Dissociative anaesthesia during field and hospital conditions for castration of colts.

The principal aim of this study was to evaluate dissociative anaesthesia for castration of colts during field conditions. Three dissociative anaesthetic protocols were evaluated during castration of colts in an animal hospital. The protocol considered to be the most suitable was thereafter evaluated during castration of colts under field conditions. Respiratory and haemodynamic parameters and the response to surgery were determined during anaesthesia. All horses breathed air spontaneously during anaesthesia. Under hospital conditions 26 colts were randomised to receive one of three anaesthetic protocols: Romifidine and tiletamine-zolazepam (RZ); acepromazine, romifidine and tiletamine-zolazepam (ARZ); or acepromazine, romifidine, butorphanol and tiletamine-zolazepam (ARBZ). The surgeon was blinded to the anaesthetic protocol used and decided whether supplemental anaesthesia was needed to complete surgery. Under field conditions 31 colts were castrated during anaesthesia with the ARBZ protocol. All inductions, anaesthesia and recoveries were calm and without excitation under both hospital and field conditions. Surgery was performed within 5-20 minutes after the horses had assumed lateral recumbency during both hospital and field castrations. Under hospital conditions some horses needed supplemental anaesthesia with all three anaesthetic protocols to complete surgery. Interestingly, none of the horses castrated with protocol ARBZ under field conditions needed additional anaesthesia. Cardiorespiratory changes were within acceptable limits in these clinically healthy colts.

Haemodynamic response to exercise in Standardbred trotters with red cell hypervolaemia.

In order to evaluate the haemodynamic response to exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 trotters with RCHV were compared with 9 normovolaemic (NV) trotters. Haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Oxygen uptake was determined with an open bias flow system. Pulmonary artery pressure (PAP), systemic artery pressure (SAP), heart rate, packed cell volume (PCV) and plasma lactate and haemoglobin ([Hb]) concentrations were measured. Arteriovenous O2 content difference, cardiac output, stroke volume, pulmonary vascular resistance (PVR) and total systemic resistance (TSR) were calculated. Oxygen uptake, arteriovenous O2 content difference, heart rate, cardiac output, stroke volume, TSR and lactate did not differ between groups. The RCHV horses had significantly higher both mean diastolic and systolic PAP compared to NV horses and this difference increased with higher workload. Further, a higher SAP, PVR, PCV and [Hb] were found in RCHV horses during the course of exercise. Eleven of the RCHV horses, but none of the NV, showed exercise-induced pulmonary haemorrhage on endoscopic examination. The increase in red cell volume, resulting in a high PCV and high total blood volume, is suggested to be an important contributor to both the increased blood pressures in pulmonary and systemic circulation during exercise and to the development of exercise-induced pulmonary haemorrhage in RCHV horses.

Effects of phlebotomy on haemodynamic characteristics during exercise in standardbred trotters with red cell hypervolaemia.

Five Standardbred trotters with red cell hypervolaemia (RCHV) were compared before and after removal of approximately 22% (36 ml/kg bwt) of the total blood volume in order to evaluate the haemodynamic responses, haemorheological alterations and oxygen transport during exercise to fatigue. Data were recorded during submaximal exercise at 4 different speeds on a treadmill and then during continued running at the highest speed step until fatigue. Oxygen uptake (VO2), pulmonary artery pressure (PAP), systemic artery pressure (SAP), heart rate (HR), haematocrit and haemoglobin concentrations (Hb) were measured. Arteriovenous O2 content difference (C(a-v)O2), pulmonary vascular resistance (PVR) and total systemic resistance (TSR) were calculated. Whole blood and plasma viscosity and erythrocyte aggregation tendency were determined with a rotational viscometer. Endoscopy was performed after exercise. ANOVA was used for statistical analysis. Phlebotomy resulted in a decrease in haematocrit and Hb during the course of exercise. Blood and plasma viscosity were lower and erythrocyte aggregation tendency was higher after phlebotomy. Throughout exercise, including submaximal work and continued running to fatigue, PAP, SAP, PVR, TSR and C(a-v)O2 were lower after phlebotomy. HR was higher after phlebotomy during submaximal exercise. Oxygen delivery and VO2 were lower after phlebotomy in the period from submaximal exercise to fatigue. Run time to fatigue was shorter after phlebotomy. Four horses showed exercise-induced pulmonary haemorrhage (EIPH) before phlebotomy and the degree of bleeding was diminished but not abolished after phlebotomy. The reductions in PVR, TSR, PAP and SAP after phlebotomy were probably a result of reduced blood viscosity. In conclusion, although a 22% reduction in blood volume improved the haemodynamic and haemorheological parameters and the degree of EIPH, it was found that RCHV trotters have to rely on high oxygen delivery to the working muscles for maintenance of maximal performance.

Use of propofol-isoflurane as an anesthetic regimen for cesarean section in dogs.

OBJECTIVE: To evaluate use of propofol-isoflurane as an anesthetic regimen for cesarean section in dogs and to compare this protocol with epidural analgesia and anesthesia induced with thiopental sodium. DESIGN: Prospective study. ANIMALS: 141 bitches admitted for cesarean section. PROCEDURE: General anesthesia was induced with propofol in 141 dogs undergoing cesarean section. After intubation, anesthesia was maintained by means of inhalation of isoflurane (0.5 to 2.0%), administered in a 65:35 mixture of oxygen:nitrous oxide. After induction, 20 minutes were allowed to elapse before delivery of puppies was begun. Viability of neonates was ascertained immediately after surgery. Owners were interviewed by telephone to determine survival of puppies during the postoperative period. Survival rates from this study were compared with those from cesarean section performed on dogs under epidural analgesia or under general anesthesia induced with thiopental sodium. RESULTS: Induction, maintenance, and recovery were problem free in all bitches. Of 412 puppies delivered by cesarean section, 293 (71%) survived, 13 (3%) were born alive but died within 20 minutes of delivery, and 106 (26%) were stillborn. Survival rate for puppies from dams induced with propofol-isoflurane was similar to that for puppies from dams receiving epidural analgesia. Survival rate for puppies delivered by cesarean section performed on dams under general anesthesia was higher for dams induced with propofol than for dams induced with thiopental sodium. CLINICAL IMPLICATIONS: General anesthesia induced with propofol and maintained with isoflurane is acceptable for performing cesarean section in dogs.

The physiological responses to simulated race tests on a track and on a treadmill in standardbred trotters.

REASON FOR PERFORMING STUDY: It is unclear to what extent the physiological response to a standardised treadmill exercise test simulating racing conditions resembles the circulatory and metabolic response observed after a simulated race on a track. OBJECTIVES: To compare the physiological responses of a standardised treadmill exercise test used to simulate racing conditions and a simulated race performed on a track on the same Standardbred trotting horses, all in racing condition. METHODS: Six Standardbred trotters in racing condition performed a standardised inclined treadmill exercise test protocol simulating racing conditions (ST) and a simulated race on a field track (FT). Heart and respiratory rates, haemoglobin, packed cell volume (PCV), glucose, pH, total carbon dioxide and potassium in venous blood and plasma lactate and total plasma protein were measured before and immediately after exercise and during recovery. RESULTS: No differences were observed in heart rate, haemoglobin, PCV, total plasma protein, glucose concentrations after exercise and during recovery between the tests. Plasma lactate was higher and total carbon dioxide concentrations and pH were lower in blood at the end of exercise in the FT compared to the ST. Plasma lactate concentrations were still higher 30 min post exercise in the FT compared to the ST. Blood pH returned to resting values at 15 min of recovery for the ST and at 60 min of recovery for the FT. At 60 min of recovery total carbon dioxide concentrations had still not returned to resting values in any of the tests. Respiratory rate at the end of exercise and body temperature at 15 min of recovery was higher after the ST than the FT. Exercise caused an increase in blood potassium concentrations at the end of exercise in both tests, but concentrations were lower after the FT compared to the ST. CONCLUSIONS: The haemodynamic response to the ST test at the end of exercise and during recovery, assessed from heart rate, Hb, and PCV, was similar to the response observed in the FT test. The differences observed in plasma lactate, blood pH and TCO2 concentrations between the ST and FT show that anaerobic metabolism was greater in the FT as this test included a finish at maximal speeds. POTENTIAL RELEVANCE: The treadmill test used in this study to simulate a race resembles the haemodynamic response but not the anaerobic metabolic response observed after a simulated race on a track.

Gas exchange during exercise in standardbred trotters with mild bronchiolitis.

To investigate the gas exchange response during exercise in horses with mild bronchiolitis (MB), we studied 7 Standardbred trotters. In order to determine pulmonary gas exchange and red cell volume in relation to bodyweight (CV/BW), submaximal graded exercise tests were performed. VO2 was monitored from an open bias flow system without valves. Heart rate, respiratory rate and mean pulmonary and systemic artery pressures were measured. Cardiac output and alveolar ventilation were calculated. Arterial and mixed venous blood were drawn for blood gas analysis and pH measurements. Pulmonary gas exchange was assessed by conventional blood gas variables, and the ventilation-perfusion distribution was estimated using the multiple inert gas elimination technique. The dispersion of perfusion and ventilation distribution and the difference between measured arterial oxygen tension and that predicted on the basis of the amount of ventilation-perfusion mismatching and shunt were determined in order to reflect diffusion limitation. The results were compared, using analysis of variance, with data from an earlier study on healthy Standardbred trotters (LH) during a similar exercise test. No differences in pulmonary gas exchange were obtained between LH and MB. However, CV/BW, pulmonary artery mean pressure (PAP) and systemic arterial mean pressure (SAP) were significantly higher in MB than in LH. Lactate concentration, arteriovenous oxygen content differences C(av)O2[ and pH were significantly lower in MB horses than in LH. We conclude that Standardbred trotters with mild subclinical bronchiolitis can achieve an adequate gas exchange compared to healthy Standardbred trotters, during a graded exercise test; however, the significantly increased CV/BW in MB horses may be a compensatory mechanism for hypoxaemia during maximal work.

The effect of coat clipping on thermoregulation during intense exercise in trotters.

The aim of this study was to study the physiological, especially thermoregulatory, responses during intense exercise in the clipped horse compared to the horse with winter coat. Six Standardbred trotters were studied before and after clipping. They performed an inclined incremental high intensity treadmill exercise test and were monitored during recovery. The clipped horse differed significantly (ANOVA) during exercise as compare to coated: less increase in central venous blood temperature, higher skin surface temperature, greater difference skin to ambient temperature and higher rate of nonevaporative heat loss. The clipped horse had significantly lower total cutaneous evaporative heat loss from walk to end of peak exercise and a shorter time for recovery for the respiratory rate using a paired t test. The clipped horse showed a tendency (P = 0.059) to decreased oxygen uptake during the stepwise increase in workload. We concluded that the clipped horse experienced less strain on the thermoregulatory system due to an enhanced heat loss. Some clipped horses in the study showed a more efficient power output; future studies with emphasis on respiration and oxygen demand are needed to explain this.

Total blood volume in the normally performing Standardbred trotter: age and sex variations.

The purposes of this study were to elucidate the influences of age and sex on the mass specific blood volume parameters: total blood volume (TBV/BW, ml/kg), plasma volume (PV/ BW, ml/kg), total red cell volume (CV/BW, ml/kg) and maximal packed cell volume (PCV, l/l, i.e. after total mobilisation of the splenic red cell reservoir) and to establish reference values for these in normally performing Standardbred trotting race horses. In total 205 horses were studied. They were all, according to their owners and/or trainers, performing satisfactorily in racing or training for shortly impending racing. Blood volume determination was done with the Evans blue dye dilution technique after exercise induced emptying of the spleen. Both age and sex were found to influence variation of these parameters significantly, with the possible exception of PV/BW, whereas the primary variation appeared to be in CV/BW. It was concluded that taking age and sex dependent variations into consideration will render prediction of normal values for the blood volume parameters in the athletic Standardbred trotter more reliable and the detection of abnormal deviations more precise if five age and sex groups are used for comparisons.

Ventilation-perfusion relationships during exercise in standardbred trotters with red cell hypervolaemia.

In order to evaluate the pulmonary gas exchange during exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 horses with RCHV were compared with 9 normovolaemic (NV) horses. VO2 and VCO2 were determined with an open bias flow system. Cardiovascular and haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Pulmonary gas exchange was assessed by conventional blood gas variables (arterial and mixed venous blood gas tensions), and the ventilation-perfusion distribution VA/Q was estimated by the multiple inert gas elimination technique. VA and AaDO2 were calculated. Dispersions of perfusion and ventilation distribution (SDQ, SDV) were determined. HR, RR, Qt, VO2, VA, log SDV, C(a-åv)O2 and lactate did not differ between groups. The degree of hypoxaemia was more pronounced in the RCHV than in the NV (PaO2 = 54 and 59 mmHg; AaDO2 = 41 and 34 mmHg in RCHV and NV, respectively, at highest workload). Further, pH was lower in the RCHV and PaCO2 and VCO2 was significantly higher in the RCHV during the course of exercise (pH = 7.24 and 7.29; PaCO2 = 56 and 51 mmHg; VCO2 = 156 and 135 ml/kg x min in RCHV and NV, respectively, at highest workload). The PaO2 predicted from the VA/Q distribution was higher than actually measured in blood during heavy exercise which may suggest a certain diffusion limitation over the alveolar-capillary membranes in both groups but there was no difference between the 2 groups. The more pronounced hypoxaemia observed in RCHV trotters was mainly caused by increased VA/Q mismatch expressed as a significantly increased log SDQ (0.78 and 0.45 in RCHV and NV, respectively, at highest workload).

Gas exchange during intense exercise in Standardbreds with earlier Rhodococcus equi pneumonia.

It is not known if pulmonary function and gas exchange during exercise are altered after pyogranulomatous pneumonia caused by Rhodococcus equi infection in the foal. The aim was to evaluate whether pulmonary gas exchange during high intensity exercise was altered in mature Standardbreds with a history of R. equi pneumonia as foals. In 7 foals, R. equi pneumonia was confirmed and treated. At age 3 years, when these horses were subjected to professional training, an inclined treadmill exercise test including 4 speeds was performed. Samples were collected when a steady state in VO2 was obtained. Red cell volume, heart rate, respiratory rate, and systemic and pulmonary mean arterial pressures were measured and cardiac output calculated. Oxygen and carbon dioxide tensions in arterial and mixed venous blood were analysed. The alveolar ventilation and the alveolar-arterial oxygen tension difference were determined. Pulmonary gas exchange was assessed and the ventilation-perfusion distribution, VA/Q, was estimated by the multiple inert gas elimination technique. Ventilation-perfusion mismatch and shunt were determined and diffusion limitation calculated. The gas exchange in Standardbred trotters previously infected with R. equi and successfully treated was not compromised during intense treadmill exercise compared with reference values for healthy, fit Standardbreds. We conclude that adult Standardbreds trotters with diagnosed R. equi pneumonia as foals, can achieve an adequate gas exchange at a workload close to VO2peak.