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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.
Controlled mechanical ventilation with constant positive end-expiratory pressure and alveolar recruitment manoeuvres during anaesthesia in laterally or dorsally recumbent horses.
Veterinary anaesthesia and analgesia    February 23, 2017   Volume 44, Issue 1 121-126 doi: 10.1111/vaa.12390
Hopster K, Rohn K, Ohnesorge B, Kästner SBR.To compare the effects of controlled mechanical ventilation (CMV) and constant positive end-expiratory pressure (PEEP) and interposed recruitment manoeuvres (RMs) with those of CMV without PEEP on gas exchange during general anaesthesia and the early recovery period. Methods: Prospective, randomized clinical trial. Methods: A total of 48 Warmblood horses undergoing elective surgery in lateral (Lat) (n = 24) or dorsal (Dors) (n = 24) recumbency. Methods: Premedication (romifidine), induction (diazepam and ketamine) and maintenance (isoflurane in oxygen) were identical in all horses. Groups La...
The association between exercise-induced pulmonary haemorrhage and race-day performance in Thoroughbred racehorses.
Equine veterinary journal    February 16, 2017   Volume 49, Issue 5 584-589 doi: 10.1111/evj.12671
Crispe EJ, Lester GD, Secombe CJ, Perera DI.Exercise-induced pulmonary haemorrhage (EIPH) is commonly implicated as a cause of poor athletic performance but there is limited and conflicting evidence for this association. Objective: The aim of this study was to determine if EIPH, based on endoscopic examination after racing, is associated with a variety of novel and established performance parameters. Methods: Prospective, observational cross-sectional study. Methods: Thoroughbred racehorses competing between 2012 and 2015 were examined on-course no earlier than 30 min after racing. Examinations were recorded and graded blindly by experi...
Immunological, clinical, haematological and oxidative responses to long distance transportation in horses.
Research in veterinary science    January 31, 2017   Volume 115 78-87 doi: 10.1016/j.rvsc.2017.01.024
Padalino B, Raidal SL, Carter N, Celi P, Muscatello G, Jeffcott L, de Silva K.Horses are transported frequently and often over long distances. Transportation may represent a physiological stressor with consequential health and welfare implications. This study reports the effects of a long distance journey on immunological, clinical, haematological, inflammatory and oxidative parameters in an Experimental Group (EG) of ten horses, comparing them with six horses of similar age and breed used as a non-transported Control Group (CG). Clinical examination and blood sampling were performed twice on all horses: immediately after unloading for the EG, and at rest on the same da...
Assessment of distribution of ventilation and regional lung compliance by electrical impedance tomography in anaesthetized horses undergoing alveolar recruitment manoeuvres.
Veterinary anaesthesia and analgesia    January 12, 2017   Volume 44, Issue 2 264-272 doi: 10.1016/j.vaa.2016.03.001
Ambrisko TD, Schramel J, Hopster K, Kästner S, Moens Y.To examine changes in the distribution of ventilation and regional lung compliances in anaesthetized horses during the alveolar recruitment manoeuvre (ARM). Methods: Experimental study in which a series of treatments were administered in a fixed order on one occasion. Methods: Five adult Warmblood horses. Methods: Animals were anaesthetized (xylazine, midazolam-ketamine, isoflurane), placed in dorsal recumbency and ventilated with 100% oxygen using peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP) of 20 cmHO and 0 cmHO, respectively. Thoracic electrical impedance tomo...
Review of hypoxaemia in anaesthetized horses: predisposing factors, consequences and management.
Veterinary anaesthesia and analgesia    January 11, 2017   Volume 44, Issue 3 397-408 doi: 10.1016/j.vaa.2016.06.001
Auckburally A, Nyman G.To discuss how hypoxaemia might be harmful and why horses are particularly predisposed to developing it, to review the strategies that are used to manage hypoxaemia in anaesthetized horses, and to describe how successful these strategies are and the adverse effects associated with them. Methods: Google Scholar and PubMed, using the search terms horse, pony, exercise, anaesthesia, hypoxaemia, oxygen, mortality, morbidity and ventilation perfusion mismatch. Conclusions: Although there is no evidence that hypoxaemia is associated with increased morbidity and mortality in anaesthetized horses, mos...
Cardiopulmonary effects of pleural insufflation with CO2 during two-lung ventilation in dorsally recumbent anesthetized horses.
Veterinary anaesthesia and analgesia    January 10, 2017   Volume 44, Issue 3 483-491 doi: 10.1016/j.vaa.2016.07.004
Bohaychuk-Preuss KS, Carrozzo MV, Duke-Novakovski T.To record the cardiopulmonary effects of pleural CO2 positive pressure insufflation in anesthetized horses. Methods: Prospective study. Methods: Seven horses (mean ± standard deviation, 530.9 ± 68.1 kg) undergoing terminal surgery. Methods: Horses were sedated with xylazine. Anesthesia was induced with ketamine-propofol and maintained with isoflurane, positive pressure ventilation, detomidine infusion, and butorphanol with the horses in dorsal recumbency. Baseline measurements were cardiac output, heart rate, pulmonary and systemic arterial and right atrial blood pressures, body temperature,...
Intra- and interobserver reliability estimates for identification and grading of upper respiratory tract abnormalities recorded in horses at rest and during overground endoscopy.
Equine veterinary journal    December 15, 2016   Volume 49, Issue 4 433-437 doi: 10.1111/evj.12653
McGivney CL, Sweeney J, David F, O'Leary JM, Hill EW, Katz LM.Previous studies support good intra- and interobserver agreements for endoscopic evaluation of various upper respiratory tract (URT) diseases in horses. However, these studies mainly assessed resting endoscopic examination videos and/or focussed on a single URT abnormality. Objective: To estimate intra- and interobserver agreement for identification and grading of all URT abnormalities from resting and overground endoscopy (OGE) videos of Thoroughbreds. Methods: Blinded, fully crossed design. Methods: Resting and OGE URT videos for n = 43 Thoroughbreds were retrospectively chosen based on iden...
Pulmonary Remodeling in Equine Asthma: What Do We Know about Mediators of Inflammation in the Horse?
Mediators of inflammation    December 7, 2016   Volume 2016 5693205 doi: 10.1155/2016/5693205
Barton AK, Gehlen H.Equine inflammatory airway disease (IAD) and recurrent airway obstruction (RAO) represent a spectrum of chronic inflammatory disease of the airways in horses resembling human asthma in many aspects. Therefore, both are now described as severity grades of equine asthma. Increasing evidence in horses and humans suggests that local pulmonary inflammation is influenced by systemic inflammatory processes and the other way around. Inflammation, coagulation, and fibrinolysis as well as extracellular remodeling show close interactions. Cytology of bronchoalveolar lavage fluid and tracheal wash is comm...
Reliability of breath by breath spirometry and relative flow-time indices for pulmonary function testing in horses.
BMC veterinary research    November 28, 2016   Volume 12, Issue 1 268 doi: 10.1186/s12917-016-0893-3
Burnheim K, Hughes KJ, Evans DL, Raidal SL.Respiratory problems are common in horses, and are often diagnosed as a cause of poor athletic performance. Reliable, accurate and sensitive spirometric tests of airway function in resting horses would assist with the diagnosis of limitations to breathing and facilitate investigations of the effects of various treatments on breathing capacity. The evaluation of respiratory function in horses is challenging and suitable procedures are not widely available to equine practitioners. The determination of relative flow or flow-time measures is used in paediatric patients where compliance may limit c...
Exercise-induced pulmonary hemorrhage: where are we now?
Veterinary medicine (Auckland, N.Z.)    November 21, 2016   Volume 7 133-148 doi: 10.2147/VMRR.S120421
Poole DC, Erickson HH.As the Thoroughbreds race for the final stretch, 44 hooves flash and thunder creating a cacophony of tortured air and turf. Orchestrated by selective breeding for physiology and biomechanics, expressed as speed, the millennia-old symphony of man and beast reaches its climax. At nearly 73 kilometers per hour (45 mph) over half a ton of flesh and bone dwarfs its limpet-like jockey as, eyes wild and nostrils flaring, their necks stretch for glory. Beneath each resplendent livery-adorned, latherin-splattered coat hides a monstrous heart trilling at 4 beats per second, and each minute, driving over...
Post-anesthetic ventilatory management in horses.
Veterinary anaesthesia and analgesia    November 16, 2016   Volume 27, Issue 2 107 doi: 10.1016/S1467-2987(16)31359-9
Wright BD, Hildebrand SV.No abstract available
Cardiopulmonary function following anesthesia in horses experiencing hydro pool recovery versus padded stall recovery.
Veterinary anaesthesia and analgesia    November 16, 2016   Volume 27, Issue 2 107-108 doi: 10.1016/S1467-2987(16)31360-5
Richter MC, Bayly WM, Keegan RD, Ragle CA, Weil AB, Schneider RK.No abstract available
A retrospective study of the prevalence of calcium oxalate crystals in veterinary Aspergillus cases. Payne CL, Dark MJ, Conway JA, Farina LL.Fungi in the genus Aspergillus are some of the most common fungal pathogens in veterinary species, primarily affecting the respiratory tract. In both human and veterinary cases, calcium oxalate crystals have been documented in sites of Aspergillus infection. Cases in multiple species (16 birds, 15 horses, 5 dogs, 1 ox, and 1 dolphin) were identified that had either positive cultures for Aspergillus sp., or had conidiophores present that could be identified as belonging to the genus Aspergillus. Histologic slides were examined to confirm the presence of oxalate crystals and how often they were ...
Effect of an inhaled β-2 adrenergic receptor agonist on arterial partial pressure of oxygen in hypoxemic anesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 28, Issue 2 106 doi: 10.1111/j.1467-2987.2001.40-21.x
Bailey J, Robertson S, Pablo L, Cantwell S, Davis W.No abstract available
The effects of ventilation on intercranial and cerebral perfusion pressures in isoflurane-anaesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 91-92 doi: 10.1046/j.1467-2995.2002.00704.x
Brosnan RJ, Steffey EP, LeCouteur RA, Imai A, Kortz GD.No abstract available
Quantification of dose-dependent respiratory depression in isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 104 doi: 10.1046/j.1467-2995.2002.00078_17.x
Brosnan RJ, Imai A, Steffey EP.No abstract available
A prospective clinical trial on the effects of inhaled albuterol on the Pao2 of hypoxaemic anaesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 94-95 doi: 10.1046/j.1467-2995.2002.00708.x
Robertson SA, Bailey J, Pablo L, Cantwell S, Davies WL.No abstract available
Effect of breathing a heliox gas mixture on cardiopulmonary function in horses-anesthetized immediately following exercise.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 28, Issue 2 105-106 doi: 10.1111/j.1467-2987.2001.40-20.x
Keegan RD, Greene SA, Taylor EA, Sides RH, Bayly WM.No abstract available
Endotracheal intubation in horses: a study of two cuff inflation pressures, correlation with liquid aspiration, and tracheal wall damage.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 112-113 doi: 10.1046/j.1467-2995.2003.00133_30.x
Touzot-Jourde G, Stedman NL, Trim CM.No abstract available
Case-control analysis for determining possible causes of airway complications during anesthetic recovery in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 28, Issue 2 106 doi: 10.1046/j.1467-2987.2001.temp.doc.x-i15
Ludders JW, Erb HN, Gleed RD, Moon PF.No abstract available
Cutaneous analgesic, respiratory and cardiovascular effects, and beta-endorphin concentration in CSF and plasma of horses after electro-acupuncture.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 109 doi: 10.1046/j.1467-2995.2002.00078_30.x
Skarda RT, Tejwani GA, Muir WW.No abstract available
The relationship of muscle perfusion and metabolism with cardiovascular variables before and after detomidine injection during propofol-ketamine anaesthesia in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 182-199 doi: 10.1046/j.1467-2995.2002.00101.x
Edner A, Nyman G, Essén-Gustavsson B.To study in horses (1) the relationship between cardiovascular variables and muscle perfusion during propofol-ketamine anaesthesia, (2) the physiological effects of a single intravenous (IV) detomidine injection, (3) the metabolic response of muscle to anaesthesia, and (4) the effects of propofol-ketamine infusion on respiratory function. Methods: Prospective experimental study. Methods: Seven standardbred trotters, 5-12 years old, 416-581 kg. Methods: Anaesthesia was induced with intravenous (IV) guaifenesin and propofol (2 mg kg) and maintained with a continuous IV infusion of propofol (0.15...
Aerosolized salbutamol (albuterol) improves PaO2 in hypoxaemic anaesthetized horses – a prospective clinical trial in 81 horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 212-218 doi: 10.1046/j.1467-2995.2002.00100.x
Robertson SA, Bailey JE.To compare the arterial pH and blood gas values, heart rate and mean arterial blood pressure, in hypoxaemic anaesthetized horses, before and after treatment, with a salbutamol (albuterol) aerosol. Methods: Eighty-one client-owned horses weighing between 114 and 925 kg. Fifty-seven underwent emergency abdominal surgery and 24 were anaesthetized for elective procedures. Methods: Pre-anaesthetic medication included xylazine, detomidine, butorphanol and morphine, alone or in various combinations. Induction of anaesthesia was achieved with guaifenesin and ketamine, diazepam and ketamine, or guaifen...
Cardiopulmonary effects associated with head-down position in halothane-anesthetized ponies with or without capnoperitoneum.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 76-89 doi: 10.1046/j.1467-2995.2002.00077.x
Duke T, Cruz AM, Cruz JI, Howden KJ.To compare the cardiopulmonary effects of the head-down position, with or without capnoperitoneum, in halothane-anesthetized horses. Methods: Prospective randomized study. Methods: Five ponies (four mares, one stallion; bodyweight 302 ± 38.4 kg [mean ± SD]) were used. Methods: The ponies were anesthetized with xylazine, guiafenesin, ketamine, and maintained with halothane/oxygen and lungs were ventilated to 40 ± 2 mm Hg (5.3 ± 0.3 kPa) end-tidal CO tension. After baseline cardiopulmonary measurements, ponies were kept in horizontal position for 30 minutes, then tilted head-down 30° to the...
Detomidine reduces isoflurane anesthetic requirement (MAC) in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 223-227 doi: 10.1046/j.1467-2995.2002.00107.x
Steffey EP, Pascoe PJ.To quantitate the dose- and time-related magnitude of the anesthetic sparing effect of, and selected physiological responses to detomidine during isoflurane anesthesia in horses. Methods: Randomized cross-over study. Methods: Three, healthy, young adult horses weighing 485 ± 14 kg. Methods: Horses were anesthetized on two occasions to determine the minimum alveolar concentration (MAC) of isoflurane in O and then to measure the anesthetic sparing effect (time-related MAC reduction) following IV detomidine (0.03 and 0.06 mg kg). Selected common measures of cardiopulmonary function, blood glucos...
An evaluation of apnea or spontaneous ventilation in early recovery following mechanical ventilation in the anesthetized horse.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 28, Issue 1 26-33 doi: 10.1046/j.1467-2995.2001.00015.x
Wright BD, Hildebrand SV.To compare arterial oxygen and carbon dioxide tensions in apneic and spontaneously ventilating horses recovering from anesthesia. Methods: Randomized clinical trial. Methods: Forty-two healthy horses averaging 466 ± 106 kg and 6 ± 5 years of age. Methods: Anesthetized horses undergoing a variety of surgical procedures and receiving positive pressure ventilation (IPPV) were divided into two equal groups. One group was allowed to return to spontaneous ventilation prior to disconnection from the anesthetic circuit (weaned). The other group remained apneic during transport to a recovery stall. A...
The cardiopulmonary effects of severe blood loss in anesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 80-86 doi: 10.1046/j.1467-2995.2003.00102.x
Wilson DV, Rondenay Y, Shance PU.To characterize the acute cardiopulmonary effects of severe hemorrhage in anesthetized horses. Methods: Prospective experimental study. Methods: Three geldings and six mares, aged 14.4 ± 2.7 years, weighing 486 ± 41 kg (range: 425-550 kg). Methods: Horses were anesthetized using xylazine, guaifenesin, ketamine and halothane or isoflurane. Cardiovascular variables, hematocrit, total solids, capillary refill time (CRT) and color of mucous membranes were measured as blood was collected from the carotid artery into sterile plastic bags. Arterial blood gas analysis was also performed. Results: Th...
Pulsed delivery of nitric oxide counteracts hypoxaemia in the anaesthetized horse.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 28, Issue 1 3-11 doi: 10.1046/j.1467-2987.2000.00035.x
Heinonen E, Hedenstierna G, Meriläinen P, Högman M, Nyman G.To study the effect of the pulsed delivery of nitric oxide (NO) on pulmonary gas exchange in the anaesthetized horses. Design  Prospective, controlled randomized. Methods: Five healthy Standardbred trotters, three geldings and two mares. Methods: The horses were anaesthetized with thiopentone and isoflurane and positioned in dorsal recumbency. Nitric oxide was added as a pulse to the inspired gas during the first half of each inspiration. In three horses the effect of NO on the ventilation-perfusion distribution was also investigated using the multiple inert gas elimination technique. Data w...
In Vitro effects of tamoxifen on equine neutrophils.
Research in veterinary science    November 6, 2016   Volume 110 60-64 doi: 10.1016/j.rvsc.2016.11.003
Borlone C, Morales N, Henriquez C, Folch H, Olave C, Sarmiento J, Uberti B, Moran G.Neutrophils participate in innate immunity as the first line of host defense against microorganisms. However, exacerbated neutrophil activity can be harmful to surrounding tissues; this is important in a range of diseases, including allergic asthma and chronic obstructive pulmonary disease in humans, and equine asthma (also known as recurrent airway obstruction (RAO). Tamoxifen (TX) is a non-steroidal estrogen receptor modulator with effects on cell growth and survival. Previous preliminary studies showed that TX treatment in horses with induced acute pulmonary inflammation promoted early apop...
Equine Airway Mast Cells are Sensitive to Cell Death Induced by Lysosomotropic Agents.
Scandinavian journal of immunology    November 4, 2016   Volume 85, Issue 1 30-34 doi: 10.1111/sji.12502
Wernersson S, Riihimäki M, Pejler G, Waern I.Mast cells are known for their detrimental effects in various inflammatory conditions. Regimens that induce selective mast cell apoptosis may therefore be of therapeutic significance. Earlier studies have demonstrated that murine- and human-cultured mast cells are highly sensitive to apoptosis induced by the lysosomotropic agent LeuLeuOMe (LLME). However, the efficacy of lysosomotropic agents for inducing apoptosis of in vivo-derived airway mast cells and the impact on mast cells in other species have not been assessed. Here we addressed whether lysosomotropic agents can induce cell death of ...
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