Browsing by Author "Wilson, Julie"
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Item Care of Elderly Horses(St. Paul, MN: University of Minnesota Extension Service, 2007) Wilson, JulieThe publication explains some of the health issues that are common for horses in their 20's and 30's and provides suggestions for a health care routine.Item Equine Vaccinations and Deworming(St. Paul, MN: University of Minnesota Extension Service, 2008) Wilson, JulieLists different diseases affecting horses, and the frequency with which each horse in Minnesota should be vaccinated against those diseases.Item Intravenous Continuous Infusion of Lidocaine for Treatment of Equine Ileus(Veterinary Surgery, 2006) Malone, Erin; Ensink, Jos; Turner, Tracy; Wilson, Julie; Andrews, Frank; Keegan, Kevin; Lumsden, JonathanObjective—To determine if intravenous lidocaine is useful and safe as a treatment for equine ileus. Study Design—Prospective double-blinded placebo-controlled trial. Study Population—Horses (n¼32) with a diagnosis of postoperative ileus (POI) or enteritis and that had refluxed 420L or had been refluxing for 424 hours. Methods—Refluxing horses were administered lidocaine (1.3mg/kg intravenously [IV] as a bolus followed by a 0.05mg/kg/min infusion) or saline (0.9% NaCl) solution placebo for 24 hours. Variables evaluated included volume and duration of reflux, time to 1st fecal passage, signs of pain, analgesic use, heart rate and arrhythmias, respiratory rate, temperature, days of hospitalization, outcome (survival to discharge), and complications. Results—Of the lidocaine-treated horses, 65% (11/17) stopped refluxing within 30 hours (mean SD, 15.2 2.4 hours) whereas 27% (4/15) of the saline-treated horses stopped within 30 hours. Fecal passage was significantly correlated with response to treatment; horses that responded to lidocaine passed feces within 16 hours of starting the infusion. Compared with placebo treatment, lidocaine treatment resulted in shorter hospitalization time for survivors, equivalent survival to discharge, no clinically significant changes in physical or laboratory variables, and no difference in the rate of incisional infections, jugular thrombosis, laminitis, or diarrhea. Muscle fasciculations occurred in 3 lidocaine-treated horses (18%). Conclusion—IV lidocaine significantly improved the clinical course in refluxing horses with minimal side effects. Clinical Relevance—At the infusion rate studied, IV lidocaine is safe and should be considered for the treatment of equine ileus.