Clinical features and management of equine post operative ileus: Survey of diplomates of the<scp>E</scp>uropean<scp>C</scp>olleges of<scp>E</scp>quine<scp>I</scp>nternal<scp>M</scp>edicine (<scp>ECEIM</scp>) and<scp>V</scp>eterinary<scp>S</scp>urgeons (<scp>ECVS</scp>)

Lefebvre, D.; Pirie, R. S.; Handel, Ian; Tremaine, W. H.; Hudson, Neil

doi:10.1111/evj.12355

Cited by 44 publications

(86 citation statements)

References 29 publications

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“…Similarly, it is likely that the reported anti-inflammatory effects of lidocaine 17,18,19 , in addition to its perceived prokinetic effects 2 , also contributed to the high frequency with which this drug was used, both intra-and postoperatively. Furthermore, in addition to inflammation, pain is recognised as an important risk factor for POI in both humans and horses 1,2,6,9,12,19 . The specific reasons why flunixin was the preferred nonsteroidal anti-inflammatory drug (NSAIDs) remain uncertain; however, its reportedly greater potency against the systemic effects of endotoxaemia 17 , compared with other NSAIDs, may be a contributing factor in light of the respondents perception that endotoxaemia was "quite important" as a risk factor for the development of POI.…”

Section: Discussionmentioning

confidence: 99%

“…This study constitutes an extension of work, previously targeting specialist European equine veterinary clinicians (ECVS and ECEIM diplomates) 1 , which investigated the different strategies used to define, prevent, and treat equine POI and the variation in awareness of the published risk factors for this condition. A general article detailing that original survey was published in 2014 in the Equine Veterinary Journal 1 .…”

Section: Introductionmentioning

confidence: 99%

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Clinical features and management of equine post operative ileus (POI):Survey ofDiplomates of theAmericanColleges ofVeterinaryInternalMedicine (ACVIM),VeterinarySurgeons (ACVS) andVeterinaryEmergency andCriticalCare (ACVECC)

Lefebvre

Hudson

Elce

et al. 2015

Equine Veterinary Journal

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Summary Reasons for performing study A recent survey of European Colleges (European College of Equine Internal Medicine [ECEIM] and European College of Veterinary Surgeons [ECVS]) revealed the different strategies implemented by, and some of the challenges facing, European clinicians presented with cases of post operative ileus (POI). It was concluded that further comparative analysis of opinions, canvassed from additional colleges of equine veterinary specialism worldwide, would provide valuable additional insight into current POI knowledge on a more global scale. Objectives To report and compare the current strategies favoured by American veterinary specialists when managing POI in horses that underwent emergency colic surgery. Study design Cross‐sectional survey. Methods Electronic invitations were sent to 814 Large Animal specialists, including 3 colleges: the American College of Veterinary Internal Medicine (ACVIM), American College of Veterinary Surgeons (ACVS) and the American College of Veterinary Emergency and Critical Care (ACVECC). Results The response rate was 14% (115/814). The majority of respondents (68%) reported an estimated prevalence range of POI of 0–20%. The presence of reflux on nasogastric intubation was the main criterion used to define POI. A lesion involving the small intestine was considered the main risk factor for POI. Anti‐inflammatory drugs, intravenous (i.v.) fluids and antimicrobial drugs were the primary strategies used when managing POI. Flunixin meglumine and i.v. lidocaine were the drugs most commonly used in the treatment of horses with POI. Supplementary management strategies targeted mainly the prevention of post operative adhesions, infection and inflammation. Conclusions There is a lack of consensus on the clinical definition of POI. Prospective and objective clinical assessment of the effectiveness of the different strategies contained within this and the European survey is necessary in order to identify a standardised approach to the management of equine POI.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical features and management of equine post operative ileus (POI):Survey ofDiplomates of theAmericanColleges ofVeterinaryInternalMedicine (ACVIM),VeterinarySurgeons (ACVS) andVeterinaryEmergency andCriticalCare (ACVECC)

Lefebvre

Hudson

Elce

et al. 2015

Equine Veterinary Journal

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“…The presence of nasogastric reflux on intubation represents a universally applied diagnostic criteria, which along with ultrasonographic and palpable (via per rectum examination) evidence of distended SI, are the most commonly applied diagnostic indications [8,9]. The presence of nasogastric reflux on intubation represents a universally applied diagnostic criteria, which along with ultrasonographic and palpable (via per rectum examination) evidence of distended SI, are the most commonly applied diagnostic indications [8,9].…”

Section: Equinementioning

confidence: 99%

“…The presence of nasogastric reflux on intubation represents a universally applied diagnostic criteria, which along with ultrasonographic and palpable (via per rectum examination) evidence of distended SI, are the most commonly applied diagnostic indications [8,9]. Recent surveys of European and American equine clinical specialists confirmed the presence of nasogastric reflux as the most important criterion for defining POI, but there was no consensus with respect to the rate and volume of reflux adopted as diagnostic markers [8,9]. There is a wide disparity in the volume of reflux considered to reflect the presence of POI, either on a single intubation and/or over multiple intubations within a 24-h period (Supplementary Item 1).…”

Section: Equinementioning

confidence: 99%

An update on equine post‐operative ileus: Definitions, pathophysiology and management

Lisowski

Pirie

Blikslager

et al. 2018

Equine Veterinary Journal

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Post-operative ileus (POI) is a serious condition which any horse undergoing abdominal surgery is at risk of developing, leading to increased hospitalisation time and resulting costs. Advances in the understanding of the development of equine POI are mainly based on human and rodent literature, where manipulation-induced inflammation has been identified as a trigger, with activation of resident muscularis externa macrophages playing a crucial role in the pathophysiology. Despite many pharmacological trials in all species, there is no single completely successful treatment for POI, highlighting that the condition is multifactorial in cause and requires a multimodal approach to minimise its incidence.

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“…Lactate levels remain elevated rather than declining as expected with correction of the original pathology. 69 …”

Section: Post Operative Enteric Considerationsmentioning

confidence: 99%

Overview of Clinical Pathology and the Horse

Lester¹,

Mollat²,

Bryant³

2015

Veterinary Clinics of North America: Equine Practice

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Clinical features and management of equine post operative ileus: Survey of diplomates of theEuropeanColleges ofEquineInternalMedicine (ECEIM) andVeterinarySurgeons (ECVS)

Abstract: (Dick) School of Veterinary Studies. Conclusions:Appreciation of the potential risk factors associated with the

Cited by 44 publications

References 29 publications

Clinical features and management of equine post operative ileus (POI):Survey ofDiplomates of theAmericanColleges ofVeterinaryInternalMedicine (ACVIM),VeterinarySurgeons (ACVS) andVeterinaryEmergency andCriticalCare (ACVECC)

Clinical features and management of equine post operative ileus (POI):Survey ofDiplomates of theAmericanColleges ofVeterinaryInternalMedicine (ACVIM),VeterinarySurgeons (ACVS) andVeterinaryEmergency andCriticalCare (ACVECC)

An update on equine post‐operative ileus: Definitions, pathophysiology and management

Overview of Clinical Pathology and the Horse

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