Influence of air movement, facemask design and exercise on upper airway, transpulmonary, and transdiaphragmatic pressures in thoroughbred horses.

The influences of facial airflow, exercise and wearing a facemask on gas exchange and upper airway (Pu), transpulmonary (PTP) and transdiaphragmatic (PTD) pressures were investigated in 6 horses performing an incremental exercise test on an inclined (10%) treadmill. The test consisted of a 2 min walk followed by two 2 min exercise bouts at intensities which produced 40% and 80% of maximal oxygen consumption. Horses performed the test 4 times, once for each of 4 protocols, which involved not wearing a facemask (A), wearing a mask with either no biased flow through it (B), with an expiratory bias of 6300 L/min through it (C), or with an inspiratory bias of the same magnitude (D). Although no statistically significant differences in arterial blood gases, Pu, PTP, or PTD could be attributed to the various protocols, trends that may have been physiologically important were detected. Hypoxemia and hypercapnia associated with exercise were most marked with protocol B and least severe with protocols A or D. PTP was lowest for all tests with protocol D. Of the 3 conditions that required the wearing of a mask, protocol D was associated with the lowest Pu. While impelling air into the respiratory tract, as presumedly occurs with horses exercising over ground, may enhance respiratory function during exercise, this preliminary study does not clearly demonstrate this. Because this is an important consideration when conducting studies involving horses on treadmills, further investigations at higher exercise intensities and with additional methodologies are needed to clarify the issue.