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Topic:Respiratory Health

Respiratory health in horses encompasses the study of the equine respiratory system, its function, and the various conditions that can affect it. The respiratory system in horses includes the upper airways, lungs, and associated structures, which facilitate gas exchange and are vital for maintaining physiological homeostasis during rest and exercise. Common respiratory conditions in horses include equine asthma, infectious diseases like strangles, and exercise-induced pulmonary hemorrhage (EIPH). These conditions can impact a horse's performance and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathophysiology, and management of respiratory health in horses.
Effect of valacyclovir on EHV-5 viral kinetics in horses with equine multinodular pulmonary fibrosis.
Journal of veterinary internal medicine    September 17, 2018   Volume 32, Issue 5 1763-1767 doi: 10.1111/jvim.15230
Easton-Jones CA, Madigan JE, Barnum S, Maxwell LK, Taylor SD, Arnesen T, Pusterla N.Equine herpesvirus-5 is commonly isolated from the lungs of horses with EMPF, suggesting an etiological link. Valacyclovir is used empirically to treat EMPF; however, no data is available concerning its impact on EHV-5 viral kinetics. Objective: To determine the effect of oral administration of valacyclovir on EHV-5 viral load measured by qPCR in blood, nasal secretions (NS) and BALF in horses with EMPF. Methods: Six horses diagnosed with EMPF. Methods: A prospective clinical trial was performed. Horses received 10 days of PO administered valacyclovir (loading dose 30 mg/kg, maintenance dose 2...
An observational study of environmental exposures, airway cytology, and performance in racing thoroughbreds.
Journal of veterinary internal medicine    September 17, 2018   Volume 32, Issue 5 1754-1762 doi: 10.1111/jvim.15226
Ivester KM, Couëtil LL, Moore GE.Mild equine asthma is presumed to arise in response to environmental exposures but the relative impact of differing inflammatory phenotypes upon performance are largely unexplored. Objective: Airway inflammation negatively affects performance and cytological phenotype varies with environmental exposure. Methods: Thoroughbred racehorses in active training and racing. Methods: Thoroughbreds were recruited 24-48 hours before racing. Each horse was eligible for re-enrollment with each race entry. Within one hour of race completion, physical examination, respiratory endoscopy, and BAL were performe...
Effects of 12 and 17 cmH2O positive end-expiratory pressure applied after alveolar recruitment maneuver on pulmonary gas exchange and compliance in isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    September 7, 2018   Volume 46, Issue 1 64-73 doi: 10.1016/j.vaa.2018.08.003
Andrade FS, Facó LL, Ida KK, Silva LC, Fantoni DT, Ambrósio AM.To compare static compliance (C) and alveolar-arterial oxygen tension difference [P(a-a)O] between positive end-expiratory pressures (PEEP) of 7, 12 and 17 cmHO applied after an alveolar recruitment maneuver (RM) in isoflurane-anesthetized horses. Methods: Prospective, randomized, clinical study. Methods: A group of 30 healthy adult horses undergoing arthroscopic surgery. Methods: Animals in dorsal recumbency and mechanically ventilated with a tidal volume of 14 mL kg and 7 cmHO PEEP (control; n = 6) were subjected to an RM by increasing PEEP from 7 to 22 cmHO in 5 cmHO increments at 5 minute...
Influence of changing lateral recumbency and mode of ventilation on the alveolar-arterial oxygen tension gradient and selected laboratory analytes in adult isoflurane anesthetized horses.
The Journal of veterinary medical science    September 3, 2018   Volume 80, Issue 10 1584-1589 doi: 10.1292/jvms.18-0032
Niyom S, Mama KR, King M, Contino E, Ferris D, Valdes-Martinez A, Frisbie DD, McIlwraith W, Zumbrunnen J.This study investigated the influence of changing recumbency and mode of ventilation over repeated anesthesias on the alveolar to arterial oxygen tension gradient (PO) and laboratory analytes in eight horses during a year-long imaging study. Anesthesia was induced with xylazine, diazepam or guaifenesin, and ketamine and maintained with isoflurane. Horses were positioned in right or left lateral recumbency for computed tomography. Ventilation was controlled during 47% of the anesthetics. Blood was sampled from an arterial catheter prior to (30 ± 5 min from connection to anesthetic circuit), wi...
Serial evaluation of resting and exercising overground endoscopic examination results in young Thoroughbreds with no treatment intervention.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 192-197 doi: 10.1111/evj.12994
McGivney CL, Sweeney J, Gough KF, Hill EW, Katz LM.We hypothesised that grade/appearance for upper respiratory tract (URT) disorders identified at the first overground endoscopy (OGE) examination would vary at subsequent examinations. Objective: To compare OGE examinations from horses evaluated on at least two occasions under similar exercise conditions without treatment intervention. Methods: Retrospective cohort. Methods: Pre-exercise and exercising OGE recordings from Thoroughbred horses undergoing multiple examinations under similar exercise conditions were reviewed, with the first two recordings for each horse statistically evaluated. Pai...
Antifungal non-invasive soak under general anaesthetic to treat fungal rhinitis in an Australian Quarter Horse gelding at pasture.
Australian veterinary journal    August 22, 2018   Volume 96, Issue 8 297-301 doi: 10.1111/avj.12720
Lean NE, Ahern BJ.Mycotic rhinitis is a rare disease in horses, with few cases reported worldwide and none reported in Australia. Fungal infection of the upper respiratory tract can occur in all species, but its prevalence in horses is considerably lower than in canines or humans. The disease is linked to a variety of pathogens and the clinical signs are associated with subsequent upper respiratory tract damage. Methods: A 6-year-old Quarter Horse gelding in Queensland, Australia, was presented with chronic nasal discharge and dyspnoea following previous unsuccessful medical treatment of 9 months' duration. C...
Lower airway disease: Does research fit our practice needs?
Equine veterinary journal    August 18, 2018   Volume 50, Issue 5 701 doi: 10.1111/evj.12988
Kinnison T, Cardwell J, Smith K, Couëtil L, Wylie C, Whiting M, Roder C.No abstract available
Monitoring of tidal ventilation by electrical impedance tomography in anaesthetised horses.
Equine veterinary journal    August 18, 2018   Volume 51, Issue 2 222-226 doi: 10.1111/evj.12998
Mosing M, Waldmann AD, Raisis A, Böhm SH, Drynan E, Wilson K.Electrical impedance tomography (EIT) is a method to measure regional impedance changes within the thorax. The total tidal impedance variation has been used to measure changes in tidal volumes in pigs, dogs and men. Objective: To assess the ability of EIT to quantify changes in tidal volume in anaesthetised mechanically ventilated horses. Methods: In vivo experimental study. Methods: Six horses (mean ± s.d.: age 11.5 ± 7.5 years and body weight 491 ± 40 kg) were anaesthetised using isoflurane in oxygen. The lungs were mechanically ventilated using a volume-controlled mode. With an end-tidal...
Overground endoscopic findings and respiratory sound analysis in horses with recurrent laryngeal neuropathy after unilateral laser ventriculocordectomy.
Equine veterinary journal    August 9, 2018   Volume 51, Issue 2 185-191 doi: 10.1111/evj.12993
Barakzai SZ, Wells J, Parkin TDH, Cramp P.Unilateral ventriculocordectomy (VeC) is frequently performed, yet objective studies in horses with naturally occurring recurrent laryngeal neuropathy (RLN) are few. Objective: To evaluate respiratory noise and exercising overground endoscopy in horses with grade B and C laryngeal function, before and after unilateral laser VeC. Methods: Prospective study in clinically affected client-owned horses. Methods: Exercising endoscopy was performed and concurrent respiratory noise was recorded. A left-sided laser VeC was performed under standing sedation. Owners were asked to present the horse for re...
Effects of magnesium sulfate infusion on clinical signs and lung function of horses with severe asthma.
American journal of veterinary research    August 8, 2018   Volume 79, Issue 6 664-673 doi: 10.2460/ajvr.79.6.664
Tanquerel L, Fillion-Bertrand G, Lavoie JP, Leclere M.OBJECTIVE To evaluate whether MgSO solution administered IV would improve the clinical signs and lung function of horses with severe asthma and potentiate the effects of salbutamol inhalation in those horses. ANIMALS 6 adult horses with severe asthma. PROCEDURES Asthmatic horses were used in 3 crossover design experiments (6 treatments/horse). Clinical scores for nasal flaring and the abdominal component associated with breathing and lung function were determined before and after administration of salbutamol (800 μg, by inhalation), MgSO solution (2.2 mg/kg/min, IV, over 20 minutes), and comb...
Impact of pharyngeal endoscopic tip placement and water flushing interval on upper respiratory tract disorders in horses undergoing overground endoscopy.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 2 173-178 doi: 10.1111/evj.12991
McGivney CL, Sweeney J, Gough KF, Hill EW, Katz LM.Endoscopic tip placement in the pharynx and water flushing interval (FI) may affect exercising upper respiratory tract (URT) endoscopic results. Objective: To determine associations between the endoscopic tip position in the pharynx and automated FI with overground endoscopic (OGE) results. Methods: Randomised balanced 2X5 factorial design. Methods: A total of n = 200 horses undergoing OGE were randomly assigned into 10 groups (n = 20/group) of different automated endoscopic FIs (no flushing, 60, 120, 180, 240 s) with the endoscope tip positioned either rostrally (position A) or caudally ...
Meta-analysis evaluating resting laryngeal endoscopy as a diagnostic tool for recurrent laryngeal neuropathy in the equine athlete.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 2 167-172 doi: 10.1111/evj.12987
Elliott S, Cheetham J.Resting endoscopy has commonly been used as a method to predict laryngeal function at exercise. Objective: To perform a meta-analysis to determine the sensitivity and specificity of resting laryngeal endoscopy to predict clinical recurrent laryngeal neuropathy at exercise. Methods: Meta-analysis. Methods: Manuscripts were included if data were available for both resting and exercising airway function on all or a subset of horses. Normal resting endoscopy was defined as laryngeal grades 1 or 2 on a 4-/7-point scale or 1, 2 or 3 on a 5-point scale and normal dynamic endoscopy as a dynamic laryng...
Does antimicrobial therapy improve outcomes in horses with severe equine asthma and a positive tracheal wash bacterial culture? Husulak ML, Manning ST, Meachem MD, Burgess HJ, Epp TY, Montgomery JB.The objective of this study was to observe the outcomes of adding an antimicrobial treatment to a conventional treatment regime in horses with severe equine asthma in a clinical setting. Eleven client-owned horses with a history consistent with severe equine asthma, increased respiratory effort and nostril flaring, ≥ 20% neutrophils on bronchoalveolar lavage (BAL), and a positive tracheal wash (TW) bacterial culture were treated with environmental management, corticosteroids, and bronchodilators. Six horses were also treated with an antimicrobial (principal group), while the other 5 were adm...
Fifty years of recurring struggles with recurrent laryngeal neuropathy.
Equine veterinary journal    July 21, 2018   Volume 50, Issue 6 870 doi: 10.1111/evj.12981
Cook WR.No abstract available
Effect of antigen challenge on dynamics of CD62P and CD41/61 expression on platelets in horses with recurrent airway obstruction (RAO).
Veterinary immunology and immunopathology    July 18, 2018   Volume 202 172-180 doi: 10.1016/j.vetimm.2018.07.007
Iwaszko A, Borowicz H, Graczyk S, Slowikowska M, Pliszczak-Krol A, Niedzwiedz A.Recurrent airway obstruction (RAO), also known as heaves, is an allergic respiratory condition that develops in horses following an exposure to aeroallergens in hay and straw. This is manifested by airway hyperreactivity, inflammation, bronchoconstriction, as well as a leukocyte and platelet infiltration into the airways. Platelet activation and an increase in circulating platelet-leukocyte aggregates may lead to airway remodeling. The aim of this study was to explore the effect of seven-day antigen challenge on dynamics of platelet indices and CD41/61 and CD62 P expression on platelets in h...
Impact of Trendelenburg (head down) and reverse Trendelenburg (head up) position on respiratory and cardiovascular function in anaesthetized horses.
Veterinary anaesthesia and analgesia    July 18, 2018   Volume 45, Issue 6 760-771 doi: 10.1016/j.vaa.2018.01.012
Binetti A, Mosing M, Sacks M, Duchateau L, Gasthuys F, Schauvliege S.To describe the cardiorespiratory effects of a change in table position in anaesthetized horses. Methods: Prospective, crossover, randomized, experimental study. Methods: Six adult horses (mean body weight 621 ± 59 kg, aged 13 ± 4 years). Methods: The horses were anaesthetized twice in dorsal recumbency. They were either placed in the Trendelenburg position (head down; HD) followed by reverse Trendelenburg position (head up; HU) or in reverse order. Every position was maintained for 90 minutes. The order of positions was randomly assigned at initial anaesthesia. Extensive cardiorespiratory m...
Prevalence and sequence analysis of equid herpesviruses from the respiratory tract of Polish horses.
Virology journal    July 11, 2018   Volume 15, Issue 1 106 doi: 10.1186/s12985-018-1018-3
Stasiak K, Dunowska M, Rola J.Equid herpesviruses (EHVs) are widespread in equine populations worldwide. While the infection with equine α-herpesviruses (EHV-1 and EHV-4) has been linked to several clinical outcomes, the pathogenic potential for equine γ-herpesviruses (EHV-2 and EHV-5) is still unclear. The objective of the current study was to determine the prevalence of infection with EHVs among Polish horses, to investigate factors associated with EHV infections among horses sampled, and to determine genetic variability within Polish EHV-2 isolates. Virus-specific real-time PCR assays were used for detection of EHV-1,...
Equine lower airway disease.
The Veterinary record    June 30, 2018   Volume 182, Issue 26 748-749 doi: 10.1136/vr.k2761
Kinnison T, Cardwell J, Smith K, Couëtil L, Wylie C, Whiting M, Roder C.No abstract available
Evaluation of Histogel- and Gelfoam-embedded bronchoalveolar lavage and transtracheal wash fluids compared with cytocentrifuged and sediment smear preparations.
Veterinary clinical pathology    June 27, 2018   Volume 47, Issue 3 471-476 doi: 10.1111/vcp.12624
Haysom LZ, Lee-Fowler TM, Spangler EA.Storage and temperature significantly impact bronchoalveolar lavage fluid (BALF) analysis, and shipment of samples to diagnostic laboratories is often necessary. Alternative sample preparation methods could limit storage and temperature effects. Objective: This study aimed to determine if airway wash samples that were fixed in formalin after being embedded in Histogel or Gelfoam gave comparable results to fresh cytocentrifuged or sediment smear preparations for the evaluation of cell morphology. Methods: Eleven bronchoalveolar lavage and 3 transtracheal wash fluids were available, including 8 ...
Using quarterly earnings to assess racing performance in 66 thoroughbreds after transendoscopic laser surgery for treatment of epiglottic entrapment.
Veterinary surgery : VS    June 13, 2018   Volume 47, Issue 5 605-613 doi: 10.1111/vsu.12907
Kieffer PJ, Aceto H, Stefanovski D, Parente EJ.To assess the outcome of transendoscopic laser surgery for the treatment of epiglottic entrapment (EE) and determine the influence of preoperative morphological characteristics on outcomes. Methods: Retrospective cohort study. Methods: Thoroughbred racehorses treated with transendoscopic laser surgery (n = 66) and untreated cohorts (n = 132). Methods: Medical, surgical, and race records of 66 horses treated with transendoscopic laser surgery were compared with untreated cohorts randomly selected from their last race presurgery. Postsurgery data were collated as number of starts and rac...
Effects of on-slide fixation on the cell quality of cytocentrifuged equine bronchioalveolar lavage fluid.
Veterinary clinical pathology    June 8, 2018   Volume 47, Issue 3 513-519 doi: 10.1111/vcp.12623
Bertram CA, Dietert K, Pieper L, Erickson NA, Barton AK, Klopfleisch R.During bronchoalveolar lavage fluid (BALF) sample preparation in horses, several technical aspects can affect sample variability. To date, the effects of different fixatives on prepared equine BALF films have been insufficiently investigated. Objective: This study aimed to determine the effect of various on-slide fixation methods on cell quality, including spray fixation of wet films, and acetone and methanol fixation of air-dried samples in comparison with unfixed, air-dried films. Methods: Cytocentrifuged BALF samples from 5 horses were fixed in a wet state using a commercially available fix...
Bone formation transcripts dominate the differential gene expression profile in an equine osteoporotic condition associated with pulmonary silicosis.
PloS one    June 1, 2018   Volume 13, Issue 6 e0197459 doi: 10.1371/journal.pone.0197459
Zavodovskaya R, Stover SM, Murphy BG, Katzman S, Durbin-Johnson B, Britton M, Finno CJ.Osteoporosis has been associated with pulmonary silicosis in California horses exposed to soils rich in cytotoxic silica dioxide crystals, a syndrome termed silicate associated osteoporosis (SAO). The causal mechanism for the development of osteoporosis is unknown. Osteoporotic lesions are primarily located in bone marrow-rich sites such as ribs, scapula and pelvis. Gene transcription patterns within bone marrow and pulmonary lymph nodes of affected horses may offer clues to disease pathobiology. Bone marrow core and tracheobronchial lymph node tissue samples harvested postmortem from affected...
Exercise-induced pulmonary haemorrhage in Thoroughbred racehorses: a longitudinal study.
Equine veterinary journal    May 25, 2018   Volume 51, Issue 1 45-51 doi: 10.1111/evj.12957
Crispe EJ, Secombe CJ, Perera DI, Manderson AA, Turlach BA, Lester GD.Exercise-induced pulmonary haemorrhage (EIPH) is considered a progressive disease based on histopathology, but it is unknown if tracheobronchoscopic EIPH severity worsens over time. Objective: The aim of this study was to examine tracheobronchoscopic EIPH changes over time in a population of Thoroughbred racehorses. A secondary aim was to identify factors that affect changes in tracheobronchoscopic EIPH severity between observations. Methods: Prospective, longitudinal, observational cross-sectional study. Methods: Thoroughbred racehorses were examined with tracheobronchoscopy no earlier than 3...
Upper Airway Conditions Affecting the Equine Athlete.
The Veterinary clinics of North America. Equine practice    May 21, 2018   Volume 34, Issue 2 427-441 doi: 10.1016/j.cveq.2018.04.008
Parente EJ.Many abnormalities of the upper airway that can inhibit performance are determined on a critical resting endoscopic evaluation. Some dynamic abnormalities can only be seen during an exercising endoscopic evaluation, which should be performed whenever the history of abnormal noise or performance limitations is not completely consistent with the resting endoscopic findings. Head and neck position may play a critical role in the evaluation process and the exact position during performance should be reproduced during the clinical examination to definitively define the abnormality. Treatments and p...
Cardiorespiratory effects of a 7° reverse Trendelenburg position in anaesthetized horses: a randomized clinical trial.
Veterinary anaesthesia and analgesia    May 9, 2018   Volume 45, Issue 5 648-657 doi: 10.1016/j.vaa.2018.03.011
Schauvliege S, Binetti A, Duchateau L, van Dijk JJ, Gasthuys F.To evaluate the cardiorespiratory effects of a 7° reverse Trendelenburg position (RTP) in anaesthetized horses. Methods: Randomized, non-blinded clinical trial. Methods: A total of 125 horses undergoing elective surgery in dorsal recumbency. Methods: Horses were allocated to one of three weight classes and assigned to be positioned either on a horizontal table or on a table in 7° RTP, according to a randomized block design. In all horses, anaesthesia was maintained with isoflurane in oxygen and a constant rate infusion of romifidine. All horses were mechanically ventilated throughout anaesth...
Technical note: Evaluation of a wireless pulse oximeter for measuring arterial oxygen saturation and pulse rate in newborn Holstein Friesian calves.
Journal of dairy science    April 26, 2018   Volume 101, Issue 7 6437-6442 doi: 10.3168/jds.2017-14266
Kanz P, Krieger S, Drillich M, Iwersen M.Pulse oximetry is a well-established technique in human and veterinary medicine. In farm animals, it could also be a useful tool for the detection of critical conditions relating to oxygen supply and the cardiovascular system. Among other uses, an innovative application could be the monitoring of fetuses during birth. This could help in the early identification of critical situations and support farmers and veterinarians in their decision to start obstetric or life-support interventions. Until now, however, its use in ruminant medicine was still limited to experimental applications. The object...
Association of neutrophil morphology with bacterial isolates in equine tracheal wash samples.
Equine veterinary journal    April 17, 2018   Volume 50, Issue 6 752-758 doi: 10.1111/evj.12837
Jocelyn NA, Wylie CE, Lean M, Barrelet A, Foote AK.Tracheal wash sample neutrophilia is common in lower airway inflammation of various causes; however, relevance of cytomorphological features to culture of bacterial pathogens has not been established. Objective: To investigate whether the presence of nondegenerate or degenerate neutrophils in tracheal washes is associated with culture of bacteria and, if so, whether this is influenced by age or temporal factors. Methods: Cross-sectional study. Methods: Tracheal wash samples submitted to Rossdales LLP from 1/1/2013 to 31/7/2015 were evaluated using set criteria. Neutrophilia and degenerate neut...
Comparison of different methods to calculate venous admixture in anaesthetized horses.
Veterinary anaesthesia and analgesia    April 17, 2018   Volume 45, Issue 5 640-647 doi: 10.1016/j.vaa.2018.02.010
van Loon JP, de Grauw JC, van Oostrom H.The aim of this study was to compare different methods to determine venous admixture (Q˙/Q˙) in anaesthetized horses. The first objective was to estimate Q˙/Q˙ using jugular venous blood oxygen content (Q˙/Q˙), and a fixed value for the oxygen extraction (F-shunt). The second objective was to assess the influence of blood pressure and positioning on oxygen extraction. The third objective was to perform regression analysis between jugular and mixed venous blood oxygen tensions. Methods: Prospective, experimental trial. Methods: The study was performed with seven warmblood horses that were...
Sedative and cardiorespiratory effects of low doses of xylazine with and without acepromazine in Nordestino donkeys.
Equine veterinary journal    April 16, 2018   Volume 50, Issue 6 831-835 doi: 10.1111/evj.12835
Lucas Castillo JA, Gozalo-Marcilla M, Werneck Fonseca M, Possebon FS, da Rosa AC, de Araujo Aguiar AJ.Information on appropriate protocols for sedation of Nordestino donkeys is scarce. Objective: To evaluate the sedative and cardiorespiratory effects of low doses of intravenous (i.v.) xylazine with and without acepromazine in 'Nordestino' donkeys. Methods: Seven healthy female Nordestino donkeys (150 ± 18 kg) were included in this blinded, randomised, crossover experiment. Methods: Four treatments were administered, consisting of two i.v. injections, at baseline (T0, 1st injection) and 15 min later (T15, 2nd injection). Treatments included acepromazine 0.05 mg/kg bwt + saline (AS), saline + x...
Physiologic Factors Influencing the Arterial-To-End-Tidal CO2 Difference and the Alveolar Dead Space Fraction in Spontaneously Breathing Anesthetised Horses.
Frontiers in veterinary science    March 28, 2018   Volume 5 58 doi: 10.3389/fvets.2018.00058
Mosing M, Böhm SH, Rasis A, Hoosgood G, Auer U, Tusman G, Bettschart-Wolfensberger R, Schramel JP.The arterial to end-tidal CO difference (PCO) and alveolar dead space fraction (VDalv = PCO/PaCO), are used to estimate Enghoff's "pulmonary dead space" (V/Q), a factor which is also influenced by venous admixture and other pulmonary perfusion abnormalities and thus is not just a measure of dead space as the name suggests. The aim of this experimental study was to evaluate which factors influence these CO indices in anesthetized spontaneously breathing horses. Six healthy adult horses were anesthetized in dorsal recumbency breathing spontaneously for 3 h. Data to calculate the CO indices...
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