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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.
Equine Electrocardiography.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 65-83 doi: 10.1016/j.cveq.2018.12.007
Mitchell KJ.Analyzing electrocardiographic (ECG) recordings, making a diagnosis and assessment of any arrhythmias present, is an important part of the workup of many equine cases. Accurate analysis requires a good-quality recording, free of as many artifacts as possible, with clear P-QRS-T complex morphology. For sustained arrhythmias, short-term recordings are sufficient to make the appropriate diagnosis before instigating treatment. Longer-term recordings are essential for arrhythmias that are paroxysmal, intermittent, or occurring infrequently, while exercising ECGs are required for arrhythmias associa...
Examination of Horses with Cardiac Disease.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 23-42 doi: 10.1016/j.cveq.2018.12.006
Keen JA.Despite advances, increased convenience, and availability of echocardiography and other diagnostic techniques in equine cardiology, a comprehensive history and clinical examination still forms the essential first step in any cardiac evaluation. This article summarizes the approach to the cardiac examination at rest, highlighting key areas for the clinician to assess, and stressing the importance of context for assessing the significance of any abnormalities detected. Ancillary techniques, such as blood pressure measurement and the laboratory assessment of cardiac disease in the horse, are also...
Assessment of the Cardiovascular System in Horses During Prepurchase and Insurance Examinations.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 191-204 doi: 10.1016/j.cveq.2018.11.002
Reef VB.Arrhythmias detected on prepurchase examination should be confirmed with an ECG. Exercising ECG determines if the arrhythmia is overdriven during exercise or is a safety concern. An echocardiogram is needed in all horses with a grade 3/6 or louder mid to late systolic, holosystolic, or pansystolic murmur or any holodiastolic decrescendo murmur to identify the cardiac abnormality and its hemodynamic impact. Most horses with arrhythmias and murmurs have a normal performance career and life expectancy and are insurable. Risks for sudden death and congestive heart failure associated with the commo...
Equine Acquired Valvular Disease.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 119-137 doi: 10.1016/j.cveq.2018.12.001
Marr CM.Degenerative myxomatous disease is common and is associated with aging. Poor prognostic indicators for equine aortic regurgitation specifically include ventricular ectopy, increased pulse pressure, and hyperkinetic pulses. Valvular prolapse is a functional abnormality diagnosed echocardiographically, about which knowledge is limited. A better understanding of its role in valvular regurgitation is needed. Infective endocarditis presents with fever and other systemic signs accompanying valvular regurgitation. The prognosis is poor, warranting aggressive therapy. Other forms of valvular disease o...
Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses.
BMC veterinary research    March 6, 2019   Volume 15, Issue 1 78 doi: 10.1186/s12917-019-1829-5
Kamus L, Rameau M, Theoret C.Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised functional and aesthetic outcomes. To date, there is no conventional method objectively proven to accelerate healing or to successfully prevent complications associated with second intention healing. Several effects of Negative Pressure Wound Therapy (NPWT) may be particularly useful to the management of wounds in horses. ...
Evaluation of pulse co-oximetry to determine haemoglobin saturation with oxygen and haemoglobin concentration in anaesthetized horses: a retrospective study.
Veterinary anaesthesia and analgesia    March 6, 2019   Volume 46, Issue 4 452-457 doi: 10.1016/j.vaa.2019.02.005
Zoff A, Dugdale AHA, Scarabelli S, Rioja E.This study compared the values of variables measured by pulse co-oximetry (Masimo Radical 7; Masimo Europe Limited, UK) with those measured by a co-oximeter-enabled blood gas analyser (Siemens Rapid-point 500; Siemens Healthcare Limited, UK) in anaesthetized horses. Methods: Retrospective study. Methods: A total of 30 anaesthetized horses. Methods: In total, 47 heparinized arterial blood samples were collected for blood gas analysis to determine haemoglobin concentration (tHb, g L) and percentage of haemoglobin saturation with oxygen (SaO). Arterial haemoglobin saturation with oxygen was deter...
Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine.
Veterinary surgery : VS    March 4, 2019   Volume 48, Issue 5 786-794 doi: 10.1111/vsu.13184
Pye J, Espinosa-Mur P, Roca R, Kilcoyne I, Nieto J, Dechant J.To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Methods: Retrospective case series. Methods: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, d...
Internships under the spotlight.
The Veterinary record    March 1, 2019   Volume 184, Issue 9 293 doi: 10.1136/vr.l948
Chloe Roberts, BVA Council recent graduate representative and former equine intern, calls for meaningful change in the conditions endured by many interns.
Being Nice Is Not Enough-Exploring Relationship-Centered Veterinary Care With Structural Equation Modeling. A Quantitative Study on German Pet Owners’ Perception.
Frontiers in veterinary science    February 28, 2019   Volume 6 56 doi: 10.3389/fvets.2019.00056
Küper AM, Merle R.During the last years, the philosophy of relationship-centered care gained increasing attention in veterinary medicine. Relationship-centered care is based on a joint venture between pet owner and veterinarians and therefore offers the opportunity to satisfy the pet owners' need for participation in medical decision-making and to provide the best care for the patient. Although research on relationship-centered care in the veterinary consultation is still limited, the available findings suggest that the characteristics of relationship-centered care reflect the pet owners' expectations on satisf...
Therapeutic developments in equine pain management.
Veterinary journal (London, England : 1997)    February 28, 2019   Volume 247 50-56 doi: 10.1016/j.tvjl.2019.02.010
Mama KR, Hector RC.Many drugs and non-drug modalities are used to manage pain in horses, but evidence regarding efficacy and safety remains limited. This manuscript will first briefly review tried and tested techniques, e.g. the use of non-steroidal anti-inflammatory drugs, in the management of pain. Newer approaches to administering medications such as oral use of detomidine, which was previously only administered by injection, will also be discussed. Finally, introductory information on newer therapies, for example acupuncture and chiropractic manipulation, that the veterinarian may consider for the management...
Equine Echocardiography.
The Veterinary clinics of North America. Equine practice    February 27, 2019   Volume 35, Issue 1 43-64 doi: 10.1016/j.cveq.2018.12.008
Schwarzwald CC.This article provides an overview on the principles of transthoracic echocardiography in horses. Indications for echocardiography, equipment, and technical considerations are discussed and a systematic approach for a complete echocardiographic examination in horses is described. Methods for assessment of chamber dimensions, allometric scaling of measurements, assessment of systolic and diastolic ventricular function, assessment of atrial function, hemodynamic assessment, and evaluation of valvular regurgitation are explained, focusing on traditional 2-dimensional (2D), motion-mode, and Doppler...
Letter to the Editor: Bias in statistics or bias in equine veterinary medicine?
Equine veterinary journal    February 27, 2019   Volume 51, Issue 3 423 doi: 10.1111/evj.13081
Ziegler AL, Fogle CA, Burke M, Blikslager AT.No abstract available
Equine Congenital Heart Disease.
The Veterinary clinics of North America. Equine practice    February 27, 2019   Volume 35, Issue 1 103-117 doi: 10.1016/j.cveq.2018.11.001
Scansen BA.Congenital heart disease (CHD) represents a small proportion of horses undergoing clinical evaluation; however, both simple and complex defects occur during cardiac development leading to many unique malformations. This article reviews cardiac development and the fetal circulation, describes the morphologic method and the sequential segmental approach to CHD analysis, presents a summary of CHD in horses, and offers an overview of lesions that should be considered during evaluation of horses suspected to have CHD. For many forms of equine CHD, therapies are limited because cardiac interventions...
Randomized blinded controlled trial of dipyrone as a treatment for pyrexia in horses.
American journal of veterinary research    February 26, 2019   Volume 80, Issue 3 294-299 doi: 10.2460/ajvr.80.3.294
Morresey PR, White GW, Poole HM, Hu T, Yin M, Sundman EA.OBJECTIVE To evaluate the effectiveness and safety of dipyrone to control pyrexia in horses with naturally occurring disease under field conditions. ANIMALS 138 horses with pyrexia and various infections evaluated at 14 veterinary sites in 12 states. PROCEDURES In the first (effectiveness) phase of this 2-phase study, horses were randomly assigned 3:1 to receive 1 dose of dipyrone (30 mg/kg [13.6 mg/lb], IV) or an equivalent amount of placebo. Effectiveness was defined as a decrease in rectal temperature ≥ 1.1°C (2°F), compared with the pretreatment value, or a rectal temperature of ≤ 38...
The application of Lempel-Ziv and Titchener complexity analysis for equine telemetric electrocardiographic recordings.
Scientific reports    February 22, 2019   Volume 9, Issue 1 2619 doi: 10.1038/s41598-019-38935-7
Alexeenko V, Fraser JA, Dolgoborodov A, Bowen M, Huang CL, Marr CM, Jeevaratnam K.The analysis of equine electrocardiographic (ECG) recordings is complicated by the absence of agreed abnormality classification criteria. We explore the applicability of several complexity analysis methods for characterization of non-linear aspects of electrocardiographic recordings. We here show that complexity estimates provided by Lempel-Ziv '76, Titchener's T-complexity and Lempel-Ziv '78 analysis of ECG recordings of healthy Thoroughbred horses are highly dependent on the duration of analysed ECG fragments and the heart rate. The results provide a methodological basis and a feasible refer...
The Impact of Equine Therapy and an Audio-Visual Approach Emphasizing Rhythm and Beat Perception in Children with Developmental Coordination Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    February 21, 2019   Volume 25, Issue 5 535-541 doi: 10.1089/acm.2017.0242
Hession CE, Law Smith MJ, Watterson D, Oxley N, Murphy BA. This study aims to investigate the impact of a therapeutic horse riding (HR) intervention and an audiovisual (AV) intervention comprising exposure to equine rhythm and motion on developmental parameters of children with Developmental Coordination Disorder (DCD). The study design was a pretest/post-test. The study took place in three locations across Ireland-St. Michael's Boys School in Mervue, Co Galway, The Hunt Museum in Limerick City, Co. Limerick, and Fettercairn Youth Horse Project in Tallaght, Co. Dublin. Eighty-three children (6-14 years) with a primary diagnosis of DCD. Children m...
Pharmacological Regulation in the USA and Pharmacokinetics Parameters of Firocoxib, a Highly Selective Cox-2, by Pain Management in Horses.
Journal of equine veterinary science    February 21, 2019   Volume 77 36-42 doi: 10.1016/j.jevs.2019.02.007
Rangel-Nava A, Ramírez-Uribe JM, Recillas-Morales S, Ibancovichi-Camarillo JA, Venebra-Muñoz A, Sánchez-Aparicio P.The objective of the study was to conduct a review of the pharmacological regulation and pharmacokinetic parameters of firocoxib when administered orally or intravenously in horses. A search for literature was done in SCOPUS and PubMed for studies that had to evaluate the pharmacological regulation as well as the pharmacokinetic parameters of firocoxib when administered in horses. The nonsteroidal anti-inflammatory drugs have analgesic, anti-inflammatory, antipyretics, and antiendotoxic effects. The newly developed is selective to COX2 characterized by less adverse effects in veterinary patien...
Genetic modification of scAAV-equine-BMP-2 transduced bone-marrow-derived mesenchymal stem cells before and after cryopreservation: An “off-the-shelf” option for fracture repair.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    February 21, 2019   Volume 37, Issue 6 1310-1317 doi: 10.1002/jor.24209
Ball AN, Phillips JN, McIlwraith CW, Kawcak CE, Samulski RJ, Goodrich LR.Optimizing the environment of complex bone healing and improving treatment of catastrophic bone fractures and segmental bone defects remains an unmet clinical need both human and equine veterinary medical orthopaedics. The objective of this study was to determine whether scAAV-equine-BMP-2 transduced cells would induce osteogenesis in equine bone marrow derived mesenchymal stem cells (BMDMSCs) in vitro, and if these cells could be cryopreserved in an effort to osteogenically prime them as an "off-the-shelf" gene therapeutic approach for fracture repair. Our study found that transgene expressio...
Prevalence and analysis of equine periodontal disease, diastemata and peripheral caries in a first-opinion horse population in the UK.
Veterinary journal (London, England : 1997)    February 20, 2019   Volume 246 98-102 doi: 10.1016/j.tvjl.2019.02.005
Nuttall HE, Ravenhill PJ.Equine dental disease remains a widespread affliction in domestic horses, with the potential to cause significant welfare problems. This retrospective study aimed to increase understanding of this aspect of equine health by examining dental records of 932 horses, taken from a 1-year period of first-opinion practice in south-western England and southern Wales. Three grossly-identifiable dental diseases were analysed: equine periodontal disease, diastemata and peripheral caries. The prevalence of active periodontal disease, diastemata and peripheral caries were 13.9%, 8.7% and 8.2%, respectively...
Comparison of two portable clinical analyzers to one stationary analyzer for the determination of blood gas partial pressures and blood electrolyte concentrations in horses.
PloS one    February 15, 2019   Volume 14, Issue 2 e0211104 doi: 10.1371/journal.pone.0211104
Kirsch K, Detilleux J, Serteyn D, Sandersen C.Portable blood gas analyzers are used to facilitate diagnosis and treatment of disorders related to disturbances of acid-base and electrolyte balance in the ambulatory care of equine patients. The aim of this study was to determine whether 2 portable analyzers produce results in agreement with a stationary analyzer. Blood samples from 23 horses hospitalized for various medical reasons were included in this prospective study. Blood gas analysis and electrolyte concentrations measured by the portable analyzers VetStat and epoc were compared to those produced by the cobas b 123 analyzer via conco...
Evaluation of equine corneal disease using spectral domain optical coherence tomography (SD-OCT).
Veterinary ophthalmology    February 15, 2019   Volume 22, Issue 6 791-798 doi: 10.1111/vop.12652
Blanchard A, Barr EM, Gilger BC.The purpose of this case series is to evaluate the use of spectral domain optical coherence tomography (SD-OCT) imaging in equine corneal disease to demonstrate the feasibility, diagnostic effectiveness, and limitations of this imaging modality. Methods: Retrospective study: Handheld SD-OCT (Envisu, Bioptigen Inc, Morrisville, NC) was used for high-resolution imaging of horses with corneal disease presenting to the North Carolina State University Equine Ophthalmology Service from 2013 to 2018. Results: Fourteen horses were included in this study, including six horses with corneal ulceration, t...
Variation in gait parameters used for objective lameness assessment in sound horses at the trot on the straight line and the lunge.
Equine veterinary journal    February 12, 2019   Volume 51, Issue 6 831-839 doi: 10.1111/evj.13075
Hardeman AM, Serra Bragança FM, Swagemakers JH, van Weeren PR, Roepstorff L.Objective lameness assessment is gaining more importance in a clinical setting, necessitating availability of reference values. Objective: To investigate the between -path, -trial and -day variation, between and within horses, in the locomotion symmetry of horses in regular use that are perceived sound. Methods: Observational study with replicated measurement sessions. Methods: Twelve owner-sound horses were trotted on the straight line and on the lunge. Kinematic data were collected from these horses using 3D optical motion capture. Examinations were repeated on 12 occasions over the study wh...
Equine-related eye injury: a case report of globe rupture and vision loss in a post-stroke hippotherapy patient.
American medical student research journal    February 12, 2019   Volume 5, Issue 1 110-113 doi: 10.1016/j.ajo.2008.10.017
Chang LY, Chang SM, Andrews L, Saeedi O.Hippotherapy has recently emerged as a horse-based rehabilitative therapy to improve balance, coordination, and strength in patients with a wide range of medical conditions. Although several studies have demonstrated its effectiveness in restoring balance and gait in patients who have suffered cerebrovascular accidents (CVA), few studies have reported on adverse events associated with the treatment. Methods: This case report describes a female post-stroke patient who fell from a horse during a hippotherapy session. She suffered a closed right zygomaticomaxillary complex fracture and ruptured g...
Pain assessment in horses after orthopaedic surgery and with orthopaedic trauma.
Veterinary journal (London, England : 1997)    February 10, 2019   Volume 246 85-91 doi: 10.1016/j.tvjl.2019.02.001
van Loon JPAM, Van Dierendonck MC.Objective pain assessment is important to guide and tailor therapy in clinical practice. This study describes the clinical applicability and validity of two pain scales, the Composite Pain Scale (CPS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP) in horses with orthopaedic trauma or after orthopaedic surgery. A cohort follow-up study was performed using 77 adult horses (n=43 with orthopaedic trauma or injury; n=34 controls). Composite and facial expression-based pain scores were assessed by direct observations of pairs of two independent observers. All horse...
Clinical insights: Diagnosis of laminitis.
Equine veterinary journal    February 7, 2019   Volume 51, Issue 2 143-144 doi: 10.1111/evj.13057
Menzies-Gow NJ.No abstract available
Serum amyloid A in equine health and disease.
Equine veterinary journal    February 6, 2019   Volume 51, Issue 3 293-298 doi: 10.1111/evj.13062
Witkowska-Piłaszewicz OD, Żmigrodzka M, Winnicka A, Miśkiewicz A, Strzelec K, Cywińska A.Serum amyloid A (SAA) is the major acute phase protein in horses. It is produced during the acute phase response (APR), a nonspecific systemic reaction to any type of tissue injury. In the blood of healthy horses, SAA concentration is very low, but it increases dramatically with inflammation. Due to the short half-life of SAA, changes in its concentration in blood closely reflect the onset of inflammation and, therefore, measurement of SAA useful in the diagnosis and monitoring of disease and response to treatment. Increases in SAA concentration have been described in equine digestive, reprodu...
Clinical applicability of detomidine and methadone constant rate infusions for surgery in standing horses.
Veterinary anaesthesia and analgesia    February 5, 2019   Volume 46, Issue 3 325-334 doi: 10.1016/j.vaa.2019.01.005
Gozalo-Marcilla M, Luna SP, Gasthuys F, Pollaris E, Vlaminck L, Martens A, Haspeslagh M, Schauvliege S.To determine the required rate of a detomidine infusion (loading dose 5 μg kg; initial rate 12.5 μg kg hour) added to a constant infusion of methadone (0.2 mg kg; 0.05 mg kg hour) for sedation in standing horses and ponies undergoing elective surgeries with appropriate local anaesthetic techniques. Methods: Prospective, clinical study. Methods: Adult, healthy, client-owned, non-food-producing horses or ponies sedated for elective standing surgeries longer than 45 minutes. Methods: At baseline (in the stables before administration of sedative agents), at 10 minutes after sedation and every 5 ...
Highlights of recent clinically relevant papers.
Equine veterinary education    February 5, 2019   Volume 31, Issue 3 114-115 doi: 10.1111/eve.13054
Wright S.No abstract available
Usefulness of caudomedial-craniolateral oblique radiographic views for the diagnosis of injury to the origin of the cranial cruciate ligament in two horses.
Journal of the American Veterinary Medical Association    February 5, 2019   Volume 254, Issue 4 508-511 doi: 10.2460/javma.254.4.508
Aldrich ED, Goodrich LR, Contino EK, Kawcak CE, Barrett MF, King MR, Valdés-Martínez A.CASE DESCRIPTION A 12-year-old mixed-breed mare (horse 1) and 6-year-old Friesian gelding (horse 2) were examined for chronic lameness associated with the stifle joint. CLINICAL FINDINGS Lameness examination revealed effusion of the right (horse 1) or left (horse 2) femoropatellar and medial femorotibial joints and grade 3/5 (horse 1) or 4/5 (horse 2) lameness. A diagnosis of cranial cruciate ligament (CCL) injury with associated mineralization and avulsion (horse 1) or mineralization alone (horse 2) was facilitated in both horses with a caudomedial-craniolateral oblique radiographic view obta...
Plasma transfusions in horses with typhlocolitis/colitis.
The Canadian veterinary journal = La revue veterinaire canadienne    February 2, 2019   Volume 60, Issue 2 193-196 
Arroyo LG, Sears W, Gomez DE.The outcome of treatment of horses with plasma for typhlocolitis/colitis at the Ontario Veterinary College-Health Sciences Centre was evaluated. Horses with typhlocolitis/colitis that received a plasma transfusion had higher odds of dying than did non-transfused horses. The clinical usefulness of transfusing plasma to hospitalized hypoproteinemic horses is questioned. . Les résultats du traitement des chevaux à l’aide de plasma pour la typhlocolite/colite au Health Sciences Centre de l’Ontario Veterinary College ont été évalués. Les chevaux atteints de typhlocolite/colite qui avaient...
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