Evaluation of high flow oxygen therapy in healthy neonatal bull calves.
Hess EK, Levy N, Wang S, Taylor S, Munsterman AS, Moreira ASD · Journal of Veterinary Internal Medicine · 2 March 2026
HFOT is well-tolerated in neonatal calves and improves oxygenation across all flow rates tested.
This randomized crossover study evaluated high flow oxygen therapy (HFOT) in 10 healthy neonatal bull calves ≤10 days of age using two devices (Airvo 3 and Volumax) at three flow rates (0.2, 0.4, 1.0 L/kg/min). HFOT delivers warm, humidified oxygen with positive inspiratory and end-expiratory pressures, well-established in dogs and humans but previously unevaluated in cattle. The study measured physiological parameters including heart rate, respiratory rate, temperature, arterial blood gases, nasopharyngeal pressure, and end-tidal CO2 before and after 10-minute equilibration periods. Results demonstrated that HFOT was well-tolerated with no significant changes in heart rate, respiratory rate, temperature, or end-tidal CO2 across any flow rate. Importantly, oxygenation (PaO2) and nasopharyngeal pressure increased significantly with increasing flow rates on both devices. The Airvo 3 showed increased PaCO2 with higher flow rates, while the Volumax did not. These findings establish HFOT as a viable, safe alternative oxygen delivery method in neonatal cattle, potentially offering advantages over traditional nasal cannulas.
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