Equine Respiratory Medicine and Surgery

Edited by

  • Bruce McGorum, BSc, BVM&S, PhD, CertEM, DECEIM, MRCVS, Department of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, Veterinary Field Station
  • N. Edward Robinson, BVetMed, PhD, MRCVS Docteur Honoris Causa (Liege), Matilda R. Wilson Professor, Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, MI, USA
  • James Schumacher, DVM, MS, MRCVS, Dip ACVS, Professor, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, USA
  • Padraic Dixon, MVB, PhD, MRCVS, Professor of Equine Surgery, Division of Veterinary Clinical Science, University of Edinburgh, UK Professor of Equine Surgery

This title is directed primarily towards health care professionals outside of the United States. Equine Respiratory Medicine and Surgery provides up-to-date, in-depth coverage of the diagnosis and management of respiratory disorders in the horse. It discusses respiratory physiology and examination techniques, as well as a review of the medical and surgical problems that may be encountered, organized anatomically and progressing in logical fashion from the upper airways, larynx and sinuses, through the lower airways, the lungs, and diaphragm. Common conditions covered include infections, allergy, trauma, cysts, and tumors.
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Book information

  • Published: September 2006
  • Imprint: SAUNDERS
  • ISBN: 978-0-7020-3268-4

Reviews

EQUINE RESPIRATORY MEDICINE AND SURGERY

This first edition book is designed to be a fully comprehensive, state-of-the-art text to students, clinicians and scientists. It aims to highlight the progress made in out knowledge over the past fifteen years. It describes the many ways in which this system can fall short or fail completely. Seven hundred A4 sized pages are devoted to the current veterinary understanding of equine respiratory physiology and pathology, disease diagnosis and treatment. Fifty-five contributors provide for a wealth of knowledge, a spread of perspective and a range of styles across the chapters. Of the editors, two are UK-based, two USA-based; two are acknowledged experts in medicine and two in surgery.

The opening sections cover ‘Basic Sciences’, ‘Diagnostic techniques’ and Therapeutics and infectious disease’. The detail of physiology, immunology, pathology, pharmacology, blood gas analysis and pulmonary function testing may be of interest only to the academic specialist. The sections on clinical examination, collection of samples, radiography, ultrasonography, scintigraphy, endoscopy, the treadmill and therapy are highly relevant to the veterinary practitioner.


Infectious disease is part, perhaps an increasing part, of everyday equine practice life. Horses and their ailments travel ever further and more frequently. This section is particularly topical at present.

Disorders specific to the upper respiratory tract, thorax and to foals are then explored in greater detail. All the respiratory disease conditions and treatments commonly encountered by this reviewer are considered. ‘Routine’ surgical procedures such as laryngoplasty (the ‘tie-back’ are again described alongside more novel approaches – a full chapter is devoted to the advent of laser surgery. Photographs, anatomical diagrams, boxes and tables are strategically positioned through the text to illustrate techniques, summarise findings and emphasise vital facts. Each chapter is extensively referenced, mostly to post-1990 material.

I could readily imagine consulting this book during the course of an endoscopic examination for laryngeal grading, when considering differentials for a set of clinical signs, or when encountering a complication during a surgical procedure. I can equally see this book as a comprehensive source for more considered study. It provides a thorough overview of the functioning of the equine respiratory tract as well as detailed specifics on disease and disordered – how to diagnose and how to treat. Those seeking even further knowledge can always track the references to source.

Reviewed by Joe Collins for The Irish Veterinary Journal, Volume 60 Number 5



Table of Contents

1. BASIC SCIENCES

Anatomy
Airway physiology
Pulmonary circulation
Gas exchange
Airway defenses
Immunology / Inflammation
Pulmonary pharmacology and Therapeutics Overview

2. EXAMINATION TECHNIQUES

History & Clinical Examination Techniques
Endoscopy URT & LRT (BMG)
Sample Collection Including Tracheal, BALF, Pleural Aspirates
Cytology & Bacteriology of Samples
Thoracic Ultrasonography
Radiography URT & LRT
Pulmonary Scintigraphy
Blood Gas Analysis
Pulmonary Function Testing
Pleuroscopy & Lung Biopsy
Post Mortem Examination

3. INFECTIOUS DISEASES

Viruses
Bacteria
Mycoplasmas
Fungi
Lungworm / Parascaris

4. INFLAMMATORY / IMMUNE MEDIATED DISEASES
COPD, SPAOPD


IAD
Pulmonary Neoplasia
Miscellaneous (Inhaled Foreign Bodies, Pulmonary Oedema, Alveolitis and Interstitial Pneumonia, Granulomas, Fibrosis, Smoke Inhalation, Aspiration Pneumonia, Drowning, Silicosis, Eosinophilic Pneumonia

5. FOAL RESPIRATORY DISEASES

Examination techniques which differ from adults
Neonatal Respiratory Distress Syndrome
Bacterial incl R.equi, Pneumocystis
Viral
Meconium Aspiration
Idiopathic tachypnoea
Interstitial Pneumonias
Persistent Pulmonary Hypertension
Intensive management of the foal’s respiratory system

6. EIPH

EIPH

7. DISORDERS OF CHEST WALL, PLEURA, DIAPHRAGM & MEDIASTINUM

Pleuropneumonia
Other Pleural Effusions
Thoracic Wall Injuries & Pneumothorax
Diaphragmatic Hernia
Mediastinal Abscess / Neoplasia
Synchronous Diaphragmatic Flutter

8. DISEASES OF THE EQUINE UPPER AIRWAYS

9. DIAGNOSTIC TECHNIQUES FOR URT DISEASE

Radiology
Sinoscopy
CT
Scintigraphy
Treadmill evolution

10. DISORDERS OF THE NOSTRILS

Atheromas (Epidermal Inclusion Cyst)
Alar Fold Stenosis
Nasal Paralysis
Nostril Wounds

11. DISORDERS OF THE NASAL PASSAGES

Wry Nose
Nasal Septum Abnormalities
Vasomotor, allergic rhinitis, Rhinitis sicca
Alar fold collapse
Nasal Mycoses (Aspergillus Phycomycosis, Rhinosporidiosis etc)
Nasal Tumours

12. DISORDERS OF THE SINUSES

Sinoscopy
Primary Empyema
Dental Sinusitis
Sinus Cysts
Neoplasms
Mycotic infections
Sinus trauma
Sinus neoplasia

13. DISORDERS OF THE ETHMOTURBINATES

Progressive Ethmoidal Hematoma

14. DISORDERS OF THE GUTTURAL POUCH

Anatomy
Tympany
Guttural Pouch Empyema
Guttural Pouch Mycosis
Guttural pouch Tumors (inc melanomas)
Surgical Approaches
Hyovertebrotomy
Viborg's Approach
Whitehouse Approach
Modified Whitehouse Approach

15. DISORDERS OF THE NASOPHARYNX

Pharyngeal Lymphoid Hyperplasia or PLH
Pharyngeal Cysts
Nasopharyngeal Scarring
Pharyngeal Paralysis
Pharyngeal Neoplasia

16. DISORDERS OF THE SOFT PALATE

Cleft Palate
Dorsal Displacement of the Soft Palate (DDSP)

17. DISORDERS OF THE LARYNX

Epiglottic Fold (AEF) Entrapment
Cricopharyngeal laryngeal dysplasia / Rostral Displacement of the Palatopharyngeal Arch (PPA)
Laryngeal Hemiplegia
Neuromuscular pedicle grafting
Arytenoid Chondropathy
Miscellaneous disorders of the larynx webbing, injury, neoplasia

18. URT LASER SURGERY

19. DISORDERS OF THE TRACHEA

20. CRICOTRACHEAL MEMBRANE EVERSION

21. TEMPORARY TRACHEOSTOMY

22. PERMANENT TRACHEOSTOMY

23. TRACHEAL COLLAPSE