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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.
Epigenetic control of exercise adaptations in the equine athlete: Current evidence and future directions.
Equine veterinary journal    September 30, 2020   Volume 53, Issue 3 431-450 doi: 10.1111/evj.13320
Denham J, McCluskey M, Denham MM, Sellami M, Davie AJ.Horses (Equus ferus caballus) have evolved over the past 300 years in response to man-made selection for particular athletic traits. Some of the selected traits were selected based on the size and horses' muscular power (eg Clydesdales), whereas other breeds were bred for peak running performance (eg Thoroughbred and Arabian). Although the physiological changes and some of the cellular adaptations responsible for athletic potential of horses have been identified, the molecular mechanisms are only just beginning to be comprehensively investigated. The purpose of this review was to outline and ...
Single-dose pharmacokinetics of orally administered metronidazole and intravenously administered imipenem in healthy horses and computer-based simulation of pleural fluid concentrations with multiple dosing.
American journal of veterinary research    September 25, 2020   Volume 81, Issue 10 783-789 doi: 10.2460/ajvr.81.10.783
Kuroda T, Nagata SI, Tamura N, Kinoshita Y, Niwa H, Mita H, Minami T, Fukuda K, Hobo S, Kuwano A.To determine plasma pharmacokinetics of metronidazole and imipenem following administration of a single dose PO (metronidazole, 15 mg/kg) or IV (imipenem, 10 mg/kg) in healthy Thoroughbreds and simulate pleural fluid concentrations following multiple dose administration every 8 hours. Methods: 4 healthy Thoroughbreds. Methods: Metronidazole and imipenem were administered, and samples of plasma and pleural fluid were collected at predetermined time points. Minimum concentrations of metronidazole and imipenem that inhibited growth of 90% of isolates (MIC90), including 22 clinical Bacteroides iso...
CEPEF4: update and plan.
Veterinary anaesthesia and analgesia    September 8, 2020   Volume 47, Issue 5 724-725 doi: 10.1016/j.vaa.2020.08.004
Gozalo-Marcilla M, Redondo JI, Johnston M, Taylor P, Bettschart-Wolfensberger R.No abstract available
Diagnostic and Treatment Practices of Equine Endometritis-A Questionnaire.
Frontiers in veterinary science    September 2, 2020   Volume 7 547 doi: 10.3389/fvets.2020.00547
Köhne M, Kuhlmann M, Tönißen A, Martinsson G, Sieme H.Endometritis is a major cause for impaired fertility in mares. The objectives of this study were to collect information on diagnostic and treatment practices performed by veterinarians and to investigate possible effects of professional experience, caseload, and geographical location on the practitioners' management of endometritis cases. For this purpose, equine practitioners ( = 680) were asked to fill out an online survey (34 questions). The online survey yielded 117 responses by veterinarians practicing in all parts of Germany. Most respondents came from Lower Saxony and managed <20 mares ...
Effect of position on transdiaphragmatic pressure and hemodynamic variables in anesthetized horses.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    August 18, 2020   Volume 84, Issue 3 205-211 
Youngblood CD, Hodgson DS, Beard WL, Song Y, Prakash P, Heflin LV.Recumbency affects respiratory mechanics and oxygenation in anesthetized horses. Changes in pleural and abdominal pressures that can impair ventilation have not been described in all recumbencies. The objective of this study was to determine the effects of patient positioning on transdiaphragmatic pressure and selected hemodynamic variables. Horses were maintained under total intravenous general anesthesia with nasal oxygen supplementation. Transnasal balloon catheters in the stomach and thoracic esophagus were used to measure intrathoracic and gastric pressures in standing horses and in anest...
The equine diaphragm: A novel technique for repeatable ultrasound measurement. Fitzharris LE, Meehan LJ, Hezzell MJ, Allen KJ.The diaphragm is an important respiratory muscle, playing a key role during exercise. In humans, diaphragm thickness increases in response to training and is correlated with inspiratory strength. In order to assess respiratory strength in the horse, new evaluation techniques are required and measurement of diaphragm thickness, in a non-invasive and repeatable manner, is a possible approach. The purposes of this four-part, prospective, pilot study were to develop and describe a repeatable method to measure the diaphragm thickness, using ultrasonography, in Thoroughbred racehorses. A standardize...
Expression of xenobiotic metabolising enzymes in lungs of horses with or without histological evidence of lower airway inflammation.
Veterinary medicine and science    August 13, 2020   Volume 7, Issue 1 16-24 doi: 10.1002/vms3.331
Löfgren M, Larsson P, Lindberg R, Hörnaeus K, Tydén E.Mild, moderate and severe equine asthma is a problem for equine welfare. The aetiology of the disease is not known in detail but is likely multi-factorial. One important factor may be inhaled dust which carries harmful substances which may be bioactivated and thus can lead to local inflammation in the airways. The aim of this study was to investigate gene expression and protein localisation of cytochrome P450 (CYP) enzymes, superoxide dismutase and glutathione-S-transferases (GST) involved in bioactivation and detoxification of harmful substances in lungs of horses with or without histological...
The Relationship between Lung Inflammation and Aerobic Threshold in Standardbred Racehorses with Mild-Moderate Equine Asthma.
Animals : an open access journal from MDPI    July 27, 2020   Volume 10, Issue 8 doi: 10.3390/ani10081278
Stucchi L, Alberti E, Stancari G, Conturba B, Zucca E, Ferrucci F.Mild-moderate equine asthma (MEA) is a common disease of young racehorses characterized by inflammation of the lower airways diagnosed by cytological examination of bronchoalveolar lavage fluid (BALF), and it is considered an important cause of poor performance. The most common parameter of athletic capacity associated with horse performance is the speed at 4 mmol/L of lactate (VLA4). The aim of the present work was to evaluate the relation between the different BALF inflammatory cells and VLA4 in racehorses affected by MEA. A population of Standardbred racehorses that underwent an accurate pr...
Ex vivo modeling of the airflow dynamics and two-and three-dimensional biomechanical effects of suture placements for prosthetic laryngoplasty in horses.
American journal of veterinary research    July 24, 2020   Volume 81, Issue 8 665-672 doi: 10.2460/ajvr.81.8.665
Lynch NP, Jones SA, Bazley-White LG, Wilson ZF, Raffetto J, Pfau T, Cheetham J, Perkins JD.To identify the degree of left arytenoid cartilage (LAC) abduction that allows laryngeal airflow similar to that in galloping horses, assess 2-D and 3-D biomechanical effects of prosthetic laryngoplasty on LAC movement and airflow, and determine the influence of suture position through the muscular process of the arytenoid cartilage (MPA) on these variables. Methods: 7 equine cadaver larynges. Methods: With the right arytenoid cartilage maximally abducted and inspiratory airflow simulated by vacuum, laryngeal airflow and translaryngeal pressure and impedance were measured at 12 incremental LAC...
Respiratory metabolites in bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) can differentiate horses affected by severe equine asthma from healthy horses.
BMC veterinary research    July 8, 2020   Volume 16, Issue 1 233 doi: 10.1186/s12917-020-02446-9
Bazzano M, Laghi L, Zhu C, Magi GE, Tesei B, Laus F.The use of an untargeted metabolomic approach to investigate biofluids of respiratory origin is of increasing interest in human and veterinary lung research. Considering the high incidence of equine asthma (> 14%) within horse population and the importance of this animal model for human disease, we aimed to investigate the metabolomic profile of bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) in healthy and asthmatic horses. Results: On the basis of clinical, endoscopic and BALF cytology findings, 6 horses with severe asthma (Group A) and 6 healthy horses (Group C) we...
Copro-prevalence of Fasciola hepatica in Chilean breed horses in the province of Concepción, Chile. Muñoz L, Sepúlveda-Calderón P, Villaguala-Pacheco C, Aqueveque CL.The aim of this research was to assess the copro-prevalence of Fasciola hepatica in owned Chilean breed horses (Equus caballus) residing in the province of Concepción, Chile. The study was carried out throughout October 2017. Samples were taken from all (100%) Chilean breed horse (124 specimens; 45 females and 79 males, aged between 7 months and 24 years old) from the Concepción province. A rectal stool sample was obtained from each animal. This was analyzed using the Army Medical School method (AMS III) technique to detect F. hepatica eggs. Information about the horse's age, sex, previous f...
Horse allergen sensitivity and respiratory symptoms among horse farm workers.
Turkish journal of medical sciences    June 23, 2020   Volume 50, Issue 4 910-916 doi: 10.3906/sag-1912-39
Baran Ketencioğlu B, Yilmaz I, Tutar N, Gülmez I, Oymak FS.Sensitivity and symptoms related to animal proteins have been investigated in various occupational groups. However, data from horse farm workers are limited. We aimed to determine horse allergen sensitivity in the horse farm workers, and to evaluate its relationship with respiratory symptoms and functional parameters. A total of 110 subjects were enrolled in the study. The study group consisted of 80 horse farm workers. Face-to-face surveys, skin prick tests (SPT), and pulmonary function tests (PFT) were performed in the study group. Control group consisted of 30 healthy subjects. SPT and PFTs...
Physiologic effects of furosemide in combination with water restriction when administered at 4 and 24 hours prior to high-intensity treadmill training.
Journal of veterinary pharmacology and therapeutics    June 1, 2020   Volume 43, Issue 6 565-576 doi: 10.1111/jvp.12881
Knych HK, Wilson WD, Vale A, Kass PH, Steffey EP, Jones JH, Arthur RM.Although controversial, due to its reported effectiveness in attenuating bleeding associated with exercise-induced pulmonary hemorrhage (EIPH), furosemide is currently a permitted race day medication in most North American racing jurisdictions. The objective of this study was to assess the efficacy of furosemide in reducing the presence and severity of EIPH when administered 24 hr prior to strenuous treadmill exercise. Eight exercised Thoroughbred horses received saline or 250 mg of furosemide either 4 or 24 hr prior to high-speed treadmill exercise in a balanced 3-way cross-over design. Bl...
Airway Hyperresponsiveness Is Severe and Persistent in an Equine Model of Neutrophilic Asthma.
American journal of respiratory cell and molecular biology    May 30, 2020   Volume 62, Issue 6 808-810 doi: 10.1165/rcmb.2019-0049LE
Hunter CL, Bowser JE, Wills RW, Byars P, Moore JW, Wilson RM, Byrne R, Swiderski CE.The research article presents findings on the severity and persistence of airway hyperresponsiveness (AHR) in an equine model of neutrophilic asthma, which is relevant for understanding human asthma and its […]
Is There an Ideal Rest Interval Between Races During Vaquejada in Which It Would Be Possible to Associate Best Performance and Welfare?
Journal of equine veterinary science    May 30, 2020   Volume 91 103141 doi: 10.1016/j.jevs.2020.103141
Sodré TDRP, Sousa LN, Silva CA, Santos JM, Sampaio MQ, Coni ROS, Dantas RTS, Ferreira APG, Manso Filho HC, Fazio F, Coelho CS.Vaquejada is an important Brazilian equine discipline. Understanding physiological adaptations of these athletes is crucial to improve properly performance, guaranteeing welfare. The objective of this study was to evaluate the influence of three vaquejada simulation tests (VST) on physiological parameters of horses and standardize a possible rest interval between races. Ten clinically healthy Quarter horses, 8.9 ± 4.3 year-old and 441.3 ± 25.0 kg, executed three VST, 5 days apart from each other. Vaquejada simulation tests consisted of two horses, a puller, and a helper, running with a bul...
Conflict Between Direct Experience and Research-Based Evidence Is a Key Challenge to Evidence-Based Respiratory Medicine on British Racing Yards.
Frontiers in veterinary science    May 27, 2020   Volume 7 266 doi: 10.3389/fvets.2020.00266
Kinnison T, Cardwell JM.Inflammatory airway disease (IAD) is a commonly diagnosed but variably defined syndrome of equine lower airway inflammation. The most recent American College of Veterinary Internal Medicine (ACVIM) consensus statement, informed by research evidence, recommends a case definition based on clinical signs (poor performance or occasional coughing of at least 3 weeks duration), increased endoscopically-visible tracheal mucus, and bronchoalveolar lavage cytology, and proposes that the condition should be termed 'mild-moderate equine asthma' (mEA). In British Thoroughbred racehorses, research to date ...
High-intensity training in normobaric hypoxia enhances exercise performance and aerobic capacity in Thoroughbred horses: A randomized crossover study.
Physiological reports    May 23, 2020   Volume 8, Issue 10 e14442 doi: 10.14814/phy2.14442
Mukai K, Ohmura H, Matsui A, Aida H, Takahashi T, Jones JH.We examined the effects of high-intensity training in normobaric hypoxia on aerobic capacity and exercise performance in horses and the individual response to normoxic and hypoxic training. Eight untrained horses were studied in a randomized, crossover design after training in hypoxia (HYP; 15.0% inspired O ) or normoxia (NOR; 20.9% inspired O ) 3 days/week for 4 weeks separated by a 4-month washout period. Before and after each training period, incremental treadmill exercise tests were performed in normoxia. Each training session consisted of 1 min cantering at 7 m/s and 2 min galloping ...
Smartphone-based multiplex 30-minute nucleic acid test of live virus from nasal swab extract.
Lab on a chip    April 26, 2020   Volume 20, Issue 9 1621-1627 doi: 10.1039/d0lc00304b
Sun F, Ganguli A, Nguyen J, Brisbin R, Shanmugam K, Hirschberg DL, Wheeler MB, Bashir R, Nash DM, Cunningham BT.Rapid, sensitive and specific detection and reporting of infectious pathogens is important for patient management and epidemic surveillance. We demonstrated a point-of-care system integrated with a smartphone for detecting live virus from nasal swab media, using a panel of equine respiratory infectious diseases as a model system for corresponding human diseases such as COVID-19. Specific nucleic acid sequences of five pathogens were amplified by loop-mediated isothermal amplification on a microfluidic chip and detected at the end of reactions by the smartphone. Pathogen-spiked horse nasal swab...
Acute Life-threatening Laryngeal Dysfunction in a Draft Horse Recovering from General Anesthesia: A Case Report.
Journal of equine veterinary science    April 25, 2020   Volume 91 103109 doi: 10.1016/j.jevs.2020.103109
Ronaldson HL, Monticelli P, Smith R, Adami C.A 13-year-old Shire horse was anesthetized for an elective orthopedic procedure. During recovery from anesthesia, the occurrence of severe acute dyspnea required a second anesthetic to allow endoscopy-guided nasotracheal intubation. Endoscopic findings were decreased mobility and swelling of the arytenoids with narrowing of the laryngeal aditus. Owing to a dislodgement of the nasotracheal tube during recovery, a third anesthetic was carried out to perform emergency tracheostomy. Recovery from the third anesthetic was long and the horse developed a post-anesthetic myopathy. The clinical conditi...
Inspiratory muscle training in young, race-fit Thoroughbred racehorses during a period of detraining.
PloS one    April 10, 2020   Volume 15, Issue 4 e0225559 doi: 10.1371/journal.pone.0225559
Katz LM, Stallard J, Holtby A, Hill EW, Allen K, Sweeney J.Although inspiratory muscle training (IMT) is reported to improve inspiratory muscle strength in humans little has been reported for horses. We tested the hypothesis that IMT would maintain and/or improve inspiratory muscle strength variables measured in Thoroughbreds during detraining. Thoroughbreds from one training yard were placed into a control (Con, n = 3 males n = 7 females; median age 2.2±0.4 years) or treatment group (Tr, n = 5 males, n = 5 females; median age 2.1±0.3 years) as they entered a detraining period at the end of the racing/training season. The Tr group underwent eight we...
Clinical insights: Upper respiratory tract obstruction.
Equine veterinary journal    April 8, 2020   Volume 52, Issue 3 339-341 doi: 10.1111/evj.13246
Katz LM.No abstract available
A case series highlighting the role of different gamma-herpesviruses in Equine Multinodular Pulmonary Fibrosis.
Schweizer Archiv fur Tierheilkunde    April 3, 2020   Volume 162, Issue 4 245-256 doi: 10.17236/sat00255
Scheurer L, Bachofen C, Herteman N, Hilbe M, Wolfer N, Schoster A.This case series describes three cases of equine multinodular pulmonary fibrosis (EMPF) diagnosed at the Clinic for Equine Internal Medicine at the University of Zurich between 2012 and 2017. Current information on etiology and treatment options are presented. Two horses showed mild signs of chronic lower respiratory tract disease and one horse was presented with acute signs of disease including recurrent fever spikes and tachypnea. Diagnosis was achieved by physical examination, radiographic findings, and PCR testing for equine herpesviruses (EHV) of bronchoalveolar lavage (BAL) fluid or lung...
Mouth Pain in Horses: Physiological Foundations, Behavioural Indices, Welfare Implications, and a Suggested Solution.
Animals : an open access journal from MDPI    March 29, 2020   Volume 10, Issue 4 doi: 10.3390/ani10040572
Mellor DJ.A proposition addressed here is that, although bitted horses are viewed by many equestrians as being largely free of bit-related mouth pain, it seems likely that most behavioural signs of such pain are simply not recognised. Background information is provided on the following: the major features of pain generation and experience; cerebrocortical involvement in the conscious experience of pain by mammals; the numerous other subjective experiences mammals can have; adjunct physiological responses to pain; some general feature of behavioural responses to pain; and the neural bases of sensations g...
Intratesticular mepivacaine versus lidocaine in anaesthetised horses undergoing Henderson castration.
Equine veterinary journal    March 23, 2020   Volume 52, Issue 6 805-810 doi: 10.1111/evj.13250
Crandall A, Hopster K, Grove A, Levine D.In horses undergoing castration, direct comparison of intratesticular lidocaine vs mepivacaine as analgesic adjuncts has not yet been analysed. Objective: To compare the effects of intratesticular lidocaine and mepivacaine during equine castration using the Henderson drill under total intravenous anesthesia. Methods: Randomised, double-blinded clinical study. Methods: Thirty-four stallions were anaesthetised using xylazine-ketamine and randomly selected to receive 10 mL either lidocaine or mepivacaine injected into each testicle. Both surgeon and anaesthetist were blinded to the selected trea...
Antimicrobial susceptibility patterns of bacterial isolates cultured from synovial fluid samples from horses with suspected septic synovitis: 108 cases (2008-2017).
Journal of the American Veterinary Medical Association    March 17, 2020   Volume 256, Issue 7 800-807 doi: 10.2460/javma.256.7.800
Miagkoff L, Archambault M, Bonilla AG.To describe the antimicrobial susceptibility patterns of the most commonly isolated bacteria cultured from synovial fluid samples from horses with suspected septic synovitis treated at an equine referral hospital between May 1, 2008, and September 24, 2017. Methods: 131 synovial fluid samples from 108 client-owned horses. Methods: A retrospective medical record search was conducted to identify horses with suspected septic synovitis and results of synovial fluid bacterial culture and antimicrobial susceptibility testing. Data collected included signalment, known or suspected origin of synovial ...
Airway Diagnostics: Bronchoalveolar Lavage, Tracheal Wash, and Pleural Fluid.
The Veterinary clinics of North America. Equine practice    March 9, 2020   Volume 36, Issue 1 87-103 doi: 10.1016/j.cveq.2019.12.006
Couetil LL, Thompson CA.Indications for bronchoalveolar lavage, tracheal wash, and thoracocentesis for the diagnosis of respiratory diseases are discussed. Each technique is described in detail and illustrated by videos. Sample handling, preparation and evaluation are reviewed. The advantages and limitations of bronchoalveolar lavage and tracheal wash procedures as well as a critical comparison between the 2 techniques for equine asthma diagnosis are presented. Finally, validated cut-off values for equine asthma diagnosis are reviewed.
Evaluation of the effect of laser salpingopharyngostomy on the guttural pouch environment in horses.
Equine veterinary journal    February 19, 2020   Volume 52, Issue 5 752-759 doi: 10.1111/evj.13221
Jukic CC, Cowling NR, Perkins NR, van Eps AW, Ahern BJ.Laser salpingopharyngostomy has been used as an adjunct to primary medical therapy allowing for topical debridement, topical treatment or to potentially alter the guttural pouch environment in horses with guttural pouch disease. Objective: To evaluate the effect of a laser salpingopharyngostomy on the guttural pouch environment in healthy horses. Methods: Experimental study. Methods: In six adult Standardbred female horses, under standing sedation a stab incision was made ventral to the sternocephalicus tendon and a customised trocar inserted into the medial guttural pouch compartment. Baselin...
Effects of a propriety oiled mixed hay feeding system on lung function, neutrophilic airway inflammation and oxidative stress in severe asthmatic horses.
Equine veterinary journal    February 14, 2020   Volume 52, Issue 4 564-571 doi: 10.1111/evj.13218
Jochmans-Lemoine A, Picotte K, Beauchamp G, Vargas A, Lavoie JP.Hay feeding is considered the main triggering factor for airway obstruction and inflammation in severe equine asthma (SEA). Finding alternate strategies allowing hay feeding while controlling clinical signs of SEA is of importance. The Nutri-Foin Système is believed to decrease inhaled dust by incorporating soybean oil to mechanically processed hay. Objective: We compared airflow obstruction and airway inflammation in horses with SEA fed oiled hay or alfalfa pellet regimen. Methods: Controlled trial in asthmatic research horses. Methods: Twelve horses in exacerbation of SEA from a research he...
Inspiratory muscle training and testing: Rationale, development and feasibility.
Equine veterinary journal    February 12, 2020   Volume 52, Issue 4 620-626 doi: 10.1111/evj.13217
Allen KJ, Fitzharris LE, McConnell AK.Inspiratory muscle training applies a training stimulus directly to the inspiratory muscles and is distinct from whole-body training. The potential benefits of inspiratory muscle training have yet to be explored in horses. Objective: The objectives were as follows: (a) to develop an equine-specific method of testing and training inspiratory muscles; (b) to assess tolerance and feasibility in a pilot study in a commercial Thoroughbred training establishment. Methods: Field study. Methods: A mask was used to interface commercial human inspiratory muscle training equipment. Ten horses undertook i...
Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel-sealing device.
Veterinary surgery : VS    February 6, 2020   Volume 49, Issue 3 521-528 doi: 10.1111/vsu.13383
Kallmyr A, Giving EM, Moen LO, Øverlie M, Holm T, David F.To describe a resection technique of the alar folds in the standing horse. Methods: Retrospective case study. Methods: Eight Standardbred racing trotters. Methods: Horses in which alar fold collapse had been diagnosed between 2017 and 2018 were included in this study. All horses underwent alar fold resection under standing sedation and regional anesthesia with a bipolar electrosurgical open sealer/divider device (LigaSure). Intraoperative and postoperative complications were recorded. A Wilcoxon signed-rank test was used to compare differences in median prize money earning pre-surgery and post...
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