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.
Evans DL, Rose RJ.Six Standardbred horses were used to evaluate the time course of pulmonary gas exchange, ventilation, heart rate (HR) and acid base balance during different intensities of constant-load treadmill exercise. Horses were exercised at approximately 50%, 75% and 100% maximum oxygen uptake (VO2 max) for 5 min and measurements taken every 30 s throughout exercise. At all work rates, the minute ventilation, respiratory frequency and tidal volume reached steady state values by 60 s of exercise. At 100% VO2 max, the oxygen consumption (VO2) increased to mean values of approximately 130 ml/kg.min, which ...
Koterba AM, Kosch PC, Beech J, Whitlock T.To investigate the mechanism underlying the polyphasic airflow pattern of the equine species, we recorded airflow, tidal volum, rib cage and abdominal motion, and the sequence of activation of the diaphragm, intercostal, and abdominal muscles during quiet breathing in nine adult horses standing at rest. In addition, esophageal, abdominal, and transdiaphragmatic pressures were simultaneously recorded using balloon-tipped catheters. Analysis of tidal flow-volume loops showed that, unlike humans, the horse at rest breathes around, rather than from, the relaxed volume of the respiratory system (Vr...
Landgren GL, Gillespie JR, Fedde MR, Jones BW, Pieschl RL, Wagner PD.We studied mechanisms of O2 transport in 6 adult (2-5 year old) horses at rest and during steady-state exercise on a treadmill (0% slope) at 12 m/s (a submaximal gallop). Oxygen consumption was measured using an open-flow system. Arterial and mixed venous blood samples were simultaneously obtained for measurement of O2 content and hemoglobin concentration. VO2 increased from 1.5 +/- 0.2 L/min at rest to 46.2 +/- 4.8 L/min during exercise. HR increased from a resting value of 36.9 +/- 2.5 bpm to 196.5 +/- 10.9 bpm and the arterio-venous O2 content difference (a-v O2) increased from 4.2 +/- 0.8 ...
Cribb PH.Forty-five horses were maintained on halothane or isoflurane anesthesia for at least 90 minutes and received positive pressure ventilation after the first 30 minutes of anesthesia. Parameters monitored included end-tidal partial pressure of carbon dioxide (ETPCO2), arterial blood pressure, and arterial blood gases and pH. There was a statistically significant correlation between end-tidal carbon dioxide and arterial partial pressure of carbon dioxide (PaCO2) for both halothane and isoflurane anesthesia. There was no significant correlation between end-tidal carbon dioxide and either body weigh...
Art T, Lekeux P.Exercise-induced variations in their ventilatory mechanics were studied in 8 healthy ponies 4.2 +/- 1.4 years old and weighing 282 +/- 11 kg. Airflow (V), tidal volume (VT), esophageal pressure, mask pressure and electrocardiogram were simultaneously recorded before, during and after a treadmill (incline 8.3 degrees) exercise which consisted of 2 min walking (1.5 m.sec-1), 3 min slow trotting (3.0 m.sec-1) and 3 min fast trotting (3.5 m.sec-1). The results of three consecutive daily measurements were averaged for each pony. Heart rate, minute volume (Ve), respiratory frequency (f) and peak ins...
Littlejohn A, Snow DH.These studies investigated circulatory, respiratory and metabolic responses in four Thoroughbred geldings during the first 400 metres of galloping (mean speed 14.4 +/- 0.38 m.s-1), cantering (mean speed 10.0 +/- 0.61 m.s-1) and walking (mean speed 1.58 +/- 0.05 m.s-1) from a standing start. A radio-controlled device which collected blood samples anaerobically during each 100 m section of the exercise track allowed analyses of changes in and functional relationships of the variables measured. During the 400 m gallop, the mean heart rate (HR) increased from 125 to 201 beats.min-1 and the haemato...
Art T, Lekeux P.Pulmonary function measurements during exercise were tested for accuracy and reproducibility in 5 saddle ponies weighing 267 +/- 9 Kg. Airflow (V) and tidal volume (VT) were measured with a Fleisch pneumotachograph mounted on a face mask. The linearity of the response and the symmetry of this device were carefully checked. Pleural pressure changes were measured by pleural puncture (Ppl) and with an esophageal balloon catheter (Pes). The elastance of the esophageal wall and the effect of the position of the esophageal catheter tip on Pes were also investigated. Airflow, VT, Ppl, Pes, mask press...
Yang JM, Woods WE, Weckman TJ, Wood TW, Chang SL, Blake JW, Tobin T.1. Drug administration studies using diisopropylamine dichloroacetate (DADA) and diisopropylamine (DIPA) were conducted in Thoroughbred and Standardbred horses to assess physiological effects and develop detection methods. 2. Four horses received 0.08 mg DADA/kg body wt and showed no changes in heart and respiratory rates or body temperature as measured over a 1-hr period after administration. A transient diuretic effect was found to occur in 2 mares dosed with 0.80 mg DADA/kg body wt. 3. A qualitative detection method using thin-layer chromatography was developed to detect DIPA, the major met...
Evans DL, Rose RJ.Six detrained Thoroughbred horses performed incremental treadmill tests. Maximal oxygen uptake (VO2max) was measured during exercise by analysis of expired gas. The relationships between oxygen consumption (VO2) and work rate, heart rate (HR), cardiac output (Q), stroke volume (SV) and arteriovenous oxygen content difference [C(a-v)O2] were examined during submaximal and maximal exercise. The relative contributions of blood flow and extraction of oxygen from muscle capillaries were assessed during exercise at VO2max. Mean VO2max was 129.7 +/- 2.9 (mean +/- S.E.M.) ml kg-1 min-1, which occurred...
Forster HV, Pan LG.In humans alveolar ventilation (VA) is adjusted almost perfectly to the metabolic demands of mild and moderate exercise. For example, in exercise transitions and in the steady state, PaCO2 rarely deviates by more than 1 to 3 mmHg from the value at rest. This near-homeostasis contrasts to most other mammalian species; equines for example, demonstrate a progressive hypocapnia and alkalosis as exercise intensity is increased to moderate levels. In equines, the control systems seem programmed for a specific hyperventilation that contributes to maintenance of PaO2 homeostasis. Generally, during hea...
Hodgson DR.This article reviews what are considered the basic concepts of gas transport, blood gases, and acid-base physiology is most mammalian species. Techniques for the appropriate collection of blood samples for blood gas and acid-base determinations in the newborn foal are described. Guidelines for interpretation of these values in the normal foal and those animals undergoing respiratory and metabolic derangements are provided.
Sweeney CR, Whitlock RH, Meirs DA, Whitehead SC, Barningham SO.Complications associated with Streptococcus equi infection developed in 15 (20.3%) of 74 horses on one farm included death, guttural pouch empyema, purpura hemorrhagica, upper respiratory tract obstruction, pneumonia, pleuropneumonia, agalactia, mesenteric lymph node abscessation, and periorbital abscessation. Death was attributed to pneumonia in 3 horses and to upper respiratory tract obstruction in 2 horses. One horse was euthanatized because of severe purpura hemorrhagica.
Steffey EP, Hodgson DS, Dunlop CI, Miller MF, Woliner MJ, Heath RB, Grandy J.Hemodynamic and respiratory effects of 5 h of unvarying 1.57%, end-tidal (1.2 MAC) isoflurane in O2 anesthesia were characterized in ten left laterally recumbent horses. Compared to base line values at 30 min of constant dose isoflurane, cardiac output, hematocrit, total plasma solids, PaCO2, and peak inspired gas flow progressively and significantly (P less than 0.05) increased over the course of study. Arterial blood pressure increased (P less than 0.05) during the first 2 h of constant dose of isoflurane then decreased and remained near base line values. Inspiratory time progressively decre...
Winder NC, von Fellenberg R.Chronic small airway disease is the most common abnormality of the equine respi-ratory system (Cook, 1975) and has been considered to be the most frequent cause of premature retirement in the Swiss horse population (Gerber, 1969). In Australia, where horses are kept primarily outside, the incidence of chronic small airway disease is low. In many parts of Europe and in the northern United States, where many horses are stabled indoors for most of the day, the incidence of this respiratory syndrome is high (Anon., 1985). Although chronic small airway disease is thought to be associated with expos...
Lane JG, Longstaffe JA, Gibbs C.The clinical and radiographic features of 15 cases of paranasal sinus cysts are described. Breed, sex and side frequency were unremarkable but two distinct categories of age incidence emerged. Onset of signs had occurred before one year of age in three cases, while all but two of the remaining 12 animals were older than nine years. The most common clinical signs were nasal airway obstruction, facial swelling and nasal discharge, often occurring in combination. Radiographic changes were recorded in all horses. Sinus opacification was a consistent finding and in several cases the bone surroundin...
Hedenstierna G, Nyman G, Kvart C, Funkquist B.The multiple inert gas elimination technique was adapted for use in the conscious standing horse. The modifications included increased infusion rate of the inert gases (30 ml/min), extended infusion time (60 mins) in order to reach steady state, and construction of a nose mask mixing box system for collection of expired gas. Eight adult horses with a mean weight of 454 kg and a mean age of 6.1 years were studied while standing under resting conditions. Ventilation was 65.2 liters/min and cardiac output measured by thermodilution 40.2 liters/min. Systemic and pulmonary artery mean pressures wer...
Serteyn D, Blais D, Abou Madi NA, Coppens P, Mottart E, Philippart C.Ketamine (0.3 mg/kg) administered intravenously to 12 halothane anesthetized horses caused a significant respiratory depression during ten minutes when respiration was spontaneous. Significant hemodynamic effects were not observed except for cardiac index. Clinical application was also discussed. Ketamine (0.3 mg/kg) administered intravenously to 12 halothane anesthetized horses caused a significant respiratory depression during ten minutes when respiration was spontaneous. Significant hemodynamic effects were not observed except for cardiac index. Clinical application was also discussed.
Rice DA, Rice JC.The time it takes audible sound to travel from the trachea to the pleura in five intact, excised horse lungs and one dog lung inflated with several gases was measured. Regression estimates of sound speed at total lung capacity (TLC) using straight line distance from the carina to the pleura are: helium, 775 +/- 60.5 m/s (means +/- 95% confidence limits); air, 282 +/- 23.5; carbon dioxide, 219 +/- 25.5; sulfur hexafluoride, 142 +/- 43.5. With the exception of sulfur hexafluoride, these speeds are 15%-20% less than the free-field speed of sound in each gas. Total airway length did not predict ti...
O'Callaghan MW, Hornof WJ, Fisher PE, Pascoe JR.Detailed post mortem examination of the lungs of horses with exercise-induced pulmonary haemorrhage (EIPH) has demonstrated significant small airway disease and intense bronchial arterial proliferation in the dorsocaudal lungfields. The purpose of this study was to investigate ventilation and perfusion distribution in the lungs of a similar group of horses to compare changes in the live animal with the previously reported post mortem findings. Thoracic radiography and ventilation/perfusion (V/Q) scintigraphy were performed on five racing Thoroughbreds with recent histories of EIPH. Parametric ...
Clarke AF, Madelin T.This paper describes and compares three techniques of categorisation of hay, straw and other feeds and beddings collected from stables. A hand-held sampler was used to categorise samples according to the presence of plant material, fungal spores and dust mites. An Andersen sampler was used to categorise samples according to the thermotolerances of fungi and actinomycetes. An aerodynamic particle sizer was used to categorise samples according to respirable particle release rates. The highest burden of respirable particles was associated with the presence of thermophilic and thermotolerant actin...
Webster AJ, Clarke AF, Madelin TM, Wathes CM.The concentration of fungal spores, the main constituents of respirable dust in stables, is determined by rates of release from fodder and bedding and rate of clearance, principally by ventilation. This paper outlines the principles that govern the application of natural ventilation to the control of air hygiene in barns and individual boxes for horses. When release rates are low, ventilation rates over four air changes per hour are satisfactory. Ventilation was satisfactory in individual boxes but usually unsatisfactory in barns and specific recommendations are made for improvement. Prelimina...
Hall SA.A brief historical review is given of the incidence and types of respiratory disease that occurred in Britain in the 18th and 19th centuries. The significance of poor stabling and overcrowding in the causation and spread of coughing is emphasised and its dramatic reduction by simple methods of hygiene and ventilation.
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...
Uchida-Fujii E, Niwa H, Kinoshita Y, Nukada T.Actinobacillus species are known to be pathogenic to horses. To clarify etiological agents of actinobacillosis in Japanese adult horses, 27 isolates from Japanese Thoroughbred racehorses putatively identified by matrix-assisted laser desorption ionization time-of-flight mass spectrometry as Actinobacillus were further identified by PCR of the A. equuli toxin gene, by CAMP test, and by 16S rRNA sequencing analysis. Actinobacillus equuli subsp. haemolyticus was isolated most frequently (16/27) and was related to respiratory infections. Actinobacillus equuli subsp. equuli (4/27) was isolated from...
Sweeney CR, Sweeney RW, Raker CW, Freeman DE.A 3-year-old Thoroughbred filly had a pharyngeal abscess causing obstruction of the upper respiratory tract. Diagnosis was made by a combination of endoscopy, biopsy, cytology, and radiography. Treatment with antimicrobials and analgesics resulted in successful resolution of the abscess.
Brown JA, Derksen FJ, Stick JA, Hartmann WM, Robinson NE.To report the effect of unilateral laser vocal cordectomy on respiratory noise and airway function in horses with experimentally induced laryngeal hemiplegia (LH). Methods: Experimental study. Methods: Six Standardbred horses without upper airway abnormalities at rest or during high-speed treadmill exercise. Methods: Respiratory sounds and inspiratory trans-upper airway pressure (P(Ui)) were measured before (baseline) and 14 days after induction of LH by left recurrent laryngeal neurectomy, and again 30, 60, 90, and 120 days after endoscopically assisted laser cordectomy of the left vocal cord...
Koterba AM, Drummond WH, Kosch P.The basic concepts of diagnosis and treatment in the abnormal neonatal foal are presented. Methods of restraint, sedation, and general nursing care are discussed, as well as more specific techniques of respiratory and circulatory system support.
Gilroy BJ, Lofstedt J, Pack L, McBurney SR.Sinus cysts are epithelium-lined, fluid-filled cavities that can occur in the paranasal sinuses of horses. Extensive damage to the permanent tooth buds was a significant feature in this case. The sequellae of these abnormalities, although not apparent at the time of presentation, remain an important consideration for prognosis.
Lloyd KC, Kelly AB, Dunlop CI.A foal born 3 weeks prematurely was treated for respiratory distress, using a combination of oxygen therapy and mechanical ventilatory assistance. Clinical response and arterial blood gas tensions were monitored regularly. Continuous positive-airway pressure and intermittent positive-pressure ventilation administered via a nasotracheal tube were effective in improving arterial oxygenation and ventilatory function.