Developments in management of the newborn foal in respiratory distress 2: Treatment.
Abstract: New developments in therapy for foals in respiratory distress are discussed. Therapy is based on preservation of the foal's life by maintenance of a patent airway, resuscitation with fluids and warmth, provision of humidified oxygen to raise the fractional concentration of inspired oxygen sufficient to avoid hypoxia and provision of ventilatory support when hypercapnia becomes critical. Ventilatory support described includes assisted and controlled ventilation, positive end expiratory pressure, continuous positive airway pressure and intermittent mandatory ventilation. The aims of these techniques are discussed together with their associated indications, disadvantages and complications. Secondary therapy includes coupage, airway hygiene, drug therapy and stress management. Knowledge of equine neonatology is limited in comparison with human neonatology. More information in basic physiology and pharmacology relating to equine neonatology is needed and the efficacy of various modes of therapy must be evaluated.
Publication Date: 1984-07-01 PubMed ID: 6383814DOI: 10.1111/j.2042-3306.1984.tb01935.xGoogle Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
- Review
Summary
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The research article discusses the recent developments in treating newborn foals experiencing respiratory distress, emphasizing maintenance of clear airway, warming, hydrating, and providing oxygen support among other techniques to ensure their survival. The paper also acknowledges that information about horse neonatology is limited when compared to humans and suggests further research is needed.
About The Study
- The objective of this study was to discuss the novel developments in the treatment of newborn foals suffering from respiratory distress.
- The study is based on a few critical principles for therapeutic care of foals, which include maintaining an open airway, resuscitation with fluids and heat, provision of humidified oxygen to avoid hypoxia, and providing respiratory support in the face of severe hypercapnia.
- Various modes of respiratory support are examined, such as controlled ventilation, positive end expiratory pressure, continuous positive airway pressure, and intermittent mandatory ventilation.
- The study also covers the purposes of these techniques and their potential downfalls and complications.
Secondary Treatment
- Moreover, extra therapy techniques like coupage, airway hygiene, different drug therapies, and stress management were also discussed.
- These techniques further cement the overall care necessary to save and stabilize foals in such critical conditions.
Knowledge Gap and Future Directions
- The article acknowledges that our understanding of equine neonatology is quite limited, especially when compared with human neonatology.
- More specific information in basic physiology and pharmacology relating to newborn foals is required to boost our ability to treat these animals.
- Lastly, the research emphasizes the need to evaluate the efficacy of the different modes of therapy being applied, thereby helping improve future treatment strategies.
Cite This Article
APA
Webb AI, Coons TJ, Koterba AM, Kosch PC.
(1984).
Developments in management of the newborn foal in respiratory distress 2: Treatment.
Equine Vet J, 16(4), 319-323.
https://doi.org/10.1111/j.2042-3306.1984.tb01935.x Publication
Researcher Affiliations
MeSH Terms
- Animals
- Animals, Newborn
- Horse Diseases / therapy
- Horses
- Humans
- Hypoventilation / therapy
- Hypoventilation / veterinary
- Hypoxia / therapy
- Hypoxia / veterinary
- Infant, Newborn
- Oxygen Inhalation Therapy / veterinary
- Respiration, Artificial / veterinary
- Respiratory Distress Syndrome, Newborn / therapy
- Respiratory Distress Syndrome, Newborn / veterinary
- Respiratory Therapy / adverse effects
- Respiratory Therapy / veterinary
- Resuscitation / veterinary
Citations
This article has been cited 2 times.- O'Connor SJ, Ousey JC, Gardner DS, Fowden AL, Giussani DA. Development of baroreflex function and hind limb vascular reactivity in the horse fetus. J Physiol 2006 Apr 1;572(Pt 1):155-64.
- O'Connor SJ, Gardner DS, Ousey JC, Holdstock N, Rossdale P, Edwards CM, Fowden AL, Giussani DA. Development of baroreflex and endocrine responses to hypotensive stress in newborn foals and lambs. Pflugers Arch 2005 Aug;450(5):298-306.
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