An 11-year-old 482-kg (1,060-lb) Quarter Horse gelding was referred for evaluation of azotemia. The gelding had a 4-month history of weight loss, with a decrease in appetite during the preceding 3 weeks. The horse had sudden onset of forelimb ataxia 1 week before the referral evaluation, which resolved following administration of dexamethasone (0.04 mg/kg [0.018 mg/lb], PO, q 24 h for 3 days) and dimethyl sulfoxide (0.06 g/kg [0.027 g/lb] in 10% solution, IV administered once). At that time, serum biochemical analyses revealed that the horse's BUN concentration was 59.2 mg/dL and creatinine concentration was 6.2 mg/dL; these values
OBJECTIVE To assess multiple central venous and arterial blood variables that alone or in conjunction with one another reflect global oxygenation status in healthy neonatal foals.
ANIMALS 11 healthy neonatal foals.
PROCEDURES Central venous and arterial blood samples were collected from healthy neonatal foals at 12, 24, 36, 48, 72, and 96 hours after birth. Variables measured from central venous and arterial blood samples included oxygen saturation of hemoglobin, partial pressure of oxygen, lactate concentration, partial pressure of carbon dioxide, and pH. Calculated variables included venous-to-arterial carbon dioxide gap, estimated oxygen extraction ratio, ratio of partial pressure of oxygen in arterial blood to the fraction of inspired oxygen, bicarbonate concentration, base excess, and blood oxygen content.
RESULTS Significant differences between arterial and central venous blood obtained from neonatal foals were detected for several variables, particularly partial pressure of oxygen, oxygen saturation of hemoglobin, and oxygen content. In addition, the partial pressure of carbon dioxide in central venous blood samples was significantly higher than the value for corresponding arterial blood samples. Several temporal differences were detected for other variables.
CONCLUSIONS AND CLINICAL RELEVANCE Results of this study provided information about several variables that reflect global oxygenation in healthy neonatal foals. Values for these variables in healthy foals can allow for comparison with values for critically ill foals in future studies. Comparison of these variables between healthy and ill foals may aid in treatment decisions and prognosis of clinical outcome for critically ill foals.