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The Veterinary clinics of North America. Equine practice2004; 20(1); 11-39; doi: 10.1016/j.cveq.2003.12.001

Monitoring the critically ill equine patient.

Abstract: Measurements of physiologic parameters, such as blood pressure or lactate concentration, are useful to detect occult derangements, such as tissue hypoxia and dysoxia. These tools are also useful in determining the effects of therapy. Monitoring techniques are now widely available for the intensive management of critically ill horses and foals. A number of these have evolved into noninvasive or minimally invasive devices and procedures and provide information that can be used for earlier and more dynamic therapeutic intervention. The goal of increased monitoring is to improve the level of care in the ICU; L ultimately. increased survival of critical patients is the motivation behind enhanced monitoring of physiology, with particular attention being paid to trends or alterations over time. This review highlights practical and informative monitoring tools and techniques and provides normal reference values from the literature.
Publication Date: 2004-04-06 PubMed ID: 15062457DOI: 10.1016/j.cveq.2003.12.001Google Scholar: Lookup
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Summary

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The research article discusses the use of physiological monitoring tools for the intensive management of critically ill horses and foals, noting how these tools can detect health issues and monitor the effects of therapy. The goal of increased monitoring is to improve care in the Intensive Care Unit and consequently improve survival rates.

Understanding Physiological Parameters

  • The study emphasizes the importance of measuring physiological parameters such as blood pressure or lactate concentration. These metrics are beneficial for detecting hidden or unnoticed health issues like tissue hypoxia and dysoxia in the equine patients.
  • The researchers note that monitoring these parameters allows veterinarians to determine the effects of therapy, thus facilitating more effective interventions and treatment strategies for ill horses and foals.

Monitoring Techniques

  • Modern monitoring techniques have become widely available and essential in the intensive management of critically ill equine patients.
  • These techniques have evolved into noninvasive or minimally invasive procedures, making it easier to gather health information from the animals without causing extensive discomfort or stress.
  • The information collected through these monitoring techniques allows for earlier and dynamic therapeutic intervention. By identifying physiological changes over time, veterinarians can apply treatments that specifically address the evolving needs of the patients and prevent further health complications.

Goal of Increased Monitoring

  • The ultimate goal of enhanced monitoring is to improve the level of care that critically ill equine patients receive in the Intensive Care Unit (ICU).
  • By providing continuous and real-time information about the animal’s physiology, veterinarians can swiftly respond to changes in the animal’s health status, ensuring they provide the most effective care possible.
  • A significant motivation for enhanced monitoring is to increase the survival rate of critically ill patients. The researchers point out that by focusing on trends or alterations over time, they can allocate appropriate therapies and interventions to prevent potential deterioration of the patients’ health.

Overview of Monitoring Tools and Techniques

  • In the review, the researchers highlight various practical and informative monitoring tools and techniques that can be utilized in the ICU for equine patients.
  • Also, they provide normal reference values based on the literature, which can be used as benchmarks to assess the health status of the patients and determine the severity of their conditions.

Cite This Article

APA
Magdesian KG. (2004). Monitoring the critically ill equine patient. Vet Clin North Am Equine Pract, 20(1), 11-39. https://doi.org/10.1016/j.cveq.2003.12.001

Publication

ISSN: 0749-0739
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 20
Issue: 1
Pages: 11-39

Researcher Affiliations

Magdesian, K Gary
  • Department of Medicine and Epidemiology, University of California at Davis, Davis, CA 95616, USA. kgmagdesian@ucdavis.edu

MeSH Terms

  • Animals
  • Blood Gas Analysis / veterinary
  • Blood Pressure
  • Critical Illness
  • Horse Diseases / diagnosis
  • Horse Diseases / physiopathology
  • Horse Diseases / therapy
  • Horses
  • Hospitals, Animal
  • Intensive Care Units / standards
  • Lactates / blood
  • Monitoring, Physiologic / instrumentation
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / veterinary
  • Oxygen Consumption
  • Reference Values
  • Urinary Catheterization / veterinary

Citations

This article has been cited 4 times.
  1. Pratt S, Barnes TS, Cowling N, de Klerk K, Rainger J, Sole-Guitart A, Woldeyohannes S, Goodwin W. Bias Associated with Peripheral Non-Invasive Compared to Invasive Arterial Blood Pressure Monitoring in Healthy Anaesthetised and Standing Horses Using the Bionet BM7Vet.. Vet Sci 2022 Jan 28;9(2).
    doi: 10.3390/vetsci9020052pubmed: 35202305google scholar: lookup
  2. Stefanik E, Drewnowska O, Lisowska B, Turek B. Causes, Effects and Methods of Monitoring Gas Exchange Disturbances during Equine General Anaesthesia.. Animals (Basel) 2021 Jul 9;11(7).
    doi: 10.3390/ani11072049pubmed: 34359177google scholar: lookup
  3. Tuplin MC, Romero AE, Boysen SR. Influence of the Respiratory Cycle on Caudal Vena Cava Diameter Measured by Sonography in Healthy Foals: A Pilot Study.. J Vet Intern Med 2017 Sep;31(5):1556-1562.
    doi: 10.1111/jvim.14793pubmed: 28766820google scholar: lookup
  4. Heliczer N, Lorello O, Casoni D, Navas de Solis C. Accuracy and Precision of Noninvasive Blood Pressure in Normo-, Hyper-, and Hypotensive Standing and Anesthetized Adult Horses.. J Vet Intern Med 2016 May;30(3):866-72.
    doi: 10.1111/jvim.13928pubmed: 27059803google scholar: lookup