Respiratory problems in foals

Despite major advances in our knowledge and ability to treat respiratory diseases in neonatal foals, neonatal respiratory medicine is still in its infancy. It is hoped that this article may serve as a guideline for diagnosis and treatment. Specific antibiotic regimens and emergency procedures are covered in other articles in this symposium. Because management factors play a critical role in the pathogenesis of respiratory disease, education of clients as to their importance would help both prophylactically and therapeutically. The necessity of very careful monitoring of neonates, which is critical to early detection of disease, should be stressed. As respiratory diseases can be fulminant and rapidly fatal, it is imperative not to delay diagnosis and therapy. Thorough examination and implementation of appropriate diagnostic techniques, as well as prompt early referral to a more sophisticated facility when indicated, would prevent many deaths. Although sophisticated support systems are vital for survival of some of these foals, good basic intensive nursing care combined with selection of appropriate drug therapy very early in the course of the disease is all that many foals require and can significantly improve survival rates.     

Respiratory conditions in critical patients

The support and diagnosis of respiratory distress requires an efficient approach and a solid understanding of pathophysiology.     

Respiratory problems in the racehorse

Racetracks are ideal environments for the promotion of lower respiratory disease. The stabling is close and unclean, the population is nationally and internationally mobile, and the work the racehorse performs is traumatic to the respiratory tract. The running horse must complete a respiratory cycle with each stride. This relationship requires 130-150 breaths a minute in the running horse. Minute volume has been measured at 1300 L per minute and peak flow rates of 60 L/second in horses traveling at a modest 8 meters per second. As a comparison, the fastest running horse approaches 18 meters per second. The traumatic nature of racing to the respiratory tract is demonstrated by the fact that over 80% of the Thoroughbred racehorses show signs of exercise-induced pulmonary hemorrhage. Treating respiratory disease is a major part of racetrack practice.