Topic:Anesthesia
Anesthesia in horses involves the administration of drugs to induce a temporary loss of sensation or consciousness, facilitating surgical procedures and other medical interventions. This complex process requires a deep understanding of equine physiology and pharmacology to ensure the safety and well-being of the animal. Anesthesia in horses can be challenging due to their size, temperament, and unique anatomical and physiological characteristics. Common anesthetic agents used in equine practice include inhalants like isoflurane and sevoflurane, as well as injectable drugs such as ketamine and xylazine. The management of anesthesia in horses also involves careful monitoring of vital signs and the use of supportive measures to prevent complications such as hypotension, hypoventilation, and post-anesthetic myopathy. This page compiles peer-reviewed research studies and scholarly articles that explore the techniques, advancements, and clinical outcomes associated with anesthesia in equine medicine.
Flow rates from an intermittent positive pressure breathing-anesthetic delivery apparatus for horses. Inspiratory flow rates were measured and compared in an equine intermittent positive pressure breathing-anesthesia delivery apparatus powered by a positive phase ventilator, a positive-negative phase ventilator, and a modified positive phase ventilator with automatic flow acceleration at driving pressures of 2,600, 4,400, and 5,200 mm of Hg (50, 85, and 100 psi). The last-named apparatus consistently produced the highest flows for a given ventilator setting and driving pressure. Regardless of the unit used, the greater driving pressures and high ventilator range settings produced the greatest ...
Body position and mode of ventilation influences arterial pH, oxygen, and carbon dioxide tensions in halothane-anesthetized horses. Effects of body position and type of ventilation were determined on arterial blood gases (PaO2, PaCO2) and pH during and immediately following clinical halothane anesthesia in 36 young, physically conditioned horses. Horses in dorsal recumbency had a lower PaO2 than did similarly breathing horses in a lateral position. Predictably controlled positive-pressure ventilation inproved arterial oxygenation and permitted maintenance of a normal PaCO2. Most horses, regardless of type of ventilation and operative body positioning, were hypoxemic in the immediate postanesthetic period.
Evaluation of xylazine and ketamine hydrochloride for anesthesia in horses. The cardiopulmonary effects resulting from the combination of xylazine and ketamine hydrochloride were evaluated in the adult horse. Xylazine (1.1 mg mg/kg) administered intravenously prior to or simultaneously with ketamine hydrochloride (2.2 mg/kg; intravenous) provided excellent analgesia and light anesthesia in all horses. Cardiac output, arterial blood pressure, pulmonary arterial pressure, central venous pressure, and pulmonary arterial wedge pressure remained within normal limits for the adult horse. Evidence of respiratory acidosis developed with time during the anesthetic period. Indu...
Portal vein anomaly and hepatic encephalopathy in a horse. Periodic episodes of diffuse central nervous system disease occurred in a yearling Thoroughbred gelding that had a history of frequent respiratory tract disease and stunted growth. Hepatic encephalopathy was diagnosed on the basis of history, clinical signs, prolonged bromsulphalein clearance, and increased blood ammonia content. Because of the poor prognosis and recurrent clinical signs the horse was euthanatized. Necropsy revealed an arteriovenous anomaly and thrombosis of the portal vein. Histologically, there was diffuse primary astrocytosis of the brain.
Effects of preanesthetic medication, anesthesia, and position of recumbency on central venous pressure in horses. Central venous pressure (cvp) was recorded in horses before and after tranquilization and during halothane-maintained anesthesia in lateral or dorsal recumbency. The cvp was significantly decreased after administration of acetylpromazine, when compared with base line measurements and measurements taken after xylazine administration. After induction of anesthesia, cvp increased with time for 75 minutes, and values in lateral recumbency were significantly higher than those in dorsal recumbency.
A method of ether anaesthesia in ponies. A method of inhalation anaesthesia using diethyl ether, following induction with thiopentone, is described in ponies. The high concentrations of ether needed to maintain anaesthesia were obtained by using a Marrett head in circle vaporizer. This methods would only be used in ponies, since the diameter of the tubing is too small for use on larger horses.
Non-surgical correction of a uterine torsion in the mare. A case of uterine torsion is described and its correction under general anaesthesia by a method described by Schaffer for the cow. The degree of torsion was 180 degrees and in a clockwise direction. After correction the foal was found to be alive and in anterior presentation and ventral position; it was born normally 84 days later.
Regional coronary blood flow in ponies. Regional coronary blood flow was measured by injecting radioactive microspheres (15 mum +/- 5 in diameter) into the left atrium of anesthetized ponies with surgically prepared open thorax before and during occlusion of the coronary arteries. The normal blood flow to the myocardium of the interventricular septum and the left ventricular wall were highest, followed in decreasing order by the right ventricular wall, the interatrial septum, the atrial walls, and the valves. Measurement of transmural blood flow in the normal left ventricle yielded a mean endocardial/epicardial flow ratio of 1.36 in...
Effects of Saffan administered intravenously in the horse. Saffan was injected intravenously on 41 occasions in 11 horses and ponies to investigate its possible use in clinical equine anaesthesia. The optimum dose for induction was 1-90 mg per kg. This dose was divided into two halves, the first half given in five seconds and the second half, containing suxamethonium chloride 0.1 mg per kg, in the next 10 seconds. Induction was associated with excitement for up to 30 secs after the assumption of recumbency. At this dose rate anaesthesia lasted five to eight minutes. Muscle relaxation was poor. Recovery was associated with marked tactile and audible hy...
Effect of luteinizing hormone on the pattern of steroid production by preovulatory follicles of pregnant mare’s serum gonadotropin-injected immature rats. Preovulatory follicles were explanted on the day before ovulation from immature rats given a single injection of Pregnant Mare's Serum gonadotropin (PMS) 2 days earlier. The follicles were incubated for 4 h in modified Krebs bicarbonate buffer containing glucose and albumin in absence or presence of ovine luteinizing hormone (NIH-LH-S18; 0.1-10 mug/ml). The accumulation of progresterone, androstenedione and 17beta-estradiol in the medium was determined by radioimmunoassay. As in indicator of LH exposure the meiotic stage of the follicle-enclosed oocyte was determined at recovery by interferenc...
The use of Dopram as a respiratory stimulant following Immobilon in the pony. The effects of the analeptic agent, Dopram (doxapram hydrochloride) were investigated in 2 ponies during Immobilon - induced neuroleptanalgesia. Although Dopram was demonstrated to exert a degree of respiratory stimulation, this was concluded to provide no overall advantage. The etorphine-induced hypoxic hypoxia was only partially reversed, and there was additional cardiovascular stimulation, in contrast to the previously reported tendency for arterial blood pressure to return towards conscious control values during the course of action of Immobilon.
The rate of rise of intraventricular pressure as an index of myocardial contractility in conscious and anaesthetised ponies. Measurements of the rate of rise of left ventricular blood pressure (dP/dt) have been made in conscious and anaesthetised ponies. Concurrent measurements of heart rate, mean arterial pressure and left ventricular pressure were also made in order to assess their relationship to values of dP/dt. Thiopentone-halothane and thiopentone-ether anaesthesia reduced the maximal rate of rise of intraventricular pressure (dP/dt max) from conscious control levels. After correcting for variations in the loading conditions of the ventricle, the depressant effect of halothane was still apparent, but the actio...
Influence of azaperone/metomidate anaesthesia on blood biochemistry in the horse. Ponies were anaesthetized by administration of the ataractic, azaperone (0 · 2–0 · 8 mg/kg), in combination with the hypnotic, metomidate (3 · 5 mg/kg). Changes in blood biochemistry were measured during and following the course of action of these drugs. In control experiments, azaperone (0 · 4 and 0 · 8 mg/kg) was administered alone to other ponies. There were no significant changes in blood glucose concentration in either circumstance. Blood lactate and pyruvate concentrations and lactate/pyruvate ratio were not altered significantly by azaperone. However, moderate increases in lactat...
Concentration of prostaglandins F in uterine venous plasma of anesthetized mares during the estrous cycle and early pregnancy. Prostaglandins F were quantitated by radioimmunoassay in uterine venous plasma of anesthetized mares on day 7 of estrus, days 2, 6, 10, 14 or 18 of diestrus and days 10, 14 or 18 of pregnancy. The PGF concentration was greater (P less than .01) at day 14 of diestrus than at all other days studied. The concentrations at days 10 and 18 of diestrus and at days 10, 14 and 18 of pregnancy were greater (P less than .05) than at day 7 of estrus and days 2 and 6 of diestrus. PGF concentrations at days 10 and 14 were greater (P less than .01) for diestrous than for pregnant mares.
Aspects of respiration in anaesthetized newborn foals. The arterial oxygen tension (PaO2) in clinically normal newborn foals at 1300 m above sea-level is considerably lower (less than 60 mmHg) than in similarly aged foals at lower altitudes. This figure is further reduced to less than 50 mmHg without adverse effect in newborn foals at 1300 m maintained under pentobarbitone anaesthesia for prolonged periods. Measurement of O2 dissociation curves indicates that haemoglobin becomes saturated at a lower blood O2 tension in newborn foals than adult horses.
The use of intravascular catheters for long-term studies on the mare and fetus. Methods developed for the insertion of catheters into the umbilical artery and vein and the uterine vein of the pregnancy mare are described. The technique requires careful anaesthesia and the maintenance of normal blood gas tensions, pH and arterial blood pressure. Fetal survival was variable: three mares delivered live foals and six fetuses survived more than 15 days with a maximal period of 41 days. The erythrocytes sedimentation rate (ESR) of the fetal foal was always very low at operation but subsequently increased slightly; a sudden large rise in ESR usually indicated imminent fetal deat...
Cardiopulmonary effects of positive end-expiratory pressure in anesthetized horses. The cardiopulmonary effects of 0, 5, 10, and 15 cm of H2O positive end-expiratory pressures (PEEP) were determined in anesthetized, spontaneously breathing horses, using a 4 by 4 Latin-square design with one repetition. Cardiac output, alveolar-arterial oxygen tension difference, alveolar ventilation, dead space/tidal volume ratio, and carbon dioxide elimination were not significantly altered by the procedure. As PEEP was increased, alveolar and arterial oxygen tensions, respiratory exchange ratio, and pH decreased, whereas arterial carbon dioxide tension and oxygen consumption increased. Thes...