Evidence map›Paper›PMID 40841837›Full record

ArticleEquine veterinary journal2026

Flow-controlled expiration improves gas exchange in anaesthetised horses undergoing orthopaedic surgery.

Klaus Hopster, Joao Henrique Neves Soares, David Levine, Kyla Ortved, Bernd Driessen, Joaquin Araos

Abstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Equine veterinary journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Klaus HopsterDepartment of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joao Henrique Neves SoaresDepartment of Radiological and Surgical Sciences, School of Veterinary Medicine at University of California, Davis, Davis, California, USA.ORCID https://orcid.org/0000-0001-9044-3208
David LevineDepartment of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6281-2766
Kyla OrtvedDepartment of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-0398-2444
Bernd DriessenDepartment of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-5522-6072
Joaquin AraosDepartment of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.ORCID https://orcid.org/0000-0002-9805-9769

Funding

University of Pennsylvania
6 · The paper itself

Abstract

backgroundFlow-controlled expiration (FLEX) has been shown to significantly enhance oxygenation in horses under laboratory conditions.

objectiveThis study aims to corroborate these findings by evaluating the effects of FLEX on gas exchange in a randomised clinical trial involving a large population of clinical horses undergoing orthopaedic surgery. STUDY

designProspective randomised clinical trial.

methodsA total of 406 healthy adult horses scheduled for elective orthopaedic procedures were recruited for this prospective clinical trial. Horses were randomly assigned to FLEX or VCV (volume-controlled ventilation) groups in dorsal (VCV-D and FLEX-D) or lateral recumbency (VCV-L and FLEX-L). Arterial blood gases were measured at 30, 75, and 120 min post-induction to assess arterial oxygenation (arterial partial pressure of oxygen to inspired fraction of oxygen ratio, PaO

resultsHorses ventilated with FLEX showed significantly higher PaO MAIN LIMITATIONS: Anaesthesia protocols were not standardised; anaesthetists were not masked to the intervention of interest, and findings may not be generalisable to other patient populations.

conclusionsThese results confirm previous laboratory findings, demonstrating that FLEX improves oxygenation, ventilation-perfusion matching, and respiratory mechanics compared to VCV in a large clinical population of anaesthetised horses.

Indexed as

AnesthesiaOrthopedic ProceduresPulmonary Gas ExchangeRespiration, ArtificialAnimalsBlood Gas AnalysisFemaleHorsesMaleOxygenOxygencompliancegas exchangehorseoxygenationV/Q index

Identifiers

PMID40841837
PMCPMC13244185

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.