Pulmonary oedema associated with anaesthesia for colic surgery in a horse

Borer, K. E.

doi:10.1111/j.1467-2995.2005.00210.x

Cited by 14 publications

(20 citation statements)

References 22 publications

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“…However, most case reports of severe respiratory obstruction in recovery have shown that it can be survivable, often with no observable long-term sequelae following rapid recognition and intervention (e.g. Abrahamsen et al 1990;Ball and Trim 1996;Dixon et al 1993;Tute et al 1996;Borer 2005;Kaartinen et al 2010). Another important feature of severe airway obstruction after anaesthesia in horses, especially where the larynx is involved, is that it can occur both immediately or at any time, even hours, after extubation (including after removal of in situ ET/NTTs for recovery) (Abrahamsen et al 1990;Dixon et al 1993;Southwood et al 2003); therefore, the use of in situ ET/NTTs does not eliminate the risk of airway obstruction.…”

Section: Commentarymentioning

confidence: 99%

Mitigating the risk of airway obstruction during recovery from anaesthesia: The way is far from clear

Senior

2015

Equine Veterinary Education

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Summary All equine anaesthetists should take steps to mitigate the risk of anaesthetic‐related morbidities and mortalities where they can, and whilst some interventions against some of these are widely practiced, the number of approaches adopted by equine anaesthetists to mitigate the risk of airway obstruction suggests not only that the causes and severity of airway obstruction vary, but also that evidence for the superiority of any approach over another is limited. The limited evidence available suggests that the prevalence of severe airway obstruction in both the general and upper respiratory tract surgical equine populations is likely to be low, and that when cases do occur, rapid recognition and intervention often results in successful treatment. The above evidence considered with the understanding that pre‐emptively placing endotracheal or nasotracheal tubes in situ for recovery may only delay the recognition of some causes (e.g. laryngeal) of airway obstruction, alongside an awareness that this approach is not a benign risk‐free intervention, may lead some anaesthetists to re‐evaluate the perceived risk of respiratory obstruction and whether their chosen intervention will reduce that risk, potentially exacerbate it or introduce a further risk.

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Section: Commentarymentioning

confidence: 99%

Mitigating the risk of airway obstruction during recovery from anaesthesia: The way is far from clear

Senior

2015

Equine Veterinary Education

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“…In addition to causing respiratory failure, even transient periods of partial airway obstruction may lead to negative pressure pulmonary oedema (Kollias-Baker et al 1993;Tute et al 1996;Borer 2005). Horses are able to generate very high negative intrathoracic pressures during inspiration, and this force exerted against an obstructed airway results in the rapid generation of oedema fluid.…”

Section: Fig 1: a Nasopharyngeal Tube Has Been Placed For Anaestheticmentioning

confidence: 99%

Anaesthesia for surgeries of the upper respiratory tract

Armitage‐Chan

2007

Equine Veterinary Education

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“…1993; Ball & Trim 1996; Tute et al. 1996; Borer 2005), and possible air embolism because of a dislodged jugular venous catheter during the recovery period (Holbrook et al. 2007).…”

Section: Introductionmentioning

confidence: 99%

“…2007). Potential predisposing factors for pulmonary edema noted in the literature are hypoxemia during anesthesia (Ball & Trim 1996; Borer 2005), re‐expansion injury (Day et al. 1994), microembolism following orthopedic surgery (Jones et al.…”

Section: Introductionmentioning

confidence: 99%

“…Pulmonary edema is an infrequently reported complication following surgery and anesthesia in horses and has been reviewed in this journal (Senior 2005). To the authors' knowledge there have been only eight equine case reports in the last 15 years (Abrahamsen et al 1990;Dixon et al 1993;Kollias-Baker et al 1993;Shaw et al 1995;Ball & Trim 1996;Tute et al 1996;Borer 2005;Holbrook et al 2007). Pulmonary edema during the perianesthetic period has also been reported in other species including dogs (Kerr 1989;Boutureira et al 2007), cats (Stampley & Waldron 1993) and humans (Robin et al 1973;Lang et al 1990), and often results from a combination of predisposing factors (Senior 2005).…”

Section: Introductionmentioning

confidence: 99%

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