Analyze Diet

Topic:Nutrition

Nutrition in horses encompasses the study of dietary requirements and feeding practices that support equine health, growth, and performance. It involves the analysis of nutrients such as carbohydrates, proteins, fats, vitamins, and minerals, and their roles in equine physiology. Proper nutrition is essential for maintaining optimal body condition, supporting metabolic processes, and preventing dietary-related disorders. Research in this field examines the nutritional needs of horses at different life stages and activity levels, as well as the effects of various feed types and supplements. This page compiles peer-reviewed research studies and scholarly articles that explore the composition, digestion, and impact of different dietary components on equine health and performance.
Metabolomic analysis of the impact of red ginseng on equine physiology.
Frontiers in veterinary science    September 30, 2024   Volume 11 1425089 doi: 10.3389/fvets.2024.1425089
Kwak YB, Stambler I, Yoo HH, Yoon J.Red ginseng (RG), a traditional herbal remedy, has garnered attention owing to its diverse health benefits resulting from its complex composition. However, extensive research is needed to substantiate the efficacy of RG and understand the underlying mechanisms supporting these benefits. This study aimed to identify potential biomarkers and investigate the impact of RG on related metabolic pathways in horse plasma using liquid chromatography-mass spectrometry (LC-MS)-based metabolomics. Unassigned: Ten horses were divided into control and RG groups, with the latter administered RG at a dose of ...
Environmental Factors of Equine Osteochondrosis and Fetlock Osteochondral Fragments: A Scoping Review – Part 1.
Veterinary journal (London, England : 1997)    September 27, 2024   106249 doi: 10.1016/j.tvjl.2024.106249
Van Mol B, Oosterlinck M, Janssens S, Buys N, Pille F.Various environmental and genetic risk factors are linked to the pathogenesis of equine osteochondrosis and osteochondral fragments in the fetlock joint. Therefore, a scoping review was conducted to describe current evidence linking genetic factors and environmental factors of these osteochondral disorders. This article constitutes the first part of this scoping review and focuses on environmental factors, with the second part addressing genetic factors. To identify potentially relevant papers online bibliographical databases PubMed and Web of Science were utilised, supplemented with articles ...
A Meta-Analysis on Quantitative Calcium, Phosphorus and Magnesium Metabolism in Horses and Ponies.
Animals : an open access journal from MDPI    September 25, 2024   Volume 14, Issue 19 2765 doi: 10.3390/ani14192765
Maier I, Kienzle E.The aims of the present meta-analysis were (i) to re-evaluate the factorially calculated Ca, P and Mg requirements to replace endogenous faecal losses, taking new data into account, (ii) to identify potential differences between horses and ponies regarding requirements, apparent digestibility, serum levels and renal excretion of Ca, P and Mg and (iii) to investigate the influence of mineral sources, i.e., "inorganic" sources from added mineral salts and "organic" sources from feed plants. For P, the water solubility of "inorganic" sources was taken into consideration. Data on the aforementione...
Evaluation of plant commercial feed additives for equine cyathostomin control.
Journal of equine veterinary science    September 17, 2024   Volume 142 105197 doi: 10.1016/j.jevs.2024.105197
Malsa J, Reigner F, Riou M, Gesbert A, Guégnard F, Perrot N, Serreau D, Fleurance G, Sallé G.The increasing emergence of anthelmintic-resistant parasitic isolates prompts us to reassess the management of intestinal strongylosis in horses. Additionally, societal demand is shifting toward reducing the use of chemical treatments, aligning with environmentally-friendly practices and the exploration of natural alternatives. In this context, we provide an initial view of the antiparasitic activity and the effect on immune circulating blood cells of three commercialized plant-based feed additives in ponies. Three treatments, based either on mugwort (Artemisia vulgaris), echinacea (Echinacea ...
The impact of restricted grazing systems on the behaviour and welfare of ponies.
Equine veterinary journal    September 14, 2024   doi: 10.1111/evj.14411
Kirton R, Sandford I, Raffan E, Hallsworth S, Burman OHP, Morgan R.Equine obesity is a growing concern. Much of the current management advice centres on dietary restrictions, including the removal or limitation of grazing. Little is known about the impact of these approaches on the welfare of the horse. Objective: This study investigates the effect of two commonly used grazing systems advocated for the control of weight-the 'strip-grazing' and the 'track' systems-on the behaviour and welfare of outdoor-living ponies. Methods: A within-subject cross-over experimental design with four groups of pasture-kept ponies experiencing each system for 4 weeks in a ran...
2022 Equine Community Needs Assessment Survey.
Journal of equine veterinary science    September 12, 2024   105193 doi: 10.1016/j.jevs.2024.105193
Herbst C, Hartmann KS, Brown DO, Malinowski K.To stay up-to-date with the demographics, interests, and needs of the equine community, equine extension programs commonly conduct so called "needs assessment surveys". The main goals of the 2022 Rutgers Equine Science Center (ESC) needs assessment survey were to: 1) characterize the equine community, 2) identify information sources used by the equine community, 3) assess the usefulness of selected equine-related services and programs, and 4) determine the perceived importance of selected equine-related issues. An anonymous online survey was distributed through the Rutgers ESC's email list, a ...
Effects of maternal dietary supplementation with antioxidants on clinical status of mares and their foal.
BMC veterinary research    September 11, 2024   Volume 20, Issue 1 404 doi: 10.1186/s12917-024-04252-z
Del Prete C, Vastolo A, Pasolini MP, Cocchia N, Montano C, Cutrignelli MI.The peripartum period constitutes a delicate physiological moment in mares showing a transient state of oxidative stress. Diet supplementation with antioxidants during pregnancy in women appears to have a beneficial effect on mother and neonate health. The aim of this work was to evaluate the effects of diet supplementation with a commercial product containing a mix of antioxidants (Oxyliver®, Candioli) on the length of gestation, weight, and haemato-biochemical parameters in Italian Salernitano mares and their newborn foals. Eight late-term pregnant mares were randomly divided into two group...
Effects of storage-handling methods on nutrient analysis of fresh-forage samples.
Journal of equine veterinary science    September 4, 2024   Volume 142 105182 doi: 10.1016/j.jevs.2024.105182
Kerley BS, Harris P, Lea K, McClendon M, Adams AA.Forage low in nonstructural carbohydrates (NSC) is recommended for insulin dysregulated (ID) horses, indicating the importance of an accurate forage analysis. However, it remains to be fully understood how handling forage samples pre-analysis impacts nutrient values. The objective of this study was to compare the effect of fresh-forage storage-handling methods: microwave-oven (MO; 9kw; 70s then stored at -20℃), room temperature (20℃), 3℃, -20℃, and -80℃. Subsamples collected from a mixed-grass pasture and a ryegrass plot were analyzed for crude protein (CP), water soluble carbohydrat...
Straight from the horse’s mouth: The effect of different feedstuffs on oral pH in horses and ponies.
Journal of equine veterinary science    September 4, 2024   Volume 142 105181 doi: 10.1016/j.jevs.2024.105181
Daniels SP, Whiteside EJ, Martin S, Moore-Colyer MJS, Harris P.Feedstuffs, especially ensiled forage, may be detrimental to equid oral health by exposing the oral cavity to low pH. This study aimed to identify if salivary pH was altered by 1) a range of different feedstuffs and (2) specifically by feeding haylages with differing nutrient profiles. Two studies were conducted. The first measured oral pH following five feedstuffs, (hay, haylage, unmolassed sugarbeet pulp, unmolassed alfalfa chaff and rolled oats), tested individually over five days. Saliva (≥1 ml) was collected in triplicate, prior to feeding, directly after ingesting 500 g of each feedstu...
Esophageal perforation diagnosis, treatment, complications, and outcome in a Standardbred colt.
Journal of equine veterinary science    August 25, 2024   Volume 142 105177 doi: 10.1016/j.jevs.2024.105177
Albrecht M, MacGillivray KC, Juez B, Freeland R.A 4.5-month-old Standardbred colt presented for neck swelling and fever. Endoscopy and contrast radiography identified a full thickness esophageal perforation. Surgical intervention with fasciotomies and placement of an esophageal feeding tube was elected. Intensive postoperative treatment was carried out with broad-spectrum antibiotics, gastroprotectants and probiotics, calculated feeding plan, esophagostomy and fasciotomy site lavages, care, and cleaning. Complications included recurrent bilateral pneumothorax and development of an incomplete fistula at the esophagostomy site following remov...
Feeding a Saccharomyces cerevisiae Fermentation Product to Mares in Late Gestation Alters the Biological Activity of Colostrum.
Animals : an open access journal from MDPI    August 24, 2024   Volume 14, Issue 17 2459 doi: 10.3390/ani14172459
Terpeluk ER, Schäfer J, Finkler-Schade C, Rauch E, Rohn K, Schuberth HJ.The quality of equine colostrum is typically defined by refractometry or the concentration of maternal antibodies. However, the activity of other equine colostral bioactive molecules has not yet been investigated. This study analyzed whether the administration of a fermentation product (SCFP) influences the biological activity of mare colostrum and whether the biological activity of colostrum has a lasting immunomodulating effect for foals. A total of fourteen pregnant mares received 20 g/day of a SCFP for a period of twelve weeks prior to the calculated date of birth (SCFP-group). Twelve pre...
Quality Assessment of Reconstructed Cow, Camel and Mare Milk Powders by Near-Infrared Spectroscopy and Chemometrics.
Molecules (Basel, Switzerland)    August 23, 2024   Volume 29, Issue 17 3989 doi: 10.3390/molecules29173989
Majadi M, Barkó A, Varga-Tóth A, Maukenovna ZS, Batirkhanovna DZ, Dilora S, Lukacs M, Kaszab T, Mednyánszky Z, Kovacs Z.Milk powders are becoming a major attraction for many industrial applications due to their nutritional and functional properties. Different types of powdered milk, each with their own distinct chemical compositions, can have different functionalities. Consequently, the development of rapid monitoring methods is becoming an urgent task to explore and expand their applicability. Lately, there is growing emphasis on the potential of near-infrared spectroscopy (NIRS) as a rapid technique for the quality assessment of dairy products. In the present work, we explored the potential of NIRS coupled wi...
Steamed hay and alfalfa pellets for the management of severe equine asthma.
Equine veterinary journal    August 20, 2024   doi: 10.1111/evj.14209
Symoens A, Westerfeld R, Vives BM, André V, Moulon L, Collomb M, Richard H, Juette T, Bédard C, Leclère M.Steaming hay significantly reduces respirable particles and provides a palatable alternative to dry hay for horses with asthma, but there are few prospective studies demonstrating the clinical efficacy of steamed hay. Objective: To compare the efficacy of alfalfa pellets and steamed hay in improving lung function and inflammation of horses with severe asthma (SEA). Methods: Controlled crossover study. Methods: Ten horses with SEA were enrolled and nine completed the study. Horses were housed indoors and fed hay. Once in exacerbation, they were fed pellets and steamed hay for 4 weeks, in a cr...
The effect of the fat to starch ratio in young horses’ diet on plasma metabolites, muscle endurance and fear responses.
Journal of animal physiology and animal nutrition    August 20, 2024   Volume 109, Issue 1 113-123 doi: 10.1111/jpn.14037
Lashkari S, Beblein C, Christensen JW, Jensen SK.High-starch diets may affect equine hindgut microbiota and increase blood glucose levels, which may cause unwanted physiological changes, but may also elicit behavioural changes such as increased fear reactions. The purpose of the current study was to feed a high starch (300) and low fat (43; HS_LF) or a low starch (60) and high fat (85; LS_HF, g/kg of DM) concentrate within the available commercial range and investigate how muscle endurance and fear reactions of horses respond to different diets. Twenty Danish Warmblood stallions (4 years) were randomly allocated to two treatments: LS_HF (n...
Effect of balanced vs. standard protein on muscle mass development in exercising horses.
Translational animal science    August 16, 2024   Volume 8 txae118 doi: 10.1093/tas/txae118
Graham-Thiers PM, Bowen LK.Twelve horses weighing 570 ± 35 kg were split into two groups (standard protein, STD, and balanced protein, BAL) to evaluate the effect of balanced vs. unbalanced protein on muscle mass. Groups were fed grass hay and a 12% CP feed (one formulated for balanced protein). Horses were out of work for 14 wk prior and participated in 1 to 2 h of light-to-moderate exercise 5 d/wk for 12 wk. A 4-d total urine and feces collection period was conducted at the start and end of the study. Urine and feces samples were analyzed for nitrogen (N) to calculate N balance. Muscle mass status was evalua...
Oral probiotic administration attenuates postexercise inflammation in horses.
Translational animal science    August 13, 2024   Volume 8 txae124 doi: 10.1093/tas/txae124
Jacobs RD, Grum D, Trible B, Ayala DI, Karnezos TP, Gordon ME.Probiotics are commonly incorporated into equine diets to impart health and performance benefits; however, peer-reviewed evidence supporting their efficacy in horses is limited. Interestingly, bacteria from the Bacillus genus are gaining interest for their unique ability to impact metabolic, immune, and inflammatory pathways. The objective of this trial was to evaluate a selection of Bacilli for their role in altering the inflammatory response in horses to exercise. Eighteen horses were utilized in a randomized cross-over trial. Horses were randomly assigned to one of 6 starting treatments inc...
Fibrobacter sp. HC4, a newly isolated strain, demonstrates a high cellulolytic activity as revealed by enzymatic measurements and in vitro assay.
Applied and environmental microbiology    July 31, 2024   Volume 90, Issue 8 e0051424 doi: 10.1128/aem.00514-24
Froidurot A, Jacotot E, Julliand S, Grimm P, Julliand V.Despite their low quantity and abundance, the cellulolytic bacteria that inhabit the equine large intestine are vital to their host, as they enable the crucial use of forage-based diets. Fibrobacter succinogenes is one of the most important intestinal cellulolytic bacteria. In this study, Fibrobacter sp. HC4, one cellulolytic strain newly isolated from the horse cecum, was characterized for its ability to utilize plant cell wall fibers. Fibrobacter sp. HC4 consumed only cellulose, cellobiose, and glucose and produced succinate and acetate in equal amounts. Among genes coding for CAZymes, 26% o...
Carbohydrate digestion in the stomach of horses grazed on pasture, fed hay or hay and oats.
Journal of equine veterinary science    July 27, 2024   Volume 141 105152 doi: 10.1016/j.jevs.2024.105152
Bachmann M, Schusser GF, Wensch-Dorendorf M, Pisch C, Bochnia M, Santo MM, Netzker H, Woitow G, Thielebein J, Kesting S, Riehl G, Greef JM....Concentrations of starch, mono- and disaccharides, fructans, hemicellulose and cellulose were analysed in feed and gastric digesta of horses in relation to acid insoluble ash as a marker indigestible in the stomach. Twenty-four horses were allocated to pasture 24 h/d (PST; n = 4), hay ad libitum (HAY; n = 8), hay ad lib. and oats at 1 g starch/kg body weight (BWT)/meal (OS1; n = 6) and hay ad lib. and oats at 2 g starch/kg BWT/meal (OS2; n = 5). One horse was excluded from the analysis. The horses were fed the ration a minimum of 34 days. Following euthanasia and dissection, digesta was sample...
Astaxanthin Supplementation Does Not Alter Training-Related Changes in Inflammatory Cytokine Profile in Arabian Racing Horses.
Antioxidants (Basel, Switzerland)    July 26, 2024   Volume 13, Issue 8 905 doi: 10.3390/antiox13080905
Giercuszkiewicz-Hecold B, Kulka M, Czopowicz M, Szarska E, Strzelec K, Grzeczka A, Graczyk S, Wiśniewska M, Jędrzejkowska Z, Rumińska A, Marycz K....This study aimed to evaluate the oral supplementation of astaxanthin (ATX) on inflammatory markers in 3-year-old Arabian racehorses. Despite the recognized antioxidant and anti-inflammatory properties of ATX observed in vitro in rodent models and in human athletes, the effects in equine subjects remain unknown. This study involved a controlled trial with 14 horses receiving either ATX (six horses) or a placebo (eight horses), monitored over four months of race training. Inflammatory cytokines: TNFα, IFNγ, IL-6, IL-10, and prostaglandin E (PGE), were measured monthly to assess the impact of A...
Methanogenic patterns in the gut microbiome are associated with survival in a population of feral horses.
Nature communications    July 22, 2024   Volume 15, Issue 1 6012 doi: 10.1038/s41467-024-49963-x
Stothart MR, McLoughlin PD, Medill SA, Greuel RJ, Wilson AJ, Poissant J.Gut microbiomes are widely hypothesised to influence host fitness and have been experimentally shown to affect host health and phenotypes under laboratory conditions. However, the extent to which they do so in free-living animal populations and the proximate mechanisms involved remain open questions. In this study, using long-term, individual-based life history and shallow shotgun metagenomic sequencing data (2394 fecal samples from 794 individuals collected between 2013-2019), we quantify relationships between gut microbiome variation and survival in a feral population of horses under natural...
What the hay: predicting equine voluntary forage intake using a meta-analysis approach.
Animal : an international journal of animal bioscience    July 18, 2024   Volume 18, Issue 9 101266 doi: 10.1016/j.animal.2024.101266
Leishman EM, Sahar M, Cieslar S, Darani P, Ellis JL.To properly formulate diets, the ability to accurately estimate feed intake is critical as the amount of feed consumed will influence the amount of nutrients delivered to the animal. Inaccurate intake estimates may lead to under- or over-feeding of nutrients to the animal. Individual differences in equine forage intake are well-known, but predictive equations based on animal and nutritional factors are not comprehensive. The objective of the present study was to consolidate the current body of knowledge in the published literature on voluntary forage DM intake (VFDMI) in equines and conduct a ...
Safety and efficacy of a feed additive consisting of sodium ferrocyanide and potassium ferrocyanide for all animal species (Eusalt a.i.s.b.l.).
EFSA journal. European Food Safety Authority    July 12, 2024   Volume 22, Issue 7 e8851 doi: 10.2903/j.efsa.2024.8851
Bampidis V, Azimonti G, Bastos ML, Christensen H, Durjava M, Dusemund B, Kouba M, López-Alonso M, López Puente S, Marcon F, Mayo B, Pechová A....Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on the safety and efficacy of sodium ferrocyanide and potassium ferrocyanide as technological feed additives for all animal species. In its previous opinion on the safety and efficacy of the additives, the FEEDAP Panel concluded that the use of sodium ferrocyanide and potassium ferrocyanide is safe, when added to sodium chloride at a maximum content of 80 mg ferrocyanide anions (anhydrous)/kg for turkeys for fattening and laying hens and other laying/breeding birds, all porcine species and categori...
Characterization of a novel multifunctional glycoside hydrolase family in the metagenome-assembled genomes of horse gut.
Gene    July 6, 2024   148758 doi: 10.1016/j.gene.2024.148758
Hu L, Li X, Li C, Wang L, Han L, Ni W, Zhou P, Hu S.The gut microbiota is a treasure trove of carbohydrate-active enzymes (CAZymes). To explore novel and efficient CAZymes, we analyzed the 4,142 metagenome-assembled genomes (MAGs) of the horse gut microbiota and found the MAG117.bin13 genome (Bacteroides fragilis) contains the highest number of polysaccharide utilisation loci sites (PULs), indicating its high capability for carbohydrate degradation. Bioinformatics analysis indicate that the PULs region of the MAG117.bin13 genome encodes many hypothetical proteins, which are important sources for exploring novel CAZymes. Interestingly, we discov...
Serum amino acid profiles in clinically normal Noma horses.
Journal of equine science    July 3, 2024   Volume 35, Issue 2 29-34 doi: 10.1294/jes.35.29
Hisaeda K, Ono T, Kadekaru S, Hata A, Miyama TS, Kutara K, Sugimoto K, Hiasa Y, Ohzawa E, Kunieda T, Iwata E, Kitagawa H.Plasma or serum amino acids are used to evaluate nutritional status and metabolic disorders. In this study, we aimed to set reference values of serum amino acid concentrations in the Noma horse, a Japanese native horse. Thirty-one horses were classified into six age groups: neonatal foal (0-4 days), foal (0.5-1 years), youth (5 years), middle age (10 years), old (15 years), and extra-old (>20 years). Horses >5 years of age were analyzed together as the adult group. In the adult horses, there were no significant differences among the serum amino acid concentrations of each age group. The ...
Characterizing hay buying and feeding practices and attitudes among Pennsylvania horse owners.
Journal of equine veterinary science    July 3, 2024   Volume 140 105147 doi: 10.1016/j.jevs.2024.105147
Kenny LB, Smarsh DN.Existing data on the equine hay market and buying preferences in Pennsylvania (PA) is outdated and more recent data is needed. The objective of this project was to characterize the practices and attitudes of PA horse hay buyers. An online survey was created and distributed. It received 435 total responses (of these, 346 were complete responses) from PA horse hay buyers from October 2021 to February 2022. Data presented (descriptive statistics) represents the percentage of respondents answering that question. Most (76%) respondents were in the recreational sector of the horse industry and the m...
Effects of lysine and threonine on milk yield, amino acid metabolism, and fecal microbiota of Yili lactating mares.
Frontiers in veterinary science    July 3, 2024   Volume 11 1396053 doi: 10.3389/fvets.2024.1396053
Lin J, Jing H, Wang J, Lucien-Cabaraux JF, Yang K, Liu W, Li X.The nutritional benefits of mare milk are attracting increasing consumer interest. Limited availability due to low yield poses a challenge for widespread adoption. Although lysine and threonine are often used to enhance protein synthesis and muscle mass in horses, their impact on mare milk yield and nutrient composition remains underexplored. This study investigated the effects of lysine and threonine supplementation on 24 healthy Yili mares, mares at day 30 of lactation, over a 120-day period. The mares were divided into control and three experimental groups (six mares each) under pure grazin...
Timing of feeding a protein supplement on nitrogen balance and plasma amino acids during exercise recovery in horses.
Journal of animal physiology and animal nutrition    July 2, 2024   doi: 10.1111/jpn.14012
Graham-Thiers P, Bowen K.Eight geldings weighing 544 ± 16 kg were used to evaluate feeding a postexercise protein meal on plasma amino acids during recovery. Horses were fed sweet feed, corn, grass hay and equal amounts of a protein pellet (32% CP) with meals (MP group) or postexercise (EP group). Horses exercised 1-2 h/day, 5 days/week, for 12 weeks. A pre and poststudy 4 days total urine and feces collection was conducted. Urine and fecal samples were analyzed for nitrogen (N) to calculate N balance. Blood samples were drawn immediately after and at 1 and 3 h postexercise at the start and end of the stud...
Chewing analysis of horses consuming bermudagrass hay in different styles of slow feeders as compared to loose hay.
Journal of equine veterinary science    June 20, 2024   Volume 140 105133 doi: 10.1016/j.jevs.2024.105133
Hart R, Bailey A, Farmer J, Duberstein K.Mastication is the initial phase of digestion and is crucial to equine health due to its role in saliva production and food particle reduction. Hay nets have been promoted to slow the rate of hay consumption, with many styles of slow feeders available. Limited research has shown that nets may slow consumption, but no research has examined their effect on the horse's chewing frequency and patterns. The objective of this study was to compare chew frequency (CF, total number of chews/kg consumed) and chew duration (CD, total minutes chewed/kg consumed), as well as distribution of chews over a fee...
Adiposity in mares induces insulin dysregulation and mitochondrial dysfunction which can be mitigated by nutritional intervention.
Scientific reports    June 18, 2024   Volume 14, Issue 1 13992 doi: 10.1038/s41598-024-64628-x
Fresa K, Catandi GD, Whitcomb L, Gonzalez-Castro RA, Chicco AJ, Carnevale EM.Obesity is a complex disease associated with augmented risk of metabolic disorder development and cellular dysfunction in various species. The goal of the present study was to investigate the impacts of obesity on the metabolic health of old mares as well as test the ability of diet supplementation with either a complex blend of nutrients designed to improve equine metabolism and gastrointestinal health or L-carnitine alone to mitigate negative effects of obesity. Mares (n = 19, 17.9 ± 3.7 years) were placed into one of three group: normal-weight (NW, n = 6), obese (OB, n = 7...
Fasting horses perioperatively decreases manure production and increases time to manure output postoperatively: a controlled randomized trial.
Journal of the American Veterinary Medical Association    June 12, 2024   1-8 doi: 10.2460/javma.24.04.0235
Barton CK, Hector RC, Hendrickson DA, Kawcak CE, Nelson BB, Goodrich LR.To compare 3 perioperative feeding regimens and their effect on anesthetic complications, manure output, and colic proportion in healthy horses. Methods: 45 horses presenting for elective orthopedic procedures were randomly assigned to 1 of 3 groups: not fasted (NF; continuous access to hay perioperatively), fasted muzzled (FM; 10-hour preoperative fast with slow refeeding postoperatively and muzzle placement), or fasted not muzzled (FNM; same as FM without muzzle placement). Anesthetic protocol was standardized. Outcomes compared between groups included anesthesia time, arterial oxygenation, ...
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