Fluid therapy in horses: how much is too much?
Abstract: No abstract available
Publication Date: 2021-10-16 PubMed ID: 34651870DOI: 10.1002/vetr.164Google Scholar: Lookup
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Summary
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This research investigated two fluid therapy strategies in horses undergoing surgery for a strangulated small intestine to understand their responses and to identify a technique that minimizes costs and possible harmful effects.
Objective of the Research
- The researchers wanted to study the effects of fluid therapy, a vital treatment method for conditions like dehydration, maldistributive shock, and systemic inflammatory response syndrome commonly seen in colic horses.
- The aim was to compare the responses to a traditional approach of fluid therapy and a lower rate of fluid infusion to identify any differences and subsequently establish safe and effective fluid therapy doses.
Reason for the Research
- Given fluid therapy’s importance, it is necessary to ascertain a balance that avoids wastage, reduces costs, and mitigates possible adverse effects. The cost becomes a significant factor as fluids account for substantial expenses in colic horse treatment.
- Without clear guidelines on fluid therapy rate, horses often receive a large bolus or maximum flow. However, this approach’s effectiveness is gauged by basic clinical and lab-based efficacy indicators.
Challenges in Fluid Therapy
- Administering the required amount of fluids to a horse, given their large size, poses challenges. This issue has been tackled with the advent of systems that can efficiently deliver sterile fluids quickly from 5-litre bags.
- The fluids used in surgery can also attend to the horse’s postoperative maintenance needs, especially in horses with postoperative reflux, leading to significant fluid loss.
Implications of the Research
- This research can drive the veterinary community to establish guidelines on fluid therapy rates for horses, ensuring that the treatment is both cost-effective and medically efficient.
- It can shed light on the dosing balance that can potentially help in preventing horses from being deprived of much-needed surgical treatments due to higher costs associated with fluid usage.
Cite This Article
APA
Freeman DE.
(2021).
Fluid therapy in horses: how much is too much?
Vet Rec, 188(3), 103-105.
https://doi.org/10.1002/vetr.164 Publication
Researcher Affiliations
- Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
MeSH Terms
- Animals
- Fluid Therapy / veterinary
- Horse Diseases / therapy
- Horses
References
This article includes 25 references
- Giusto G, Vercelli C, Gandini M. Comparison of liberal and goal-directed fluid therapy after small intestinal surgery for strangulating lesions in horses.. Vet Rec 2021.
- Bates A, Whiting M, Witte TH. The changing costs of hospital treatment for colic: a preliminary audit 2003–2013.. Equine Vet J 2014;46 Suppl 47:22.
- Archer DC. Colic surgery: keeping it affordable for horse owners.. Vet Rec 2019.
- Muir WM, Kijtawornrat A, Ueyama Y. Effects of intravenous administration of lactated Ringer’s solution on hematologic, serum biochemical, rheological, hemodynamic and renal measurements in healthy isoflurane-anaesthetised dogs.. J Am Vet Med Assoc 2011;239:630–7.
- Hassel DM. Fluid therapy for gastrointestinal disease.. In: Fielding CL, Magdesian KG, eds. Equine Fluid Therapy. New York: John Wiley and Sons, 2015:206–19.
- Lefebvre D, Hudson NP, Elce YA. Clinical features and management of equine postoperative ileus (POI): survey of diplomates of the American Colleges of Veterinary Internal Medicine (ACVIM), Veterinary Surgeons (ACVS) and Veterinary Emergency and Critical Care (ACVECC).. Equine Vet J 2016;48:714–9.
- Lefebvre D, Pirie RS, Handel IG. Clinical features and management of equine postoperative ileus (POI): survey of diplomates of the European Colleges of Equine Internal Medicine (ECEIM) and Veterinary Surgeons (ECVS).. Equine Vet J 2016;48:182–7.
- Freeman DE, Mooney A, Giguère S. Effect of feed deprivation on daily water consumption in healthy horses.. Equine Vet J 2020.
- Brandstrup B, T⊘nnesen H, Beier-Holgersen R. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomised assessor-blinded multicenter trial.. Ann Surg 2003;238:641–8.
- Holte K, Sharrock NE, Kehlet H. Pathophysiology and clinical implications of perioperative fluid excess.. Br J Anaesth 2002;89:622–32.
- Marik PE, Lemson J. Fluid responsiveness: an evolution of our understanding.. Br J Anaesth 2014;112:617–20.
- Kasirer-Izraely H, Choshniak I, Shkolnik A. Dehydration and rehydration in donkeys: the role of the hind gut as a water reservoir.. J Basic Clin Physiol Pharmacol 1994;5:89–100.
- Sneddon JC, Van Der Walt J, Mitchell G. Effect of dehydration on the volumes of body fluid compartments in horses.. J Arid Environ 1993;24:397–408.
- Loflin R, Winters ME. Fluid resuscitation in severe sepsis.. Emerg Med Clin N Am 2017;35:59–74.
- Prien T, Backhaus N, Pelster F. Effect of intraoperative fluid administration and colloid osmotic pressure on the formation of an intestinal edema during gastrointestinal surgery.. J Clin Anesth 1990;2:317–23.
- Shah SK, Uray KS, Stewart RH. Resuscitation-induced intestinal edema and related dysfunction: state of the science.. J Surg Res 2011;166:120–30.
- Shah SK, Moore-Olufemi SD, Uray KS. A murine model for the study of edema induced intestinal contractile dysfunction.. Neurogastroenterol Motil 2010;22:1132–90.
- Ribeiro Jr MA, Epstein MG, Alves LD. Volume replacement in trauma.. Turk J Trauma Emerg Surg 2009;15:311–6.
- Tasker JB. Fluid and electrolyte studies in the horse: III. Intake and output of water, sodium and potassium in normal horses.. Cornell Vet 1967;57:649–57.
- Lester GD, Merritt AM, Kuck HV. Systemic, renal and colonic effects of intravenous and enteral rehydration in horses.. J Vet Intern Med 2013;27:554–66.
- Schott H, Wuger C, Rossetto JR. Intravenous fluid therapy: can we do it better?. Proc Am Ass Eq Pract 2007;53:86.
- Garcia-Lopez JM, Provost PJ, Rush JE. Prevalence and prognostic importance of hypomagnesemia and hypocalcemia in horses that have colic surgery.. Am J Vet Res 2001;62:7–12.
- Lopes MA, White NA, Donaldson L. Effects of enteral and intravenous fluid therapy, magnesium sulfate and sodium sulfate on colonic contents and feces in horses.. Am J Vet Res 2004;65:695–704.
- Carlson GP, Rumbaugh GE, Harrold D. Physiologic alterations in the horse produced by food and water deprivation during periods of high environmental temperatures.. Am J Vet Res 1979;40:982–5.
- Magdesian KG. Maintenance fluid therapy in horses.. In: Fielding CL, Magdesian KG, eds. Equine Fluid Therapy. New York: John Wiley and Sons, 2015:175–89.
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