Respiratory studies in foals from birth to seven days old.

Respiratory measurements and blood-gas and acid-base values are reported in nine term induced foals. Measurements were performed at 2, 15, 30 and 60 mins, 4, 12, 24 and 48 h, and four and seven days after birth. Minute respiratory volume was significantly lower at birth than values from 12 h old. Tidal volume peaked at 60 mins old, while respiration rate decreased significantly at 15 mins after birth. Oxygen consumption was high at birth and decreased to its lowest values at 24 and 48 h. The respiratory exchange ratio and ventilatory equivalent showed few significant changes to seven days, as did the minute alveolar ventilation and physiological deadspace. The blood-gas and acid-base values indicated that the foals rapidly establish adequate pulmonary ventilation within minutes of birth, and that those values changed little from 12 h to seven days after birth. Body position had a significant effect on arterial oxygen tension with Pao2 values in lateral recumbency being, on average, 14 mmHg lower than when the foals were standing.

Response to oxygen administration in foals: effect of age, duration and method of administration on arterial blood gas values.

The effect of oxygen administration on blood gas values was examined in six newborn foals from birth to seven days old. Three variables were studied: the effect of increasing age on the ability to elevate arterial oxygen tension (Pao2), the effect of duration of oxygen delivery on Pao2 and the effect of method of administration. The results demonstrated a significant effect of age on the ability to increase Pao2 values, with the highest Pao2 values being found at seven days old. The duration of oxygen administration caused little change in Pao2 values; peak values were reached after 2 mins of oxygen inhalation and changed little throughout the 20 min administration. No significant differences were found in Pao2 when oxygen was administered via a face mask, compared to administration at 10 litres/min via an intranasal tube. The clinical importance of these findings is discussed, along with the factors which may be involved in the inability to elevate Pao2 in the early post natal period.

Echocardiography in foals from birth to three months old.

Simultaneous echocardiograms, phonocardiograms and electrocardiograms were performed on 16 foals at the following times after birth: 15 mins, 60 mins, 2, 4, 12, 24, 48 h, four, seven, 14 days and four, eight and 12 weeks. Positive correlations were found between both age and body weight and the following measurements: left ventricular end-diastolic dimension, right ventricular end-diastolic dimension, left atrial dimension and aortic root dimension, posterior left ventricular wall thickness and interventricular septal thickness. Heart rate was negatively correlated with left ventricular electromechanical systole, ejection time and isovolumic contraction time. Means and standard deviations are presented for 29 echocardiographic parameters and the results are discussed against the background of the transitional neonatal circulation.

The distribution of ventilation-perfusion ratios in the lungs of newborn foals.

The distributions of ventilation-perfusion ratios, and the effects of 100% oxygen administration on the distributions, were studied in 3 foals from 4h to 9 days of age, using the multiple inert gas elimination technique. The distributions were calculated from the pulmonary clearance of 6 inert gases following infusion into a peripheral vein of a solution containing the inert gases. The results from a total of 8 studies showed several consistent features. The major findings were (i) the absence of low ventilation-perfusion ratios, i.e. regions where blood flow was greatly in excess of ventilation; (ii) the presence of variable right to left shunt; (iii) a reduction in this shunt with increasing post-natal age; (iv) the presence of a separate high mode of ventilation-perfusion ratios where ventilation was greatly in excess of blood flow and; (v) the observation that breathing enriched oxygen mixtures for 40 min did not increase the right to left shunt in any foal at any age studied. These studies indicate that hypoxaemia in the neonatal foal is attributable to right to left shunt which may be intrapulmonary or intracardiac, or both, rather than overperfusion of poorly ventilated lungs.