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AIn: Equine <strong>Respiratory</strong> Diseases, Lekeux P. (Ed.). International Veterinary<br />

Information Service, Ithaca NY (www.ivis.org), 22-Apr-2005; B0341.0405<br />

<strong>Normal</strong> <strong>Respiratory</strong> <strong>Values</strong><br />

E. Van Erck, T. Art and P. Lekeux<br />

Department of Physiology and Sport Medicine, Faculty of Veterinary Medicine,<br />

University of Liège, Liège, Belgium.<br />

Conversion Table for Common <strong>Values</strong><br />

Data SI Units* Other Units<br />

Pressure 1 kPa 7.5 mmHg<br />

1 kPa 10.2 cmH2O<br />

1 kPa 10 mbar<br />

1 kPa 0.0099 atm<br />

1 kPa 0.1 N/cm 2<br />

Work 1 J 0.239 cal<br />

1 J 10.2 cmH2O.cm 2<br />

Power 1 W 0.0143 kcal/min<br />

Gas exchange 1 mmol/min 22.4 ml/min<br />

Gas content 1 mmol/liter 2.24 ml/dl<br />

Hemoglobin 1 mmol/liter 16.1 g/liter<br />

*SI Units = International System of Units.<br />

Other conversion tables are available at:<br />

www.digitaldutch.com/unitconverter<br />

www.onlineconversion.com<br />

www.megaconverter.com/mega2<br />

1. <strong>Normal</strong> Ventilation <strong>Values</strong><br />

1.1. <strong>Normal</strong> Ventilation <strong>Values</strong> in Adult Horses<br />

Mean ventilation values in healthy Thoroughbred horses considered average for their<br />

quality, fitness, age (5 years), and size (mean body weight 470 kg) and running on a<br />

treadmill under temperature climatic conditions (lung and gas volumes are expressed as<br />

BTPS and STPD respectively). Measurements were made at 6 m/s at walk (duration: 5<br />

minutes), 3.4 m/s at trot (duration: 5 minutes), 8 m/s at canter (duration: 1 minute) and<br />

10 m/s with 4% slope incline at gallop (duration: 1 minute) and 5 minutes after recovery<br />

[1].<br />

Value Unit Rest Walk<br />

Slow<br />

Trot<br />

Canter Fast Gallop Recovery


Value Unit Rest Walk<br />

Slow<br />

Trot<br />

Canter Fast Gallop Recovery<br />

VO2max% % 3.3 14 18 60 100 20<br />

VT liters 5.6 5.8 6.2 9.2 13.2 6.5<br />

VD liters 3.4 3.4 3.5 2.6 2.6 3.5<br />

VA liters 2.2 2.4 2.8 6.6 10.6 3.0<br />

VD/VT % 60 58 57 28 20 54<br />

f breaths/min 14 65 91 113 121 110<br />

ti seconds 1.9 0.45 0.34 0.27 0.25 0.29<br />

te seconds 2.4 0.47 0.32 0.27 0.25 0.26<br />

ti/ttot % 44 49 52 50 50 53<br />

E<br />

D<br />

A<br />

E/VO2<br />

E/VCO2<br />

mean i<br />

mean e<br />

imax<br />

emax<br />

i<br />

e<br />

liters/min 78 377 564 1040 1598 715<br />

liters/min 47 219 321 291 320 386<br />

liters/min 31 158 243 749 1278 329<br />

liters/liter 35 40 47 26 24 55<br />

liters/liter 43 48 51 27 23 51<br />

liters/s 2.9 13 19 34 53 26<br />

liters/s 2.3 12 20 34 53 30<br />

liters/s 4.1 14 27 45 64 32<br />

liters/s 4.2 18 30 52 79 39<br />

liters/s 2<br />

liters/s 2<br />

8 240 632 1124 1685 650<br />

7 225 566 1086 1595 744<br />

VO2max %: percent of maximal oxygen uptake; VT: tidal volume; VD: physiological dead space; VA:<br />

alveolar volume; VD/VT: ratio of dead space to tidal volume; f: breathing frequency; ti: inspiratory<br />

time of the breathing cycle; te: expiratory time; ti/ttot: ratio of inspiratory to total time of the<br />

breathing cycle; E: minute volume; D: dead space ventilation; A: alveolar<br />

ventilation; E/VO2: ventilatory equivalent for oxygen uptake; E/VCO2: ventilatory<br />

equivalent for carbon dioxide output; mean i: mean inspiratory flow or inspiratory drive; mean<br />

e: mean expiratory flow; imax: peak inspiratory flow; emax: peak expiratory flow;<br />

i: volume acceleration at the onset of inspiration; e: volume acceleration at the onset of


Value Unit Rest Walk<br />

expiration.<br />

1.2. <strong>Normal</strong> Ventilation in Neonate Foals<br />

Slow<br />

Trot<br />

Canter Fast Gallop Recovery<br />

Ventilatory parameters and pressure changes during normal tidal breathing in the standing<br />

foal less than 1 week of age [2,3]<br />

Age in<br />

Days<br />

n VT (L)<br />

2 7<br />

0.65 ±<br />

0.15<br />

7 9<br />

0.90 ±<br />

0.17<br />

<strong>Values</strong> are means ± s.d.<br />

VT/kg<br />

(ml/kg)<br />

15.8 ± 2.5<br />

17.6 ±3.0<br />

f (bpm) E<br />

E/kg<br />

(L/min) (ml/kg)<br />

53.9 ±<br />

9.9<br />

34.8 ± 12.0 848 ± 231<br />

40.9 ±<br />

5.2<br />

33.9 ± 7.5 717 ± 157<br />

Ti (sec) Te (sec)<br />

0.51 ±<br />

0.15<br />

0.65 ±<br />

0.10<br />

0.72 ±<br />

0.09<br />

0.75 ±<br />

0.17<br />

VT: tidal volume; f: frequency of breathing, bpm: breaths per minute; E: minute ventilation; Ti:<br />

inspiratory time; Te: expiratory time.<br />

2. <strong>Normal</strong> <strong>Values</strong> of Breathing Mechanics<br />

2.1. <strong>Normal</strong> <strong>Values</strong> of Breathing Mechanics in Adult Horses<br />

Mean ventilation values in healthy Thoroughbred horses considered average for their<br />

quality, fitness, age (5 years), and size (mean body weight 470 kg) and running on a<br />

treadmill under temperature climatic conditions (lung and gas volumes are expressed as<br />

BTPS and STPD respectively). Measurements were made at 6 m/s at walk (duration: 5<br />

minutes), 3.4 m/s at trot (duration: 5 minutes), 8 m/s at canter (duration: 1 minute) and<br />

10 m/s with 4% slope incline at gallop (duration: 1 minute) and 5 minutes after recovery<br />

[1].<br />

Value Unit Rest Walk Slow Trot Canter Fast Gallop Recover 5'<br />

Ppl min kPa -0.78 -1.19 -1.78 -3.19 -4.85 -1.68<br />

Ppl max kPa -0.34 0.31 0.55 2.42 3.62 0.53<br />

MaxΔPpl kPa 0.44 1.50 2.33 5.61 8.47 2.21<br />

Pin kPa 0.02 0.54 1.16 2.61 4.26 1.71<br />

ΔPV = 0 kPa 0.24 -0.29 -0.90 -2.42 -3.88 -1.90<br />

Cdyn liter/kPa 23 -20 -6.8 -3.8 -3.4 -3.4<br />

RL Pa/liter/s 25 26 30 48 57 27<br />

RUA Pa/liter/s 20 21 23 38 46 21<br />

RLA Pa/liter/s 5 5 7 10 11 6<br />

Wvis J 1.4 6.2 14 36 82 14<br />

vis<br />

J/min 17 403 1274 4068 9922 1540


Value Unit Rest Walk Slow Trot Canter Fast Gallop Recover 5'<br />

vis/VE<br />

vis/VO2<br />

J/min 0.22 1.07 2.2 3.9 6.2 2.2<br />

J/liter 7.7 42 106 102 148 118<br />

Ppl min: peak intrapleural pressure recorded during inspiration; Ppl max: peak intrapleural pressure<br />

recorded during expiration; maxΔPpl: maximum change in intrapleural pressure; Pin: initial pressure;<br />

ΔPV=0: intrapleural pressure gradient between the 2 points of zero flow; Cdyn: dynamic lung<br />

compliance; RL: total pulmonary resistance; RUA: upper airways resistance; RLA: lower airways<br />

resistance; vis: viscous work of breathing; vis: minute work of breathing; vis/VE:<br />

work of breathing per ventilated liter; vis/VO2: work of breathing per liter of oxygen uptake.<br />

2.2. <strong>Normal</strong> <strong>Values</strong> of Impulse Oscillometry Mechanics in Adult Horses<br />

<strong>Values</strong> of respiratory resistance (Rrs) measured from 5 to 35 Hz with<br />

the Impulse Oscillometry System (IOS) [4]<br />

Rrs (kPa/l/s) Mean SD CLL CLU<br />

R5Hz 0.070 0.012 0.066 0.074<br />

R10Hz 0.081 0.011 0.077 0.085<br />

R15Hz 0.088 0.012 0.085 0.092<br />

R20Hz 0.079 0.010 0.076 0.083<br />

R25Hz 0.075 0.010 0.072 0.078<br />

R35Hz 0.062 0.009 0.059 0.065<br />

SD: Standard deviation, CLL: 95% lower confidence limit, CLU: 95% upper<br />

confidence limit<br />

<strong>Values</strong> of reactance (Xrs) measured from 5 to 35 Hz with the Impulse<br />

Oscillometry System (IOS) [4]<br />

Xrs (kPa/l/s) Mean SD CLL CLU<br />

X5Hz 0.020 0.007 0.017 0.022<br />

X10Hz 0.015 0.009 0.012 0.018<br />

X15Hz 0.009 0.012 0.005 0.013<br />

X20Hz 0.006 0.015 0.001 0.010<br />

X25Hz 0.003 0.013 -0.001 0.008<br />

X35Hz -0.003 0.010 -0.007 0.000<br />

SD: Standard deviation, CLL: 95% lower confidence limit, CLU: 95% upper<br />

confidence limit<br />

3. <strong>Normal</strong> Gas Exchange <strong>Values</strong><br />

3.1. <strong>Normal</strong> <strong>Values</strong> of Blood Gases in Adult Horses


PaO2 85 - 105 mmHg<br />

PaCO2 42 - 46 mmHg<br />

pH 7.38 - 7.42<br />

Mean ventilation values in healthy Thoroughbred horses considered average for their<br />

quality, fitness, age (5 years), and size (mean body weight 470 kg) and running on a<br />

treadmill under temperature climatic conditions (lung and gas volumes are expressed as<br />

BTPS and STPD respectively). Measurements were made at 6 m/s at walk (duration: 5<br />

minutes), 3.4 m/s at trot (duration: 5 minutes), 8 m/s at canter (duration: 1 minute) and<br />

10 m/s with 4% slope incline at gallop (duration: 1 minute) and 5 minutes after recovery<br />

[1].<br />

Value Unit Rest Walk Slow Trot Canter Fast Gallop Recover 5'<br />

O2<br />

ml/kg/min 4.7 20.2 25.5 85.1 142.5 27.7<br />

CO2<br />

ml/kg/min 3.8 17.0 23.4 80.9 146.8 29.8<br />

R - 0.82 0.85 0.92 0.95 1.03 1.07<br />

Venous PO2 mmHg 39 32 30 25 16 62<br />

Venous PCO2 mmHg 47 49 50 64 96 43<br />

HCO3 -<br />

mmol/liter 28.8 28.9 27.5 26.6 23.0 19.2<br />

Arterial PO2 mmHg 95 101 99 83 69 115<br />

Arterial PCO2 mmHg 45 44 43 46 50 32<br />

(A-a) ΔO2 mmHg 4 2 4 16 29 6<br />

pHa - 7.39 7.40 7.40 7.39 7.26 7.36<br />

PCV % 38 42 44 48 58 56<br />

Hb G/liter 140 150 160 175 220 220<br />

Arterial SO2 % 97 97.5 97 95 90 98.5<br />

Arterial CO2 liter% 20 22 22 25 28 33<br />

Venous CO2 liter% 14 11 11 7 5 21<br />

C(a-v)O2 liter% 6 11 11 18 23 12<br />

Alveolar PO2 mmHg 99 103 103 99 98 121<br />

Alveolar PCO2 mmHg 44 43 42 45 49 31<br />

FmeO2 % 16.2 17.0 17.7 14.9 14.3 18.4<br />

FmeCO2 % 2.6 2.6 2.5 4.6 5.4 2.1<br />

FetO2 % 14.0 14.5 14.5 13.9 13.9 17.2<br />

FetCO2 % 6.3 6.1 6.0 6.4 7.0 4.5<br />

O2: oxygen uptake; CO2: carbon dioxide output; R: respiratory exchange ratio; venous<br />

PO2: venous oxygen partial pressure; venous PCO2: venous carbon dioxide partial pressure; arterial<br />

PO2: arterial oxygen partial pressure; arterial PCO2: arterial carbon dioxide partial pressure; HCO3 - :<br />

bicarbonate content; [A-a] ΔO2: alveolar-arterial oxygen gradient; pHa: arterial pH; PCV: packed<br />

cell volume; Hb: blood hemoglobin concentration; arterial SO2: percent saturation of hemoglobin<br />

with oxygen; arterial CO2: arterial oxygen content; venous CO2: venous oxygen content; C(a-v)O2:<br />

arteriovenous oxygen content gradient; alveolar PO2: alveolar oxygen partial pressure; alveolar


PCO2: alveolar carbon dioxide partial pressure; FmeO2: mixed expired oxygen fraction; FmeCO2:<br />

mixed expired carbon dioxide fraction; FetO2: end-tidal oxygen fraction; FetCO2: end-tidal carbon<br />

dioxide fraction.<br />

3.2. <strong>Normal</strong> <strong>Values</strong> of Arterial Blood Gases in Foals<br />

Gestational<br />

Age/Status<br />

<strong>Values</strong> measured from birth until 1 week (expressed as mean ± SEM)<br />

Postnatal<br />

Age<br />

<strong>Normal</strong> 3 - 168 hr Lateral<br />

<strong>Normal</strong><br />

1 - 12 hr<br />

12 - 48 hr<br />

48 - 168 hr<br />

Position pH<br />

Lateral<br />

<strong>Normal</strong> 4 - 11 hr Lateral<br />

<strong>Normal</strong><br />

24 hr<br />

24 hr<br />

48 hr<br />

48 hr<br />

72 hr<br />

72 hr<br />

144 hr<br />

144 hr<br />

Standing<br />

Lateral<br />

Standing<br />

Lateral<br />

Standing<br />

Lateral<br />

Standing<br />

Lateral<br />

Premature 0.5 - 11 hr Lateral<br />

Term<br />

Birth<br />

2 min<br />

15 min<br />

30 min<br />

60 min<br />

2 hr<br />

4 hr<br />

12 hr<br />

24 hr<br />

48 hr<br />

96 hr<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

Lateral<br />

7.354 ±<br />

0.011<br />

7.378 ±<br />

0.015<br />

3.374 ±<br />

0.004<br />

7.384 ±<br />

0.014<br />

7.367 ±<br />

0.10<br />

7.41 ± 0.03<br />

7.38 ± 0.05<br />

7.40 ± 0.03<br />

7.37 ± 0.00<br />

7.39 ± 0.07<br />

7.44 ± 0.14<br />

7.42 ± 0.03<br />

7.41 ± 0.03<br />

7.208 ±<br />

0.48<br />

7.413 ±<br />

0.019<br />

7.312 ±<br />

0.016<br />

7.322 ±<br />

0.025<br />

7.354 ±<br />

0.010<br />

7.362 ±<br />

0.013<br />

7.362 ±<br />

0.012<br />

7.355 ±<br />

0.017<br />

7.357 ±<br />

0.024<br />

7.393 ±<br />

0.012<br />

PaCO2<br />

mmHg<br />

PaO2<br />

mmHg HCO3 n Ref<br />

47.5 ± 2.6 80.0 ± 3.8 10 [5]<br />

42.2 ± 1.8<br />

44.5 ± 1.2<br />

42.4 ± 1.0<br />

77.3 ± 3.1<br />

83.2 ± 3.1<br />

88.2 ± 5.9<br />

6<br />

6<br />

5<br />

[6]<br />

39.5 ± 1.8 83.8 ± 6.3 5 [7]<br />

45.2 ± 2.5<br />

48.1 ± 3.8<br />

47.5 ± 3.7<br />

49.5 ± 2.8<br />

49.6 ± 1.5<br />

51.6 ± 7.2<br />

47.3 ± 2.3<br />

46.9 ± 2.1<br />

84.6 ± 6.9<br />

72.69 ±<br />

14.2<br />

106.6 ± 3.9<br />

89.6 ± 12.7<br />

104.5 ± 4.8<br />

94.1 ± 4.3<br />

98.8 ± 4.8<br />

84.2 ± 6.9<br />

3<br />

3<br />

3<br />

3<br />

5<br />

5<br />

5<br />

5<br />

[8]<br />

55.3 ± 3.6 53.7 ± 1.5 7 [6]<br />

45.7 ± 1.1<br />

54.1 ± 2.0<br />

50.4 ± 2.7<br />

51.5 ± 1.5<br />

47.3 ± 2.2<br />

47.7 ± 1.7<br />

45.0 ± 1.9<br />

44.3 ± 1.2<br />

45.5 ± 1.5<br />

46.1 ± 1.1<br />

45.8 ± 1.1<br />

39.7 ± 2.1<br />

56.4 ± 2.3<br />

57.5 ± 3.6<br />

57.0 ± 1.8<br />

60.9 ± 2.7<br />

66.5 ± 2.3<br />

75.7 ± 4.9<br />

73.5 ± 3.0<br />

67.6 ± 4.4<br />

74.9 ± 3.3<br />

81.2 ± 3.1<br />

26.3 ±<br />

1.1<br />

24.0 ±<br />

1.2<br />

24.4 ±<br />

1.6<br />

25.3 ±<br />

0.7<br />

25.3 ±<br />

1.0<br />

25.0 ±<br />

0.9<br />

23.6 ±<br />

1.1<br />

23.2 ±<br />

1.3<br />

26.2 ±<br />

1.1<br />

8<br />

10<br />

9<br />

10<br />

9<br />

8<br />

10<br />

10<br />

9<br />

8<br />

8<br />

[9]


Gestational<br />

Age/Status<br />

<strong>Values</strong> measured from birth until 1 week (expressed as mean ± SEM)<br />

Postnatal<br />

Age<br />

4. Pulmonary Hemodynamics<br />

Position pH<br />

7.398 ±<br />

0.008<br />

7.396 ±<br />

0.012<br />

PaCO2<br />

mmHg<br />

PaO2<br />

mmHg HCO3<br />

25.7 ±<br />

0.6<br />

23.2 ±<br />

2.1<br />

n Ref<br />

Mean ventilation values in healthy Thoroughbred horses considered average for their<br />

quality, fitness, age (5 years), and size (mean body weight 470 kg) and running on a<br />

treadmill under temperature climatic conditions (lung and gas volumes are expressed as<br />

BTPS and STPD respectively). Measurements were made at 6 m/s at walk (duration: 5<br />

minutes), 3.4 m/s at trot (duration: 5 minutes), 8 m/s at canter (duration: 1 minute) and<br />

10 m/s with 4% slope incline at gallop (duration: 1 minute) and 5 minutes after recovery<br />

[1].<br />

Value Unit Rest Walk<br />

Slow<br />

Trot<br />

Canter Fast Gallop Recover 5'<br />

HR beats/min 35 75 103 155 210 83<br />

SV liters 1.05 1.07 1.12 1.39 1.36 1.32<br />

Q liters/min 37 80 115 215 285 110<br />

PaPmax mmHg 37 69 78 99 152 53<br />

PaPmin mmHg 22 30 39 47 50 26<br />

PaPm mmHg 28 43 52 65 82 35<br />

Pw mmHg 16 25 30 37 49 20<br />

P (aP-w) mmHg 12 18 22 28 33 15<br />

PVR mmHg/liter/min 0.32 0.22 0.19 0.13 0.11 0.14<br />

T°a °C 37.5 37.9 38.1 38.7 41.3 39.7<br />

O2/HR<br />

ml/kg/beat 0.06 0.25 0.25 0.55 0.68 0.34<br />

liters/liter 0.84 1.98 2.11 3.48 4.48 3.00<br />

A/Q<br />

HR: heart rate; SV: stroke volume; Q: cardiac output; PaPmax: maximal pulmonary artery pressure;<br />

PaPmin: minimal pulmonary artery pressure; PaPm: mean pulmonary artery pressure; Pw:<br />

pulmonary artery wedge pressure; P(aP-w): pulmonary driving pressure; PVR: pulmonary vascular<br />

resistance; T°a: arterial blood temperature; O2/HR: oxygen pulse; A/Q: global<br />

ventilation/perfusion ratio.<br />

References<br />

• 1. Lekeux P, Art T. The respiratory system: anatomy, physiology, and<br />

adaptations to exercise and training. In: Hodgson DR, Rose RJ. Eds. The athletic<br />

horse: principles and practice of equine sports medicine. Philadelphia: WB<br />

Saunders Company, 1994, pp 79-127. - Available from amazon.com -


• 2. Beech J. Equine respiratory disorders. Philadelphia: Lea & Febiger, 1999; 458<br />

pp.<br />

• 3. Koterba AM, Kosch PC. <strong>Respiratory</strong> mechanics and breathing pattern in the<br />

neonatal foal. J Reprod Fertil Suppl 1987; 35:575-585. - Pubmed -<br />

• 4. van Erck E, Votion D, Art T, et al. Measurement of respiratory function by<br />

impulse oscillometry in horses. Equine Vet J 2004; 36:21-28. - Pubmed -<br />

• 5. Rossdale PD. Some parameters of respiratory function in normal and<br />

abnormal newborn foals with special reference to levels of paO2 during air and<br />

oxygen inhalation. Res Vet Sci 1970; 11:270-276.<br />

• 6. Rose RJ, Rossdale PD, Leadon DP. Blood gas and acid--base status in<br />

spontaneously delivered, term-induced and induced premature foals. J Reprod<br />

Fertil Suppl 1982; 32:521-528. - Pubmed -<br />

• 7. Rose RJ, Hodgson DR, Leadon DP, et al. Effect of intranasal oxygen<br />

administration on arterial blood gas and acid base parameters in spontaneously<br />

delivered, term induced and induced premature foals. Res Vet Sci 1983; 34:159-<br />

162. - Pubmed -<br />

• 8. Madigan J, Thomas WP. Cardiopulmonary function in normal newborn foals<br />

from 1-14 days of age. Proc Am Coll Vet Int Med 1986; 10:101.<br />

• 9. Stewart JH, Rose RJ, Barko AM. <strong>Respiratory</strong> studies in foals from birth to<br />

seven days old. Equine Vet J 1984; 16:323-328. - Pubmed -<br />

Click on the author's name to view a list of his/her publications: E. Van Erck, T. Art and<br />

P. Lekeux

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