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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.
IL-4, IL-5 and IFN-gamma mRNA expression in pulmonary lymphocytes in equine heaves.
Veterinary immunology and immunopathology    January 1, 2004   Volume 97, Issue 1-2 87-96 doi: 10.1016/j.vetimm.2003.08.013
Cordeau ME, Joubert P, Dewachi O, Hamid Q, Lavoie JP.Heaves is a common condition of horses of cold climate that is characterized by small airway inflammation and obstruction following exposure of susceptible horses to moldy hay and straw. It has been shown that helper T lymphocytes (Th) orchestrate the inflammatory response in asthma and in various animal models of allergic lung diseases by the release of Th2-type cytokines. Results of previous studies indicate that a predominant expression of Th2-type response by airway cells may also be present in heaves. To evaluate the temporal mRNA expression of Th1 (IFN-gamma) and Th2 (IL-4, IL-5) type cy...
Foal-related risk factors associated with development of Rhodococcus equi pneumonia on farms with endemic infection.
Journal of the American Veterinary Medical Association    December 24, 2003   Volume 223, Issue 12 1791-1799 doi: 10.2460/javma.2003.223.1791
Chaffin MK, Cohen ND, Martens RJ, Edwards RF, Nevill M.To identify foal-related risk factors associated with development of Rhodococcus equi pneumonia among foals on farms with endemic R. equi infection. Methods: Prospective case-control study. Methods: 220 foals at 2 equine breeding farms in Texas during a 2-year period. Methods: Information collected for each dam included age, time housed on the farm prior to parturition, whether there were any peripartum illnesses, parity, and health of previous foals. Information collected for each foal included breed, sex, gestational age, month and year of birth, location of birth, type of flooring and beddi...
NaHCO(3) does not affect arterial O(2) tension but attenuates desaturation of hemoglobin in maximally exercising Thoroughbreds.
Journal of applied physiology (Bethesda, Md. : 1985)    December 12, 2003   Volume 96, Issue 4 1349-1356 doi: 10.1152/japplphysiol.01083.2003
Manohar M, Goetz TE, Hassan AS.The objective of the present study was to examine the effects of preexercise NaHCO(3) administration to induce metabolic alkalosis on the arterial oxygenation in racehorses performing maximal exercise. Two sets of experiments, intravenous physiological saline and NaHCO(3) (250 mg/kg i.v.), were carried out on 13 healthy, sound Thoroughbred horses in random order, 7 days apart. Blood-gas variables were examined at rest and during incremental exercise, leading to 120 s of galloping at 14 m/s on a 3.5% uphill grade, which elicited maximal heart rate and induced pulmonary hemorrhage in all horses ...
Analysis of risk factors for recurrent airway obstruction in North American horses: 1,444 cases (1990-1999).
Journal of the American Veterinary Medical Association    December 11, 2003   Volume 223, Issue 11 1645-1650 doi: 10.2460/javma.2003.223.1645
Couëtil LL, Ward MP.To identify risk factors for recurrent airway obstruction (RAO) among horses examined at veterinary teaching hospitals in North America. Methods: Retrospective case-control study. Methods: 1,444 horses with RAO and 1,444 control horses examined for other reasons. Methods: The Veterinary Medical Database was searched for records of horses in which RAO was diagnosed. A control group was identified by randomly selecting a horse with a diagnosis other than RAO that matched the institution and year of admission for each of the horses with RAO. Information obtained included hospital, admission year ...
Dexamethasone for treatment of multisystemic eosinophilic epitheliotropic disease in a horse.
Journal of the American Veterinary Medical Association    November 19, 2003   Volume 223, Issue 9 1320-1281 doi: 10.2460/javma.2003.223.1320
McCue ME, Davis EG, Rush BR, Cox JH, Wilkerson MJ.A 4-year-old Paint mare was examined because of respiratory tract infection, dermatitis, and weight loss of 2 months' duration. Initial examination revealed generalized pruritic dermatitis, ocular and nasal discharges, and stranguria. Laboratory abnormalities included leukopenia and hypoalbuminemia. Further examination of the respiratory tract revealed grade III of IV pharyngitis and pyogranulomatous pneumonia. Endoscopic examination of the bladder revealed a prolific mass at the junction of the bladder and urethra. Hypoproteinemia was suspected to be caused by protein-losing enteropathy. On h...
Use of the impulse oscillometry system for testing pulmonary function during methacholine bronchoprovocation in horses.
American journal of veterinary research    November 19, 2003   Volume 64, Issue 11 1414-1420 doi: 10.2460/ajvr.2003.64.1414
van Erck E, Votion DM, Kirschvink N, Art T, Lekeux P.To compare sensitivity of the impulse oscillometry system (IOS) with that of the conventional reference technique (CRT; ie, esophageal balloon method) for pulmonary function testing in horses. Methods: 10 horses (4 healthy; 6 with recurrent airway obstruction [heaves] in remission). Methods: Healthy horses (group-A horses) and heaves-affected horses (group-B horses) were housed in a controlled environment. At each step of a methacholine bronchoprovocation test, threshold concentration (TC(2SD); results in a 2-fold increase in SD of a value) and sensitivity index (SI) were determined for respir...
Effects of duration of isoflurane anesthesia and mode of ventilation on intracranial and cerebral perfusion pressures in horses.
American journal of veterinary research    November 19, 2003   Volume 64, Issue 11 1444-1448 doi: 10.2460/ajvr.2003.64.1444
Brosnan RJ, Steffey EP, LeCouteur RA, Farver TB, Imai A.To test the hypothesis that isoflurane-anesthetized horses during controlled ventilation and spontaneous ventilation exhibit temporal changes in cerebral hemodynamics, as measured by intracranial pressure and cerebral perfusion pressure, that reflect temporal changes in systemic arterial pressure. Methods: 6 healthy adult horses. Methods: Horses were anesthetized in left lateral recumbency with 1.57% isoflurane in O2 for 5 hours in 2 experiments by use of either controlled ventilation (with normocapnia) or spontaneous ventilation (with hypercapnia) in a randomized crossover design. Intracrania...
Questions effect of furosemide on racing Thoroughbreds.
Journal of the American Veterinary Medical Association    October 22, 2003   Volume 215, Issue 11 1580-1581 
Lundin CS.No abstract available
Endoscopic examination of equine upper respiratory tract by computed image analysis.
Veterinary research communications    October 11, 2003   Volume 27 Suppl 1 749-753 doi: 10.1023/b:verc.0000014263.74534.a7
Fava D, Bitelli G, Cappi M, Diana A, Pietra M, Cinotti S.No abstract available
Ventriculocordectomy reduces respiratory noise in horses with laryngeal hemiplegia.
Equine veterinary journal    October 1, 2003   Volume 35, Issue 6 570-574 doi: 10.2746/042516403775467135
Brown JA, Derksen FJ, Stick JA, Hartmann WM, Robinson NE.Show and performance horse with laryngeal hemiplegia (LH) often present for excessive respiratory noise rather than significant exercise intolerance. Therefore, the goal of surgery in these horses is to reduce respiratory noise but there are no quantitative studies evaluating the effect of any upper-airway surgery in LH-affected horses. Objective: To determine whether bilateral ventriculocordectomy (VC) reduces respiratory noise in exercising horses with laryngeal hemiplegia. Methods: Six Standardbred horses with normal upper airways were used in this study. Respiratory sounds and inspiratory ...
Comparison of the caudal lung borders determined by percussion and ultrasonography in horses with recurrent airway obstruction.
Acta veterinaria Hungarica    October 1, 2003   Volume 51, Issue 3 249-258 doi: 10.1556/AVet.51.2003.3.1
Bakos Z, Vörös K, Kellokoski H, Reiczigel J.The aim of the study was to evaluate the diagnostic value of thoracic percussion and ultrasonography with the help of distance measurements and statistical methods in the determination of the caudal lung border in horses with recurrent airway obstruction (RAO). Examinations were performed on 11 healthy, warm-blooded horses of different breeds, age and grade of disease. First, the caudal lung border was determined by the traditional indirect percussion method in the 10th, 12th, 14th and 16th intercostal spaces at the end of inspiration and expiration on both sides of the thorax. To apply standa...
Inclined running increases pulmonary haemorrhage in the Thoroughbred horse.
Equine veterinary journal    October 1, 2003   Volume 35, Issue 6 581-585 doi: 10.2746/042516403775467199
Kindig CA, Ramsel C, McDonough P, Poole DC, Erickson HH.Capillary stress failure-induced (exercise-induced) pulmonary haemorrhage (EIPH) during intense running in horses is thought to involve both intravascular (i.e. mean pulmonary arterial pressure [Ppa] > 100 mmHg) and extravascular (e.g. negative inspiratory pressure swings) mechanisms. Objective: That inclined running would reduce breathing frequency (coupled to stride frequency) and increase tidal volume thus increasing lung volume changes and intrapleural pressure swings resulting in more pronounced EIPH. Methods: Six Thoroughbred horses were run to volitional fatigue (incremental step tes...
The cardiopulmonary effects of severe blood loss in anesthetized horses.
Veterinary anaesthesia and analgesia    September 23, 2003   Volume 30, Issue 2 81-87 
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: ...
Analgesic, behavioral, and hemodynamic and respiratory effects of midsacral subarachnoidally administered ropivacaine hydrochloride in mares.
Veterinary anaesthesia and analgesia    September 23, 2003   Volume 30, Issue 1 37-50 doi: 10.1046/j.1467-2995.2003.00094.x
Skarda RT, Muir WW.To determine the analgesic, behavioral, hemodynamic and respiratory effects of midsacral subarachnoid administration of ropivacaine hydrochloride solution in mares. Methods: Randomized, blinded study. Methods: Ten healthy mares, weighing from 470 to 560 kg. Methods: Intravascular and subarachnoid catheters were placed after infiltration of the skin and subcutaneous tissues with 2% lidocaine. Ropivacaine (0.2%, 5 mL) or 0.9% NaCl was then administered subarachnoidally at the midsacral (S2-S3) vertebrae. Analgesia was determined by lack of sensory perception to electrical stimulation (>40 mA)...
Pharmacological and biochemical characterization of the beta-adrenergic signal transduction pathway in different segments of the respiratory tract.
Biochemical pharmacology    September 10, 2003   Volume 66, Issue 6 1067-1081 doi: 10.1016/s0006-2952(03)00460-x
Abraham G, Kottke C, Dhein S, Ungemach FR.Although in the respiratory system there is great therapeutic interest in manipulating and understanding the beta-adrenoceptor-G-protein-adenylate cyclase (AC) signal transduction pathway, little is known on segmental differences among lung, bronchus, and trachea with regard to the receptor concentration and interaction to G-proteins and coupling to AC. In this study, patterns of distribution and absolute quantities of beta-adrenoceptor subtypes beta(1) and beta(2) were determined in membranes of equine lung parenchyma, bronchial and tracheal epithelium with the underlying smooth muscle by sat...
Clinical observations during induction and recovery of xylazine-midazolam- propofol anesthesia in horses.
The Journal of veterinary medical science    August 27, 2003   Volume 65, Issue 7 805-808 doi: 10.1292/jvms.65.805
Oku K, Yamanaka T, Ashihara N, Kawasaki K, Mizuno Y, Fujinaga T.To evaluate clinical usefulness of xylazine (1.0 mg/kg)-midazolam (20 microg/kg)-propofol (3.0 mg/kg) anesthesia in horses, 6 adult Thoroughbred horses were examined. The quality of induction varied from poor to excellent and 5 out of 6 horses presented myotonus in the front half of the body. However, paddling immediately after induction observed in other reports of equine propofol anesthesia was not observed. Recovery time was 35.3 +/- 9.3 min and the quality of recovery was calm and smooth in all horses. Respiration rate decreased after induction and hypoxemia was observed during lateral rec...
Evaluation of different doses of propofol in xylazine pre-medicated horses.
Veterinary anaesthesia and analgesia    August 20, 2003   Volume 30, Issue 4 193-201 doi: 10.1046/j.1467-2995.2003.00091.x
Frias AF, Mársico F, Gómez de Segura IA, Nascimento PR, Nascimento A, Soares JH, Almosny NR.To characterize responses to different doses of propofol in horses pre-medicated with xylazine. Methods: Six adult horses (five females and one male). Methods: Each horse was anaesthetized four times with either ketamine or propofol in random order at 1-week intervals. Horses were pre-medicated with xylazine (1.1 mg kg-1 IV over a minute), and 5 minutes later anaesthesia was induced with either ketamine (2.2 mg kg-1 IV) or propofol (1, 2 and 4 mg kg-1 IV; low, medium and high doses, respectively). Data were collected continuously (electrocardiogram) or after xylazine administration and at 5, 1...
The regulation of respiratory resistance in exercising horses.
European journal of applied physiology    August 14, 2003   Volume 90, Issue 3-4 396-404 doi: 10.1007/s00421-003-0925-0
Lafortuna CL, Saibene F, Albertini M, Clement MG.Horses display remarkable aerobic capabilities, attaining during muscular exercise a maximal rate of oxygen consumption about 30-fold higher than the resting value, and 2.5-fold higher than that of other mammals of similar body mass. Under these circumstances an enormous mechanical burden is expected to impinge on the equine respiratory pump and regulatory mechanisms aiming to minimize this load may play an important role in determining the adequacy of the respiratory system to the metabolic requirements. The behaviour of the respiratory system has been investigated in horses at rest and durin...
Accuracy of pulse oximetry and capnography in healthy and compromised horses during spontaneous and controlled ventilation. Koenig J, McDonell W, Valverde A.The objective of this prospective clinical study was to evaluate the accuracy of pulse oximetry and capnography in healthy and compromised horses during general anesthesia with spontaneous and controlled ventilation. Horses anesthetized in a dorsal recumbency position for arthroscopy (n = 20) or colic surgery (n = 16) were instrumented with an earlobe probe from the pulse oximeter positioned on the tip of the tongue and a sample line inserted at the Y-piece for capnography. The horses were allowed to breathe spontaneously (SV) for the first 20 min after induction, and thereafter ventilation wa...
Long-term survey of laryngoplasty and ventriculocordectomy in an older, mixed-breed population of 200 horses. Part 1: Maintenance of surgical arytenoid abduction and complications of surgery.
Equine veterinary journal    July 26, 2003   Volume 35, Issue 4 389-396 doi: 10.2746/042516403776014172
Dixon RM, McGorum BC, Railton DI, Hawe C, Tremaine WH, Dacre K, McCann J.Laryngoplasty (LP) is currently the most common surgical treatment for equine laryngeal paralysis, however, there have been no reports quantifying the degree of retention of arytenoid abduction following LP. Additionally, the complications of LP have been poorly documented. Objective: To record the degree of arytenoid abduction retention following LP and to accurately document all complications of surgery. Methods: A study (1986-1998) of 200 horses of mixed breed and workload, median age 6 years (prospective 136 cases and retrospective 64 cases) undergoing LP (using 2 stainless steel wires) an...
Comparison of efficacy and tolerability of isoflupredone and dexamethasone in the treatment of horses affected with recurrent airway obstruction (‘heaves’).
Equine veterinary journal    July 26, 2003   Volume 35, Issue 4 419-424 doi: 10.2746/042516403776014208
Picandet V, Léguillette R, Lavoie JP.Corticosteroids are currently the most effective drugs for the control of 'heaves' in horses. However, there is limited information concerning the comparative efficacy and tolerability of the various corticosteroids when used for treatment. Objective: To compare the therapeutic and side effects of isoflupredone acetate to those of dexamethasone. Methods: A parallel design to compare the effects of 2 corticosteroids by evaluating lung function, serum cortisol and electrolyte concentrations, response to ACTH stimulation and haematology sequentially during a 14 day control period (no treatment), ...
Pneumonia in a Paso-Fino mare.
Veterinary clinical pathology    July 2, 2003   Volume 32, Issue 2 73-76 doi: 10.1111/j.1939-165x.2003.tb00317.x
MacNeill AL, Alleman AR, Franklin RP, Long M, Giguère S, Uhl E, López-Martinez A, Wilkerson M.A 5-year-old Paso-Fino mare was presented for severe respiratory distress. The mare had foaled 2 months prior to presentation. The horse was in poor body condition with a dull hair coat. A mild fever was noted during physical examination and increased bronchovesicular sounds were auscultated. Thoracic radiographs showed an interstitial pattern and an alveolar infiltrate with distinct air bronchograms. Moderate purulent inflammation with increased mucus was observed in tracheal wash fluid, but no infectious agents were identified. A bronchoalveolar lavage (BAL) contained a large amount of mucus...
Excessive airway mucus in horses with pulmonary disease: is it caused by mucus overproduction, decreased clearance or both?
Equine veterinary journal    May 21, 2003   Volume 35, Issue 3 222-223 doi: 10.2746/042516403776148192
Dixon PM, Pirie RS.No abstract available
Investigations into the role of the thyrohyoid muscles in the pathogenesis of dorsal displacement of the soft palate in horses.
Equine veterinary journal    May 21, 2003   Volume 35, Issue 3 258-263 doi: 10.2746/042516403776148200
Ducharme NG, Hackett RP, Woodie JB, Dykes N, Erb HN, Mitchell LM, Soderholm LV.Contributes to the understanding of the pathogenesis of dorsal displacement of the soft palate during exercise so that management of this condition could be enhanced. Objective: That the thyrohyoid muscles play an important role in the stability of the laryngo-palatal relationship and that dysfunction of these muscles leads to dorsal displacement of the soft palate (DDSP) during exercise. Methods: Ten horses were exercised on a high-speed treadmill under 4 different treatment conditions: control conditions (n = 10), after resection of thyrohyoid muscles (TH, n = 10), after sham-treatment (n = ...
Spectral analysis of respiratory noise in horses with upper airway disorders.
Equine veterinary journal    May 21, 2003   Volume 35, Issue 3 264-268 doi: 10.2746/042516403776148228
Franklin SH, Usmar SG, Lane JG, Shuttleworth J, Burn JF.It has long been recognised that the production of abnormal respiratory sounds by horses during exercise is frequently associated with upper airway obstructions. Respiratory acoustic measurements have shown promise in investigation of upper airway disorders in man and, more recently, in horses with experimentally-induced obstructions. Objective: To evaluate sounds from exercising horses with naturally occurring dynamic obstructions of the upper respiratory tract and to compare these with those from normal horses in order to determine whether different obstructions produce characteristic spectr...
Medetomidine-ketamine anaesthesia induction followed by medetomidine-propofol in ponies: infusion rates and cardiopulmonary side effects.
Equine veterinary journal    May 21, 2003   Volume 35, Issue 3 308-313 doi: 10.2746/042516403776148354
Bettschart-Wolfensberger R, Bowen IM, Freeman SL, Weller R, Clarke KW.To search for long-term total i.v. anaesthesia techniques as a potential alternative to inhalation anaesthesia. Objective: To determine cardiopulmonary effects and anaesthesia quality of medetomidine-ketamine anaesthesia induction followed by 4 h of medetomidine-propofol anaesthesia in 6 ponies. Methods: Sedation consisted of 7 microg/kg bwt medetomidine i.v. followed after 10 min by 2 mg/kg bwt i.v. ketamine. Anaesthesia was maintained for 4 h with 3.5 microg/kg bwt/h medetomidine and propofol at minimum infusion dose rates determined by application of supramaximal electrical pain stimuli. Ve...
Idiopathic mucosal lesions of the arytenoid cartilages of 21 Thoroughbred yearlings: 1997-2001.
Equine veterinary journal    May 21, 2003   Volume 35, Issue 3 276-281 doi: 10.2746/042516403776148318
Kelly G, Lumsden JM, Dunkerly G, Williams T, Hutchins DR.Mucosal ulcers and, occasionally, small granulomas on the axial surface of one or both arytenoid cartilages have been found in TB yearlings presented for post sale endoscopic examination. Objective: To determine the incidence, endoscopic characteristics and outcome of a group of Thoroughbred yearlings affected with mucosal ulcers and granulomas of the arytenoid cartilage. Objective: The incidence of mucosal ulceration of the arytenoid cartilages of yearling Thoroughbreds is relatively high compared to other upper airway abnormalities; and that the majority of mucosal ulcers heal uneventfully, ...
Study of the effect of Bronchipret on the lung function of five Austrian saddle horses suffering recurrent airway obstruction (heaves).
The Veterinary record    May 20, 2003   Volume 152, Issue 18 555-557 doi: 10.1136/vr.152.18.555
van den Hoven R, Zappe H, Zitterl-Eglseer K, Jugl M, Franz C.The effects of an oral preparation containing an extract of thyme and primula (Bronchipret; Bionorica) on the lung function of five horses suffering heaves were determined in a longitudinal study. The horses accepted the product well. The plasma concentrations of the marker substance, thymol, indicated that at least one of the substances in the extract had been absorbed from the gastrointestinal tract. The compliance, pulmonary pressure and airway resistance of the horses' lungs were all significantly improved after one month of treatment However, the severity of their clinical signs and their...
Lower airway diseases of the adult horse.
The Veterinary clinics of North America. Equine practice    May 16, 2003   Volume 19, Issue 1 101-vii doi: 10.1016/s0749-0739(02)00069-x
Wilkins PA.Lower airway problems of the adult horse are commonly encountered by the practitioner. Particularly susceptible populations include horses transported for any significant distance and young horses grouped together for training and/or competition. This article presents some of the commonly encountered problems of this patient population, including bacterial pneumonia/pleuropneumonia and influenza, and some uncommon ones, including pulmonary edema, pneumothorax/hemothorax, and acuterespiratory distress syndrome. Information is presented that should allow the practitioner to diagnose these proble...
Lower respiratory problems of the neonate.
The Veterinary clinics of North America. Equine practice    May 16, 2003   Volume 19, Issue 1 19-v doi: 10.1016/s0749-0739(02)00064-0
Wilkins PA.The newborn foal can experience problems of the lower respiratory tract that are unique to the neonate. The transition to extrauterine life usually occurs rapidly and in a coordinated manner, but problems associated with the peripartum period, including placentitis, dystocia, infection, and trauma, can result in conditions that compromise gas exchange in the newborn foal. This article reviews the normal transition and presents some of the problems seen in these small patients.
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