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Topic:Veterinary Care
Veterinary care in horses encompasses the medical and preventive measures taken to maintain and improve the health and well-being of equine patients. It includes a wide range of practices such as routine health examinations, vaccinations, dental care, parasite control, and management of injuries and diseases. Veterinary care also involves diagnostic procedures, surgical interventions, and therapeutic treatments tailored to the specific needs of horses. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of equine veterinary care, including advancements in diagnostic techniques, treatment protocols, and health management strategies to support the well-being and performance of horses.
Antimicrobial stewardship priorities and prescribing in Australian equine practice. Antimicrobial resistance is a global health crisis that needs to be addressed by all areas of human and animal health sectors to safeguard effective antibiotics into the future. Understanding current antimicrobial prescribing patterns and veterinary antimicrobial stewardship (AMS) priorities is crucial for effective stewardship program design and sustainable uptake. Objective: To identify focus areas for stewardship interventions, implementation, resource allocation, and future campaign targets for equine practice. Methods: Cross-sectional study of equine veterinarians in Australia. Methods: A...
Pass rates using the FEI noseband measurement device at British Dressage 2025 Championships. Appropriate fitting of equipment provides horse comfort and avoids compromising equine welfare. In May 2025, the Fédération Equestre Internationale (FEI) introduced an evidence-based measuring device that is passed beneath the noseband to ensure sufficient laxity. Objective: To study the use of the FEI noseband device during mandatory tack and equipment checks at British Dressage Championships. Methods: Observational. Methods: Noseband testing was observed for a total of 523 horses competing at the 2025 British Dressage National Championship, Middle Tour Championship and Area Festival Champi...
Serum amyloid A alone or in combination with white blood cell count and fibrinogen is associated with inflammatory disease status in horses undergoing elective anesthesia. The objective of this study was to assess the clinical utility of common systemic inflammatory markers (WBC count [WBCC], plasma fibrinogen, and serum amyloid A [SAA]) for the detection of disease in patients undergoing general anesthesia. Unassigned: A retrospective review of 1,002 surgical case records (February 2021 to June 2023) was performed. Systemically stable equine patients undergoing elective orthopedic and soft tissue procedures and that had WBCC, fibrinogen, and SAA evaluated preoperatively were eligible for inclusion. Disease status (healthy vs disease) was recorded for each case ...
Comparison of arterial blood pressure and quality of induction and recovery in horses anesthetized with diazepam or guaifenesin co-induction combined with xylazine and ketamine and maintained on isoflurane. The objective of this prospective alternating crossover study was to compare quality of induction and recovery and cardiopulmonary function in horses administered guaifenesin or diazepam as co-induction drugs. Six healthy horses were anesthetized twice to undergo an MRI and surgical biopsies, with 5 wk between treatments. Horses were sedated intravenously (IV) with xylazine, 0.6 mg/kg BW, and IV induction started 4 min later. Group G received guaifenesin, 100 mg/kg BW, over 2 min and ketamine, 2 mg/kg BW, within 1 to 2 min of starting the guaifenesin. Group D received diazepam, 0.1 mg/kg BW, w...
Low-Field Magnetic Resonance Imaging Features of Axial Proximal Sesamoid Osteomyelitis and Intersesamoidean Ligament Rupture in a Horse. A 7-year-old Warmblood mare used for show jumping was evaluated for progressive left hindlimb lameness of 5 weeks' duration, localized clinically to the metatarsophalangeal region. Radiography revealed ill-defined osteolysis of the axial apical regions of both proximal sesamoid bones (PSBs). Due to rapid clinical deterioration, low-field magnetic resonance imaging was performed and demonstrated aggressive axial osteomyelitis of both PSBs, partial rupture of the intersesamoidean ligament and proximal scutum with herniation of synovium of the plantar joint recess, and an occult penetrating tract...
Effect of erythromycin and colistin ophthalmic ointment on post-race keratitis in Thoroughbred racehorses. This study investigated the prophylactic efficacy of administering an ophthalmic ointment containing erythromycin and colistin (EC ointment) after racing to prevent post-race keratitis in Thoroughbred racehorses. Methods: The incidence of post-race keratitis following turf and dirt races was compared between treatment groups (non-ointment group: eye flushing only; ointment group: eye flushing and application of EC ointment) and between two randomly assigned groups (non-antimicrobial group: application of ophthalmic white petrolatum; antimicrobial group: application of EC ointment). Results: Af...
Liposomal bupivacaine local analgesia reduces systemic inflammatory responses following equine laparoscopic surgery. Liposomal local anesthetics have been shown to extend analgesia duration and improve pain scores dose-dependently in horses. Our objective was to assess concurrent impact on systemic inflammatory markers. Unassigned: 18 mares (age, 2 to 20 years) with normal ovarian anatomy were enrolled. Laparoscopic bilateral ovariectomies were performed standing with sedation. Local analgesia was: 80 mL bupivacaine hydrochloride (BHCl; n = 6), 30 mL 0.75% BHCl + 20 mL (low-dose) liposomal bupivacaine (LB) expanded to 80 mL with saline (LB20, n = 6), or 30 mL 0.75% BHCl + 40 mL (high-dose) LB expanded to equ...
Thymidine kinase 1 activity in serum and body cavity fluids of horses with lymphoma. The accuracy of serum thymidine kinase 1 (TK1S) as a biomarker of lymphoma in horses is variable. The value of measurement in body cavity fluid (TK1F) has not been established. Objective: (1) TK1F and TK1S will be higher in horses with lymphoma compared to diseased controls (DCs); (2) TK1F will be higher than TK1S; and (3) there will be a strong correlation between both measurements. Methods: Twenty animals in the lymphoma and 31 animals with nonneoplastic, gastrointestinal/respiratory disorders in DC group. Methods: This was a cross-sectional study using prospectively collected data and sampl...
Weigh tape more accurately estimates equine body weight than morphometric formula: a controlled technical assessment. Accurate body weight (BW) estimation in horses is essential for clinical and nutritional management; however, calibrated scales are often unavailable under field conditions. Objective: To compare the longitudinal accuracy and consistency of a commercial weigh tape and the Carroll and Huntington morphometric formula against calibrated digital scale measurements in adult horses. Methods: In a prospective longitudinal experimental study, six clinically healthy adult crossbred horses (mean real body weight [Rbw] 355.5 ± 21.2 kg) were monitored weekly for 63 days under controlled management condit...
Serum osteocalcin is associated with scintigraphic abnormalities in lame and clinically sound racehorses. Musculoskeletal injury is a major welfare and economic challenge in racehorses, with stress-related bone injury contributing to training interruption and catastrophic failure. Advanced imaging modalities can detect early skeletal pathology but remain limited in routine screening environments. Circulating biomarkers of bone turnover may provide complementary indicators of skeletal remodelling but require validation against objective imaging findings. Objective: Evaluate whether osteocalcin (OC) and C-terminal telopeptide of type I collagen (CTX), or the CTX/OC ratio, are associated with scintig...
Association of submaximal exercise test variables with diagnosis of asthma in a mixed-breed cohort of leisure horses. Submaximal exercise tests (SET) are used to assess respiratory health in various contexts. The diagnostic value of SETs for the assessment of asthma in the field remains uncertain. Objective: A SET helps distinguish healthy horses and asthma phenotypes. Methods: Twenty-six privately owned mixed-breed leisure horses of a clinical cohort. Horses were healthy (8) or diagnosed with mild (miEA) (4), moderate (modEA) (7), or severe asthma (sEA) (7) according to history, clinical examination, and bronchoalveolar lavage fluid (BALF) cytology. Methods: Cross-sectional study using clinical data and samp...
Effects of Repeated Monopolar Pulsed Capacitive Radiofrequency Energy Treatments on Mechanical Nociceptive Thresholds and Skin Temperature in Show-Jumping Horses with Thoracolumbar Pain. This study evaluated the effects of repeated monopolar Capacitive Resistive Electrical Transfer (CRET) therapy on mechanical nociceptive thresholds (MNT) and skin surface temperature in horses with perceived chronic thoracolumbar pain. Fifteen show-jumping horses were enrolled in a randomized sham-controlled clinical trial. Ten horses received treatment, and five underwent a sham procedure. Five treatment sessions were performed at 72 h intervals using a monopolar capacitive radiofrequency device operating at 500 kHz. Mechanical nociceptive thresholds (MNT) were assessed before treatment, afte...
[Determination of 33 non-steroidal anti-inflammatory drug residues in horse urine by QuEChERS-ultra performance liquid chromatography-tandem mass spectrometry]. Non-steroidal anti-inflammatory drugs （NSAIDs） are often used to treat horses' injuries and pain due to long-term training and competitions. In equestrian competitions， NSAIDs do not affect the upper limit of a horse's athletic ability， but they can enable the horse to perform close to its maximum capacity by reducing inflammation and pain. This not only affects the competition results， but also fails to ensure the health and welfare of the horses. Therefore， it has become crucial to effectively monitor and control NSAIDs residues during equestrian competition. In this study， a r...
Warmed intravenous fluid administration attenuated a reduction in body temperature in anaesthetised horses. Peri-anaesthetic hypothermia is a well-documented complication of general anaesthesia and is associated with prolonged recovery, impaired wound healing, and delayed coagulation. Fluid warmers can be used to mitigate heat loss, but there is little evidence supporting their effectiveness in equine anaesthesia. Objective: To determine whether administration of warmed intravenous fluids attenuates heat loss during general anaesthesia in horses. Methods: Prospective, randomised, crossover in vivo experiment. Methods: Six healthy adult horses were anaesthetised twice and administered intravenous flu...
Factors influencing veterinary student interest in equine practice in the United States: A focus group study. The number of new veterinary graduates entering equine practice in the United States continues to decline, and more than half leave the field within 5 years. Understanding the perspectives of veterinary students is critical for developing interventions that promote retention and long-term career satisfaction in equine medicine. Objective: To explore what factors influence veterinary student interest in and commitment to equine practice using the Conservation of Resources (COR) Theory as a guiding framework. Methods: Qualitative descriptive study using semi-structured student focus groups. Me...
Significant changes occur in the ultrasonographic appearance of the lungs in horses following exploratory celiotomy. General anesthesia for short periods of time in healthy horses for elective procedures produces minimal ultrasonographic changes in the lungs, but the effect of general anesthesia for exploratory celiotomy in horses has not previously been investigated. The objective of this study was to identify the degree of ultrasonographic changes in the lungs of horses following exploratory celiotomy and to identify risk factors that could increase the magnitude of change. 63 horses ≥ 2 years of age undergoing exploratory celiotomy were initially enrolled in a prospective observational study. Signalme...
Equine Metabolic Syndrome and Insulin Dysregulation. Equine metabolic syndrome (EMS) is defined as a collection of metabolic and clinical features that contribute to the development of hyperinsulinemia-associated laminitis (HAL). Insulin dysregulation (ID) is the hallmark feature of EMS and a risk factor for development of HAL. There are several diagnostic tests that can be used to diagnose various forms of ID in horses and ponies. Treatment of EMS/ID includes providing an appropriate diet, exercise program, and pharmacologic intervention in some severe cases.
Hypothalamic-pituitary-adrenal Axis Dysfunction in Critically Ill Foals and Horses. Critical illness-related corticosteroid insufficiency is a transient dysfunction of the hypothalamic-pituitary-adrenal axis, leading to inadequate cortisol responses during severe stress from endotoxemia and sepsis in horses and foals. This condition is associated with poor outcomes, and its diagnosis is complicated by interindividual variability in cortisol response. Recent advances in dynamic testing and point-of-care hormone tests offer promise for better assessment and treatment, enabling more precise steroid replacement therapy in affected equine patients.
Endocrine Disorders and Their Effect on Equine Reproduction. Continuing the reproductive potential of aged horses is a request many equine practitioners may receive. Reproductive performance may be impacted by a host of age-related comorbidities such as the endocrinopathies, pituitary pars intermedia dysfunction, and equine metabolic syndrome. While limited information is known, reproductive effects described may include irregular estrous cycles, development of anovulatory follicles, increased incidence of uterine infection, or generalized infertility. Accurate diagnosis, management strategies, and monitoring remain critical for improving quality of lif...
Five Domains, Multiple Realities: A Multidimensional Analysis of Equine Welfare in Equestrian Events in Brazil. Welfare assessments at traditional equestrian events in Brazil are scarce. This study aimed to systematize and stratify assessments based on the Five Domains (5DMs) model into subdomains (sDMs) for vaquejada and gait events and to adapt them to reflect local conditions and resource availability. Subsequently, the sDMs were classified and scored on a 5-level scale (1 to 5, where 1 = very poor and 5 = excellent), and assessments were conducted at three vaquejada and five gaited horse competitions. Assessments took place during morning, afternoon, and evening periods over two or more days and wer...
Use of a caudal intercostal block in horses undergoing surgery for colic. In humans and companion animals, regional anaesthesia is used in multimodal analgesic protocols for abdominal wall surgery. Benefits include earlier patient mobilisation and improved pain scores. Regional anaesthetic techniques for horses undergoing abdominal surgery could provide similar benefits and warrant investigation. Objective: To evaluate the safety and efficacy of a caudal intercostal block for abdominal surgery (CIBAS) in horses undergoing surgery for colic. Methods: Blinded, randomised clinical trial. Methods: Horses (n = 22) undergoing exploratory celiotomy for colic were rando...
Historical, clinical and nasal endoscopic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No large study has described the signalment, pre-referral management or clinical and nasal endoscopic findings in equine sinonasal disease. Objective: To explore associations between case outcome and signalment, pre-referral treatments, clinical and nasal endoscopic variables in sinonasal disease. Methods: Retrospective case series. Methods: Data were collected from medical records of 19 equine hospitals on sinonasal disease cases they had examined and which had undergone computed tomographic (CT) imaging. Case outcome was obtained from clinical records and/or by contacting clients and referri...
Context-aware machine learning for lameness side and severity prediction in trotting horses: A proof-of-concept study. In clinical practice, lameness evaluation often relies on visual assessment under different examination conditions, including ground and figures, and remains subjective. Although objective symmetry indices provide quantitative measures of gait asymmetry, their interpretation across multiple conditions remains challenging because several complementary indices are required and their thresholds vary with context. Objective: To assess the ability of a context-aware machine learning approach to predict lameness side and severity at the trot using trunk-mounted IMUs. Methods: Retrospective observati...
Computed tomographic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No study has described the computed tomographic (CT) sinonasal findings in a large cohort of referred sinonasal disease cases. Objective: To report the CT imaging findings in equine sinonasal disease and examine associations between case outcome and CT findings. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on sinonasal disease cases which had undergone CT imaging. Case outcome was obtained from clinical records, and/or by contacting clients and referring veterinarians. Multivariable logistic regression analysis was used to exami...
Associations between treatments and response to treatments from a large multicentre study of equine sinonasal disease. No large study has examined the treatment and response to treatment of horses with sinonasal disease confirmed by computed tomography (CT). Objective: To report the treatment and response to treatment of referred cases of equine sinonasal disease. To explore associations between case outcome and clinical and endoscopic features, CT findings, disease subtypes, and treatments in a multivariable model. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on cases of sinonasal disease, all of which underwent CT imaging. Case outcome was obt...
Anesthetic Recovery Following a Midazolam-Containing Co-Induction Protocol in Horses Undergoing Total Intravenous Anesthesia. Anesthetic recovery is a critical phase in horses under field conditions, and induction protocols may influence recovery quality during total intravenous anesthesia. Objective: To compare two anesthetic induction protocols, one including midazolam and the other based solely on xylazine and ketamine, regarding anesthetic induction and recovery quality, total recovery time, and attempts to achieve standing in horses undergoing total intravenous anesthesia. Methods: Twelve healthy male horses older than 2 years were randomly assigned to XC (xylazine 1 mg/kg and ketamine 2 mg/kg) or XCM (xylazine ...
Evaluation of a new immunoassay for measuring equine serum insulin and plasma adrenocorticotrophic hormone: A method comparison study. Insulin dysregulation (ID) and pituitary pars intermedia dysfunction (PPID) are common equine endocrinopathies detected by measurement of circulating insulin and adrenocorticotrophic hormone (ACTH) concentrations. Different assays may yield variable results, limiting comparability. Objective: To compare immunoassays developed specifically to measure equine insulin (VIDAS® Equine Insulin; enzyme-linked fluorescent assay [ELFA]) and equine ACTH (VIDAS® Equine ACTH; ELFA) with results obtained from a chemiluminescence immunoassay (CLIA) measured using IMMULITE 2000XPi, a chemiluminescence enzym...
Diagnostic and Therapeutic Standing Needle Arthroscopy of the Distal Interphalangeal Joint in 36 Horses. The objective of this study is to describe the technique, complications, and outcomes of standing needle arthroscopy of the distal interphalangeal joint (DIPJ) in horses. Unassigned: This is a retrospective study. Unassigned: Five cadaver forelimbs; 36 client-owned horses. Unassigned: A 1.9-mm needle arthroscope was used to evaluate the DIPJ in cadaver limbs and clinical cases. Horses underwent diagnostic and/or therapeutic arthroscopy under standing sedation and local anaesthesia. Data collected included signalment, diagnostic imaging findings, intraoperative findings, complications, and outc...
[Cutaneous vascular hamartoma in a foal]. Vascular hamartomas are rare malformations in foals that typically present as painless masses of the skin or subcutaneous tissue. This case report describes a newborn foal with a vascular mass over the right shoulder. Complete surgical excision was performed at seven days of age. Histologically, the lesion was found to be a well-defined dermal vascular proliferation consistent with a vascular hamartoma. The healing process was uneventful, and no recurrence occurred six months postoperatively. This case adds a rare location on the scapula to the literature and confirms surgical removal as an ef...
Electrocardiographic recording in horses at rest: a concordance analysis of two methods. Cardiac arrhythmias are frequently detected during routine auscultation in athletic horses. Assessment of their clinical significance requires electrocardiography (ECG) to analyze waveforms and intervals. In recent years, portable ECG devices have been introduced to simplify electrocardiographic examination, offering advantages such as ease of use and the ability to review results via a smartphone. This study evaluated the utility and accuracy of a portable ECG device compared with a standard electrocardiograph. Simultaneous ECG recordings were obtained from 28 healthy adult horses at rest usi...
