Lidocaine is a local anesthetic commonly used in equine medicine to manage pain and perform minor surgical procedures. It functions by blocking sodium channels, which inhibits nerve impulse conduction and results in temporary loss of sensation in targeted areas. In horses, lidocaine is utilized for various applications, including nerve blocks, epidural anesthesia, and as an adjunct in pain management protocols. Its pharmacokinetics, efficacy, and safety profile in equine patients are subjects of ongoing research. This page compiles peer-reviewed research studies and scholarly articles that explore the pharmacological properties, clinical applications, and potential side effects of lidocaine in horses.
Skarda RT, Muir WW, Swanson CR, Hubbell JA.Seven adult horses were used to compare the cardiovascular and respiratory effects of unilateral (right side) and bilateral cervicothoracic ganglion (CTG) blockade. An 18-gauge, 25-cm needle was placed midventrally between articulations of the 1st and 2nd ribs from a cranial and paratracheal site. One gram of lidocaine HCl in aqueous solution (100 ml) was used to infiltrate the CTG. Cervicothoracic sympathetic blockade was characterized by Horner's syndrome, increased skin temperature and profuse sweating over the face, neck, and thoracic limb. Comparison of base-line data with data obtained d...
Muir WW, McGuirk SM.The rational therapy of cardiovascular disease in horses requires a thorough knowledge of the pharmacology and pharmacokinetics of several specific drugs (digitalis, digoxin). Calcium solutions, dopamine, and dobutamine are frequently used to treat congestive heart failure in horses. Quinidine, procainamide, lidocaine, and propranolol are used to treat a variety of supraventricular and ventricular arrhythmias. Furosemide, a highly potent loop diuretic, is used to eliminate edema and promote diuresis. A thorough understanding of the applied pharmacology, dosage recommendations, toxicity, and pr...
Schelling CG, Klein LV.A double-blind comparison of carbonated lidocaine and lidocaine hydrochloride in caudal epidural anesthesia was performed in 8 horses. Among 5 horses with successfully paired bilateral caudal epidural blockades, no significant differences in onset time, duration, or sensory blockade were demonstrated. In the present study, carbonated lidocaine did not offer an advantage over the hydrochloride salt for caudal epidural anesthesia in the horse.
Krpan MK.Transtracheal aspiration is used to obtain samples for culture and cytologic examination of respiratory tract secretions and exudates. A 15-cm-long area of the ventral midcervical region is surgically prepared, a small site infiltrated SC with 2-3 ml lidocaine, and a stab incision made in the skin. A trocar with cannula is inserted through the incision and annular ligament into the trachea and the trocar removed. An 8-Fr polypropylene catheter is inserted about 35-40 cm down the trachea and attached to a 30-ml syringe, containing 20 ml sterile saline, with a 3-way stopcock . The saline is rapi...
Green EM, Cooper RC.A technique for continuous caudal epidural anesthesia in the horse was developed in trials involving 8 healthy adult horses. The injection site was the first intercaudal (intercoccygeal) space. A Huber point directional needle (Tuohy or Hustead) with a stylet was preplaced into the epidural space, used as a guide for an epidural catheter, and then removed, leaving the catheter in situ in the epidural space. A 2% solution of lidocaine hydrochloride was used as the anesthetic agent at an initial dose of 8 ml for an adult animal (474 kg to 560 kg). Repeated 4-ml doses were administered immediatel...
Bardhi A, Barbarossa A, Joubert A, Gehring R, Lambertini C, Romagnoli N.Dried blood spot (DBS) sampling has emerged as a promising microsampling technique in biomedical and clinical research, offering advantages such as reduced invasiveness, minimal blood volume requirements, and enhanced analyte stability. Although well established in human medicine for neonatal screening and diagnostic applications, its potential in veterinary pharmacology remains underexplored. This study investigated the feasibility of using DBS samples to quantify anesthetic agents-ketamine and medetomidine in cats and lidocaine in horses-during routine surgical procedures at a veterinary tea...
Sobhy A, Nomir AG, Hamed MA, Abumandour MMA, El-Kammar M.The current study was prepared to compare the efficacy of xylazine-lidocaine HCl and detomidine-lidocaine HCl following caudal epidural injection in horses, evaluating sedation, analgesia, physiological parameters, and hemato-biochemical values. This study was applied to six healthy adult horses (300-350 kg, > 4 years of age). The horses were randomly divided into two equal groups. Group 1 (seven horses) received xylazine (0.17 mg/kg bwt) + lidocaine HCl (0.06 mg/kg bwt), while Group 2 received detomidine (0.03 mg/kg bwt) + lidocaine HCl (0.06 mg/kg bwt) via caudal epidural inje...
Mahalingam-Dhingra A, Bedenice D, South A, Minuto J, Robins TJ, Trautwein V, Larkin M, Wagner B, Mazan MR.Corticosteroids are the main pharmacologic treatment for equine asthma (EA) but may have adverse effects in metabolically unstable horses. Recent pilot studies support the use of nebulized lidocaine as an alternative treatment option. Objective: Nebulized lidocaine will improve EA-associated clinical variables and airway inflammation. Methods: Twenty client-owned horses diagnosed with EA. Methods: Randomized, blinded, in-hospital study comparing 1 mg/kg preservative-free 4% lidocaine (n = 10) nebulized via Flexineb (twice daily for 7 doses) to 0.9% saline control (n = 10). Clinical examin...
Henderson AR, Valverde A, Côté N, Sanchez A, Arroyo LG, Gu Y, Johnson R.To compare cardiopulmonary variables and recovery scores in isoflurane-anesthetized horses undergoing arthroscopy using two different intravenous (IV) lidocaine constant rate infusions (CRIs; 50 or 100 μg kg minute) under intermittent positive pressure ventilation (IPPV) or spontaneous ventilation (SV). Methods: Prospective, randomized, clinical study. Methods: A group of 30 client-owned horses, 8-156 months old (range), with body masses of 280-550 kg. Methods: Anesthesia protocol consisted of xylazine, ketamine and diazepam, and maintenance with isoflurane and a CRI of dexmedetomidine. All g...
Chiavaccini L, Moura RA, Azevedo TMBPR, De Gennaro C, Vettorato E, Romano M, Portela DA.Dexmedetomidine improves pulmonary function in dogs and humans, but evidence in horses is scarce. This study evaluated dexmedetomidine infusion on oxygenation and respiratory mechanics in anesthetized horses. Twenty horses undergoing elective surgery were included in a prospective, non-randomized, observational study. Horses received either lidocaine alone (1.3 mg/kg over 15 min, then 3 mg/kg/hour; LIDO) or combined with dexmedetomidine (1.75 μg/kg over 15 min, then 1.75 μg/kg/hour; DL). Respiratory mechanics, gas exchange, and cardiovascular variables were recorded at baseline, post-loading...
El-Ghaly W, El Kamli T, Zaari Lambarki L, El Hamdani M, Lahkak FE, Benmoussa A, Balouch L, Bakkali F, Saffaj T, Jhilal F.The quality of quantitative results in bioanalysis requires not only a validated analytical method but also a rigorous estimation of measurement uncertainty. This study examines the challenges associated with the implementation of two distinct approaches in equine anti-doping control for the assessment of uncertainty associated with an ultra-high-performance liquid chromatography-high resolution mass spectrometry quantitative method for caffeine and lidocaine in horse urine. The bottom-up approach, based on the ISO Guide to the Expression of Uncertainty in Measurement (ISO GUM), was compared t...
