives a measure of bone stiffness or elasticity. They can both be used conveniently on the metacarpus of ...
Ultrasonic transmission velocity and single photon absorptiometric measurement of metacarpal bone strength: an in vitro study in the horse. Ten pairs of third metacarpal bones from Thoroughbred horses aged two to 12 years were used to estimate bone strength. Measurements of transverse cortical ultrasound velocity, cortical cross sectional area and bone mineral content were made using ultrasonic transmission velocity and single photon absorptiometry. These data were used to determine bone mineral density, compact bone density and modulus of elasticity. The results were compared with those measured by direct means or chemical analysis and satisfactory correlations were obtained between estimated and measured values. Single photon ab...
Monitoring the effects of treadmill exercise on bone by non-invasive means during a progressive fitness programme. Six Standardbred horses underwent a 14-week training programme on a treadmill. The training schedule consisted of five weeks of slow work of six to 12 km/day at 5 m/sec. This was followed by a nine week interval programme increasing in its intensity so that for the last three weeks the horses did three to four intervals/day from 600 to 1000 m at or above maximum heart rate. Ultrasound velocity through the third metacarpus showed a significant increase as a result of training. There was also a significant increase in modulus of elasticity, but no change in bone mineral content, bone mineral den...
Nonsurgical treatment of uterine torsion in seven mares. Nonsurgical correction of uterine torsion was performed in 7 mares, and 6 foals were subsequently born alive. Uterine rupture necessitated euthanasia in 1 mare. Correction was achieved by rolling of the mares after general anesthesia had been induced. Previously, this technique was believed to be associated with a high prevalence of fetal and maternal mortality. Nonsurgical correction may be a satisfactory alternative to abdominal surgery in treating uterine torsion in mares.
Nonsurgical management of ruptured urinary bladder in a critically ill foal. A small tear in the urinary bladder of a severely debilitated 4-day-old foal was managed with an indwelling urinary catheter connected to a urine collecting system. Fluid therapy, parenteral nutrition, and antimicrobial agents were used during the initial management of the ruptured bladder. Aseptic technique for catheter care and systemic administration of antimicrobial agents prevented the development of bacterial cystitis. Catheter management required constant monitoring, but the bladder defect was sealed within 5 days. Fungal arthritis caused by Candida tropicalis, immune-mediated anemia, d...
Clearance of bromosulphthalein from plasma as a measure of hepatic function in normal horses and in horses with liver disease. Single intravenous injections of bromosulphthalein (BSP) were given to horses and the change in plasma concentration of BSP with time was analysed by computer to obtain the proportionality transfer constants 'a', 'h' and 'b'. No age, weight or sex differences in BSP clearance were found in normal horses. The technique was non-invasive, repeatable and suitable for conscious animals. The measurement of the transfer constants 'a', 'h' and 'b', helped to provide an accurate guide to diagnosis and prognosis of liver disease.
Secretion rates and short-term patterns of gonadotrophin-releasing hormone, FSH and LH throughout the periovulatory period in the mare. We have developed a non-surgical technique for long-term collection of pituitary venous blood which consists of slightly diluted hypophysial portal blood into which pituitary hormones have been secreted. In these experiments jugular and pituitary venous blood samples were collected from five unmedicated, ambulatory mares at 5-min intervals for 2-6 h on 11 occasions during the 6 days surrounding the ovulatory LH peak. Jugular blood only was collected from another five periovulatory mares without pituitary cannulae. The duration of oestrus was similar in mares with and without pituitary cannulae...
Radionuclide, radiographic, and histomorphometric evaluation of healing of surgically created subchondral defects in equine bone. In the present study, radionuclide scintigraphy and radiography were used to evaluate the rate and degree of healing that occurred in surgically created subchondral bone defects in horses. Following radionuclide scintigraphy and radiography the horses were killed, and histomorphometric analysis was performed on the defect sites. The histomorphometric results were compared to the radionuclide scintigraphic and radiographic results to determine which noninvasive technique provided the most accurate information concerning healing of the bone defects. It was concluded that radionuclide scintigraph...
Single photon absorptiometry for the measurement of bone mineral content in horses. A safe, non-invasive method for the accurate measurement of bone mineral content in the third metacarpal bone of the horse is described. The technique involves scanning the bone with a single photon beam from an Americium-241 source. Data were obtained from the excised metacarpal bones from both forelimbs of 50 normal and seven lame horses. Measurements were made in vivo on eight normal and seven lame horses and on one experimental horse with osteopenia induced by partial weightlessness in a flotation tank. In the normal horses bone mineral content altered with age, particularly in the first s...
Uses of ultrasound in equine internal medicine. Ultrasound examination allows the diagnostician to examine peripheral soft tissues and many internal organs in a noninvasive manner. In most instances, ultrasound can be utilized to complement other diagnostic aids, but its increased use has revealed the unique advantages of this technique over more established diagnostic tools. The ease with which ultrasound interpretation can be learned and the increased availability of instruments make this approach to diagnosis a valuable asset in the diagnosis of many equine medical diseases.
Ultrasonographic diagnosis of aorto-iliac thrombosis. A linear array 5 mHz ultrasonic scanner was used to diagnose aorto-iliac thrombosis in a 3 year old Standardbred gelding. There are no reports in the literature of utilization of ultrasonography for visualization of an aortic thrombus. The technique is fairly non-invasive, requiring only a rectal examination with a linear array probe. Arteriography is the only other method described for actual visualization of a thrombus. This procedure is technically difficult and highly invasive.
