Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals

Abstract Background Different methods to measure tissue perfusion are available in equine neonatology, but they are not representative of microvascular derangements. Objective To evaluate the feasibility of the sidestream dark‐field (SDF) capillaroscopy to visualize the capillary microvasculature in...

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Main Authors: Francesca Freccero, Chiara Di Maio, Jole Mariella, Aliai Lanci, Carolina Castagnetti, Gayle Hallowell
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.1051
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author Francesca Freccero
Chiara Di Maio
Jole Mariella
Aliai Lanci
Carolina Castagnetti
Gayle Hallowell
author_facet Francesca Freccero
Chiara Di Maio
Jole Mariella
Aliai Lanci
Carolina Castagnetti
Gayle Hallowell
author_sort Francesca Freccero
collection DOAJ
description Abstract Background Different methods to measure tissue perfusion are available in equine neonatology, but they are not representative of microvascular derangements. Objective To evaluate the feasibility of the sidestream dark‐field (SDF) capillaroscopy to visualize the capillary microvasculature in conscious newborn foals, the differences between two imaging sites and times of measurements, and the measurements' reproducibility. Methods Seventeen healthy newborn foals were enrolled. Three sites at the upper and lower lip mucosa were assessed by SDF, using a hand‐held capiscope, at 24 h and at 4–5 days after birth. Videos were assessed independently by two observers for quality and for semiquantitative calculation of microvascular parameters, including vascular density (VD), microvascular flow index (MFI), proportion of perfused vessels (PPV), and functional capillary density (FCD). Data were analyzed using unpaired and paired Student's T‐tests to assess differences between sites and time‐points. Bland–Altman plots and intraclass correlation coefficient (ICC) were used to assess measurement reproducibility. Results Differences were found between the upper and the lower lip for VD at both 24 h and 4–5 days, and for FCD at 24 h, and between the two time‐points for PPV at the lower lip. ICC for measurement reproducibility was good for all parameters (0.64–0.79) for the lower lip, and was good for VD and FCD (0,76–0,79) and fair to moderate for MFI and PPV (0.31–0.41) for the upper lip. Conclusions Measurement of the capillary microvasculature is feasible in the conscious newborn foal. The lower lip has the best measurement reproducibility. Further investigations are warranted in cardiovascularly compromised cases, particularly in septic foals.
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spelling doaj.art-64609932b4234365bfce9523dca1ba8d2023-01-20T17:53:08ZengWileyVeterinary Medicine and Science2053-10952023-01-019115816610.1002/vms3.1051Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foalsFrancesca Freccero0Chiara Di Maio1Jole Mariella2Aliai Lanci3Carolina Castagnetti4Gayle Hallowell5Department of Veterinary Medical Sciences University of Bologna Ozzano dell'Emilia (BO) ItalyPrivate Practitioner ItalyDepartment of Veterinary Medical Sciences University of Bologna Ozzano dell'Emilia (BO) ItalyDepartment of Veterinary Medical Sciences University of Bologna Ozzano dell'Emilia (BO) ItalyDepartment of Veterinary Medical Sciences University of Bologna Ozzano dell'Emilia (BO) ItalyIVC Evidensia, Pool House Equine Clinic Lichfield UKAbstract Background Different methods to measure tissue perfusion are available in equine neonatology, but they are not representative of microvascular derangements. Objective To evaluate the feasibility of the sidestream dark‐field (SDF) capillaroscopy to visualize the capillary microvasculature in conscious newborn foals, the differences between two imaging sites and times of measurements, and the measurements' reproducibility. Methods Seventeen healthy newborn foals were enrolled. Three sites at the upper and lower lip mucosa were assessed by SDF, using a hand‐held capiscope, at 24 h and at 4–5 days after birth. Videos were assessed independently by two observers for quality and for semiquantitative calculation of microvascular parameters, including vascular density (VD), microvascular flow index (MFI), proportion of perfused vessels (PPV), and functional capillary density (FCD). Data were analyzed using unpaired and paired Student's T‐tests to assess differences between sites and time‐points. Bland–Altman plots and intraclass correlation coefficient (ICC) were used to assess measurement reproducibility. Results Differences were found between the upper and the lower lip for VD at both 24 h and 4–5 days, and for FCD at 24 h, and between the two time‐points for PPV at the lower lip. ICC for measurement reproducibility was good for all parameters (0.64–0.79) for the lower lip, and was good for VD and FCD (0,76–0,79) and fair to moderate for MFI and PPV (0.31–0.41) for the upper lip. Conclusions Measurement of the capillary microvasculature is feasible in the conscious newborn foal. The lower lip has the best measurement reproducibility. Further investigations are warranted in cardiovascularly compromised cases, particularly in septic foals.https://doi.org/10.1002/vms3.1051foalsmicrocirculationoral mucosaperfusionSDF (sidestream dark‐field)
spellingShingle Francesca Freccero
Chiara Di Maio
Jole Mariella
Aliai Lanci
Carolina Castagnetti
Gayle Hallowell
Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals
Veterinary Medicine and Science
foals
microcirculation
oral mucosa
perfusion
SDF (sidestream dark‐field)
title Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals
title_full Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals
title_fullStr Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals
title_full_unstemmed Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals
title_short Assessment of the microvascular perfusion using sidestream dark‐field imaging in healthy newborn foals
title_sort assessment of the microvascular perfusion using sidestream dark field imaging in healthy newborn foals
topic foals
microcirculation
oral mucosa
perfusion
SDF (sidestream dark‐field)
url https://doi.org/10.1002/vms3.1051
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