Analyze Diet

Comparison of the oral and rectal mucosal and colonic serosal microcirculations of healthy, anesthetized horses.

Abstract: The objectives of the study were to: i) determine baseline microvascular perfusion indices (MPI) and assess their repeatability in healthy horses under general anesthesia, and ii) compare the MPIs of 3 microvascular beds (oral mucosa, colonic serosa, and rectal mucosa). Healthy adult horses were anesthetized and sidestream dark field microscopy was used to collect video loops of the oral mucosa, rectal mucosa, and colonic serosa under normotensive conditions without cardiovascular support drugs; videos were later analyzed to produce MPIs. Baseline MPI values were determined for each site, which included the total vessel density (TVD), perfused vessel density (PVD), portion perfused vessels (PPV), and microcirculatory flow index (MFI). Differences in MPIs between microvascular beds were not statistically significant. Repeatability of the measurements varied for each MPI. In particular, the site of sampling had a profound effect on the repeatability of the PPV measurements and should be considered in future studies. Les objectifs de cet étude étaient: i) de déterminer les indices de perfusion microvasculaires (IPM) de base et évaluer leur répétabilité chez les chevaux en bonne santé sous anesthésie générale, et ii) de comparer les IPMs de trois lits microvasculaires (muqueuse orale, séreuse du colon, et muqueuse rectale). Des chevaux adultes en bonne santé ont été anesthésiés et une unité de microscopie au champ sombre a été utilisée pour recueillir des boucles vidéo de la muqueuse buccale, de la muqueuse rectale, et de la séreuse du colon sous des conditions de tension artérielle normale. Les vidéos ont été analysées pour produire les IPMs, incluant la densité totale des vaisseaux, la densité des vaisseaux perfusés, la portion des vaisseaux perfusés, et l’index de flux microcirculaire. Pour chaque IPM, les différences entre les sites anatomiques n’étaient pas significatives statistiquement. La répétabilité des mesures variait pour chaque IPM. En particulier, le type de lit microvasculaire a une influence profonde sur la répétabilité des mesures.(Traduit par les auteurs).
Publication Date: 2018-02-01 PubMed ID: 29382969PubMed Central: PMC5764044
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Comparative Study
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research focuses on comparing the microvascular perfusion and its repeatability in three different areas of the body (oral mucosa, colonic serosa and rectal mucosa) in healthy, anesthetized horses. The results found no significant difference in microvascular perfusion between the three areas and informed that repeatability varied between measurements.

Study Objectives

  • The primary aim of this research was to establish baseline microvascular perfusion indices (MPI) for healthy anesthetized horses and to assess the repeatability of these measurements.
  • The researchers also sought to compare MPIs from three different microvascular beds including the oral mucosa, the colonic serosa, and the rectal mucosa in anesthetized horses.

Methodology

  • Adult horses in good health were anesthetized as part of the process, and their blood flow was maintained under normotensive conditions without the use of cardiovascular support drugs.
  • The research utilized sidestream dark field microscopy, a specialized method for visualizing the microcirculation, to collect video loops from the three specified locations in these anesthetized horses.
  • These video loops then were analysed to produce MPIs.

Microvascular Perfusion Indices

  • The team considered four main MPI variables. These were total vessel density (TVD), perfused vessel density (PVD), and the fraction of perfused vessels (PPV).
  • Another index was the microcirculatory flow index (MFI), a measurement that provides an assessment of the blood flow at the microvascular level.
  • For each test site, these MPIs were calculated, providing a snapshot of the microcirculation within these tissues.

Study Findings

  • Statistical analysis revealed no significant differences in the different MPIs between the different microvascular beds being measured.
  • However, the repeatability of the measurements varied depending on the MPI. This suggests that while the baseline measurements are statistically similar, how closely subsequent measurements might match can vary.
  • The location of the sample had a significant impact on the repeatability of the PPV measurements, which must be taken into account in future studies to ensure the reliability of data.

Cite This Article

APA
Kieffer PJ, Williams JM, Shepard MK, Giguère S, Epstein KL. (2018). Comparison of the oral and rectal mucosal and colonic serosal microcirculations of healthy, anesthetized horses. Can J Vet Res, 82(1), 55-59.

Publication

ISSN: 1928-9022
NlmUniqueID: 8607793
Country: Canada
Language: English
Volume: 82
Issue: 1
Pages: 55-59

Researcher Affiliations

Kieffer, Philip J
  • Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA (Kieffer, Williams, Giguère, Epstein); MedVet Medical & Cancer Centers for Pets, Chicago, Illinois, USA (Shepard).
Williams, Jarred M
  • Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA (Kieffer, Williams, Giguère, Epstein); MedVet Medical & Cancer Centers for Pets, Chicago, Illinois, USA (Shepard).
Shepard, Molly K
  • Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA (Kieffer, Williams, Giguère, Epstein); MedVet Medical & Cancer Centers for Pets, Chicago, Illinois, USA (Shepard).
Giguère, Steeve
  • Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA (Kieffer, Williams, Giguère, Epstein); MedVet Medical & Cancer Centers for Pets, Chicago, Illinois, USA (Shepard).
Epstein, Kira L
  • Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA (Kieffer, Williams, Giguère, Epstein); MedVet Medical & Cancer Centers for Pets, Chicago, Illinois, USA (Shepard).

MeSH Terms

  • Anesthesia, General / veterinary
  • Animals
  • Blood Pressure
  • Colon / blood supply
  • Female
  • Horses / physiology
  • Intestinal Mucosa / blood supply
  • Male
  • Microcirculation
  • Mouth Mucosa / blood supply
  • Rectum / blood supply
  • Video Recording

References

This article includes 30 references
  1. Jacob M, Chappell D. Reappraising Starling: the physiology of the microcirculation.. Curr Opin Crit Care 2013 Aug;19(4):282-9.
    pubmed: 23743590doi: 10.1097/mcc.0b013e3283632d5egoogle scholar: lookup
  2. Mohrman DE, Heller LJ. Vascular control. 2006;pp. 205–222.
  3. Boerma EC, Kuiper MA, Kingma WP, Egbers PH, Gerritsen RT, Ince C. Disparity between skin perfusion and sublingual microcirculatory alterations in severe sepsis and septic shock: a prospective observational study.. Intensive Care Med 2008 Jul;34(7):1294-8.
    pmc: PMC2480600pubmed: 18317733doi: 10.1007/s00134-008-1007-xgoogle scholar: lookup
  4. Boerma EC, van der Voort PH, Spronk PE, Ince C. Relationship between sublingual and intestinal microcirculatory perfusion in patients with abdominal sepsis.. Crit Care Med 2007 Apr;35(4):1055-60.
  5. Edul VS, Enrico C, Laviolle B, Vazquez AR, Ince C, Dubin A. Quantitative assessment of the microcirculation in healthy volunteers and in patients with septic shock.. Crit Care Med 2012 May;40(5):1443-8.
    pubmed: 22430243doi: 10.1097/ccm.0b013e31823dae59google scholar: lookup
  6. Edul VK, Ferrara G, Dubin A. Microcirculatory dysfunction in sepsis.. Endocr Metab Immune Disord Drug Targets 2010 Sep;10(3):235-46.
    pubmed: 20597846doi: 10.2174/187153010791936847google scholar: lookup
  7. Edul VS, Ince C, Vazquez AR, Rubatto PN, Espinoza ED, Welsh S, Enrico C, Dubin A. Similar Microcirculatory Alterations in Patients with Normodynamic and Hyperdynamic Septic Shock.. Ann Am Thorac Soc 2016 Feb;13(2):240-7.
  8. Goodnight ME, Cooper ES, Butler AL. Assessment of microcirculatory perfusion in healthy anesthetized cats undergoing ovariohysterectomy using sidestream dark field microscopy.. J Vet Emerg Crit Care (San Antonio) 2015 May-Jun;25(3):349-57.
    pubmed: 25736201doi: 10.1111/vec.12296google scholar: lookup
  9. Hurcombe SD, Welch BR, Williams JM, Cooper ES, Russell D, Mudge MC. Dark-field microscopy in the assessment of large colon microperfusion and mucosal injury in naturally occurring surgical disease of the equine large colon.. Equine Vet J 2014 Nov;46(6):674-80.
    pubmed: 24164428doi: 10.1111/evj.12202google scholar: lookup
  10. Klijn E, Den Uil CA, Bakker J, Ince C. The heterogeneity of the microcirculation in critical illness.. Clin Chest Med 2008 Dec;29(4):643-54, viii.
    pubmed: 18954699doi: 10.1016/j.ccm.2008.06.008google scholar: lookup
  11. Kuiper JW, Tibboel D, Ince C. The vulnerable microcirculation in the critically ill pediatric patient.. Crit Care 2016 Oct 30;20(1):352.
    pmc: PMC5086412pubmed: 27794361doi: 10.1186/s13054-016-1496-xgoogle scholar: lookup
  12. Mohrman DE, Heller LJ. Cardiovascular function in pathologic situations. 2006;pp. 205–222.
  13. Kieffer PK, Epstein KE, Williams JM. Heterogeneity of the equine microcirculation. Proceedings of the 32nd World Veterinary Congress Istanbul, Turkey. 2015.
  14. Erdem Ö, Kuiper JW, Tibboel D. Hemodynamic coherence in critically ill pediatric patients.. Best Pract Res Clin Anaesthesiol 2016 Dec;30(4):499-510.
    pubmed: 27931653doi: 10.1016/j.bpa.2016.10.002google scholar: lookup
  15. Trzeciak S, Dellinger RP, Parrillo JE, Guglielmi M, Bajaj J, Abate NL, Arnold RC, Colilla S, Zanotti S, Hollenberg SM. Early microcirculatory perfusion derangements in patients with severe sepsis and septic shock: relationship to hemodynamics, oxygen transport, and survival.. Ann Emerg Med 2007 Jan;49(1):88-98, 98.e1-2.
  16. Hallowell GD, Lethbridge K, Croxford A, Bowen IM. Assessment and reliability of measuring microvascular perfusion in normal adult conscious horses. J Vet Intern Med 2013;27:648–649.
  17. Peruski AM, Cooper ES. Assessment of microcirculatory changes by use of sidestream dark field microscopy during hemorrhagic shock in dogs.. Am J Vet Res 2011 Apr;72(4):438-45.
    pubmed: 21453143doi: 10.2460/ajvr.72.4.438google scholar: lookup
  18. Peruski AM, Cooper ES, Butler AL. Microcirculatory effects of a hyperviscous hemoglobin-based solution administered intravenously in dogs with experimentally induced hemorrhagic shock.. Am J Vet Res 2014 Jan;75(1):77-84.
    pubmed: 24370249doi: 10.2460/ajvr.75.1.77google scholar: lookup
  19. Silverstein DC, Pruett-Saratan A 2nd, Drobatz KJ. Measurements of microvascular perfusion in healthy anesthetized dogs using orthogonal polarization spectral imaging.. J Vet Emerg Crit Care (San Antonio) 2009 Dec;19(6):579-87.
  20. Petersen SM, Greisen G, Hyttel-Sorensen S, Hahn GH. Sidestream dark field images of the microcirculation: intra-observer reliability and correlation between two semi-quantitative methods for determining flow.. BMC Med Imaging 2014 May 6;14:14.
    pmc: PMC4031374pubmed: 24885423doi: 10.1186/1471-2342-14-14google scholar: lookup
  21. McConachie E, Barton MH, Rapoport G, Giguère S. Doppler and volumetric echocardiographic methods for cardiac output measurement in standing adult horses.. J Vet Intern Med 2013 Mar-Apr;27(2):324-30.
    pubmed: 23323806doi: 10.1111/jvim.12034google scholar: lookup
  22. De Backer D, Hollenberg S, Boerma C, Goedhart P, Büchele G, Ospina-Tascon G, Dobbe I, Ince C. How to evaluate the microcirculation: report of a round table conference.. Crit Care 2007;11(5):R101.
    pmc: PMC2556744pubmed: 17845716doi: 10.1186/cc6118google scholar: lookup
  23. Pozo MO, Kanoore Edul VS, Ince C, Dubin A. Comparison of different methods for the calculation of the microvascular flow index.. Crit Care Res Pract 2012;2012:102483.
    pmc: PMC3347715pubmed: 22593824doi: 10.1155/2012/102483google scholar: lookup
  24. Edul VS, Ince C, Navarro N, Previgliano L, Risso-Vazquez A, Rubatto PN, Dubin A. Dissociation between sublingual and gut microcirculation in the response to a fluid challenge in postoperative patients with abdominal sepsis.. Ann Intensive Care 2014;4:39.
    pmc: PMC4298674pubmed: 25625013doi: 10.1186/s13613-014-0039-3google scholar: lookup
  25. Pranskūnas A, Pilvinis V, Dambrauskas Ž, Rasimavičiūtė R, Milieškaitė E, Bubulis A, Veikutis V, Vaitkaitis D, Boerma EC. Microvascular distribution in the ocular conjunctiva and digestive tract in an experimental setting.. Medicina (Kaunas) 2012;48(8):417-23.
    pubmed: 23128462
  26. Pranskunas A, Pilvinis V, Dambrauskas Z, Rasimaviciute R, Planciuniene R, Dobozinskas P, Veikutis V, Vaitkaitis D, Boerma EC. Early course of microcirculatory perfusion in eye and digestive tract during hypodynamic sepsis.. Crit Care 2012 May 15;16(3):R83.
    pmc: PMC3580626pubmed: 22587828doi: 10.1186/cc11341google scholar: lookup
  27. Yamashita K, Tsubakishita S, Futaok S, Ueda I, Hamaguchi H, Seno T, Katoh S, Izumisawa Y, Kotani T, Muir WW. Cardiovascular effects of medetomidine, detomidine and xylazine in horses.. J Vet Med Sci 2000 Oct;62(10):1025-32.
    pubmed: 11073071doi: 10.1292/jvms.62.1025google scholar: lookup
  28. Wagner AE, Muir WW 3rd, Hinchcliff KW. Cardiovascular effects of xylazine and detomidine in horses.. Am J Vet Res 1991 May;52(5):651-7.
    pubmed: 1854087
  29. Grosenbaugh DA, Muir WW. Cardiorespiratory effects of sevoflurane, isoflurane, and halothane anesthesia in horses.. Am J Vet Res 1998 Jan;59(1):101-6.
    pubmed: 9442252
  30. Muir WW 3rd, Hubbell JA. Cardiopulmonary and anesthetic effects of ketamine and its enantiomers in dogs.. Am J Vet Res 1988 Apr;49(4):530-4.
    pubmed: 3132069

Citations

This article has been cited 5 times.
  1. Freccero F, Di Maio C, Mariella J, Lanci A, Castagnetti C, Hallowell G. Assessment of the microvascular perfusion using sidestream dark-field imaging in healthy newborn foals. Vet Med Sci 2023 Jan;9(1):158-166.
    doi: 10.1002/vms3.1051pubmed: 36524796google scholar: lookup
  2. Yozova ID, Londoño LA, Millar KK, Sano H, Weidgraaf K, Thomson NA, Munday JS. Rapid Patient-Side Evaluation of Endothelial Glycocalyx Thickness in Healthy Sedated Cats Using GlycoCheck® Software. Front Vet Sci 2021;8:727063.
    doi: 10.3389/fvets.2021.727063pubmed: 35047583google scholar: lookup
  3. Chow RS. Terms, Definitions, Nomenclature, and Routes of Fluid Administration. Front Vet Sci 2020;7:591218.
    doi: 10.3389/fvets.2020.591218pubmed: 33521077google scholar: lookup
  4. Sauter PK, Steblaj B, Kästner SBR, Söbbeler FJ, Reiners JK, Kutter APN, Bautitsta AJG, Neudeck S. Changes in microcirculation variables in an acute endotoxaemic equine model. Equine Vet J 2025 Nov;57(6):1623-1634.
    doi: 10.1111/evj.14473pubmed: 39844573google scholar: lookup
  5. Kieffer PJ, Williams JM, Shepard MK, Giguère S, Epstein KL. Effect of Hypotension and Dobutamine on Gastrointestinal Microcirculations of Healthy, Anesthetized Horses. Vet Sci 2024 Feb 19;11(2).
    doi: 10.3390/vetsci11020095pubmed: 38393113google scholar: lookup