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Topic:Veterinary Practice

Veterinary practice in relation to horses encompasses the medical care, management, and treatment of equine species. This field involves various aspects of equine health, including preventive care, diagnosis, and treatment of diseases, surgical interventions, and emergency care. Equine veterinarians employ a range of diagnostic tools and techniques such as physical examinations, imaging, and laboratory tests to assess and monitor horse health. In addition to addressing physical ailments, veterinary practice also includes nutritional management, reproductive health, and performance-related issues. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, advancements, and outcomes in veterinary practices specific to equine health.
Assessment of Functional Conservative Treatment of Acute Complete Achilles Tendon Rupture.
The Israel Medical Association journal : IMAJ    August 16, 2021   Volume 23, Issue 8 510-515 
Steinfeld Y, Akian R, Rovitsky A, Puchkov N, Keren Y.In recent years, treatment for Achilles tendon rupture (ATR) went through radical changes: from the conservative non-weight bearing approach to a functional protocol. This functional protocol allows complete weight bearing after only 2 weeks by placing the foot in a plastic boot in tapered down equines and using interchangeable wedges under the heel. This change of approach has dramatically lowered the rate of re-rupture. Objective: To describe our preliminary results with this functional protocol and to assess outcome measures in the functional conservative treatment. Methods: The study compr...
Increase of Adverse Events After Intravenous Injection of Gentamicin in Horses Between 2015 and 2017-From Marketing Authorization Holder’s Point of View.
Frontiers in veterinary science    August 16, 2021   Volume 8 710571 doi: 10.3389/fvets.2021.710571
Stammwitz V, Honnens Ä, Hochhuth D, Schuberth HJ.Between 2015 and 2017, a marked increase of anaphylactic-like reactions after intravenous administration of gentamicin was observed first in horses and, later, also in humans. This worldwide issue led to safety measures including product recalls and safety warnings. Here, a German Marketing Authorization Holder (MAH) of an early and intensely affected veterinary product containing gentamicin describes the clinical approach of the company to analyze the root cause and identify the causative agent in the active pharmaceutical ingredient (API). The pharmacovigilance data of the MAH are presented,...
Induction of parturition in horses – from physiological pathways to clinical applications.
Domestic animal endocrinology    August 15, 2021   Volume 78 106670 doi: 10.1016/j.domaniend.2021.106670
Nagel C, Aurich C.Based on the marked variability in physiological equine gestation length, induction of foaling in mares often results in the birth of dysmature foals. Precise prediction of preparedness of the mare for foaling is thus essential. Treatment with glucocorticoids mimics the fetal signal that initiates birth. Repeated daily dexamethasone treatment in late gestation results in birth of mature foals but the time from initiation of treatment to foaling is highly variable and complications such as dystocia have been reported. Contrary to most expectations, treatment of prepartum mares with progestogens...
What can artificial intelligence and machine learning tell us? A review of applications to equine biomechanical research.
Journal of the mechanical behavior of biomedical materials    August 12, 2021   Volume 123 104728 doi: 10.1016/j.jmbbm.2021.104728
Mouloodi S, Rahmanpanah H, Gohari S, Burvill C, Tse KM, Davies HMS.Artificial intelligence (AI) and machine learning (ML) are fascinating interdisciplinary scientific domains where machines are provided with an approximation of human intelligence. The conjecture is that machines are able to learn from existing examples, and employ this accumulated knowledge to fulfil challenging tasks such as regression analysis, pattern classification, and prediction. The horse biomechanical models have been identified as an alternative tool to investigate the effects of mechanical loading and induced deformations on the tissues and structures in humans. Many reported invest...
Use of Polyamide (Nylon) Cable Ties for Vascular Ligation of Healthy Equine Jejunal Mesentery.
Frontiers in veterinary science    August 12, 2021   Volume 8 639424 doi: 10.3389/fvets.2021.639424
Hurcombe SD, Roessner HA, Klein CE, Engiles JB, Hopster K.Jejunal vascular ligation is an essential step in performing jejunojejunostomy. Hand sewn ligation is typically used and can increase operative time with long sections of bowel to be removed. Nylon cable ties (NCT) have been used for vascular ligation in horses but are yet to be investigated for application on the mesenteric vasculature of the gastrointestinal tract. Our objective was to evaluate the efficacy and short-term safety of NCT jejunal mesenteric vessel ligation in healthy horses. Eight healthy adult horses underwent midline celiotomy. A segment of jejunal mesentery was identified (â...
Magnetic Resonance Imaging Findings of the Proximal Metacarpal Region in Warmblood Horses: 36 Lame and 26 Control Limbs (2015-2021).
Frontiers in veterinary science    August 12, 2021   Volume 8 714423 doi: 10.3389/fvets.2021.714423
van Veggel E, Selberg K, van der Velde-Hoogelander B, Bolas N, Vanderperren K, Bergman HJ. This study aims to evaluate the distribution and severity of bone and soft tissue lesions in the proximal metacarpal region of warmblood horses in lame and control groups. Correlation between lesions and ability to return to work was evaluated in the lame group. This restrospective analysis evaluated 62 horses with MRI examination of the proximal metacarpal region between Sept 2015 and Feb 2021. There were 36 lame limbs and 26 control limbs. The control group included seven contralateral limbs. Proximal suspensory ligament (PSL) size was not different between the lame and control groups. Hy...
Regulation of AI in Health Care: A Cautionary Tale Considering Horses and Zebras.
Journal of law and medicine    August 10, 2021   Volume 28, Issue 3 645-654 
Richards B, Sage Jacobson S, James Aquino YS.The introduction of Artificial Intelligence (AI) into health care has been accompanied by uncertainties and regulatory challenges. The establishment of a regulatory framework around AI in health is in its infancy and the way forward is unclear. There are those who argue that this represents a concerning regulatory gap, while others assert that existing regulatory frameworks, policies and guidelines are sufficient. We argue that perhaps the reality is somewhere in between, but that there is a need for engagement with principles and guidelines to inform future regulation. However, this cannot be...
Clinical insights: Recent advances in donkey medicine and welfare.
Equine veterinary journal    August 7, 2021   Volume 53, Issue 5 859-862 doi: 10.1111/evj.13471
Rickards K, Toribio RE.No abstract available
Clinical performance of a commercially available thymidine kinase 1 assay for diagnosis of lymphoma in 42 hospitalized horses (2017-2020).
Journal of veterinary internal medicine    August 6, 2021   Volume 35, Issue 5 2495-2499 doi: 10.1111/jvim.16239
Moore C, Stefanovski D, Luethy D.Antemortem definitive diagnosis of lymphoma in horses is often difficult. Thymidine kinase 1 (TK1) assay is a potentially useful biomarker for lymphoma in horses. Objective: To report the clinical performance of a commercially available TK1 assay for diagnosis of lymphoma in horses. We hypothesized that there would be no association between serum TK1 activity and a diagnosis of lymphoma in horses. Methods: Forty-two hospitalized horses, 14 with a definitive diagnosis of lymphoma, 4 with other neoplasia, and 24 with inflammatory disease. Methods: Retrospective medical record review, groups were...
Bacterial Contamination of Equine Dentistry Equipment-Effect of Cleaning and Disinfection.
Animals : an open access journal from MDPI    August 5, 2021   Volume 11, Issue 8 2320 doi: 10.3390/ani11082320
Alsing-Johansson T, Pedersen A, Bergström K, Sternberg-Lewerin S, Penell J, Bergh A.Equine dentistry has developed immensely and human dental equipment, such as handpieces, are often used. Measures to avoid the spread of infectious microorganisms are important, but this is challenging since handpieces are difficult to decontaminate. Thus, it is necessary to develop effective IPC measures in equine dentistry. The aim of this study was to contribute to the evidence needed for future evidence-based guidelines on IPC by investigating hygiene in equine dentistry. Used handpieces and dummies (i.e., handpieces not used during dental procedure, reflecting environmental bacterial cont...
A critical evaluation for validation of composite and unidimensional postoperative pain scales in horses.
PloS one    August 5, 2021   Volume 16, Issue 8 e0255618 doi: 10.1371/journal.pone.0255618
Barreto da Rocha P, Driessen B, McDonnell SM, Hopster K, Zarucco L, Gozalo-Marcilla M, Hopster-Iversen C, Esteves Trindade PH, Gonzaga da Rocha TK....Proper pain therapy requires adequate pain assessment. This study evaluated the reliability and validity of the Unesp-Botucatu horse acute pain scale (UHAPS), the Orthopedic Composite Pain Scale (CPS) and unidimensional scales in horses admitted for orthopedic and soft tissue surgery. Forty-two horses were assessed and videotaped before surgery, up to 4 hours postoperatively, up to 3 hours after analgesic treatment, and 24 hours postoperatively (168 video clips). After six evaluators viewing each edited video clip twice in random order at a 20-day interval, they chose whether analgesia would b...
Agreement of Bioreactance Cardiac Output Monitoring With Thermodilution in Healthy Standing Horses.
Frontiers in veterinary science    August 3, 2021   Volume 8 701339 doi: 10.3389/fvets.2021.701339
Hopster K, Hurcombe SDA.Bioreactance is the continuous analysis of transthoracic voltage variation in response to an applied high frequency transthoracic current and was recently introduced for non-invasive cardiac output measurement (NICOM). We evaluated NICOM compared to thermodilution (TD) in adult horses. Six healthy horses were used for this prospective, blinded, experimental study. Cardiac output (CO) measurements were performed simultaneously using TD and the bioreactance method. Different cardiac output scenarios were established using xylazine (0.5 mg/kg IV) and dobutamine (1.5-3 mcg/kg/min). Statistical ana...
Development and Validation of an Instrument to Assess Horseback Mobility in Hippotherapy.
Perceptual and motor skills    August 1, 2021   Volume 128, Issue 5 2117-2131 doi: 10.1177/00315125211036578
Prieto AV, Ayupe KMA, Abreu ACA, Filho PJBG.Improvement in rider mobility represents an important functional gain for people with disabilities undergoing hippotherapy. However, there is no validated measuring instrument to track and document the rider's progress in riding activities. In this study, we aimed to develop and establish validity evidence for an instrument to assess hippotherapy participants' mobility on horseback. We report on this development through the stages of: (a) content validation, (b) construct validation, (c) inter- and intra-rater reliability and (d) internal consistency analysis. We evaluated its factor structure...
Limited added value of negative pressure wound therapy compared with calcium alginate dressings for second intention healing in a noncontaminated and contaminated equine distal limb wound model.
Equine veterinary journal    July 29, 2021   Volume 54, Issue 3 592-600 doi: 10.1111/evj.13487
Haspeslagh M, Van Hecke LL, Hermans K, Chiers K, Pint E, Wilmink JM, Martens AM.Distal limb wounds in horses often show aberrant healing due to a slow inflammatory response. In human medicine, negative pressure wound therapy (NPWT) is used for the treatment of chronic wounds with a similar inflammatory response. Objective: To compare the effect of NPWT to calcium alginate dressings on the healing of (non) contaminated equine distal limb wounds. Methods: Controlled experiment. Methods: Circular wounds were created on the left and right dorsomedial metacarpus of 10 horses. In five horses, the wounds were contaminated with Staphylococcus aureus and Pseudomonas aeruginosa. In...
Retrospective and prospective assessment of butorphanol, azaperone and medetomidine (BAM™) for immobilisation of feral horses (Equus ferus caballus).
Equine veterinary journal    July 26, 2021   Volume 54, Issue 3 549-555 doi: 10.1111/evj.13490
Balko JA, Fogle C, Stuska SJ, Fogle JE, Posner LP.Butorphanol-azaperone-medetomidine (BAM™) has not been evaluated in horses. Objective: The objective of this study was to evaluate BAM™ for chemical restraint of feral horses. Methods: Retrospective and prospective descriptive studies. Methods: Data were collected retrospectively from medical records of 28 feral horses immobilised with BAM™ over a 6-year period. Prospectively, 0.0125 mL/kg bwt of BAM™ (butorphanol 27.3 mg/mL, azaperone 9.1 mg/mL and medetomidine 10.9 mg/mL) intramuscularly (im) was administered to eight stallions via dart, and once recumbent, 1.0 mg/kg bwt ketamin...
Evaluating Horse Owner Expertise and Professional Use of Auxiliary Reins during Horse Riding.
Animals : an open access journal from MDPI    July 20, 2021   Volume 11, Issue 7 doi: 10.3390/ani11072146
Gehlen H, Puhlmann J, Merle R, Thöne-Reineke C.Auxiliary reins are commonly used for the training of riders and horses as well as in daily training. They are often criticized when used incorrectly, as they will not help and can harm the horse by causing overwork, accidents, and injuries, which harm the horse in the long term. They also often conceal causal rider problems while trying to achieve quick success. The aim of this paper was to investigate, with an online horse-owner questionnaire, which and how often auxiliary reins were used and whether they were used appropriately. Only participants who were currently using auxiliary reins wer...
Cholesterol-Loaded Cyclodextrin Addition to Skim Milk-Based Extender Enhances Donkey Semen Cooling and Fertility in Horse Mares.
Journal of equine veterinary science    July 18, 2021   Volume 105 103719 doi: 10.1016/j.jevs.2021.103719
Segabinazzi LGTM, Scheeren VFDC, Freitas-Dell'Aqua CP, Papa FO, Alvarenga MA, Dell'Aqua JA, Canisso IF.The present study aimed to compare semen parameters and fertility of cooled donkey semen extended in a commercially available skim milk (SKM) based extender and the same extender with cholesterol-loaded cyclodextrin (SKM-CLC). In Experiment 1, thirty-five ejaculates from seven jacks were split in SKM and SKM-CLC, extended at 50 million sperm/mL and stored at 5°C for 48 hours. Total motility (TM), progressive motility (PM), percentage of sperm with rapid motility (RAP) were assessed with CASA. Plasma membrane stability (PMS), and high mitochondrial membrane potential (HMP) were assessed with t...
Use of cone-beam computed tomography for advanced imaging of the equine patient.
Equine veterinary journal    July 14, 2021   Volume 53, Issue 5 872-885 doi: 10.1111/evj.13473
Stewart HL, Siewerdsen JH, Nelson BB, Kawcak CE.Access to volumetric imaging modalities, such as magnetic resonance imaging (MRI) and computed tomography (CT), has increased over the past decade and has revolutionised the way clinicians evaluate equine anatomy. More recent advancements have resulted in the development of multiple commercially available cone-beam CT (CBCT) scanners for equine use. CBCT scanners modify the traditional fan-shaped beam of ionising radiation into a three-dimensional pyramidal- or cone-shaped beam of radiation. This modification enables the scanner to acquire sufficient data to create diagnostic images of a regio...
Effect of Speed and Surface Type on Individual Rein and Combined Left-Right Circle Movement Asymmetry in Horses on the Lunge.
Frontiers in veterinary science    July 12, 2021   Volume 8 692031 doi: 10.3389/fvets.2021.692031
Pfau T, Persson-Sjodin E, Gardner H, Orssten O, Hernlund E, Rhodin M.Differences in movement asymmetry between surfaces and with increasing speed increase the complexity of incorporating gait analysis measurements from lunging into clinical decision making. This observational study sets out to quantify by means of quantitative gait analysis the influence of surface and speed on individual-rein movement asymmetry measurements and their averages across reins (average-rein measurements). Head, withers, and pelvic movement asymmetry was quantified in 27 horses, identified previously as presenting with considerable movement asymmetries on the straight, during trot i...
Emergency Management of Equid Foals in the Field.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 407-420 doi: 10.1016/j.cveq.2021.04.009
Swain O'Fallon EA.Foal emergencies can be intimidating to manage in the field, yet many conditions will respond well to the supportive care possible on the farm. Triage of the foal targets focused supportive care to stabilize the foal before referral to a hospital or to facilitate the management in the field. There are many diagnostic and therapeutic options available in the field setting to support a successful outcome on the farm.
When All Else Fails: Alternative Methods of Euthanasia.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 515-519 doi: 10.1016/j.cveq.2021.04.014
Turner TA.Barbiturate overdose as a method of euthanasia is becoming unacceptable. This has made alternative methods of euthanasia very important. Gunshot or captive bolt euthanasia is among methods that are acceptable, but they may not be esthetically acceptable. This has led to the use of other methods of euthanasia. Inducing anesthesia prior to euthanasia offers an easier method of control. Adjunctive techniques using intravenous potassium or magnesium salts administered intravenously and intracardiac administration of potassium chloride or intrathecal lidocaine offer alternatives that work well and ...
Antimicrobial Selection for the Equine Practitioner.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 461-494 doi: 10.1016/j.cveq.2021.04.012
Wilson WD, Magdesian KG.Antimicrobial drugs play an important, often central, role in the therapeutic management of mature horses and foals with a variety of illnesses, including those requiring critical care. Antimicrobial use must be based on rational principles involving thorough patient evaluation and sound clinical judgment that indicate a high likelihood that the patient has a bacterial infection and that antimicrobials are indicated to promote recovery. The aim of antimicrobial treatment is to inflict an insult on infecting bacteria sufficient to kill the organism or render it susceptible to inactivation by na...
Orthopedic Infections-Clinical Applications of Intravenous Regional Limb Perfusion in the Field.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 275-291 doi: 10.1016/j.cveq.2021.04.003
Kilcoyne I, Nieto JE.For the equine veterinarian, orthopedic emergencies are a common occurrence in clinical practice, with traumatic wounds of the distal limb and penetrating injuries of the hoof being some of the most common medical conditions to affect horses. Intravenous regional limb perfusion is a technique widely used for the treatment of orthopedic infections in horses. The objectives of this review are to discuss some of the clinical applications for this treatment modality in the field and to review the technique for the practitioner.
Management of Colic in the Field.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 421-439 doi: 10.1016/j.cveq.2021.04.010
Rhodes DM, Madrigal R.Colic is one of the most frequent emergencies necessitating veterinary attention. Referral is not an option in many cases; therefore, the ability to diagnose and treat colic in an ambulatory setting is paramount. Portable imaging and point-of-care testing has improved the ability to identify lesions and assess the patient's status. In cases when field management is the only option, practitioners should be aware of the various treatment options available.
Managing Reproduction Emergencies in the Field: Part 1: Injuries in Stallions; Injury of the External Portion of the Reproductive Tract and Gestational Conditions in the Mare.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 339-366 doi: 10.1016/j.cveq.2021.04.007
Sprayberry KA, Lu KG.Selected emergency conditions of male and female reproductive tracts in horses are described, including injuries affecting the external genitalia of male horses and emergent conditions arising during gestation in mares. Conditions affecting male horses are discussed in the context of breeding stallions, but kicks or other mechanisms of trauma in the groin can also affect geldings. Priapism, paraphimosis, trauma to the scrotum and testicles, and penile injury are discussed. In mares, traumatic vestibular injury, placentitis, hydropsic conditions, prepubic tendon and abdominal wall compromise, a...
Causes, Effects and Methods of Monitoring Gas Exchange Disturbances during Equine General Anaesthesia.
Animals : an open access journal from MDPI    July 9, 2021   Volume 11, Issue 7 doi: 10.3390/ani11072049
Stefanik E, Drewnowska O, Lisowska B, Turek B.Horses, due to their unique anatomy and physiology, are particularly prone to intraoperative cardiopulmonary disorders. In dorsally recumbent horses, chest wall movement is restricted and the lungs are compressed by the abdominal organs, leading to the collapse of the alveoli. This results in hypoventilation, leading to hypercapnia and respiratory acidosis as well as impaired tissue oxygen supply (hypoxia). The most common mechanisms disturbing gas exchange are hypoventilation, atelectasis, ventilation-perfusion (V/Q) mismatch and shunt. Gas exchange disturbances are considered to be an import...
Comparison of equine synovial sepsis rate following intrasynovial injection in ambulatory versus hospital settings.
Equine veterinary journal    July 8, 2021   Volume 54, Issue 3 523-530 doi: 10.1111/evj.13485
Krause DM, Pezzanite LM, Griffenhagen GM, Hendrickson DA.Frequency of synovial sepsis in horses following intrasynovial injection has been reported, but not compared with respect to the environment in which the injection was performed. Objective: To describe occurrence of synovial sepsis following intrasynovial injections performed in ambulatory vs hospital settings. Methods: Retrospective cohort study. Methods: Records from the Colorado State University were evaluated (2014-2018) and horses receiving intrasynovial injections were identified. Patients presenting for septic synovial structures were excluded. Patient signalment, primary supervising se...
Mechanisms of mid-thoracic spine fracture/dislocation due to falls during horse racing: A report of two cases.
Chinese journal of traumatology = Zhonghua chuang shang za zhi    July 6, 2021   Volume 24, Issue 6 397-400 doi: 10.1016/j.cjtee.2021.07.003
Ivancic PC.We reported two cases of jockeys who sustained fracture/dislocation of the mid-thoracic spine due to traumatic falls during horse racing. We examined the injury mechanism based upon the patients' diagnostic images and video footage of races, in which the accidents occurred. Admission imaging of patient 1 (a 42 years old male) revealed T5 burst fracture with bony retropulsion of 7 mm causing complete paralysis below T5/6. There existed 22° focal kyphosis at T5/6, anterolisthesis of T5 relative to T6, T5/6 disc herniation, cord edema and epidural hemorrhage from T4 through T6, and cord injury f...
Client satisfaction in equine veterinary practice: A structured review and qualitative synthesis.
The Veterinary record    July 3, 2021   Volume 189, Issue 10 e640 doi: 10.1002/vetr.640
Elte Y, Wolframm I, Nielen M, van Weeren R.The pressure on equine veterinarians to provide services that meet with a client's demands, that is, realizing client satisfaction, is considerable. Objective: The aim of this paper is to analyze existing literature, with a view to distill the most relevant components for client satisfaction in equine veterinary practice. Methods: A structured literature search was conducted. Included papers were systematically organised and analysed using an inductive approach. Results: Seven components relevant to client satisfaction in equine veterinary practice were identified: quality of care, quality of ...
Accelerometric Evaluation of the Locomotor Pattern After Administration of Morphine in Conscious Healthy Horses.
Journal of equine veterinary science    July 2, 2021   Volume 104 103701 doi: 10.1016/j.jevs.2021.103701
López-Sanromán FJ, Freilich GM, Gomez-Cisneros D, Varela M, Santiago I, Manso-Díaz G.The objective of the present study was to compare, using accelerometry, the gait changes produced after administration of a dose of 0.2 mg/kg of morphine at the walk in healthy horses. Six mature horses were used, and all animals received two different treatments with, at least, two weeks interval in between. Treatments administered consisted of a single dose of 10 ml of saline solution or a total of 0.2 mg/kg of morphine diluted in 10 ml of saline solution. A three-dimensional accelerometric device was used to collect data continuously while horses were walking. The walking test was performed...
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