Postural Influence on Systemic Blood Pressure in Large Full-term Pregnant Bitches during General Anesthesia

Effects of positioning on systemic blood pressure were evaluated in six full-term pregnant golden retriever bitches during general anesthesia. Two positions (dorsal and left lateral recumbency) were examined. Anesthesia was induced with thiamylal sodium and maintained with halothane in oxygen. Direct arterial blood pressures were recorded from the bitches in each position. Effects of positioning for each bitch during general anesthesia were reexamined after the bitch weaned its pups; thus, each bitch served as its own control. Maternal posture had no significant effect (p greater than 0.05) on systemic blood pressure. Pregnancy had no significant effect (p greater than 0.05) on systemic blood pressure. Supine hypotension did not occur in anesthetized large, full-term pregnant bitches. Dorsal recumbency was an acceptable position for cesarean sections performed with the patient under general anesthesia.     

Influence of patient positioning on sensitivity of mesenteric portography for detecting an anomalous portosystemic blood vessel in dogs: 34 cases (1997-2000).

OBJECTIVE: To determine whether sensitivity of detecting an anomalous portosystemic blood vessel during operative mesenteric portography varied with patient positioning. DESIGN: Retrospective study. ANIMALS: 34 dogs with a portosystemic shunt diagnosed via scintigraphy or surgery. PROCEDURE: Portograms were evaluated for a portosystemic blood vessel. Sensitivity was calculated from results obtained with dogs in left lateral, right lateral, and dorsal recumbency and from results obtained with dogs in 2 or 3 positions. Differences in sensitivity among positions and between 2 examiners were evaluated. RESULTS: Sensitivity was 85, 91, and 100% in dorsal, right lateral, and left lateral recumbency, respectively. Sensitivity was lower in dorsal recumbency than in left lateral recumbency, although differences were not significant. There was no significant difference between sensitivity of results obtained in dorsal and right lateral recumbency or right lateral and left lateral recumbency. Sensitivity for combined right lateral and dorsal positions was 97%, which was better than that in dorsal recumbency alone, although the difference was not significant. Because sensitivity in left lateral recumbency was 100%, there was no need to evaluate the improvement obtained by combining the result of this position with the results of other positions. CONCLUSION AND CLINICAL RELEVANCE: Results of mesenteric portography varied with patient positioning. The optimal position varied among patients but left lateral recumbency may be better and dorsal recumbency worse. Sensitivity may be improved by performing the test with the patient in orthogonal recumbent positions.     

Effect of body position on intraocular pressure in dogs without glaucoma

OBJECTIVE: To determine the effects of body position on intraocular pressure (IOP) in dogs without glaucoma. ANIMALS: 24 healthy dogs with no evidence of glaucoma. PROCEDURES: Dogs underwent ophthalmic examinations to ensure that no IOP-affecting ocular diseases were present. Each dog was sequentially placed in dorsal recumbency, sternal recumbency, and sitting position. For each of the 3 positions, IOP in the right eye was measured by use of an applanation tonometer immediately after positioning (0 minutes) and after 3 and 5 minutes had elapsed. The initial body position was randomly assigned; each position followed the other positions an equal number of times, and IOP measurements were initiated immediately after moving from one body position to the next. Proparacaine hydrochloride (0.5%) was applied to the right eye immediately prior to IOP measurements. RESULTS: Intraocular pressure was affected by body position. During the 5-minute examination, IOP decreased significantly in dogs that were dorsally recumbent or sitting but did not change significantly in dogs that were sternally recumbent. For the 3 positions, overall mean IOP differed significantly at each time point (0, 3, and 5 minutes). Mean IOP in dorsal recumbency was significantly higher than that in sternal recumbency at 0 and at 3 minutes; although the former was also higher than that in sitting position at 3 minutes, that difference was not significant. CONCLUSIONS AND CLINICAL RELEVANCE: Body position affects IOP in dogs. When IOP is measured in dogs, body position should be recorded and consistent among repeat evaluations.     

Effect of body position on oesophageal and gastric pressures in the anaesthetised dog

The effect of body position on lower oesophageal sphincter pressure (LOSP), gastric pressure and barrier pressure (BrP) was investigated in 40 dogs anaesthetised for neutering procedures. The dogs were placed in lateral recumbency followed by dorsal recumbency (group 1) or vice versa (group 2). LOSP decreased significantly in the animals which were positioned initially in lateral recumbency, when they were then placed in dorsal recumbency, while those initially positioned in dorsal recumbency showed no significant change in their LOSP or BrP when their position was altered to lateral recumbency. When the data from both groups were pooled, LOSP and BrP were significantly lower when the dogs were in dorsal compared to lateral recumbency (P<0–05).     

Effect of body position on feline electrocardiographic recordings

The aim of this study was to determine whether changes in body position alter feline electrocardiographic parameters. Forty-seven cats referred to the Feline Unit of the University of Bristol had electrocardiograms (ECGs) recorded. Only cats presenting in sinus rhythm were included in the study (n = 41). ECGs were recorded either as part of the investigation for potential cardiac disease (n = 38) or as a preanesthetic screen (n = 3). Standard 6-lead ECGs (leads I, II, III, aVR, aVL, and aVF) were recorded in 3 different recumbent positions in the 41 cats. Recordings were 1st made in right lateral (RL) recumbency, followed by sternal (ST) and then left lateral (LL) recumbency. Measurements were taken of the amplitude and duration of P waves and QRS complexes and duration of PQ and QT intervals from lead II was taken in the 3 different positions. Mean electrical axis (MEA) also was calculated. Repeated measures analysis of variance was performed and identified a significant difference in R wave amplitudes (P = .009) and MEA (P = .037) among the 3 different body positions. Two-tailed paired t-tests demonstrated that the R wave amplitude differed significantly both in ST (P = .025) and LL recumbency (P = .009). The mean R wave amplitude was reduced in both ST and LL recumbency when compared with RL recumbency. The MEA only was significantly different in LL recumbency (P = .037). ST and LL recumbencies should not be used for recording ECGs in cats if amplitudes and MEA are to be compared with standard references.     

THE CANINE LATERAL THORACIC RADIOGRAPH

Selected structures seen on right and left lateral thoracic radiographs of 12 dogs were evaluated for differences in position, size, and shape. The size and position of the cardiac silhouette were different when thoracic radiographs made in left and right lateral recumbency were compared. These changes were, however, considered insignificant. The position of the right cranial lobe bronchus relative to the left varied in right lateral recumbency and left lateral recumbency. The right cranial lung lobe was better aerated when dogs were positioned in left lateral recumbency.
Lesions seen in the caudal portion of the left cranial lung lobe or the right middle lobe were masked when the affected lobe was dependent, and enhanced when the affected lung lobe was non-dependent. It is believed that this difference occurred due to compression of the dependent lung with greater aeration of the non-dependent lung.     

Evaluation of six-lead electrocardiograms obtained from dogs in a sitting position or sternal recumbency

OBJECTIVE: To compare 6-lead ECG traces in clinically normal conscious dogs in a sitting position and sternal recumbency to that of right lateral recumbency. ANIMALS: 31 healthy dogs with no history of cardiac disease. PROCEDURE: Six-lead ECGs were recorded for dogs in right lateral recumbency, a sitting position, and sternal recumbency. Q-, R-, and S-wave amplitudes as well as QRS-complex duration were measured in all leads. Additionally, P-wave amplitude and duration, PR interval, ST-segment elevation or depression, and OT interval were measured in lead II. RESULTS: Compared with measurements in right lateral recumbency, the sitting position resulted in increased Q-wave amplitude (lead III), increased R-wave amplitude (leads I and aVL), decreased R-wave amplitude (leads III and aVF), increased S-wave amplitude (lead aVR), decreased S-wave amplitude (lead aVL), increased P-wave amplitude (lead II), and a leftward shift in the mean electrical axis. Compared with measurements in right lateral recumbency, sternal recumbency resulted in decreased Q-wave amplitude (leads I, II, and aVF), increased R-wave amplitude (leads 11, III, and aVF), decreased R-wave amplitude (lead aVR), increased S-wave amplitude (lead aVR), increased P-wave amplitude (lead II), and decreased ST-segment depression (lead II). Compared with right lateral recumbency, the sitting position or sternal recumbency did not result in significant differences in PR interval, QT interval, or QRS-complex duration. CONCLUSIONS AND CLINICAL RELEVANCE: Significant changes are found in ECG measurements in the sitting position and sternal recumbency, compared with right lateral recumbency. In dogs, many ECG reference range values for right lateral recumbency are not valid for ECGs obtained in the sitting position or sternal recumbency.     

Cardiopulmonary effects of position in conscious cattle

The cardiopulmonary effects of 4 positions (standing, right lateral, left lateral, and dorsal recumbency) were evaluated in conscious cattle in which no sedatives or anesthetic drugs were given. Each position was maintained for 30 minutes, during which time there were no significant changes in heart rate, respiratory rate, mean arterial blood pressure, arterial pH, PaCO2, arterial base excess, or venous blood gas values. Significant decreases in PaO2 developed when cattle were in lateral positions and dorsal recumbency. Cardiac index was unchanged in all positions, except in dorsal recumbency at 30 minutes, when it was significantly decreased.     

Effects of Carbon Dioxide Insufflation Combined With Changes in Body Position on Blood Gas and Acid-Base Status in Anesthetized Llamas (Llama glama)

Objective— To study the combined effects of intra-abdominal CO₂ insufflation with changes in body position during laparoscopy in xylazine-ketamine-halothane anesthetized llamas. Study Design— Prospective, controlled study. Animals— Nine castrated, male llamas weighing 114 ± 23 kg, 3 to 13 years old. Methods— Three llamas (preliminary study [PS] group) were used to study the effect of right lateral, dorsal, and left lateral recumbency on gas exchange and acid-base status. The other six (experimental study [ES] group) were used to study the combined effects of changes in body position and CO₂ insufflation to an intraabdominal pressure of 10 to 12 mm Hg. Heart rate, respiratory rate, and indirect arterial blood pressures (systolic [SAP], mean [MAP], and diastolic [DAP]) were recorded every 5 minutes during anesthesia. Arterial blood gases (PaO₂ and PaCO₂) and acid-base status (pHa and HCO₃) were measured immediately after induction of anesthesia and before each change of position. Results— In the PS group, significant decreases in SAP, MAP and PaCO₂ and increases in PaO₂ and pHa were observed when the llamas were turned from right lateral to dorsal recumbency. Values for HCO_-3 were lower than the postinduction values, but they remained unaffected by the changes in position. In the ES group, values for MAP were significantly lower when the llamas were placed in dorsal and left lateral recumbency than those observed during right lateral recumbency. Arterial O₂ tension during right lateral recumbency was lower but returned to preinsufflation values when the llamas were placed in the dorsal position. All llamas recovered uneventfully within 30 minutes after termination of anesthesia. Conclusions— Insufflation of CO₂ and changing body position induce minor and transient changes in cardiovascular and respiratory function. Clinical Relevance— Laparoscopy with mild intra-abdominal CO₂ insufflation (10 to 12 mm Hg) can be used safely in spontaneously breathing llamas anesthetized with xylazine, ketamine, and halothane.     

Development of a neurosurgical operating table for adult cattle and changes in intracranial pressure and blood pressure in adult cattle undergoing long-time isoflurane anesthesia

We developed a neurosurgical operating table for restraining adult cattle in the sternal recumbent position during long-time inhalation anesthesia, and examined intracranial pressure (ICP), blood pressure and blood gases during isoflurane anesthesia. We confirmed that the maintenance of inhalation anesthesia, the restraint of cattle in the sternal recumbent position and bringing the cattle out of anesthesia could all be carried out safely using the operating table we produced. For the purposes of the present experiment, the cattle were divided into 2 groups: the SR group, which underwent sternal recumbency for 8 hr under isoflurane anesthesia using the neurosurgical operating table, and the RR group, which underwent right lateral recumbency for 3 hr under isoflurane anesthesia on a standard operating table. The mean ICP was found to be significantly lower in the SR group than in the RR group during anesthesia, and PaO2 was significantly higher in the SR group. In the SR group, no complications such as regurgitation or ruminal tympany occurred for 8 hr after the induction of anesthesia, and recovery from anesthesia was uneventful. In contrast, all RR cattle showed ruminal tympany and regurgitated ruminal fluid at 3 hr after the induction of anesthesia. Thus, the neurosurgical operating table developed in the present study may be useful for long-time anesthesia and neurosurgery of adult cattle.     

Effect of reducing inspired oxygen concentration on oxygenation parameters during general anaesthesia in horses in lateral or dorsal recumbency

Objective

To compare the effects of two concentrations of oxygen delivered to the anaesthetic breathing circuit on oxygenation in mechanically ventilated horses anaesthetised with isoflurane and positioned in dorsal or lateral recumbency.

Methods

Selected respiratory parameters and blood lactate were measured and oxygenation indices calculated, before and during general anaesthesia, in 24 laterally or dorsally recumbent horses. Horses were randomly assigned to receive 100% or 60% oxygen during anaesthesia. All horses were anaesthetised using the same protocol and intermittent positive pressure ventilation (IPPV) was commenced immediately following anaesthetic induction and endotracheal intubation. Arterial blood gas analysis was performed and oxygenation indices calculated before premedication, immediately after induction, at 10 and 45 min after the commencement of mechanical ventilation, and in recovery.

Results

During anaesthesia, the arterial partial pressure of oxygen was adequate in all horses, regardless of position of recumbency or the concentration of oxygen provided. At 10 and 45 min after commencing IPPV, the arterial partial pressure of oxygen was lower in horses in dorsal recumbency compared with those in lateral recumbency, irrespective of the concentration of oxygen supplied. Based on oxygenation indices, pulmonary function during general anaesthesia in horses placed in dorsal recumbency was more compromised than in horses in lateral recumbency, irrespective of the concentration of oxygen provided.

Conclusion

During general anaesthesia, using oxygen at a concentration of 60% instead of 100% maintains adequate arterial oxygenation in horses in dorsal or lateral recumbency. However, it will not reduce pulmonary function abnormalities induced by anaesthesia and recumbency.     

THE EFFECT OF POSITIONING ON THE RADIOGRAPHIC APPEARANCE OF CAUDODORSAL MEDIASTINAL MASSES IN THE DOG

In this prospective study, the effect of thoracic positioning on the visibility and size of caudal esophageal masses caused by spirocercosis was investigated. Dorsoventral (DV), ventrodorsal (VD) as well as left lateral recumbent (LLR) and right lateral recumbent (RLR) thoracic radiographs of 28 dogs, diagnosed endoscopically with spirocercosis, were evaluated. The radiographic findings were compared with those of esophageal endoscopy. Masses were seen equally well in left vs. right recumbency as well as in DV vs. VD positions but in DV/VD views 86% of masses were detected whereas in lateral views only 50% of masses were identified. In spirocercosis-endemic areas DV and RLR views are advised as they also allow for better visualization of descending aorta aneurysms and to avoid interpreting the potentially normally visible esophagus in LLR in large dogs as a mass.     

Gastro-oesophageal reflux in halothane anaesthetized sheep. The effects of feeding and positioning

The frequency of gastro-oesophageal reflux (GOR) in sheep anaesthetized with halothane was reduced by withholding food and water for 24 hours. The total reflux volume increased. The effect of body position on GOR was studied by inclining the operating table at angles to the horizontal and positioning the head up or down on sand bags. The operative positions investigated were: right and left lateral recumbency with head down, dorsal recumbency with head down and right lateral recumbency with head up. Least GOR occurred when the sheep was in right lateral recumbency with a head up tilt and the body inclined at 20° from the horizontal. A cuffed oesophageal drainage tube increased the incidence of GOR but prevented the chances of the aspiration of rumen material.     

Neurological examination of newborn foals

Behaviour and response to neurological testing of apparently healthy newborn foals differed significantly from the adult in several ways. Foals responded to external stimulation with exaggerated movements although they tended to sink into a relaxed state when restrained. They had a more angular head position and assumed a base wide stance. The menace reflex developed during the first two weeks post partum. In general, the foals' gait was choppy or dysmetric. In lateral recumbency the foals had increased extensor tone, hyperreflexive tendon reflexes, crossed extensor reflexes as well as recumbent extensor thrust reflexes in all four limbs.     

EFFECT OF DEPENDENCY VERSUS NONDEPENDENCY ON LUNG LESION VISUALIZATION

Paraffin blocks and mineral oil were used as a model to determine the effect of dependency versus nondependency on radiographic visualization of lung lesions in lateral thoracic radiographs. It was concluded that the increased opacity of the material surrounding the lesion, not contact between the heart and the lesion, was responsible for the inability to detect lung disease in the dependent lung. The results were tested in dogs with pneumonia in the right middle lung lobe. When the dog was in right lateral recumbency, the dependent right lung was increased in opacity and decreased in volume and the pulmonary lesion was difficult to detect. When the dog was in left lateral recumbency, the nondependent right lung was increased in volume and decreased in opacity and the pulmonary disease was clearly visible. A single recumbent lateral radiograph must not be used to assess a dog with suspected lung disease because lesions in the dependent lung lobes may not be detected.     

Simultaneous urethral pressure profilometry using microtip transducer catheters in the bitch: A comparison of catheter material

Simultaneous urethral pressure profilometry using an 8FG polyurethane microtip transducer catheter in the bitch is subject to considerable variation, Marked differences occur in the parameters normally measured due to the orientation of the transducers and patient position. It has been suggested that a softer catheter may result in less variation. In this study, a comparison was made between 8FG polyurethane and silicone rubber microtip transducer catheters in 35 bitches. There were significant variations in both maximum urethral closure pressure and functional profile length due to catheter type (P < 0–001). Resting intravesical pressure varied with the recording transducer (P < 0–001) and there was a significant interaction between catheter type and recording transducer (P < 0–001). Radiographic measurements on 15 bitches suggested that variations in recorded intravesical pressure were probably related to the location of the transducers of the two catheters within the bladder. It is concluded that the use of a softer catheter material alone is insufficient to eliminate variations resulting from the orientation of the recording sensors within the urethra.     

The influence of bedding on the time horses spend recumbent

To determine if bedding has any influence on the time horses spend recumbent, 8 horses kept on straw and 8 kept on wood shavings were observed from 10:00 to 5:30 for two successive nights. Observations were conducted using time-lapse video recordings. Lying down and rising behavior, as well as frequency and duration of bouts spent in lateral and sternal recumbency, was registered. The results showed that horses on straw were lying in lateral recumbency three times longer than horses on shavings (P < .001), whereas the time horses spent in sternal recumbency did not differ. The longest period of noninterrupted lateral recumbency was longer for horses on straw than for those on shavings. Because horses must lie down, preferably in lateral recumbency, to achieve paradoxical sleep, the reduced time spent in lateral recumbency in horses on wood shavings may affect their welfare and performance. Independent of the bedding, we further observed that, as the horses got up from recumbency, most of them made attempts to roll over before rising. This behavior appeared to be caused by some difficulty in rising, possibly due to the box size, and might have a connection with the fact that horses sometimes get stuck against the box wall.

Introduction

Many riding horses spend the majority of their life in an artificial environment. Horse owners keep their horses under certain conditions because of tradition, because they want to make the horse feel comfortable from a human point of view, or to reduce the amount of work involved in horse husbandry. Often the choice of bedding substrate is made from a subjective point of view without assessing both short-term and long-term effects of the bedding. Part of the reason is that only few studies have analyzed horses' preferences for different bedding substrates and their effect on the time horses spend recumbent. In one study comparing straw and wood shavings, no significant preference was found.[1] In another study comparing plastic, wheat straw, and wood shavings, the time horses spent standing, sleeping, or lying down was not affected significantly by the bedding substrates. [2] Mills et al [3] found that horses, given a choice between straw and wood shavings, spent significantly more time on straw. Whereas the substrates had no significant effect on behaviors such as eating, lying, and standing alert, horses spent more time performing bedding-directed behaviors on straw but more time dozing on shavings. Finally, it has been reported that the use of nonstraw bedding may increase the risk of abnormal behaviors such as weaving. [4]As far as bedding properties are concerned, Airaksinen et al[5] concluded that air quality in the stable and utilization of manure can be improved by selecting a good bedding material. According to Reed and Redhead, [6] both straw and shavings are economical and easy to obtain, and they make a bright, comfortable bed. Straw bales are convenient to store, but may be eaten by the horse, are labor intensive, and may be dusty or contain fungal spores. Wood shavings are not eaten by the horse and are good for respiratory problems but need to be kept very clean because they are porous. In addition, they are not as warm as straw because they do not trap air the way straw does.Electroencephalographic (EEG) studies in cats have demonstrated that sleep can be divided into two stages of differing electrocorticographic (EcoG) patterns, ie, slow-wave-sleep (SWS) and paradoxical sleep (PS).[7] During PS, bursts of rapid eye movements (REM) can be seen at irregular intervals. [8] In humans, dreaming occurs during this stage. [9 and 10] Horses are able to sleep while standing, [11] but in this position they only go into SWS. [14, 15 and 16] During PS there is a complete abolition of muscular tone of antigravity muscles and of neck muscles, as shown in cats. [17] In horses, there is a gradual loss of muscular tone until the middle of the recorded SWS period, whence it decreases to a negligible amount during PS. [15] Consequently, muscular tone disappears entirely at the onset of PS. [18] Horses are unable to complete a sleeping cycle without lying down to enter PS. [8, 19 and 20] They normally fall asleep while standing and, when they feel confident about their environment, lie down in sternocostal recumbency. [8] Thereafter, they proceed to lateral recumbency and enter PS. [14 and 19] Dallaire and Ruckebusch [18] demonstrated that the SWS state was infrequent in the standing animal and most often occurred during sternocostal recumbency with the head resting or not on the ground. PS occurred in both sternocostal and lateral recumbency, although the animal frequently had to readjust its position into sternocostal recumbency due to the disappearance of neck muscular tone.The sleep pattern of horses depends on many circumstances, such as age,[21, 22 and 23] diet, [16] and familiarity with the environment. When horses are put outdoors it may take some days before they lie down. If one horse that is familiar with the environment lies down, the others usually follow. [8 and 13] Dallaire and Ruckebusch [16] subjected three horses to a four-day period of perceptual (visual and auditive) deprivation. After this period total sleep time increased due to an augmentation of both SWS and PS. Finally, there is large individual variation between horses in the time they spend recumbent and sleeping. [15]Horses spend 11% to 20% of the total time in recumbency.[11 and 15] Lateral recumbency represents about 20% of total recumbency time, and uninterrupted periods of lateral recumbency vary from 1 to 13 minutes (mean, 4.6 min). [14 and 16] Steinhart [11] found that the mean length of uninterrupted lateral recumbency periods was 23 minutes, the longest period being one hour. Total sleeping time in the stabled horse averages 3 to 5 hours per day or 15% of the total time. [8, 13 and 16] Keiper and Keenan [24] found similar time budgets in feral horses that were recumbent approximately 26% of the night. PS is about 17% to 25% of total sleeping time, and the mean length of a single PS period is 4 to 4.8 minutes. [13 and 18]In stabled horses sleep is mainly nocturnal and occurs during three to seven periods during the night.[8, 13 and 16] Ruckebusch [13] observed that neither sleep nor recumbency occurred during daytime in three ponies observed for a month and, in another experiment conducted on horses, PS occurred only during nighttime. [15] A group of ponies observed for more than a month between 8:45 and 4:45 spent only 1% of the daytime recumbent.[25] The maximum concentration of sleep occurs from 12:00 to 4:00 .[8, 16, 18 and 24]The purpose of this study was to examine two groups of horses in a familiar environment, one group kept on a bedding consisting of straw, and the other kept on wood shavings, and to determine if there was any difference between the two groups in the time they spend recumbent.

Materials and methods

Housing. The study was conducted in one of the biggest riding clubs in Denmark, housing about 150 horses. The 18 horses used in the study stood in three different parts of the stable. They were all stabled in boxes measuring 3 × 3 m and subjected to the same feeding and management routine. They were unable to see their next-door neighbor because of a tall wooden board, but they were able to see the horses stabled on the opposite side of the corridor through bars. Nine horses were stabled on wheat straw (15 cm long, dry matter content 87-88%) and nine on oven-dried wood shavings (80% spruce and 20% pine, dry matter content 82%).Animals. All horses used in the study were privately owned. They had been kept in the boxes in which they were observed a minimum of three weeks. Three of the horses were mares and 15 were geldings. Most of them were Danish Warmblood used for dressage riding. Their ages ranged from 5 to 18 years (mean, 10.6 y) and their height ranged from 1.60 to 1.76 m (mean, 1.68 m). All horses wore a blanket. Age and sex distribution between the two groups is shown in Table 1.     

Role of transcranial magnetic stimulation in differentiating motor nervous tract disorders from other causes of recumbency in four horses and one donkey

Transcranial magnetic stimulation and measurement of the magnetic motor-evoked potentials (MMEPs) in the thoracic and pelvic limbs of four recumbent horses and one recumbent donkey were used to assess the integrity of the descending motor pathways, in order to confirm or exclude a descending motor tract lesion as the cause of the recumbency. In two of the animals abnormal MMEPs were recorded; in one of the horses a lesion along the cervical spinal cord due to a fracture of the fifth cervical vertebra was diagnosed and confirmed by radiography and postmortem examination; in another horse, damage to the peripheral nerves of the left forelimb was diagnosed and confirmed postmortem when a large abscess was found to have been compressing the peripheral nerves at the level of the last cervical vertebra. In the three other animals, normal MMEPs were recorded, and laminitis, rhabdomyolysis and physitis were diagnosed as the causes of the recumbency.     

INFLUENCE Of PATIENT POSITIONING ON THE L5–L6 MID-LAMINAR DISTANCE

The aim of this project was to determine the effect of patient position on the L5-L6 mid-laminar distance (MLD). The lumbar area of 22 recently euthanatized dogs of various breeds was radiographed in three positions: lateral recumbency with the spine in neutral position, lateral recumbency with the spine flexed in a kyphotic position, and sternal recumbency with the spine flexed in a kyphotic position. Digital images of the radiographs were analyzed using a computer program that allowed measurement of the MLD between L5-L6 in the three positions. The L5 and L6 MLD was significantly larger in sternal recumbency with the spine flexed (142.3 units) than both in lateral recumbency with the spine flexed (138.7 units; P= 0.001) and lateral recumbency with the spine in the neutral position (135.8 units; P < or = 0.001). The MLD in lateral recumbency with the spine flexed was significantly larger than in lateral recumbency with the spine in neutral position (P = 0.005). Positioning a dog in sternal recumbency with the spine flexed produces a significantly larger MLD than in lateral recumbency with the spine flexed; this should simplify needle placement when performing a lumbar puncture.     

Dobutamine-induced augmentation of cardiac output does not enhance respiratory gas exchange in anesthetized recumbent healthy horses

The influence of pharmacologic enhancement of cardiac output on the alveolar-to-arterial oxygen tension (difference (P[A-a]O2), physiologic right-to-left shunt fraction (Qs/Qt), and physiologic dead space-to-tidal volume ratio (VD/VT) ws studied in halothane-anesthetized horses in left lateral, right lateral, and dorsal recumbencies. Adult horses were anesthetized, using xylazine (2.2 mg/kg, IM), guaifenesin (50 mg/kg, IV), thiamylal (4.4 mg/kg, IV), and halothane (1.5% to 2% inspired) in 100% O2. Mechanical ventilation was controlled to maintain arterial eucapnia (PaCO2) 35 to 45 mm of Hg) for a period lasting at least 1 hour. Dobutamine was administered at dosages of 1, 3, and 5 micrograms/kg/min, IV, on a randomized basis. The P(A-a)O2, Qs/Qt, and VD/VT were calculated during equilibration and after each dobutamine infusion was given. The P(A-a)O2 and Qs/Qt were significantly (P less than 0.05) greater and VD/VT tended to be greater in horses in dorsal recumbency, compared with those values in horses in left lateral or right lateral recumbency. Cardiac output was similar in all horses, regardless of body position (recumbency). The qualitative relationship between horses in the 3 recumbent positions were not altered by dobutamine. Cardiac output was significantly (P less than 0.05) increased by 3 or 5 micrograms of dobutamine/kg/min in all horses, whereas P(A-a)O2, Qs/Qt, and VD/VT were not significantly altered by dobutamine. The results of the present study failed to substantiate our clinical observations of decreased P(A-a)O2 and Qs/Qt in anesthetized compromised horses given dobutamine.