Acute Life-threatening Laryngeal Dysfunction in a Draft Horse Recovering from General Anesthesia: A Case Report

Ronaldson, Hayley L.; Monticelli, Paolo; Smith, Roger K.; Adami, Chiara

doi:10.1016/j.jevs.2020.103109

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…However, it was possible to observe that there was complete healing after the hospitalization period. Ronaldson (2020) reported that the second intention could restore the surgical wound at the tracheostomy site if suture dehiscence occurs (Figure 4).…”

Section: Resultsmentioning

confidence: 99%

Permanent tracheostomy in a horse: a case report

Lima

Silva

Pereira

et al. 2022

AVB

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Problems related to the locomotor and gastrointestinal systems correspond to the highest percentage of clinical cases. However, diseases related to the respiratory system can result in low animal performance or even the animal’s removal from athletic life. This paper aims to report a case of permanent tracheotomy in a horse. The animal was treated at the Jerônimo Dix-Huit Rosado Maia Veterinary Hospital - HOVET, with respiratory noise and dyspnea claims. In the anamnesis, the owner reported that the animal had been presenting respiratory difficulty for 20 days. On physical examination, respiratory noise and dyspnea were noted. Endoscopy was performed, from which a marked decrease in the arytenoid cartilage movement on the right and left sides was noted. It was possible to diagnose a stage IV case of bilateral laryngeal hemiplegia, combining clinical signs with endoscopy findings. Thus, the surgical treatment of permanent tracheostomy was chosen. After surgery, drug therapy using antibiotics and anti-inflammatory drugs was performed. In addition, a nº 6 metal tracheostomy cannula was inserted. After 36 days of hospitalization, the animal was discharged with regression of clinical signs.

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Section: Resultsmentioning

confidence: 99%

Permanent tracheostomy in a horse: a case report

Lima

Silva

Pereira

et al. 2022

AVB

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“…Pathology of the upper and lower respiratory tract composes a significant portion of all complications following general anesthesia in horses. 9,15,[21][22][23][24][25][26][27][28] In a retrospective study 21 evaluating complications following general anesthesia of 1,161 horses, the overall complication rate was 17.5% (204/1,161); 22.6% (46/204) of the complications were respiratory. In a group of 46 horses with pneumonia caused by Klebsiella spp, general anesthesia with mechanical ventilation preceded the development of pneumonia in 23.9% (11/46) of horses.…”

Section: Discussionmentioning

confidence: 99%

General anesthesia does not induce ultrasonographic changes in the pleura of healthy adult horses anesthetized for elective magnetic resonance imaging

Hepworth-Warren

Nelson

Dembek

et al. 2023

javma

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OBJECTIVE To compare thoracic ultrasonographic findings in healthy horses before and after general anesthesia for elective MRI utilizing a recently developed ultrasonographic scoring system to aid clinicians in the early identification of pneumonia following anesthesia. ANIMALS 13 adult horses > 3 years of age. PROCEDURES Prior to anesthesia, horses underwent a thorough physical examination, CBC, thoracic radiography, and thoracic ultrasonography. Horses were then anesthetized for elective MRI, and thoracic ultrasonography was repeated within 3 hours after recovery. Thoracic ultrasonographic findings were scored utilizing a recently developed scoring system, and scores were compared before and after anesthesia. RESULTS There was no significant difference identified in total thoracic ultrasonography score before and after anesthesia, and there was no correlation between thoracic ultrasonography score following anesthesia and the body weight of the horse, the time recumbent, and the dependent side. CLINICAL RELEVANCE In healthy horses undergoing anesthesia for elective imaging, there was no significant change in thoracic ultrasonographic findings 3 hours after recovery from anesthesia. These data can aid clinicians in determining the clinical significance of ultrasonographic changes in the lung in the immediate postanesthetic period.

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“…(1) Successful treatment of a coxofemoral luxation in a Shetland pony by closed reduction and prolonged immobilization using a full-body Animal Rescue Sling [409] Bladder rupture (2) Ruptured urinary bladder in a horse [410] Cardiac arrest in recovery (3) Uterine prolapse in a mare leading to metritis, systemic inflammatory response syndrome, septic shock and death [411] (4) Successful cardiopulmonary resuscitation in a sevoflurane anaesthetized horse that suffered cardiac arrest at recovery [412] Coxofemoral luxation (5) Coxofemoral luxation in a horse during recovery from general anaesthesia [413] Diaphragmatic hernia/rupture (6) Fatal diaphragmatic rupture during recovery from general anaesthesia in a Standardbred horse [414] (7) Use of continuous positive airway pressure (CPAP) in a horse with diaphragmatic hernia [415] (8) Perianesthetic development of diaphragmatic hernia in a horse with equine pituitary pars intermedia dysfunction (PPID) [416] Epistaxis/Guttural pouch mycosis (9) Unusual internal carotid artery branching that prevented arterial occlusion with a balloon-tipped catheter in a horse [417] Facial paralysis (10) Multimodal therapy including electroacupuncture for the treatment of facial nerve paralysis in a horse [418] Incisional dehiscence (11) Anesthetic management of an incisional dehiscence in recovery following exploratory laparotomy in a horse [419] Laryngeal oedema (12) Complications associated with the use of the cuffless endotracheal tube in the horse [420] Laryngeal paralysis/dysfunction (13) Temporary bilateral laryngeal paralysis in a horse associated with general anaesthesia and post anaesthetic myositis [421] (14) Acute life-threatening laryngeal dysfunction in a draft horse recovering from general anesthesia: A case report. [422] Nasotracheal (15) Broken nasotracheal tube aspiration in a horse during anaesthetic recovery [423] Hyperthermia (19*) Hyperthermia during isoflurane anaesthesia in a horse with suspected hyperkalemic periodic paralysis [427] (20*) Hyperthermia and delayed-onset myopathy after recovery from anesthesia in a horse [428] Malignant hyperthermia (21) Malignant hyperthermia in a halothane-anesthetized horse [429] (22*) Postanesthetic equine myopathy suggestive of malignant hyperthermia. A case report [430] Post-anaesthetic myelomalacia (23) Postanesthetic poliomyelomalacia in a horse [431] (24) Hemorrhagic myelomalacia following general anesthesia i...…”

Section: (12b) Case Reports Loe = 5 Referencesmentioning

confidence: 99%

Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature

Gozalo-Marcilla

Ringer

2021

Animals

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Recovery remains the most dangerous phase of general anaesthesia in horses. The objective of this publication was to perform a structured literature review including levels of evidence (LoE) of each study with the keywords “recovery anaesthesia horse”, entered at once, in the search browsers PubMed and Web of Science. The two authors independently evaluated each candidate article. A final list with 444 articles was obtained on 5 April 2021, classified as: 41 “narrative reviews/expert opinions”, 16 “retrospective outcome studies”, 5 “surveys”, 59 “premedication/sedation and induction drugs”, 27 “maintenance with inhalant agents”, 55 “maintenance with total intravenous anaesthesia (TIVA)”, 3 “TIVA versus inhalants”, 56 “maintenance with partial intravenous anaesthesia (PIVA)”, 27 “other drugs used during maintenance”, 18 “drugs before/during recovery”, 18 “recovery systems”, 21 “respiratory system in recovery”, 41 “other factors”, 51 “case series/reports” and 6 “systems to score recoveries”. Of them, 167 were LoE 1, 36 LoE 2, 33 LoE 3, 110 LoE 4, 90 LoE 5 and 8 could not be classified based on the available abstract. This review can be used as an up-to-date compilation of the literature about recovery after general anaesthesia in adult horses that tried to minimise the bias inherent to narrative reviews.

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Acute Life-threatening Laryngeal Dysfunction in a Draft Horse Recovering from General Anesthesia: A Case Report

Cited by 5 publications

References 28 publications

Permanent tracheostomy in a horse: a case report

Permanent tracheostomy in a horse: a case report

General anesthesia does not induce ultrasonographic changes in the pleura of healthy adult horses anesthetized for elective magnetic resonance imaging

Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature

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