Effect of Lavage Solution Type on Bronchoalveolar Lavage Fluid Cytology in Clinically Healthy Horses. 2023

Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 114, 3584 CM Utrecht, The Netherlands.

Equine bronchoalveolar lavage (BAL) is usually performed with 250-500 mL of isotonic saline at pH 5.5. The acidic pH of saline may cause an increase in airway neutrophil count 48 h after BAL. Other isotonic solutions such as Ringer's solution, phosphate-buffered saline (PBS) or Plasma-Lyte 148® have a neutral pH of 7.4 and might be a better choice for BAL by not provoking inflammation and the influx of neutrophils into airways. BAL was performed in four healthy horses in four different lung lobes using four different solutions in a randomized crossover design. In each lobe, BAL was performed twice with a 48 h interval using 250 mL of solution. Automated total nucleated cell counts (TNCs) were recorded, and differential cell counts in lavage fluid were determined by two investigators blinded to treatments. The mean volume of BAL fluid retrieved was 51 ± 14%. The mean neutrophil percentage (%N) increased from 1.5 ± 0.9% to 14.7 ± 9.6% at 48 h (p < 0.001) but was not significantly affected by the solution used or the lung lobe sampled. In conclusion, in this study, the influx of neutrophils into airways after BAL was independent of the type of isotonic solution used and the lung lobe sampled. Saline remains an appropriate solution for BAL in horses.

UI MeSH Term Description Entries

Related Publications

Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
January 2014, Journal of veterinary internal medicine,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
August 2018, Australian veterinary journal,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
January 2021, Frontiers in veterinary science,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
July 1995, Australian veterinary journal,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
February 1997, Archives of disease in childhood,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
July 1988, American journal of veterinary research,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
February 2020, Veterinary immunology and immunopathology,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
June 1990, Chest,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
May 2023, Open veterinary journal,
Cornélie M Westermann, and Annelieke G de Bie, and Carla Olave, and Janny C de Grauw, and Erik Teske, and Laurent L Couetil
January 1990, Schweizer Archiv fur Tierheilkunde,
Copied contents to your clipboard!