Horses’ behavior can provide valuable insight into their subjective state and is thus a good indicator of welfare. However, its complexity requires objective, quantifiable, and unambiguous evidence-based assessment criteria. As healthy, stress-free horses exhibit a highly repetitive daily routine, temporal quantification of their behavioral activities (time budget analysis) can assist in equine welfare assessment. Therefore, the present systematic review aimed to provide an up-to-date analysis of equine time budget studies. A review of the literature yielded 12 papers that fulfilled the inclusion criteria: assessment of equine time budgets for eating, resting and movement for a minimum of 24 continuous hours. A total of 144 horses (1–27 years old), 59 semi-feral and 85 domesticated horses, are included in this review. The 24 h time budgets for foraging or eating (10–6.6%), resting (8.1–66%), lying (2.7–27.3%), and locomotion (0.015–19.1%) showed large variance between studies, which can largely be attributed to differences in age and environmental conditions. Management interventions in domesticated horses (ad libitum access to food, increased space, decreased population density) resulted in time budgets similar to their (semi-)feral conspecifics, emphasizing the importance of environmental conditions and the ability of time budgets to assist in monitoring horses’ welfare.

This study evaluated the breathing pattern and distribution of ventilation in horses prior to and following recovery from general anaesthesia using electrical impedance tomography (EIT). Six horses were anaesthetised for 6 hours in dorsal recumbency. Arterial blood gas and EIT measurements were performed 24 hours before (baseline) and 1, 2, 3, 4, 5 and 6 hours after horses stood following anaesthesia. At each time point 4 representative spontaneous breaths were analysed. The percentage of the total breath length during which impedance remained greater than 50% of the maximum inspiratory impedance change (breath holding), the fraction of total tidal ventilation within each of four stacked regions of interest (ROI) (distribution of ventilation) and the filling time and inflation period of seven ROI evenly distributed over the dorso-ventral height of the lungs were calculated. Mixed effects multi-linear regression and linear regression were used and significance was set at p<0.05. All horses demonstrated inspiratory breath holding until 5 hours after standing. No change from baseline was seen for the distribution of ventilation during inspiration. Filling time and inflation period were more rapid and shorter in ventral and slower and longer in most dorsal ROI compared to baseline, respectively. In a mixed effects multi-linear regression, breath holding was significantly correlated with PaCO2 in both the univariate and multivariate regression. Following recovery from anaesthesia, horses showed inspiratory breath holding during which gas redistributed from ventral into dorsal regions of the lungs. This suggests auto-recruitment of lung tissue which would have been dependent and likely atelectic during anaesthesia.

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Electrical impedance tomography (EIT) is a non-invasive real-time non-ionising imaging modality that has many applications. Since the first recorded use in 1978, the technology has become more widely used especially in human adult and neonatal critical care monitoring. Recently, there has been an increase in research on thoracic EIT in veterinary medicine. Real-time imaging of the thorax allows evaluation of ventilation distribution in anesthetised and conscious animals. As the technology becomes recognised in the veterinary community there is a need to standardize approaches to data collection, analysis, interpretation and nomenclature, ensuring comparison and repeatability between researchers and studies. A group of nineteen veterinarians and two biomedical engineers experienced in veterinary EIT were consulted and contributed to the preparation of this statement. The aim of this consensus is to provide an introduction to this imaging modality, to highlight clinical relevance and to include recommendations on how to effectively use thoracic EIT in veterinary species. Based on this, the consensus statement aims to address the need for a streamlined approach to veterinary thoracic EIT and includes: an introduction to the use of EIT in veterinary species, the technical background to creation of the functional images, a consensus from all contributing authors on the practical application and use of the technology, descriptions and interpretation of current available variables including appropriate statistical analysis, nomenclature recommended for consistency and future developments in thoracic EIT. The information provided in this consensus statement may benefit researchers and clinicians working within the field of veterinary thoracic EIT. We endeavor to inform future users of the benefits of this imaging modality and provide opportunities to further explore applications of this technology with regards to perfusion imaging and pathology diagnosis.

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Electrical impedance tomography (EIT) is used in lung physiology monitoring. There is evidence that EIT is linearly associated with global tidal volume (VT) in clinically healthy patients where no positive end-expiratory pressure (PEEP) is applied. This linearity has not been challenged by altering lung conditions. The aim of this study was to determine the effect of PEEP on VT estimation, using EIT technology and spirometry, and observe the stability of the relationship under changing lung conditions. Twelve male castrated cattle (Steer), mean age 7.8 months (SD ± 1.7) were premedicated with xylazine followed by anaesthesia induction with ketamine and maintenance with halothane in oxygen via an endotracheal tube. An EIT belt was applied around the thorax at the level of the fifth intercostal space. Volume controlled ventilation was used. PEEP was increased in a stepwise manner from 0 to 5, 10 and 15 cmH 2 O. At each PEEP, the VT was increased stepwise from 5 to 10 and 15 mL kg −1. After a minute of stabilisation, total impedance change (VT EIT), using EIT and VT measured by a spirometer connected to a flow-partitioning device (VT Spiro) was recorded for the following minute before changing ventilator settings. Data was analysed using linear regression and multi variable analysis. There was a linear relationship between VT EIT and VT Spiro at all levels of PEEP with an R 2 of 0.71, 0.68, 0.63 and 0.63 at 0, 5, 10 and 15 cmH 2 O, respectively. The variance in VT EIT was best described by peak inspiratory pressure (PIP) and PEEP (adjusted R 2 0.82) while variance in VT Spiro was best described by PIP and airway deadspace (adjusted R 2 0.76). The relationship between VT EIT and VT Spiro remains linear with changes in tidal volume, and stable across altered lung conditions. This may have application for monitoring and assessment in vivo.

In dorsally recumbent anaesthetized horses, CPAP of 8 cmHO results in redistribution of ventilation towards the dependent lung regions, thereby improving ventilation-perfusion matching. This improvement was not associated with an increase in dead space indicative for a lack in distension of the airways or impairment of alveolar perfusion.