RAP can be a practical and cost-effective method to increase tissue concentrations of antibiotic at infection sites. In cases
of deep or long-standing infections, RAP may be an adjunct to aggressive traditional treatment. However, in cases with less
extensive infections, RAP may be the primary method of antibiotic delivery.
How to perform standing RAP in a horse
1. Wilson D, Branson K, Kramer J, et al. Distal limb perfusion. In: Manual of equine field surgery. St. Louis, Mo: Saunders Elsevier, 2006;55-59.
2. Santschi EM, Adams SB, Murphey ED. How to perform equine intravenous digital perfusion, in Proceedings. 44th Annu Meet Am Assoc Equine Pract 1998;44:198-201.
Dr. Kramer is an ACVS board-certified veterinary surgeon whose clinical interests include finding minimally invasive and practical solutions.
She currently is an assistant teaching professor of equine surgery in the Department of Veterinary Medicine at the University
of Missouri-Columbia's College of Veterinary Medicine.