Page 1091 - The Veterinary Care of the Horse
P. 1091

Maintenance of anaesthesia. Once the horse is lying down an endotracheal tube – a long

        hollow tube – is passed through the mouth, via the larynx (i.e. throat) and down into the
  VetBooks.ir  windpipe.  A  cuff  is  blown  up  around  the  tube  so  that  the  horse  only  breathes  the  gases
        supplied via the anaesthetic machine. This is a mixture of oxygen and the anaesthetic gas that

        keeps  the  horse  ‘asleep’.  Sometimes  cocktails  of  intravenous  anaesthetic  drips  are  used
        instead of the horse breathing in anaesthetic gases.

        An overhead hoist may be used to move the horse from the padded box into the theatre –
        some patients weigh up to 1,000kg (Figure 24.19). The horse is then carefully positioned on

        the  operating  table,  either  on  its  side  or  back  depending  on  the  surgery  to  be  performed.
        Positioning is very important, especially for operations lasting several hours. Every attempt is

        made to avoid a complication known as post-anaesthetic myopathy, where horse’s muscles
        become  swollen  and  painful  as  a  result  of  poor  blood  supply  caused  by  them  being

        compressed by the horse’s weight during the operation. For some horses, this can be a serious
        and distressing problem.

















































        Figure 24.19 An overhead hoist is used to carefully manoeuvre the horse into position


             During  any  operation  the  horse  is  constantly  monitored  so  that  the  depth  of  the
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