Topic:Trachea

The efficacy of N-acetylcysteine in decreasing airway inflammation and mucus accumulation in horses with 18 hours of head confinement.
Journal of veterinary internal medicine    January 18, 2024   doi: 10.1111/jvim.16976
Tavanaeimanesh H, Alinia Z, Sadeghian Chaleshtori S, Moosavian H, Mohebi Z, Daneshi M.During transportation many horses develop post-transportation infection, which can be life-threatening and end their sport career. Preventing mucus accumulation and inflammation during transportation is vital, emphasizing the need for effective strategies to enhance overall horse health welfare. Objective: Assess the impact of N-acetylcysteine (NAC) on mucus accumulation and inflammation in horses subjected to 18 hours of head confinement. Methods: Six healthy crossbred horses, 5.3 ± 2.1 years of age and weighing 387 ± 30 kg. Methods: Prospective placebo-controlled cross-over d...
Lower airway ultrasonographic, endoscopic, and cytological changes in horses undergoing inhalation anesthesia with controlled ventilation for minor elective surgeries.
Journal of equine veterinary science    December 21, 2023   Volume 132 104986 doi: 10.1016/j.jevs.2023.104986
Laclaire AL, Manguin E, Tanquerel L.Effects of general anesthesia with controlled ventilation on the respiratory system have had limited evaluation in horses. A prospective observational study was performed with eleven client-owned horses undergoing elective surgery. Physical examination, auscultation with a rebreathing bag, complete blood cell count, lung ultrasound imaging, tracheal endoscopy imaging and transendoscopic tracheal wash were conducted before and 24 hours after anesthesia. Lung ultrasound imaging was also repeated just after recovery. A significant increase in blood neutrophil count between pre- and post-anesthesi...
Atrial fibrillation as a risk factor for exercise-induced pulmonary haemorrhage following a standardised exercise test.
Equine veterinary journal    September 1, 2023   doi: 10.1111/evj.13995
Hansen S, Otten ND, Nissen SD, Carstensen H, Hopster-Iversen C, Fjeldborg J, Staun SH, Fenner M, Hesselkilde EM, Buhl R.Atrial fibrillation (AF) has been proposed as a risk factor for exercise-induced pulmonary haemorrhage (EIPH) due to increased pressure in the left atrium. Objective: To evaluate if AF was associated with EIPH following a standardised exercise test (SET) to fatigue. Methods: Two-arm controlled experiment. Methods: Ten untrained Standardbred mares mean (standard deviation [SD]) age 6 (2) years performed a SET on the treadmill in sinus rhythm (SR) (SET1) and 25-44 days after induction of self-sustained AF (SET2). AF was induced by tachypacing using a pacing device. Endoscopy, including trachea...
Prevalence of Exercise-Induced Pulmonary Hemorrhage, Tracheal Mucus and Recurrent Laryngeal Neuropathy in Competitive Draft Pulling Horses.
Journal of equine veterinary science    July 28, 2023   Volume 129 104895 doi: 10.1016/j.jevs.2023.104895
Burns JJ, MacMillan KM, John E.Respiratory disease is common in the horse population and is often associated with poor performance in equine athletes. Despite their outstanding strength and aerobic capacity, little regard is given to draft horses and the respiratory disorders they may encounter when performing athletic activity. For this reason, the objectives of this study were: (1) to determine the prevalence of exercise-induced pulmonary hemorrhage (EIPH), tracheal mucus (TM) and recurrent laryngeal hemiplegia (RLH) in a population of competitive draft pulling horses, and (2) to determine if there was an association betw...
Articular Cartilage Regeneration by Hyaline Chondrocytes: A Case Study in Equine Model and Outcomes.
Biomedicines    May 31, 2023   Volume 11, Issue 6 1602 doi: 10.3390/biomedicines11061602
Cartilage injury defects in animals and humans result in the development of osteoarthritis and the progression of joint deterioration. Cell isolation from equine hyaline cartilage and evaluation of their ability to repair equine joint cartilage injuries establish a new experimental protocol for an alternative approach to osteochondral lesions treatment. Chondrocytes (CCs), isolated from the autologous cartilage of the trachea, grown in the laboratory, and subsequently arthroscopically implanted into the lesion site, were used to regenerate a chondral lesion of the carpal joint of a horse. Biop...
Evaluation of Nasal Oxygen Administration at Various Flow Rates and Concentrations in Conscious, Standing Adult Horses.
Journal of equine veterinary science    February 14, 2023   Volume 123 104250 doi: 10.1016/j.jevs.2023.104250
Gordon D, Clark-Price S, Keating S, Schaeffer DJ, Lascola KM.This study evaluated the effects of various flow rates and fractions of oxygen on arterial blood gas parameters and on the fraction of inspired oxygen (FO) delivered to the distal trachea. Oxygen was administered to 6 healthy, conscious, standing, adult horses via single nasal cannula positioned within the nasopharynx. Three flow rates (5, 15, 30 L/min) and fractions of oxygen (21, 50, 100%) were delivered for 15 minutes, each in a randomized order. FO was measured at the level of the nares and distal trachea. Adverse reactions were not observed with any flow rate. FO (nares and trachea) and P...
Topography of the respiratory, oral, and guttural pouch bacterial and fungal microbiotas in horses.
Journal of veterinary internal medicine    January 6, 2023   Volume 37, Issue 1 349-360 doi: 10.1111/jvim.16612
Bond S, McMullen C, Timsit E, Lu00e9guillette R.The lower respiratory tract microbiota of the horse is different in states of health and disease, but the bacterial and fungal composition of the healthy respiratory tract of the horse has not been studied in detail. Objective: The respiratory tract environment contains distinct niche microbiotas, which decrease in species richness at more distal sampling locations. Objective: Characterize the bacterial and fungal microbiotas along the upper and lower respiratory tract of the horse. Methods: Healthy Argentinian Thoroughbred horses (n = 11) from the same client-owned herd. Methods: Prospectiv...
Free Swimming and Exercise-Induced Pulmonary Hemorrhage in Endurance Horses: A Preliminary Study.
Journal of equine veterinary science    December 2, 2022   Volume 120 104182 doi: 10.1016/j.jevs.2022.104182
Vinardell T, David F, Galezowski AM, Ali M, Qasim M, Massie SL, McCrae P, Filho S, Leguillette R.Swimming is used for rehabilitation of musculoskeletal injuries and for conditioning to improve equine fitness. However, there are anecdotal reports that suggest that tethered swimming can induce epistaxis, likely secondary to exercise-induced pulmonary hemorrhage (EIPH). The objective of this observational, prospective study was to investigate if EIPH occurs during intensive free-swimming training sessions (5 × 70m) using 15 endurance horses. On tracheo-bronchoscopic evaluations following swimming, low grade mucus scores were observed, but no tracheal blood was observed. Bronchoalveolar la...
Diagnostic Value of Tracheal Wash Cytology for Monitoring Exercise-Induced Pulmonary Hemorrhage in Thoroughbred Racehorses.
Journal of equine veterinary science    September 19, 2022   Volume 118 104128 doi: 10.1016/j.jevs.2022.104128
Cascardo B, Bernardes C, de Souza GN, Silva KM, Pires NR, de Alencar NX, Lessa DAB.Lower airway cytology has been proposed as a complementary diagnostic method to confirm the presence and quantifying the severity of exercise-induced pulmonary hemorrhage (EIPH). Bronchoalveolar lavage is usually preferred over tracheal wash (TW), yet the need for sedation imposes as a limitation for active sport horses in addition to be a highly invasive technique. This study aims to evaluate the diagnostic value of TW with Total Hemosiderin Score (THS) for monitoring EIPH in active Thoroughbred racehorses. A sampling of 47 randomly selected Thoroughbreds were endoscopically examined for EIPH...
Nasal and tracheobronchial nitric oxide production and its influence on oxygenation in horses undergoing total intravenous anaesthesia.
BMC veterinary research    April 11, 2022   Volume 18, Issue 1 134 doi: 10.1186/s12917-022-03234-3
Wilkens HL, Neudeck S, Ku00e4stner SBR.The present study aimed to investigate the effect of endotracheal intubation on nasal and tracheal endogenous NO concentrations, gas exchange and oxygenation in horses undergoing general anaesthesia. In many species a major part of physiological nitric oxide (NO) production takes place in the nasopharynx. Inhaled NO acts as a pulmonary vasodilator and regulates lung perfusion and endotracheal intubation bypasses the nasopharynx. Six horses were randomly assigned to either the "intubated" (INT) or the "non-intubated" (nINT) treatment group. Horses were premedicated with dexmedetomidine (5 μg...
Intratracheal oxygen administration increases FIO2 and PaO2 compared with intranasal administration in healthy, standing horses.
American journal of veterinary research    March 8, 2022   Volume 83, Issue 5 450-454 doi: 10.2460/ajvr.21.09.0151
Floriano D, Watkins AR, Hopster K.To evaluate the efficacy of 2 different oxygen delivery strategies-intranasal and tracheal insufflation-on the inspired fraction of oxygen (FIO2) in standing horses and to determine the time needed for arterial oxygen partial pressure (PaO2) equilibration. Methods: 6 healthy adult horses. Methods: In this blinded, randomized crossover design study, horses were randomly assigned to receive oxygen via nasal cannula (group N) or transcutaneous tracheal catheter (group T). After placement of venous and arterial catheters, FIO2 was measured through a catheter placed into the distal portion of the t...
Birth month associated with tracheal colonization of Rhodococcus equi in newborn foals on horse-breeding farms with sporadic rhodococcosis in Japan.
Veterinary microbiology    February 17, 2022   Volume 267 109373 doi: 10.1016/j.vetmic.2022.109373
Takai S, Yoda A, Sasaki Y, Kakuda T, Suzuki Y, Oikawa M.Tracheal washing fluid was collected from 170 foals at 28 and 35 d old from February to July in a foaling season on horse-breeding farms with sporadic rhodococcosis in Japan and was investigated by quantitative culture. The history of the 170 foals followed up for the next few months. The proportion of R. equi-positive foals at 28 and 35 d old was significantly increased according to the birth month. Furthermore, the mean number of R. equi in the tracheal washing fluid of each month group increased according to their birth month with the rise in outside temperature. During the follow-up observ...
Associations between Exercise-Induced Pulmonary Hemorrhage (EIPH) and Fitness Parameters Measured by Incremental Treadmill Test in Standardbred Racehorses.
Animals : an open access journal from MDPI    February 12, 2022   Volume 12, Issue 4 449 doi: 10.3390/ani12040449
Exercise-induced pulmonary hemorrhage (EIPH) is a condition affecting up to 95% of racehorses, diagnosed by detecting blood in the trachea after exercise and/or the presence of hemosiderophages in the bronchoalveolar lavage fluid (BALf). Although EIPH is commonly associated with poor performance, scientific evidence is scarce. The athletic capacity of racehorses can be quantified through some parameters obtained during an incremental treadmill test; in particular, the speed at a heart rate of 200 bpm (V200), and the speed (VLa4) and the heart rate (HRLa4) at which the blood lactate concentrati...
Effects of Bedding Material on Equine Lower Airway Inflammation: A Comparison of Two Peat Beddings, Wood Pellet, and Straw Pellet.
Frontiers in veterinary science    December 17, 2021   Volume 8 799645 doi: 10.3389/fvets.2021.799645
Mu00f6nki J, Saastamoinen M, Karikoski N, Norring M, Rajamu00e4ki M, Mykku00e4nen A.The effects of bedding material on air quality are important amongst horses worldwide. Respiratory diseases, especially equine asthma, are highly prevalent with air hygiene playing a major role on the pathophysiology of these diseases. The objective of our study was to investigate the effects of four bedding materials on the respiratory signs, tracheal mucus score, and tracheal wash (TW) and bronchoalveolar lavage fluid (BALF) cytology in healthy adult horses. The study design was a prospective controlled cross-over study, and the subjects were healthy adult riding school horses ( = 32) from a...
Impact of endotracheal tube size and cuff pressure on tracheal and laryngeal mucosa of adult horses.
Veterinary anaesthesia and analgesia    September 16, 2021   Volume 48, Issue 6 891-899 doi: 10.1016/j.vaa.2021.08.046
Ferreira TH, Allen M, De Gasperi D, Buhr KA, Morello SL.To assess the effects of two sizes of silicone endotracheal tubes with internal diameter 26 mm (ETT) and 30 mm (ETT) inflated to minimum occlusive volume on tracheal and laryngeal mucosa of adult horses anesthetized for 2 hours with isoflurane. Methods: Prospective, randomized, blinded, crossover experimental study. Methods: A total of eight healthy adult mares. Methods: Upper airway endoscopy and ultrasound measurements of internal tracheal diameter were performed the day before anesthesia. Horses were anesthetized and orotracheally intubated with ETT or ETT. Ease of intubation was scored. Th...
Training related risk factors for exercise induced pulmonary haemorrhage in British National Hunt racehorses.
Equine veterinary journal    May 9, 2021   Volume 54, Issue 2 283-289 doi: 10.1111/evj.13448
McGilvray TA, Cardwell JM.Exercise induced pulmonary haemorrhage (EIPH) is an important condition of horses performing high intensity exercise, with reported prevalence among racehorses of up to 95%, based on the detection of blood on tracheobronchoscopy. Previously identified risk factors include age, sex, season, race type, years spent in racing and lower airway inflammation. Objective: To estimate the prevalence of EIPH in British National Hunt racehorses as indicated by two outcome measures: presence of tracheal blood on tracheobronchoscopy, and presence of moderate-large (significant) proportions of haemosideropha...
Effects of Bedding Material on Equine Lower Airway Inflammation: A Crossover Study Comparing Peat and Wood Shavings.
Frontiers in veterinary science    April 9, 2021   Volume 8 656814 doi: 10.3389/fvets.2021.656814
Mu00f6nki J, Saastamoinen M, Karikoski N, Rajamu00e4ki M, Raekallio M, Junnila J, Su00e4rkiju00e4rvi S, Norring M, Valros A, Oranen Ben Fatma S....Bedding materials affect stable air hygiene, and thus the development and exacerbation of equine asthma. There is limited knowledge concerning the effects of different types of bedding material on equine lower airway inflammation. The objective of our study was to investigate the effects of bedding materials on respiratory signs, tracheal mucus score, and lower airway cytology in healthy adult horses. The study design was a prospective controlled study, and the subjects were healthy adult riding school horses (n = 32) from a single stable. Wood shavings were compared to peat, which was used as...
What is your diagnosis? Transtracheal wash in a horse.
Veterinary clinical pathology    October 21, 2020   Volume 49, Issue 4 675-677 doi: 10.1111/vcp.12907
Mochizuki H, Eaton E, Breuhaus B, Stowe DM.No abstract available
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...
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.
Tracheal microbial populations in horses with moderate asthma.
Journal of veterinary internal medicine    January 27, 2020   Volume 34, Issue 2 986-995 doi: 10.1111/jvim.15707
Manguin E, Pu00e9pin E, Boivin R, Leclere M.There are limited data on potential dysbiosis of the airway microbiota in horses with asthma. Objective: We hypothesized that the respiratory microbiota of horses with moderate asthma is altered. Our objectives were (a) to quantify tracheal bacterial populations using culture and qPCR, (2) to compare aerobic culture and qPCR, and (c) to correlate bacterial populations with bronchoalveolar lavage fluid (BALF) cytology. Methods: Eighteen horses with moderate asthma from a hospital population and 10 controls. Methods: Prospective case-control study. Aerobic culture was performed on tracheal aspir...
Relationship between tracheobronchoscopic score and bronchoalveolar lavage red blood cell numbers in the diagnosis of exercise-induced pulmonary hemorrhage in horses.
Journal of veterinary internal medicine    December 27, 2019   Volume 34, Issue 1 322-329 doi: 10.1111/jvim.15676
Lopez Sanchez CM, Kogan C, Gold JR, Sellon DC, Bayly WM.Exercise-induced pulmonary hemorrhage (EIPH) is diagnosed and its severity assessed by post-exercise tracheobronchoscopy, and enumeration of bronchoalveolar lavage fluid red blood cells (BALFRBC). Minimal information is available regarding the relationship of tracheobronchoscopy score to BALFRBC number. Objective: Evaluate the relationship between BALFRBC number and tracheobronchoscopy scores and determine their diagnostic sensitivities. Methods: Nine sedentary horses, 21 fit Thoroughbreds, 129 Barrel Racers. Methods: Normal BALFRBC number and the effect of bronchoalveolar lavage (BAL) on it w...
Effect of inclusion or exclusion of epithelial cells in equine respiratory cytology analysis.
Veterinary journal (London, England : 1997)    November 10, 2019   Volume 254 105405 doi: 10.1016/j.tvjl.2019.105405
Allen KJ, Tennant KV, Franklin SH.Published studies vary as to whether epithelial cells are included in differential counts for tracheal wash (TW) and bronchoalveolar lavage (BAL) cytology in horses. The aim of this study was to determine whether inclusion or exclusion of epithelial cells affects interpretation of airway cytology. Using criteria of >20% TW neutrophils, >10% BAL neutrophils and/or >5% BAL mast cells to indicate airway inflammation, there was a change in categorisation from 'normal' to 'abnormal' in 21%, 4% and 8% horses, respectively, when epithelial cells were excluded from differential counts. It is ...
Radiographic tracheal lumen to vertebral ratios in the normal American Miniature Horse.
Equine veterinary journal    November 8, 2019   Volume 52, Issue 3 428-434 doi: 10.1111/evj.13189
Every LJ, Hostnik ET, Hostnik LD, Yardley J, Shore-Khirallah AT, Thompson A, Linn SC.Tracheal collapse in horses is reportedly uncommon; however, American Miniature Horses are more commonly affected. There is no description of the tracheal luminal diameter of American Miniature Horses, making early detection of tracheal luminal narrowing difficult. Objective: To 1) describe radiographic tracheal luminal diameter in clinically normal American Miniature Horses, 2) report the prevalence of subclinical tracheal collapse in a population of American Miniature Horses, and 3) use tracheal videofluoroscopy to quantify variation in tracheal luminal diameter throughout the respiratory c...
Complete upper airway collapse and apnoea during tethered swimming in horses.
Equine veterinary journal    October 8, 2019   Volume 52, Issue 3 352-358 doi: 10.1111/evj.13177
Jones S, Franklin S, Martin C, Steel C.There is limited knowledge of the breathing strategy and impact on the patency of the upper respiratory tract (URT) in swimming horses. Objective: To describe the respiratory responses and endoscopic appearance of the URT during tethered swimming in horses. Methods: Prospective descriptive study. Methods: Ten race-fit horses, with no history of URT obstruction, were examined during tethered swimming. Endoscopic examination, heart rate, sound recordings and above and below water video recordings were obtained. Plasma lactate concentration was measured before and 5 min after swimming and trache...
Streptococcus hillyeri sp. nov., isolated from equine trachea.
International journal of systematic and evolutionary microbiology    July 9, 2019   Volume 69, Issue 10 3009-3013 doi: 10.1099/ijsem.0.003489
MacFadyen AC, Waller AS, Paterson GK.Strain 28462T, which had Gram-stain-positive, catalase-negative coccus-shaped cells, was isolated from a routine tracheal sample from a 3 year old thoroughbred horse. 16S rRNA gene sequence analysis revealed it to be most closely related to, but distinct from, Streptococcus henryi (95.7 % identity), Streptococcusplurextorum (95.8 %), Streptococcusporci (96.4 %) and Streptococcus caprae (95.1 %). Similarity values derived from sequences from sodA and rpoB genes were consistent with strain 28462T belonging to a species distinct from these four streptococci. At the whole genome level, str...
Equine airway inflammation in loose-housing management compared with pasture and conventional stabling.
The Veterinary record    March 9, 2019   Volume 184, Issue 19 590 doi: 10.1136/vr.104580
Hansen S, Klintoe K, Austevoll M, Baptiste KE, Fjeldborg J.Icelandic horses are often stabled in loose-housing systems, and to date this type of stabling has not been evaluated with regard to its potential impact on respiratory health. The objective was to assess if differences in management systems (eg, conventional stable, loose housing and pasture only) affect the degree of airway inflammation, evaluated by cytology of tracheal aspirate (TA) and bronchoalveolar lavage (BAL) fluid. In total, 84 Icelandic horses (aged 8.1±4.6 years) housed under three different management systems (conventional stables [n=29], loose-house systems [n=29] and pasture [...
[… and Riding as Well? Case Report about the Treatment of an Infant with Unresponsive Wakefulness Syndrome].
Die Rehabilitation    February 11, 2019   Volume 59, Issue 1 48-53 doi: 10.1055/a-0835-2990
Steppacher I, Kissler J.There is a growing number of children surviving birth complications with severe, multiple disabilities. Unfortunately, this is not paralleled by equal growth in knowledge about adequate therapeutic approaches. Some publications showed that Hippotherapy could, under certain circumstances, be a very useful complimentary therapy for a range of disabilities. But it remains unclear if riding could even help a quadriplegic individual with multiple brain damage and tracheal ventilation. Methods: In this case study we examined the effect of horse riding on the mobility of joints and heart rate in a li...
Total intravenous anesthesia with alfaxalone, dexmedetomidine and remifentanil in healthy foals undergoing abdominal surgery.
Veterinary anaesthesia and analgesia    January 22, 2019   Volume 46, Issue 3 315-324 doi: 10.1016/j.vaa.2019.01.003
Jones T, Bracamonte JL, Ambros B, Duke-Novakovski T.To evaluate effects of anesthesia induced with alfaxalone and maintained with alfaxalone, dexmedetomidine and remifentanil infusions in foals. Methods: Prospective, experimental study. Methods: A group of six healthy foals [median (range) 11 (8-33) days] undergoing abdominal surgery. Methods: Intravenous (IV) dexmedetomidine (3-7μgkg) provided sedation for insertion of a pulmonary artery catheter. IV anesthesia was induced with alfaxalone (2mgkg) and maintained with alfaxalone (6mgkghour), dexmedetomidine (1μgkghour) and remifentanil (3μgkghour). Foals were endotracheally intubated and lung...
Metabolomics of tracheal wash samples and exhaled breath condensates in healthy horses and horses affected by equine asthma.
Journal of breath research    September 27, 2018   Volume 12, Issue 4 046015 doi: 10.1088/1752-7163/aade13
Bazzano M, Laghi L, Zhu C, Magi GE, Serri E, Spaterna A, Tesei B, Laus F.The present work characterized the metabolomic profile of tracheal wash (TW) and exhaled breath condensate (EBC) in healthy horses and horses with respiratory disease. Six asthma-affected horses (group A) and six healthy controls (group H) underwent clinical, endoscopic and cytologic examinations of upper airways to confirm the active phase of asthma. TW and EBC samples were collected from each animal and investigated by proton nuclear magnetic resonance (H-NMR) metabolomic analysis. A total of ten out of 38 metabolites found in the TW were significantly different between the groups (p < ...
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