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Intra-abdominal Pressure Screening of Horses With Colic
Institution:1. São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, SP, Brazil;2. Department of Veterinary Medicine and Surgery, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, SP, Brazil;3. Crispim and Stevanato Veterinary Hospital, Mirassolândia, SP, Brazil;4. Department of Mathematical Sciences, São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, SP, Brazil;1. Racehorse Hospital, Miho Training Center, Japan Racing Association, Ibaraki, Japan;2. Laboratory of Racing Chemistry, Utsunomiya, Tochigi, Japan;3. Racehorse Hospital, Ritto Training Center, Japan Racing Association, Shiga, Japan;4. Equine Department, Japan Racing Association, Tokyo, Japan;1. Department of Animal and Food Sciences, University of Delaware, Newark, DE;2. Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA;1. Department of Animal Sciences, University of Florida, Gainesville, FL;2. Large Animal Clinical Sciences, University of Florida, Gainesville, FL;1. Department of Anesthesiology and Veterinary Surgery, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Campus of Botucatu, São Paulo, Brazil;2. Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Campus of Botucatu, São Paulo, Brazil;3. Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK;4. Faculty of Health and Medical Sciences, Department of Veterinary Clinical Sciences, University of Copenhagen, Copenhagen, Denmark;1. Center for Animals and Public Policy and Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA;2. Jonathan M. Tisch College of Civic Life at Tufts University, Medford, MA
Abstract:The objective of this study was to evaluate changes in intra-abdominal pressure (IAP) in horses with colic by associating the underlying etiologies with directly acquired IAP values and survival rate. This is a 2-year cohort study (2014–2016). Horses with clinical signs of colic were admitted to the veterinary teaching hospital during the period 2014–2016. Twenty-eight horses, of different breeds, males (stallions and geldings) and females, aged between 2 and 20 years, and weighing from 300 to 450 kg presenting with clinical signs of colic, were included in the study. IAP was directly acquired at the right flank (standing under sedation) and at the linea alba (supine position under general anesthesia). Twenty IAP measurements were recorded at end expiration for each recording site. IAP values >0.0 mmHg, obtained at the upper right flank in the standing position, were associated with surgical treatment (P < .05). In these cases, signs of colic were associated with strangulated obstructions of the large colon, and a greater likelihood of death as a result of colic (P < .001). Intra-abdominal pressure varied considerably in horses with colic, even for the same underlying etiologies. Horses with colic related to strangulating obstructions of the large intestine had IAP >.0 mmHg, at the upper right flank. These horses were also considerably more likely to require surgical intervention (P < .05) and death/euthanasia was more likely in this group of horses (P < .001).
Keywords:Acute abdomen  Abdominal perfusion pressure  Celiotomy  Dorsal recumbency  Equine
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