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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.
Standing MRI for surgical planning of equine fracture repair.
Veterinary surgery : VS    July 3, 2019   Volume 48, Issue 8 1372-1381 doi: 10.1111/vsu.13272
Genton M, Vila T, Olive J, Rossignol F.To report the feasibility of standing MRI (sMRI) and document the value of sMRI in surgical planning for surgical repair of limb fractures in the horse. Methods: Retrospective case series. Methods: Thirty-one horses with preoperative sMRI. Methods: Medical records were reviewed for fracture type, application of a polyester cast, sMRI sequences performed, technical variables, and image quality. Fracture geometry and concomitant lesions were compared between sMRI and radiography. The relative value of sMRI with regard to surgical planning was classified as minor (sMRI did not provide additional ...
Highlights of recent clinically relevant papers.
Equine veterinary education    July 1, 2019   Volume 31, Issue 8 394-395 doi: 10.1111/eve.13139
Wright S.No abstract available
Antimicrobial stewardship in equine practice.
Australian veterinary journal    June 27, 2019   Volume 97, Issue 7 238-242 doi: 10.1111/avj.12833
Raidal SL.Antimicrobial stewardship involves the judicious use of antimicrobials balanced against the requirement to treat the presenting clinical condition. The same mandate and principles as discussed in human medicine and other veterinary disciplines are relevant to equine practice. This brief review will focus on available resources for equine practitioners, emerging perspectives on antimicrobial use and stewardship, and opportunities for more effective antimicrobial use in equine practice. There is a need for improved client education, availability of faster and more accurate techniques for identif...
Effects of positive end-expiratory pressure alone or an open-lung approach on recruited lung volumes and respiratory mechanics of mechanically ventilated horses.
Veterinary anaesthesia and analgesia    June 26, 2019   Volume 46, Issue 6 780-788 doi: 10.1016/j.vaa.2019.04.016
To evaluate the effects of positive end-expiratory pressure (PEEP) alone and PEEP preceded by lung recruitment manoeuvre (LRM) on lung volumes and respiratory system mechanics in healthy horses undergoing general anaesthesia. Methods: Controlled, prospective clinical study. Methods: A group of 15 horses undergoing arthroscopy. Methods: Following anaesthetic induction, initial ventilatory settings were: tidal volume 15 mL kg, inspiratory:expiratory ratio 1:2, respiratory rate to maintain end-tidal CO between 5.3-6.6 kPa (40-50 mmHg). The following settings were implemented sequentially: zero PE...
Use of a cervical stent for long-term treatment of pyometra in the mare: A report of three cases.
Reproduction in domestic animals = Zuchthygiene    June 26, 2019   Volume 54, Issue 8 1155-1159 doi: 10.1111/rda.13480
Krohn J, Ennen S, Hospes R, Nieth J, Wehrend A.An effective long-term treatment is necessary for mares with pyometra, because the condition tends to recur. In many affected animals, several conformational or anatomical anomalies contribute to impaired uterine clearance. Ovariohysterectomy is the surgical procedure of choice. Conservative therapy consists of draining and flushing the uterus, and systemic anti-inflammatory and antimicrobial treatment. Uterine secretions tend to accumulate again after local treatment, especially in mares with poor vaginal conformation or cervical adhesions. Herein, we describe three cases in which a cervical ...
Bacterial osteomyelitis in veterinary orthopaedics: Pathophysiology, clinical presentation and advances in treatment across multiple species.
Veterinary journal (London, England : 1997)    June 25, 2019   Volume 250 44-54 doi: 10.1016/j.tvjl.2019.06.003
Gieling F, Peters S, Erichsen C, Richards RG, Zeiter S, Moriarty TF.Bacterial osteomyelitis in veterinary patients can be challenging to diagnose and treat, given limited therapeutic options and reported success rates. Osteomyelitis is frequently associated with surgical implant devices, including those required to optimise stability and healing of fractures. However, management of osteomyelitis sometimes necessitates the removal of these surgical implant devices in order to eradicate infection or limit implant-related osteolysis. The goal of this article is to provide a general and species-specific review of bacterial osteomyelitis in a selection of domestic ...
Heterogeneity among traumatic spinal cord injuries at the thoracolumbar junction: helping select patients for clinical trials.
Spinal cord    June 25, 2019   Volume 57, Issue 11 972-978 doi: 10.1038/s41393-019-0317-x
Liu SJ, Wang Q, Tang HH, Bai JZ, Wang FY, Lv Z, Chen SZ, Liu JS, Hong Y, Zhang JW.Retrospective analysis. Methods: China Rehabilitation Research Center, Beijing, China. Objective: A retrospective study that documents the modalities and clarifies the heterogeneity among spinal cord injuries (SCIs) caused by trauma to the thoracolumbar vertebral junction. Methods: X-ray and MRI imaging, neurological records, and the urodynamics results of 190 patients were reviewed and used to categorize different SCI modalities. First, injuries were divided into complete and incomplete injuries using the International Standard for Neurological Classification of Spinal Cord Injury. Next, the ...
Validation of a 2-mm videoendoscope for the evaluation of the paranasal sinuses with a minimally invasive technique.
Veterinary surgery : VS    June 22, 2019   Volume 49 Suppl 1 O60-O70 doi: 10.1111/vsu.13269
Pouyet M, G Bonilla A.To describe the technique, experience, and limitations of using a 2-mm flexible endoscope to perform standing minimally invasive sinoscopy. Methods: In phases 1 and 2, we used cadaveric heads (ex vivo). In phase 3, we used unaffected horses (in vivo). Methods: Five cadaveric equine skulls in phase 1 and 10 cadaveric equine skulls in phase 2. Six horses older than 5 years in phase 3. Methods: In phase 1, the specimens were used to determine the suitability of the endoscope for sinoscopy and the ideal landmarks to approach the paranasal sinuses through minisinusotomies performed with a 14 gaug...
Hydroxyethyl starches in equine medicine.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    June 22, 2019   Volume 29, Issue 4 349-359 doi: 10.1111/vec.12854
van Galen G, Hallowell G.To review and discuss the use of hydroxyethyl starches (HES) in equine veterinary medicine, and to provide recommendations for its use. Methods: Veterinary and human peer-reviewed medical literature including scientific reviews, meta-analyses, and original research articles. Results: Increasing evidences on adverse effects after HES use and decreasing support for beneficial effects with regards to volume expansion and colloid osmotic pressure (COP) support in critically ill subjects have led to a recent guideline to limit the use of HES in critically ill people. Unassigned: The rationale for H...
Determination of reference intervals for equine arterial blood-gas, acid-base and electrolyte analysis.
Veterinary anaesthesia and analgesia    June 14, 2019   Volume 46, Issue 6 765-771 doi: 10.1016/j.vaa.2019.04.015
Hughes J, Bardell D.To establish reference intervals for arterial blood-gas (ABG), acid-base and electrolyte values from a healthy equine population. Methods: Retrospective clinical study. Methods: A total of 139 client-owned, systemically healthy horses, 1 year of age and older, presented for elective surgical procedures. Methods: Blood samples were collected anaerobically from the transverse facial or common carotid artery of horses breathing room air, prior to administration of preanaesthetic medication. Samples were analysed immediately, without correction for body temperature, using an automated bench-top an...
A Competency-Guided Veterinary Curriculum Review Process.
Journal of veterinary medical education    June 13, 2019   Volume 47, Issue 2 137-147 doi: 10.3138/jvme.1217-183r1
Varnum AT, West AB, Hendrickson DA.Competencies can guide outcomes assessment in veterinary medical education by providing a core set of specific abilities expected of new veterinary graduates. A competency-guided evaluation of Colorado State University's (CSU) equine veterinary curriculum was undertaken via an alumni survey. Published competencies for equine veterinary graduates were used to develop the survey, which was distributed to large animal alumni from CSU's Doctor of Veterinary Medicine program. The results of the survey indicated areas for improvement, specifically in equine business, surgery, dentistry, and radiolog...
Erratum to: “Clinical presentation, diagnostic findings, and outcome of adult horses with equine coronavirus infection at a veterinary teaching hospital: 33 cases (2012-2018)” [Vet. J. 248 (2019) 95-100].
Veterinary journal (London, England : 1997)    June 12, 2019   Volume 250 14 doi: 10.1016/j.tvjl.2019.05.014
Berryhill EH, Magdesian KG, Aleman M, Pusterla N.No abstract available
Ex Vivo Assessment of an Ultrasound-Guided Injection Technique of the Lumbosacral Disc in the Horse.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    June 11, 2019   Volume 32, Issue 5 383-388 doi: 10.1055/s-0039-1691793
Robert M, Manet H, Manneveau G, Geffroy O. The aim of this study was to describe an ultrasound-guided injection technique of the lumbosacral disc in horses through the cranial vertebral notch of the sacrum and to evaluate both accuracy and potential complications of the technique on equine cadavers. Methods:  Twenty-four injections of the lumbosacral area were performed on 12 equine cadavers shortly after euthanasia under ultrasound guidance with the horse in recumbency using two different dyes (one colour for each side). The lumbosacral area was dissected in each horse and the accuracy of the technique, as well as its potential c...
The case for pragmatism in equine practice.
The Veterinary record    June 9, 2019   Volume 184, Issue 23 716 doi: 10.1136/vr.l4089
This month, a horse owner discusses the importance of offering a range of treatment options.
Girthiness: Retrospective Study of 37 Horses (2004-2016).
Journal of equine veterinary science    June 8, 2019   Volume 79 100-104 doi: 10.1016/j.jevs.2019.05.025
Millares-Ramirez EM, Le Jeune SS.Girth aversion or girthiness is a nonspecific clinical sign anecdotally associated with multiple conditions in the horse (behavioral problems, gastric ulcers, back pain); however, studies have not been conducted to definitively correlate this clinical sign to specific pathologies. This retrospective study aims to describe the clinical signs and final diagnoses of 37 horses evaluated at the University of California, Davis with a presenting complaint of girthiness. Medical records of all horses presented to the veterinary hospital between 2004 and 2016 for girthiness were reviewed. Twelve horses...
Evaluation of Two Handheld Point-of-Care Blood Gas Analyzers in Healthy Donkeys.
Journal of equine veterinary science    June 8, 2019   Volume 79 94-99 doi: 10.1016/j.jevs.2019.05.026
Bonelli F, Laus F, Briganti A, Evangelista F, Bazzano M, Conte G, Sgorbini M.There has been increasing interest in blood gas analysis in donkeys. "Point-of-care (POC) testing" is a diagnostic testing performed on or immediately next to the patient. This study assesses the agreement between two POC blood gas analyzers in donkeys. Arterial and venous blood samples were collected from 17 donkeys and analyzed using a fully automated blood gas analyzer (ABL 700 Series Radiometer, Denmark) (RAD) and two POC blood gas analyzers (i-STAT System; VetStat, Idexx). The parameters revealed by all three devices were submitted to a canonical discriminant analysis, to evaluate which p...
Changes in saliva analytes in equine acute abdominal disease: a sialochemistry approach.
BMC veterinary research    June 6, 2019   Volume 15, Issue 1 187 doi: 10.1186/s12917-019-1933-6
Contreras-Aguilar MD, Escribano D, Martínez-Subiela S, Martín-Cuervo M, Lamy E, Tecles F, Cerón JJ.The biochemical components of saliva can change in certain pathologies in horses, for example in acute abdominal disease. The aim of this study was (1) to evaluate if a panel of biochemical analytes usually used in serum can be measured in saliva of horses and (2) to study the possible changes of these biochemical analytes in saliva of horses affected by acute abdominal disease. A panel of 23 analytes was analytically validated in saliva of horses and possible changes in these analytes in a pilot study with six healthy horses and six horses with acute abdominal disease were evaluated. The anal...
Diversity, Virulence, and Clinical Significance of Extended-Spectrum β-Lactamase- and pAmpC-Producing Escherichia coli From Companion Animals.
Frontiers in microbiology    June 5, 2019   Volume 10 1260 doi: 10.3389/fmicb.2019.01260
Bortolami A, Zendri F, Maciuca EI, Wattret A, Ellis C, Schmidt V, Pinchbeck G, Timofte D. are opportunistic pathogens with the potential to cause a variety of infections in both humans and animals and in many cases have developed antimicrobial resistance. In this study, we characterized extended-spectrum cephalosporin resistant (ESCR) isolates from diseased companion animals (dogs, cats, and horses) and related the results to clinical findings. ESCR clinical isolates obtained over a 6-year period were screened for extended-spectrum β-lactamase (ESBL) and/or plasmid mediated AmpC (pAmpC) and virulence markers likely to be associated with extraintestinal pathogenic (ExPEC). ESBL...
Clinical insights: Assisted reproductive technologies.
Equine veterinary journal    June 4, 2019   Volume 51, Issue 4 427-428 doi: 10.1111/evj.13099
Stout TAE.No abstract available
Are your client notes working for you – how to write for lay people.
Equine veterinary journal    June 4, 2019   Volume 51, Issue 4 433-434 doi: 10.1111/evj.13102
Crowe C.No abstract available
Do plasma protein:fibrinogen ratios in horses provide additional information compared with fibrinogen concentration alone?
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2019   Volume 60, Issue 6 625-629 
Fernandez NJ, Roy MF.The plasma protein:fibrinogen (PP:F) ratio was introduced to aid interpretation of hyperfibrinogenemia by accounting for dehydration. However, this ratio is inconsistently assessed in practice and its clinical value remains unknown. Our objective was to determine whether the PP:F ratio provides additional information in adult horses beyond fibrinogen concentration alone. Two databases were reviewed to identify 412 hyperfibrinogenemic horses. Plasma protein:fibrinogen ratios were calculated and their interpretation compared to the fibrinogen concentration. Ratios < 15 were supportive of infl...
Utility and accuracy of a smartphone-based electrocardiogram device as compared to a standard base-apex electrocardiogram in the horse.
Research in veterinary science    June 3, 2019   Volume 125 141-147 doi: 10.1016/j.rvsc.2019.05.018
Kraus MS, Rishniw M, Divers TJ, Reef VB, Gelzer AR.Evaluate accuracy and utility of a smartphone-based ECG device compared to a standard base-apex lead ECG in horses. Methods: ECGs were acquired prospectively from 28 client-owned horses at 2 equine referral hospitals. Twenty-five pairs of 30-s ECG recordings were acquired simultaneously from 23 horses with a smartphone ECG device (a bi-polar single lead recorder coupled to a smartphone with an ECG application) and with a standard base-apex lead ECG; 2 horses provided two pairs of simultaneously acquired ECGs. In one horse, the ECGs pairs were recorded immediately sequentially. An additional 7 ...
Stimulation of subchondral bone cyst healing by placement of a transcondylar screw in the equine medial femoral condyle.
Veterinary surgery : VS    June 2, 2019   Volume 48, Issue 7 1194-1203 doi: 10.1111/vsu.13247
Frazer LL, Santschi EM, Fischer KJ.To predict the bone formation stimulus of a transcondylar screw across an equine subchondral bone cyst (SBC) in an equine medial femoral condyle (MFC). Methods: Finite element modeling (FEM) of an equine MFC with a 2 cm SBC under several transcondylar screw conditions. Methods: The right stifle of a yearling thoroughbred without stifle disease that had been euthanized for reasons unrelated to this study and donated to the University. Methods: The FEM was derived from computed tomography of a yearling thoroughbred and analyzed in ABAQUS v6.14. The transcondylar screw was modeled as a 4.5-mm s...
Update on Surgical Treatment of Wobblers.
The Veterinary clinics of North America. Equine practice    May 27, 2019   Volume 35, Issue 2 299-309 doi: 10.1016/j.cveq.2019.04.002
Pezzanite L, Easley J.Cervical vertebral compressive myelopathy (CVCM) represents the most significant disease of the spinal cord in horses for which surgical treatment is described. Current surgical methods used include ventral interbody fusion with kerf cut cylinders and dorsal laminectomy. Polyaxial pedicle screw and rod constructs and ventral locking compression plating have been introduced in the treatment of equine CVCM and present promising alternative approaches to achieve ventral interbody fusion. Advancements in diagnostic imaging and endoscopy of the cervical vertebral canal may improve reliable preopera...
Fatal pulmonary hemorrhage in a horse during bronchoalveolar lavage – single case report.
BMC veterinary research    May 24, 2019   Volume 15, Issue 1 169 doi: 10.1186/s12917-019-1922-9
Varegg MS, Kløverød KM, Austnes MK, Siwinska N, Słowikowska M, Zak A, Madej JA, Kandefer-Gola M, Ciaputa R, Nowak M, Niedzwiedz A.Pulmonary hemorrhage is a rare cause of death in horses. Hemorrhage within the respiratory tract has many causes, including mycosis of the guttural pouch, invasive procedures causing serious trauma to nasal conchae, or lung biopsy. We report on a rare case of a fatal pulmonary hemorrhage in a horse after a severe cough during bronchoalveolar lavage. To the best of our knowledge, this is the first report of spontaneous hemorrhage in a horse during bronchoalveolar lavage. Methods: A 21-year-old mare which belonged to the didactic herd of The Faculty of Veterinary Medicine underwent BAL procedure...
Are There Shared Mechanisms in the Pathophysiology of Different Clinical Forms of Laminitis and What Are the Implications for Prevention and Treatment?
The Veterinary clinics of North America. Equine practice    May 22, 2019   Volume 35, Issue 2 379-398 doi: 10.1016/j.cveq.2019.04.001
van Eps AW, Burns TA.Laminitis is a consequence of primary disease processes elsewhere in the body. The key pathophysiologic events are insulin dysregulation in endocrinopathic laminitis, ischemia in supporting limb laminitis, and inflammation in sepsis-related laminitis. These apparently disparate mechanisms converge to cause lamellar attachment failure through epithelial cell adhesion loss and stretch, possibly mediated by common growth factor signaling pathways. Tissue damage through mechanical distraction, inflammation, pain, and a proliferative epithelial healing response are features of acute laminitis regar...
Transfusion With 2 L of Hyperimmune Plasma is Superior to Transfusion of 1 L or Less for Protecting Foals Against Subclinical Pneumonia Attributed to Rhodococcus equi.
Journal of equine veterinary science    May 22, 2019   Volume 79 54-58 doi: 10.1016/j.jevs.2019.05.015
Kahn SK, Blodgett GP, Canaday NM, Bevevino KE, Rocha JN, Bordin AI, Cohen ND.Transfusing foals with Rhodococcus equi hyperimmune plasma (REHIP) is a standard practice at many horse-breeding farms to help prevent R. equi pneumonia. At many large breeding farms, pneumonia is most commonly recognized as subclinical based on thoracic ultrasonography findings. The efficacy of REHIP transfusion and the impact of the volume of plasma transfused for reducing the cumulative incidence of subclinical R. equi pneumonia are unknown. A retrospective cohort study was conducted among foals born and residing through weaning at a large breeding farm. Foals were transfused with either ...
Modified stall-side crossmatch for transfusions in horses.
Journal of veterinary internal medicine    May 18, 2019   Volume 33, Issue 4 1775-1783 doi: 10.1111/jvim.15519
Casenave P, Leclere M, Beauchamp G, Blais MC.After-hours or out-of-clinic crossmatches are often limited by the lack of access to specialized material and technical expertise. Objective: The goal was to adapt a stall-side crossmatch test for pretransfusion evaluation in horses. Methods: Twelve healthy mares (plasma and blood donors, teaching mares). Methods: In a prospective study, blood from 12 mares was used to compare the results of 132 crossmatches performed with a rapid gel assay to crossmatches performed with a microgel column assay, and with predicted compatibilities based on blood types and detection of antibodies at a reference ...
Evaluation of surgical models for training veterinary students to perform enterotomies.
Veterinary surgery : VS    May 17, 2019   Volume 48, Issue 6 985-996 doi: 10.1111/vsu.13228
Grimes JA, Wallace ML, Schmiedt CW, Parks AH.To compare surgical models for teaching enterotomies to students. Methods: Prospective, randomized study. Methods: Second-year veterinary students (n = 59) and faculty surgeons/surgery residents (n = 19). Methods: Participants performed an enterotomy on each of 3 models (equine cadaver intestine, SurgiReal small intestine simulator, and SynDaver canine bowel) and completed a survey comparing them to either an enterotomy on an anesthetized pig (students) or intestinal surgery experience (faculty/residents). Surveys results were compiled and analyzed. Results: Both student and faculty/resident g...
Investigation of blood biomarkers for the diagnosis of mild to moderate asthma in horses.
Journal of veterinary internal medicine    May 16, 2019   Volume 33, Issue 4 1789-1795 doi: 10.1111/jvim.15505
Gy C, Leclere M, Vargas A, Grimes C, Lavoie JP.Asthma in horses is associated with nonspecific respiratory clinical signs and may be manifested only as exercise intolerance. Its diagnosis relies on bronchoalveolar lavage fluid (BALF) cytology in the presence of compatible clinical signs. The identification of blood biomarkers for this condition would facilitate diagnosis in the field, because there are regional areas where BAL is not routinely performed in clinical practice. Objective: Identification of blood biomarkers for the diagnosis of asthma in horses. Methods: Fourteen horses with asthma with increased neutrophil numbers in BALF (ne...
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