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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.
Pulsed inhaled nitric oxide improves arterial oxygenation in colic horses undergoing abdominal surgery.
Veterinary anaesthesia and analgesia    April 17, 2017   Volume 44, Issue 5 1139-1148 doi: 10.1016/j.vaa.2016.11.015
Wiklund M, Granswed I, Nyman G.To evaluate the effect of pulsed inhaled nitric oxide (INO) on arterial oxygenation in horses during abdominal surgery. Methods: Prospective, randomized, clinical trial. Methods: Thirty horses that underwent abdominal surgery at the University Animal Hospital in Uppsala, Sweden. Methods: Anaesthesia was induced according to a standard protocol - romifidine, butorphanol, diazepam and ketamine and maintained with isoflurane in oxygen. Fifteen horses were administered pulsed INO and 15 served as controls. After baseline data collection, pulsed INO delivery commenced. Arterial and venous blood wer...
Building an Oral Endoscope for Use in Equine Oral Examination and Treatment.
Journal of veterinary dentistry    April 10, 2017   Volume 34, Issue 1 30-35 doi: 10.1177/0898756417702146
Dotzel AR, Baratt RM.The use of oral endoscopy can be very beneficial in that it helps the clinician to perform a more thorough oral examination. However, due to the high cost, most commercially available equine oral endoscopy systems have been out of reach for clinicians who practice equine dentistry outside a large hospital setting. This article details how to set up an oral endoscopy system that can be used on equine patients either in an ambulatory practice or in a hospital setting. The system is more cost-effective than most other systems currently on the market without sacrificing functionality or image qual...
Maxillary nerve blocks in horses: an experimental comparison of surface landmark and ultrasound-guided techniques.
Veterinary anaesthesia and analgesia    April 6, 2017   Volume 44, Issue 4 951-958 doi: 10.1016/j.vaa.2016.09.005
Stauffer S, Cordner B, Dixon J, Witte T.The aim of this preliminary proof-of-concept study was to evaluate and compare the success and complication rate of infiltration of the maxillary nerve of cadaver heads using previously described surface landmarks, standard ultrasound and a novel needle guidance positioning ultrasound system (SonixGPS). Methods: Prospective, anatomical, method-comparison study. Methods: Thirty-eight equine cadaver heads. Methods: Twenty-six veterinary students performed the three methods consecutively on cadaver heads using an 18 gauge, 8.9 cm spinal needle and 0.5 mL iodinated contrast medium. Computed tomog...
Effect of detomidine or romifidine constant rate infusion on plasma lactate concentration and inhalant requirements during isoflurane anaesthesia in horses.
Veterinary anaesthesia and analgesia    March 30, 2017   Volume 44, Issue 3 473-482 doi: 10.1016/j.vaa.2016.01.002
Niimura Del Barrio MC, Bennett RC, Hughes JML.Influence of detomidine or romifidine constant rate infusion (CRI) on plasma lactate concentration and isoflurane requirements in horses undergoing elective surgery. Methods: Prospective, randomised, blinded, clinical trial. Methods: A total of 24 adult healthy horses. Methods: All horses were administered intramuscular acepromazine (0.02 mg kg) and either intravenous detomidine (0.02 mg kg) (group D), romifidine (0.08 mg kg) (group R) or xylazine (1.0 mg kg) (group C) prior to anaesthesia. Group D was administered detomidine CRI (10 μg kg hour) in lactated Ringer's solution (LRS), group...
Equine Pharmacology.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 xi doi: 10.1016/j.cveq.2017.01.001
Magdesian KG.No abstract available
Inhalation Therapy in Horses.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 29-46 doi: 10.1016/j.cveq.2016.11.007
Cha ML, Costa LR.This article discusses the benefits and limitations of inhalation therapy in horses. Inhalation drug therapy delivers the drug directly to the airways, thereby achieving maximal drug concentrations at the target site. Inhalation therapy has the additional advantage of decreasing systemic side effects. Inhalation therapy in horses is delivered by the use of nebulizers or pressured metered dose inhalers. It also requires the use of a muzzle or nasal mask in horses. Drugs most commonly delivered through inhalation drug therapy in horses include bronchodilators, antiinflammatories, and antimicrobi...
Therapeutics for Equine Gastric Ulcer Syndrome.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 141-162 doi: 10.1016/j.cveq.2016.11.004
Zavoshti FR, Andrews FM.Equine gastric ulcer syndrome (EGUS) is an umbrella term used to describe ulcers in the nonglandular squamous and glandular mucosa, terminal esophagus, and proximal duodenum. Gastric ulcers in the squamous and glandular regions occur more often than esophageal or duodenal ulcers and likely have a different pathogenesis. At present, omeprazole is accepted globally as the best pharmacologic therapy for both regions of the stomach; however, the addition of coating agents and synthetic prostaglandins could add to its effectiveness in treatment of EGUS. Dietary and environmental management are nece...
Compounding of Veterinary Drugs for Equine Practitioners.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 213-225 doi: 10.1016/j.cveq.2016.12.003
Stanley SD, Moffitt K, Wiebe V.Equine practitioners should follow these recommendations when using compounded medications: (1) the decision must be veterinary driven, based on a valid veterinarian-client-patient relationship and on evidence-based medicine; (2) compliance with the Animal Medicinal Drug Use Clarification Act of 1994; and (3) use limited to (a) horses for which no other method or route of drug delivery is practical; (b) those drugs for which safety, efficacy, and stability have been demonstrated; or (c) disease conditions for which a quantifiable response to therapy or drug concentration can be monitored.
Antimicrobial Pharmacology for the Neonatal Foal.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 47-65 doi: 10.1016/j.cveq.2016.12.004
Magdesian KG.Neonatal foals are at high risk of developing sepsis, which can be life-threatening. Early antimicrobial use is a critical component of the treatment of sepsis. Because the neonatal foal has unique pharmacologic physiology, antimicrobial choice and dosing are often different than in adult horses. Broad-spectrum, bactericidal, and intravenous antimicrobials should be considered first-line therapy for septic foals. A combination of aminoglycoside and beta-lactam antimicrobial or third-generation cephalosporin is an excellent empirical first choice for treating septic foals, until culture and sus...
Pain Management in Horses.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 181-211 doi: 10.1016/j.cveq.2016.11.006
Guedes A.There has been great progress in the understanding of basic neurobiologic mechanisms of pain, but this body of knowledge has not yet translated into new and improved analgesics. Progress has been made regarding pain assessment in horses, but more work is needed until sensitive and accurate pain assessment tools are available for use in clinical practice. This review summarizes and updates the knowledge concerning the cornerstones of pain medicine (understand, assess, prevent, and treat). It highlights the importance of understanding pain mechanisms and expressions to enable a rational approach...
Safety in equine practice.
The Veterinary record    March 18, 2017   Volume 180, Issue 11 286 doi: 10.1136/vr.j1294
Butterworth J.No abstract available
Highlights of recent clinically relevant papers.
Equine veterinary education    March 5, 2017   Volume 29, Issue 4 178-179 doi: 10.1111/eve.12743
Wright S.No abstract available
Laparoscopic cryptorchidectomy with a vessel-sealing device in dorsal recumbent horses: 43 cases.
Veterinary surgery : VS    March 3, 2017   Volume 46, Issue 4 559-565 doi: 10.1111/vsu.12624
Bracamonte JL, Thomas KL.To document laparoscopic cryptorchidectomy with a vessel-sealing device in dorsal recumbent horses. Methods: Retrospective study. Methods: Forty-three male horses. Methods: Food was withheld for 36 hours before horses were placed under general anesthesia and positioned in dorsal recumbency. One laparoscopic portal and 2 instrument portals were placed for the laparoscopic procedure. A third instrument portal was created in bilateral cryptorchid horses. A vessel-sealing device was used for hemostasis and transection of retained testes. Descended testes were removed via closed castration with pri...
Right ventricular function during acute exacerbation of severe equine asthma.
Equine veterinary journal    March 2, 2017   Volume 49, Issue 5 603-608 doi: 10.1111/evj.12675
Decloedt A, Borowicz H, Slowikowska M, Chiers K, van Loon G, Niedzwiedz A.Pulmonary hypertension has been described in horses with severe equine asthma, but its effect on the right ventricle has not been fully elucidated. Objective: To evaluate right ventricular structure and function after a 1-week period of pulmonary hypertension secondary to acute exacerbation of severe equine asthma. Methods: Prospective study. Methods: A clinical episode of severe equine asthma was induced experimentally in six susceptible horses. Examinations in remission and on day 7 of the clinical episode included a physical examination with clinical scoring, echocardiography, arterial bloo...
Clinical study evaluating the accuracy of injecting the distal tarsal joints in the horse.
Equine veterinary journal    February 28, 2017   Volume 49, Issue 5 668-672 doi: 10.1111/evj.12667
Seabaugh KA, Selberg KT, Mueller POE, Eggleston RB, Peroni JF, Claunch KM, Markwell HJ, Baxter GM.Osteoarthritis (OA) of the centrodistal (CD) and tarsometatarsal (TMT) joints is a common cause of lameness in horses. Intra-articular diagnostic anaesthesia and/or therapeutic injection are relied upon to help diagnose and treat many horses with OA of these joints. Objective: The objective of this study was to determine the accuracy of arthrocentesis of the CD and TMT joints using a sample population of equine surgeons and surgery residents. Methods: Randomised experimental study. Methods: Six operators each injected four CD and four TMT joints in 12 sedated horses. The operators were randoml...
Gastrointestinal Pharmacology.
Handbook of experimental pharmacology    February 27, 2017   Volume 239 147-176 doi: 10.1007/164_2016_119
Saps M, Miranda A.There is little evidence for most of the medications currently used to treat functional abdominal pain disorders (FAPDs) in children. Not only are there very few clinical trials, but also most have significant variability in the methods used and outcomes measured. Thus, the decision on the most appropriate pharmacological treatment is frequently based on adult studies or empirical data. In children, peppermint oil, trimebutine, and drotaverine have shown significant benefit compared with placebo, each of them in a single randomized clinical trial. A small study found that cyproheptadine was be...
Nerve stimulation-guided thoracolumbar paravertebral block for flank laparotomy in a horse.
Veterinary anaesthesia and analgesia    February 23, 2017   Volume 44, Issue 1 187-188 doi: 10.1111/vaa.12382
Santos LC, Gallacher K.No abstract available
Gingival Fibrosarcoma in a Horse.
Journal of veterinary dentistry    February 22, 2017   Volume 33, Issue 4 243-248 doi: 10.1177/0898756417690845
Horbal A, Dixon PM.A 4-year-old thoroughbred cross mare was referred to the University of Edinburgh Veterinary School Equine Hospital for treatment of a soft tissue tumor on the buccal gingival margin of the rostral right maxillary cheek teeth. The lesion was initially surgically excised and diagnosed as a fibrosarcoma via histopathology. Adjunctive treatment with intralesional cisplatin chemotherapy was begun. The tumor recurred and was repeatedly treated with intralesional cisplatin injections and additional surgical resection over the course of 14 weeks. Despite the initial poor response to treatment, no furt...
Translational Research for Occupational Therapy: Using SPRE in Hippotherapy for Children with Developmental Disabilities.
Occupational therapy international    February 19, 2017   Volume 2017 2305402 doi: 10.1155/2017/2305402
Weissman-Miller D, Miller RJ, Shotwell MP.Translational research is redefined in this paper using a combination of methods in statistics and data science to enhance the understanding of outcomes and practice in occupational therapy. These new methods are applied, using larger data and smaller single-subject data, to a study in hippotherapy for children with developmental disabilities (DD). The Centers for Disease Control and Prevention estimates DD affects nearly 10 million children, aged 2-19, where diagnoses may be comorbid. Hippotherapy is defined here as a treatment strategy in occupational therapy using equine movement to achieve...
Prognostic Value and Development of a Scoring System in Horses With Systemic Inflammatory Response Syndrome.
Journal of veterinary internal medicine    February 16, 2017   Volume 31, Issue 2 582-592 doi: 10.1111/jvim.14670
Roy MF, Kwong GP, Lambert J, Massie S, Lockhart S.Despite its widespread use in equine medicine, the clinical value of the systemic inflammatory response syndrome (SIRS) concept in horses remains unknown. Objective: To study the prognostic value of measures of SIRS in horses and identify the best model of severe SIRS to predict outcome. Methods: A total of 479 consecutive adult horse emergency admissions to a private primary referral practice. Methods: Prospective observational study. All adult horses admitted for emergency treatment over the study period were included. Multivariate logistic regression and stepwise model selection were used. ...
Practice-based equine CPD.
The Veterinary record    February 12, 2017   Volume 180, Issue 6 158 doi: 10.1136/vr.j721
No abstract available
Can the quality and clinical relevance of Equine Veterinary Journal publications be improved? A time for reflection and refinement.
Equine veterinary journal    February 9, 2017   Volume 49, Issue 2 135-137 doi: 10.1111/evj.12660
Muir WW.No abstract available
Therapeutics for Equine Endocrine Disorders.
The Veterinary clinics of North America. Equine practice    February 9, 2017   Volume 33, Issue 1 127-139 doi: 10.1016/j.cveq.2016.11.003
Durham AE.Equine endocrine disease is commonly encountered by equine practitioners. Pituitary pars intermedia dysfunction (PPID) and equine metabolic syndrome (EMS) predominate. The most logical therapeutic approach in PPID uses dopamine agonists; pergolide mesylate is the most common. Bromocryptine and cabergoline are alternative drugs with similar actions. Drugs from other classes have a poor evidence basis, although cyproheptadine and trilostane might be considered. EMS requires management changes as the primary approach; reasonable justification for use of drugs such as levothyroxine and metformin m...
Nonsteroidal Anti-inflammatory Drug Use in Horses.
The Veterinary clinics of North America. Equine practice    February 9, 2017   Volume 33, Issue 1 1-15 doi: 10.1016/j.cveq.2016.11.001
Knych HK.Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective anti-inflammatory and analgesic agents and are arguably the most commonly used class of drugs in equine medicine. This article provides a brief review of the mechanism of action, therapeutic uses, pharmacokinetics, and adverse effects associated with their use in horses. The use of COX-2 selective NSAIDs in veterinary medicine has increased over the past several years and special emphasis is given to the use of these drugs in horses. A brief discussion of the use of NSAIDs in performance horses is also included.
Laparoscopic nephrosplenic space ablation with barbed suture in eight horses.
Journal of the American Veterinary Medical Association    February 7, 2017   Volume 250, Issue 4 431-436 doi: 10.2460/javma.250.4.431
Gandini M, Nannarone S, Giusto G, Pepe M, Comino F, Caramello V, Gialletti R.CASE DESCRIPTION 8 horses (5 geldings and 3 mares) were evaluated for laparoscopic closure of the nephrosplenic space following a history of recurrent left dorsal displacement of the large colon. CLINICAL FINDINGS All horses underwent a physical examination and routine clinicopathologic testing. Transrectal palpation and transabdominal ultrasonography were performed to exclude the presence of organs in the left paralumbar region. TREATMENT AND OUTCOME A left flank laparoscopic approach with the horses standing was used. A continuous suture was placed in a craniocaudal direction between the ren...
Cleaning with a wet sterile gauze significantly reduces contamination of sutures, instruments, and surgical gloves in an ex-vivo pelvic flexure enterotomy model in horses. Giusto G, Tramuta C, Caramello V, Comino F, Nebbia P, Robino P, Singer E, Grego E, Gandini M.The objective of this study was to investigate whether cleaning surgical materials used to close pelvic flexure enterotomies with a wet sterile gauze will reduce contamination and whether the use of a full thickness appositional suture pattern (F) or a partial thickness inverting (or Cushing) suture pattern (C) would make a difference in the level of contamination. Large colon specimens were assigned to group F or C and divided into subgroups N and G. In group G, a wet sterile gauze was passed over the suture material, another over the instruments, and another over the gloves. In group N, no t...
Effect of fluid media on the mechanical properties of continuous pattern-ending surgeon’s, square, and Aberdeen knots in vitro.
Veterinary surgery : VS    February 2, 2017   Volume 46, Issue 2 306-315 doi: 10.1111/vsu.12627
Coleridge M, Gillen AM, Farag R, Hanson RR, Munsterman AS.To investigate the knot holding capacity (KHC) of pattern-ending square, surgeon's and Aberdeen knots each tied in 4 throw combinations using large gauge suture after exposure to media commonly found in equine abdominal surgery. Methods: In vitro mechanical study. Methods: Knotted suture strands (n = 10/group). Methods: Strands of 2 polydioxanone or 3 polyglactin 910 were exposed to 1 of 4 media for 15 minutes. Control suture strands remained dry. Media used included balanced electrolyte solution, 1% sodium carboxymethylcellulose, equine serum, or equine fat. Pattern-ending knots for the 3...
Measured and calculated variables of global oxygenation in healthy neonatal foals.
American journal of veterinary research    February 1, 2017   Volume 78, Issue 2 230-238 doi: 10.2460/ajvr.78.2.230
Wong DM, Hepworth-Warren KL, Sponseller BT, Howard JM, Wang C.OBJECTIVE To assess multiple central venous and arterial blood variables that alone or in conjunction with one another reflect global oxygenation status in healthy neonatal foals. ANIMALS 11 healthy neonatal foals. PROCEDURES Central venous and arterial blood samples were collected from healthy neonatal foals at 12, 24, 36, 48, 72, and 96 hours after birth. Variables measured from central venous and arterial blood samples included oxygen saturation of hemoglobin, partial pressure of oxygen, lactate concentration, partial pressure of carbon dioxide, and pH. Calculated variables included venous-...
An open trial of equine-assisted therapy for children exposed to problematic parental substance use.
Health & social care in the community    February 1, 2017   Volume 25, Issue 3 1247-1256 doi: 10.1111/hsc.12427
Tsantefski M, Briggs L, Griffiths J, Tidyman A.Children exposed to problematic parental substance use (PPSU) often face a number of deleterious developmental outcomes, yet these children are less likely to become known to child protection and welfare services. Although there is a growing evidence base for equine-assisted therapy (EAT) as an effective treatment modality for atypically developing children and adolescents, scant research has explored the benefit of EAT for children exposed to PPSU. The current study is the first to explore the benefit of EAT for children exposed to PPSU in Victoria, Australia. Five 12-week EAT programmes were...
Evaluation of a Chemiluminescent Immunoassay for Measurement of Equine Insulin.
Journal of veterinary internal medicine    January 26, 2017   Volume 31, Issue 2 568-574 doi: 10.1111/jvim.14657
Carslake HB, Pinchbeck GL, McGowan CM.Many diagnostic tests for insulin dysregulation use reference intervals established with an insulin radioimmunoassay (RIA) that is no longer available. A chemiluminescent immunoassay (CLIA) is commonly used for the measurement of serum insulin concentration in clinical practice but requires further validation, especially at clinically relevant reference intervals. Objective: To evaluate the CLIA for measurement of equine insulin and compare it to the previously validated, but now unavailable RIA. Methods: Equine serum samples (n = 78) from clinical and experimental studies. Methods: In this ex...
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