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Focus on Upper and Lower Respiratory Disease Program
Sunday, July 18
Morning
| 8:00-8:50a.m. |
How to Evaluate the Horse with a Respiratory Noise – J. Brett Woodie
Acquire skills to evaluate a horse with a respiratory noise through a review of normal anatomy of the upper respiratory tract including guttural pouches, learning the different upper respiratory tract abnormalities that can be diagnosed at rest, and what information can be gleaned using laryngeal ultrasound. |
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8:50-9:40a.m. |
Treadmill Evaluation of Upper Airway Function – J. Brett Woodie
In this lecture, you will learn case selection for a dynamic evaluation of the upper airway, the effect of head and neck position of upper airway function and the different upper airway abnormalities that can be diagnosed during exercise. |
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10:00-11:40a.m. |
Diseases and Surgery of the Nasal Cavity – James Schumacher
Gain a thorough understanding of the anatomy of the nasal cavities of horses and the surgical concepts associated with them, either endoscopically or through a frontonnasal oeteoplastic flap. In addition, the diseases of the nasal cavities and the most effective treatment options will be discussed. |
Afternoon
| 1:00-1:50p.m. |
Examination of the Equine Respiratory System – Melissa Mazan
This session will guide you through the equine respiratory system using IPPA (inspection, palpation, percussion, auscultation) to improve examination skills, as well as the use of ancillary techniques (diagnostic imaging, pulmonary function testing). |
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1:50-2:40p.m. |
Pneumonia in Adult Horses – Steeve Gigučre
Bacterial infection of the respiratory tract is common in adult horses and may result in impairment of athletic performance. The presentation will review the pathophysiology of the disease as well as diagnostic modalities and therapeutic measures. |
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3:00-3:50p.m. |
Caught in the Middle of a Strangles Outbreak—Review of the Diagnostic and Management Procedures - Dorothy Ainsworth
The diagnosis of Strep equi infections can be enhanced by performing both microbial culture and PCR analysis of guttural pouch lavage samples. Managing a farm outbreak requires identification and segregation of horses that are shedding the organism and implementation of strict hygiene protocols to restrict the exposure of non-infected horses. Vaccination of healthy non-infected horses during an outbreak has been advocated to stem the contagion but effective immune responses take at least two weeks. Learn what you need to know if you find yourself in the middle of a strangles outbreak. |
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3:50-4:40p.m. |
So What’s All This About Equine Multi-Nodular Pulmonary Fibrosis?– Dorothy Ainsworth
Dr. Ainsworth will discuss equine multi-nodular pulmonary fibrosis, which is a newly recognized respiratory disorder, the etiology of which is uncertain (? EHV-5). Affected horses exhibit a chronic history of intermittent fever, weight loss, inappetence and tachypnea or respiratory distress. The diagnosis is one of exclusion and is aided by cytological analyses of tracheobronchial secretions; ultrasonographic or radiographic detection of pulmonary nodules; and demonstration of consistent histopathological alterations on lung biopsies/sections. Prognosis for recovery is fair: less than 50% of horses respond to a course of antivirals (acyclovir) and anti-inflammatories (dexamethasone, doxycycline). |
Monday, July 19
Morning
| 8:00-8:50a.m. |
Equine Laryngeal Dysfunction – Norm Ducharme
Lecture will provide a complete understanding of equine laryngeal dysfunction including correlation of resting endoscopic exam, resting ultrasonographic exam and treadmill findings; surgical alternatives for sport horses and racehorses; and timing of surgery for laryngeal dysfunction. |
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8:50-9:40a.m. |
Palatopharyngeal Disorders – Norm Ducharme
Dr. Ducharme will take a thorough look at palatopharyngeal disorders that will include etiology of DDSP, the treatment of intermittent and permanent DDSP and dorsal nasopharyngeal collapse treament. |
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10:00-10:50a.m. |
Disorders and Surgery of the Trachea – J. Brett Woodie
An understanding of disorders and surgery of the trachea will be presented and will include how to perform an emergency tracheotomy, the indications for a permanent tracheotomy and how to diagnose tracheal collapse. |
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10:50-11:40a.m. |
Diseases and Surgery of the Paranasal Sinuses – James Schumacher
Gain a thorough understanding of the anatomy of the paranasal sinuses of horses and the surgical concepts associated with them, either endoscopically or through a frontonnasal oeteoplastic flap. In addition, Dr. Schumacher will present the diseases of the paranasal sinuses and how to effectively treat horses for many of them, including surgical treatment of the paranasal sinuses through a frontonasal osteoplastic flap created with the horse standing. |
Afternoon
| 1:00-1:50p.m. |
Rhodococcal pneumonia - Steeve Gigučre
An evidence-based session on the diagnosis, pathogenesis, immunity, epidemiology, therapy, and control of the disease. |
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1:50-2:40p.m. |
Neonatal Pulmonary Disorders – Steeve Gigučre
The detection of respiratory disease in the newborn foal can be challenging. Clinical signs that are often associated with pulmonary tract disease in older foals and adult horses are typically lacking in the sick neonatal foal. The transition from the fluid-filled lung of the foal to an organ that is responsible for efficient gas exchange is both rapid and complex. The process can be complicated by a number of factors, including prematurity or dysmaturity, thoracic trauma during birth, aspiration of meconium or milk, and bacterial or viral infection. |
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3:00-3:50p.m. |
Review of Recurrent Airway Obstruction (Heaves): Diagnosis and Treatment Options– Dorothy Ainsworth
RAO is a pulmonary inflammatory disorder of mature horses (> 7 yrs) that results from inhalation of hay dust particulates. The type of immunological disorder that underlies RAO remains controversial with evidence existing both for and against an allergic response existing. Husbandry alterations remain the mainstay of therapy. Although bronchodilator therapy may help affected horses, anti-inflammatories (dexamethasone, inhaled steroids) remain the most effective means of resolving pulmonary inflammation. This discussion as well as a review of recurrent airway obstruction will be included in this lecture. |
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3:50-4:40p.m. |
Lower Respiratory Panel Discussion –Dorothy Ainsworth, Melissa Mazan and Steeve Gigučre |
Tuesday July 20
Morning
| 8:00-8:50a.m. |
Inflammatory Airway Disease in the Performance Horse: Understanding the Disease - Melissa Mazan
IAD can be a contributing cause of poor performance in athletic horses. To gain a complete understanding of IAD, this session will cover the basics of pathophysiology and the possible causes of disease as well as performing and understanding the bronchoalveolar wash. |
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8:50-9:40a.m. |
Rational Treatment of IAD: Environment and Drugs - Melissa Mazan
Dr. Mazan will discuss emergent treatments of IAD including the basics of bronchodilation. Additional topics include a rational approach to using corticosteroids and the basics of using aerosolized medications while taking the environment into account. |
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10:00-10:50a.m. |
Laser Surgery of the Upper Respiratory Tract - Norm Ducharme
Learn and understand laser surgery of the upper respiratory tract including whether to incise or remove the membrane with an epiglottic entrapment, how to perform laster staphylectomy and tips on laser ventriculocordectomy. |
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10:50-11:40a.m. |
Upper Respiratory Panel Discussion – James Schumacher, Norm Ducharme, and J. Brett Woodie |
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1:00-5:30p.m. |
Equine Respiratory Research Abstract Presentations
Immediately following the Focus meeting, scientific abstract presentations will be made on equine respiratory research by researchers from around the world. All AAEP Focus meeting attendees are invited to attend these presentations at no additional charge.
The presentations will take place on July 20 from 1-5:30 p.m. Details of these presentations can be found by clicking here. The presentations are part of the 2010 AAEP Foundation Equine Respiratory Research Workshop taking place July 20-21 at the Salt Lake City Hilton.
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Topics and speakers subject to change.
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