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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.
Mechanical properties of the isolated equine trachea.
Research in veterinary science    July 1, 1991   Volume 51, Issue 1 55-60 doi: 10.1016/0034-5288(91)90031-i
Art T, Lekeux P.In order to study the in vitro mechanical properties of the equine trachea submitted to the compressive pressures observed in vivo, the pressure-volume relationship was determined in intra- and extra-thoracic tracheal segments taken post mortem from 29 healthy horses (one to 15 years old; 352 to 651 kg). At the same time, the cross-sectional lumen area (X-SA) at the mid-point of the segment was measured using a slit-lamp transillumination and photographic measurement by endoscopy. The tracheal specific compliance (Cs) as well as the relative changes in X-SA and in the sagittal and transverse d...
Resection of a cervical tracheal bronchus in a foal.
Journal of the American Veterinary Medical Association    June 15, 1991   Volume 198, Issue 12 2097-2099 
Davis DM, Honnas CM, Hedlund CS, Schneiter HL.A 3-day-old Thoroughbred foal developed a large, air-distended, midcervical swelling that was diagnosed as a congenital tracheal bronchus with associated ectopic lung tissue. Clinical signs consisted of a compressible air-filled sac that enveloped the trachea. The nature and extent of the defect were evaluated endoscopically and radiographically. Surgical resection of the bronchus and associated air-filled sac resulted in a functionally and cosmetically acceptable outcome.
What is your diagnosis? Upper airway obstruction in a horse caused by pharyngeal perforation during nasogastric intubation.
Journal of the American Veterinary Medical Association    June 1, 1991   Volume 198, Issue 11 1991-1992 
Rashmir-Raven AM, DeBowes RM, Gift LJ, Douglass JB.No abstract available
Ventilatory compensation for lactacidosis in ponies: role of carotid chemoreceptors and lung afferents.
Journal of applied physiology (Bethesda, Md. : 1985)    June 1, 1991   Volume 70, Issue 6 2619-2626 doi: 10.1152/jappl.1991.70.6.2619
Erickson BK, Forster HV, Pan LG, Lowry TF, Brown DR, Forster MA, Forster AL.We investigated changes in arterial PCO2 (PaCO2) and pulmonary ventilation (VE) in normal, carotid chemoreceptor-denervated, and hilar nerve-denervated ponies during intravenous lactic acid infusion at rest and treadmill exercise at 1.8 mph-5% grade (mild) and 1.8 mph-15% grade (moderate). Lactic acid, (0.5 M) infusion of 0.10, 0.13, and 0.20 ml.min-1.kg-1 at rest and mild and moderate exercise increased arterial [H+] linearly throughout the 10 min of acid infusion. At 10 min of infusion, arterial [H+] had increased approximately 20 nmol/l (0.2 pH units) for each condition and group. Under mos...
Medical problems of adult horses, as ranked by equine practitioners.
Journal of the American Veterinary Medical Association    May 15, 1991   Volume 198, Issue 10 1745-1747 
Traub-Dargatz JL, Salman MD, Voss JL.This paper reports the results of a survey conducted among members of the American Association of Equine Practitioners, concerning medical problems of adult horses. A one-page questionnaire listing 36 medical problems grouped by body system was completed by 1,149 veterinarians. The top-ranked disease was colic, followed by viral respiratory tract disease, endometritis, dermatitis, and parasitism. When responses were evaluated by type of practice, location of practice, and number of veterinarians in the practice, ranking of the top 2 diseases was the same for the total respondents. Ranking of d...
Use of transendoscopic contact neodymium:yttrium aluminum garnet laser to drain dorsal epiglottic abscesses in two horses.
Journal of the American Veterinary Medical Association    May 15, 1991   Volume 198, Issue 10 1765-1767 
Tulleners EP.A submucosal abscess, located on the dorsal surface of the epiglottis, was diagnosed in 2 Thoroughbred racehorses by use of endoscopy. Both horses had exercise intolerance. One horse had intermittent dorsal displacement of the soft palate, coughed while eating and galloping, and made an abnormal respiratory noise. Both abscesses were drained transendoscopically by use of a contact neodymium:yttrium aluminum garnet laser. Eleven days after surgery, the surgical sites appeared to have healed. Clinical signs resolved permanently, and both horses returned to successful racing careers.
Evaluation of peroral transendoscopic contact neodymium:yttrium aluminum garnet laser and snare excision of subepiglottic cysts in horses.
Journal of the American Veterinary Medical Association    May 1, 1991   Volume 198, Issue 9 1631-1635 
Tulleners EP.Three basic techniques (and one modified technique) were developed, allowing successful excision of subepiglottic cysts in 10 horses (5 Standardbreds, 4 Thoroughbreds, and 1 Quarter Horse; mean age, 3.5 years) via peroral approach. This approach eliminated the need for laryngotomy or pharyngotomy and reduced postoperative care. None of the cysts redeveloped. Clinical signs of disease before surgery included respiratory noise, exercise intolerance, coughing, and dysphagia and were eliminated in all horses except one that raced successfully, but in which some respiratory noise was detected. Pero...
The microflora of the lower respiratory tract of the horse: an autopsy study.
The British veterinary journal    May 1, 1991   Volume 147, Issue 3 238-250 doi: 10.1016/0007-1935(91)90048-R
Blunden AS, Mackintosh ME.A series of 31 thoroughbreds and 18 non-thoroughbreds was examined post mortem to assess what bacteria might be present in the lower respiratory tract, and to assess their significance by correlating the bacteriological findings with histological changes in the lung. The distal trachea and seven representative lung sites were swabbed in each case. Sixty-six per cent of the sites were sterile with remaining sites producing scanty growths of mainly coagulase negative Staphylococcus spp., E. coli, Bacillus spp. and Pseudomonas spp. Anaerobes, mainly Clostridium perfringens, Bacteroides fragilis a...
Electromyography of some respiratory muscles in the horse.
Research in veterinary science    May 1, 1991   Volume 50, Issue 3 328-333 doi: 10.1016/0034-5288(91)90133-9
Hall LW, Aziz HA, Groenendyk J, Keates H, Rex MA.To investigate activity in respiratory muscles, insulated wire electrodes were used to record electromyographic activity in the costal diaphragm and in the intercostal, serratus ventralis, internal abdominal oblique, transversalis and rectus abdominis muscles in conscious horses and in the same animals when anaesthetised. Electromyographic activity was related to respiratory phases as recorded by a stethograph around the chest wall. The costal diaphragm showed tonic and inspiratory activity in both conscious and anaesthetised animals. The principal muscle actively involved in expiration was th...
Cardiovascular effects of xylazine and detomidine in horses.
American journal of veterinary research    May 1, 1991   Volume 52, Issue 5 651-657 
Wagner AE, Muir WW, Hinchcliff KW.The cardiovascular effects of xylazine and detomidine in horses were studied. Six horses were given each of the following 5 treatments, at 1-week intervals: xylazine, 1.1 mg/kg, IV; xylazine, 2.2 mg/kg, IM; detomidine, 0.01 mg/kg, IV; detomidine, 0.02 mg/kg, IV; and detomidine, 0.04 mg/kg, IM. All treatments resulted in significantly decreased heart rate, increased incidence of atrioventricular block, and decreased cardiac output and cardiac index; cardiac output and cardiac index were lowest following IV administration of 0.02 mg of detomidine/kg. Mean arterial pressure was significantly redu...
Clinical evaluation of poor performance in the racehorse: the results of 275 evaluations.
Equine veterinary journal    May 1, 1991   Volume 23, Issue 3 169-174 doi: 10.1111/j.2042-3306.1991.tb02749.x
Morris EA, Seeherman HJ.A clinical sports medicine evaluation was applied to 275 racehorses with a history of poor racing performance. The poor performance evaluation included a) general physical examination and basic laboratory screening; b) respiratory examination including auscultation, thoracic radiographs, ventilation-perfusion lung scintigraphy and upper airway endoscopy at rest and during maximal treadmill exercise c) examination of the musculoskeletal system including lameness examination, video gait analysis at high speed, post exercise serum chemistry to identify obvious as well as sub-clinical myopathies, ...
Haemodynamic effects of change in position and respiration mode during a standard halothane anaesthesia in ponies.
Zentralblatt fur Veterinarmedizin. Reihe A    April 1, 1991   Volume 38, Issue 3 203-211 doi: 10.1111/j.1439-0442.1991.tb01003.x
Gasthuys F, de Moor A, Parmentier D.The effects of change in position and respiration modes were studied in 5 experimental ponies during a standard halothane anaesthesia. A marked cardiovascular depression (decrease in mean arterial blood pressure, cardiac output, stroke volume and left ventricle work) occurred in recumbent, spontaneously breathing ponies. No significant differences were found between right and left lateral recumbency. The most pronounced cardiovascular depression was observed in the dorsal position. Sternal recumbency appeared to be slightly beneficial (higher systemic blood pressure and arterial oxygenation). ...
Viral respiratory disease of the horse.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 27-52 doi: 10.1016/s0749-0739(17)30514-x
Powell DG.The diagnosis of any viral respiratory disease relies on laboratory procedures to isolate the virus and demonstrate a significant rise in serum antibody titers. To isolate viruses from the upper respiratory tract, it is imperative that nasopharyngeal swabs are obtained from animals in the early acute stage of illness, i.e., during the pyrexic phase when the virus is replicating. Nasopharyngeal swabs must be placed in a virus transport medium and forwarded immediately to the laboratory at refrigerated temperature. Equine influenza, rhinopneumonitis, and equine viral arteritis are the three vira...
Chronic obstructive pulmonary disease.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 79-91 doi: 10.1016/s0749-0739(17)30517-5
Beech J.COPD continues to be a severe condition in horses. Despite increased understanding of its pathogenesis, there is relatively little information on effective treatment regimens. Management and prevention are critical, and more emphasis should be placed on improved housing, bedding, and feeding. More sophisticated accurate methods also are required for identifying specific causative allergens.
Additional diagnostic procedures.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 197-199 doi: 10.1016/s0749-0739(17)30523-0
Reed SM, Robertson JT.This article reviews recent diagnostic procedures that have arisen over the last 10 years. Videoendoscopy of horses on a high-speed treadmill allows observation of some of the changes that take place in a horse's airway during exercise. Measurements of upper airway airflows and transupper airway pressure, the use of an esophageal balloon and a Ventigraph to measure changes in pleural pressure, and pulmonary function testing are new techniques that aid the researcher in understanding the mechanics and pathologic characteristics of airway diseases and help the practitioner in assessing the sever...
Upper respiratory obstruction in foals, weanlings, and yearlings.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 105-122 doi: 10.1016/s0749-0739(17)30519-9
Hardy J.Upper airway obstruction may result from nasal, pharyngeal, or tracheal diseases. In the young horse, a relatively severe obstruction usually is present before clinical signs are evident. This article reviews the clinical manifestations, diagnostic features, treatment, and outcome of commonly encountered conditions of the nasal passages, pharynx, larynx, and trachea in young horses.
Exercise-induced pulmonary hemorrhage.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 93-104 doi: 10.1016/s0749-0739(17)30518-7
Sweeney CR.This article addresses many aspects of exercise-induced pulmonary hemorrhage (EIPH). Reports of the prevalence, effect on performance, and the clinical signs and means of diagnosis of EIPH are included. Radiologic and scintigraphic findings in horses with EIPH are reported. Pathogenesis and treatment are discussed.
Clinical examination of the respiratory system.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 1-26 doi: 10.1016/s0749-0739(17)30513-8
Hinchcliff KW, Byrne BA.Aspects of a detailed examination of the respiratory system of the horse with suspected respiratory system disease are described. This review includes discussions of the terminology of signs associated with respiratory system disease; radiographic examination of the upper and lower airways and thorax; nuclear scintigraphy; percutaneous and endoscopic tracheal aspiration; bronchoalveolar lavage; electromyography; blood gas analysis; and pleuroscopy and pleural fluid examination.
Upper airway obstruction in performance horses. Differential diagnoses and treatment.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 123-148 doi: 10.1016/s0749-0739(17)30520-5
Dean PW.Abnormalities of the nasal cavity, pharynx, larynx, and trachea result in respiratory noise and exercise intolerance. Clinical features of common upper respiratory conditions of performance horses are reviewed with emphasis on diagnosis, treatment, and risk factors that affect the outcome of surgical treatment.
Modulation of equine tracheal smooth muscle contractility by epithelial-derived and cyclooxygenase metabolites.
Respiration physiology    April 1, 1991   Volume 84, Issue 1 105-114 doi: 10.1016/0034-5687(91)90022-b
Tessier GJ, Lackner PA, O'Grady SM, Kannan MS.The role of epithelium in the modulation of contractile responses to electrical field stimulation (EFS), acetylcholine (ACh), and KCl were studied in vitro in strips of equine tracheal smooth muscle (TSM). EFS with 0.5 ms pulses of voltage (70 V) resulted in frequency dependent contractions of equine TSM that were sensitive to tetrodotoxin (TTX) and atropine. In TSM without epithelium, preincubation with indomethacin significantly potentiated contractile responses to EFS. The potentiating effect of indomethacin on EFS contractions was abolished by the addition of 3 nM prostaglandin E2 (PGE2). ...
Application of lasers in equine upper respiratory surgery.
The Veterinary clinics of North America. Equine practice    April 1, 1991   Volume 7, Issue 1 165-195 doi: 10.1016/s0749-0739(17)30522-9
Tate LP.The advantages and disadvantages of various surgical lasers are discussed. Included are aspects of laser safety, anesthesia and analgesia considerations for laser surgery, and diagnostic considerations. Horses with lesions such as ethmoid hematomas, nasal polyps, and lymphoid masses are ideal candidates for laser treatment. Other conditions that are suitably treated with lasers, such as dorsal displacement of the soft palate and entrapment of the epiglottis, are described.
Endoscopic findings in the upper respiratory tract of 678 Thoroughbred racehorses.
Journal of the American Veterinary Medical Association    March 15, 1991   Volume 198, Issue 6 1037-1038 
Sweeney CR, Maxson AD, Soma LR.The frequency of upper respiratory tract abnormalities was determined in a selected population of racing Thoroughbreds. The prevalence of pharyngeal lymphoid hyperplasia was 34.2%; left laryngeal hemiplegia was 1.8%; and epiglottic entrapment was 0.74%. Excluding pharyngeal lymphoid hyperplasia and tracheal exudate, 3.7% of the population examined had upper respiratory tract abnormalities.
Treatment of low arterial oxygen tension in anesthetized horses with clenbuterol.
Veterinary surgery : VS    March 1, 1991   Volume 20, Issue 2 148-152 doi: 10.1111/j.1532-950x.1991.tb00325.x
Keegan RD, Gleed RD, Sanders EA, Seaman GC, Wertz EM, Short CE.Clenbuterol (0.8 microgram/kg intravenously) was administered to 10 anesthetized horses with an abnormally low PaO2 (less than 90 mm Hg) despite controlled ventilation with an oxygen-rich gas mixture. Results were compared with those from 10 controls to which no clenbuterol was given and in which conventional methods to increase PaO2 were ongoing. Horses treated with clenbuterol had higher PaO2 values for at least 90 minutes. Clenbuterol was associated with increased heart rate and profuse sweating. Clenbuterol can be administered intravenously to increase the PaO2 of mechanically ventilated h...
An investigation of the incidence of chronic obstructive pulmonary disease (COPD) in random populations of Swiss horses.
Equine veterinary journal    March 1, 1991   Volume 23, Issue 2 136-141 doi: 10.1111/j.2042-3306.1991.tb02738.x
Bracher V, von Fellenberg R, Winder CN, Gruenig G, Hermann M, Kraehenmann A.The incidence of Chronic Obstructive Pulmonary Disease (COPD) in Switzerland was determined in three groups of horses selected at random. Group A (97 horses) and Group B (93 horses) had no history of respiratory disease, but Group C (113 horses) had a history of lower respiratory tract disease. All horses were examined by auscultation of the respiratory tract under forced breathing, endoscopic examination of the upper and lower respiratory tract, arterial blood gas analysis at rest and cytological examination of respiratory secretions (RS). Fifty-four per cent of the horses in Group A and 54.8...
Lobeline-induced hyperpnea in equids. Comparison with rebreathing bag and exercise.
Zentralblatt fur Veterinarmedizin. Reihe A    March 1, 1991   Volume 38, Issue 2 148-152 
Art T, Desmecht D, Amory H, Lekeux P.In order to facilitate lung auscultation, a transitory hyperpnea may be obtained by lobeline administration, use of a rebreathing bag or exercise. The effect of these three methods on the pulmonary function were studied and compared in 5 healthy ponies. Respiratory airflow and tidal volume were measured with a pneumotachograph Nr. 5 and pleural pressure with the esophageal balloon catheter technique. Pulmonary function values were measured before, during and after the hyperpnea induced by (i) lobeline, (ii) rebreathing and (iii) exercise. Lobeline administration induced an hyperpnea due to bot...
Arytenoid cartilage movement in resting and exercising horses.
Veterinary surgery : VS    March 1, 1991   Volume 20, Issue 2 122-127 doi: 10.1111/j.1532-950x.1991.tb00319.x
Rakestraw PC, Hackett RP, Ducharme NG, Nielan GJ, Erb HN.Endoscopic examinations of the larynx were recorded on 49 horses at rest and while exercising on a 5% inclined high-speed treadmill for 8 minutes at a maximum speed of 8.5 m/sec. Subjective laryngeal function scores at rest and while exercising were based on the degree and synchrony of arytenoid abduction. Arytenoid abduction was expressed as a left:right ratio of rima glottidis measurements. Horses with arytenoid cartilage asynchrony at rest (grade 2) could not be distinguished from normal horses (grade 1) when exercising because full abduction was maintained throughout the exercise period. F...
Oral associated bacterial infection in horses: studies on the normal anaerobic flora from the pharyngeal tonsillar surface and its association with lower respiratory tract and paraoral infections.
Veterinary microbiology    February 15, 1991   Volume 26, Issue 4 367-379 doi: 10.1016/0378-1135(91)90030-j
Bailey GD, Love DN.Two hundred and seventy bacterial isolates were obtained from the pharyngeal tonsillar surface of 12 normal horses and 98 obligatory anaerobic bacteria were characterised. Of these, 57 isolates belonging to 7 genera (Peptostreptococcus (1); Eubacterium (9); Clostridium (6); Veillonella (6); Megasphera (1); Bacteroides (28); Fusobacterium (6)) were identified, and 16 of these were identified to species level (P. anaerobius (1); E. fossor (9); C. villosum (1); B. fragilis (1); B. tectum (2); B. heparinolyticus (2)). Three hundred and twenty isolates were obtained from 23 samples from horses with...
Effects of increased end-expiratory lung volume on breathing in awake ponies.
Journal of applied physiology (Bethesda, Md. : 1985)    February 1, 1991   Volume 70, Issue 2 715-725 doi: 10.1152/jappl.1991.70.2.715
Brice AG, Forster HV, Pan LG, Lowry TF, Murphy CL, Mead J.We studied the changes in breathing and respiratory muscle electromyograms (EMG) during passively induced increases in end-expiratory lung volume (EELV) in awake normal (N), hilar nerve-denervated (HND), carotid body-denervated (CBD), and HND + CBD ponies. EELV was increased by applying continuous negative pressure (-10 and -20 cmH2O) around the torso of the standing pony. In all groups, negative pressure produced sustained increases in EELV that were linearly related to the degree of negative pressure. Elevated EELV decreased breathing frequency (f) in N and CBD ponies but increased f in HND ...
Effect of increased inspired CO2 on respiratory dead space in ponies.
Journal of applied physiology (Bethesda, Md. : 1985)    February 1, 1991   Volume 70, Issue 2 732-739 doi: 10.1152/jappl.1991.70.2.732
Lowry TF, Forster HV, Forster MA, Murphy CL, Brice AG, Pan LG.The objective of the present study was to determine the effect of elevated inspired CO2 on respiratory dead space (VD) of 12 normal, 8 carotid body-denervated (CBD), 7 hilar nerve-denervated (HND), and 6 CBD+HND ponies. The Fowler technique was used to determine VD on a breath-by-breath basis while the ponies breathed room air and inspired CO2 at 3 and 6%. During room air breathing, tidal volume (VT) and VD were greater in HND ponies than in normal and CBD ponies (P less than 0.05), and VT was less and VD/VT was greater after CBD than before CBD. For all groups. VD, VT, and breathing frequency...
Severe hypercarbia resulting from inspiratory valve malfunction in two anesthetized horses.
Journal of the American Veterinary Medical Association    January 1, 1991   Volume 198, Issue 1 123-125 
Baxter GM, Adams JE, Johnson JJ.Severe hypercarbia was documented by arterial blood gas analysis in 2 adult horses anesthetized for exploratory laparotomy. Both horses appeared to be adequately anesthetized, but continued to breathe against the ventilator. In both cases, the inspiratory valve on the anesthesia machine was found to be stuck open, permitting expired CO2 to return to the inspiratory limb of the anesthetic circuit and to be inhaled with the next breath. Correction of the malfunctioning valve alleviated the hypercarbia. Problems with the flow valves of the anesthesia machine should be suspected when anesthetized ...
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