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Topic:Sedation

Sedation in horses involves the administration of pharmacological agents to induce a state of calmness, relaxation, or sleepiness. This practice is commonly employed to facilitate veterinary procedures, diagnostic imaging, or transportation by reducing stress and movement in the animal. The primary sedatives used in equine medicine include alpha-2 adrenergic agonists, such as xylazine and detomidine, and opioids, like butorphanol. These agents act on the central nervous system to achieve the desired sedative effects. The choice of sedative and its dosage depend on various factors, including the horse's age, weight, health status, and the procedure's nature. This page compiles peer-reviewed research studies and scholarly articles that explore the pharmacology, efficacy, and safety considerations of sedation in equine practice.
Evaluation of the use of midazolam as a co-induction agent with ketamine for anaesthesia in sedated ponies undergoing field castration.
Equine veterinary journal    September 29, 2017   Volume 50, Issue 3 321-326 doi: 10.1111/evj.12759
Allison A, Robinson R, Jolliffe C, Taylor PM.There are limited investigations comparing ketamine to a ketamine-midazolam co-induction. Objective: To compare quality and safety of general anaesthesia induced using ketamine alone with anaesthesia co-induced using ketamine and midazolam. Methods: Randomised, double blinded, placebo controlled trial. Methods: After i.v. detomidine (20 μg/kg) thirty-eight ponies undergoing field castration received either 0.06 mg/kg (0.6 mL/50 kg) midazolam (group M) or 0.6 mL/50 kg placebo (group P) with 2.2 mg/kg ketamine i.v. for anaesthetic induction. Quality of anaesthetic induction, endotracheal intuba...
Pharmacokinetics and selected pharmacodynamics of trazodone following intravenous and oral administration to horses undergoing fitness training.
American journal of veterinary research    September 26, 2017   Volume 78, Issue 10 1182-1192 doi: 10.2460/ajvr.78.10.1182
Knych HK, Mama KR, Steffey EP, Stanley SD, Kass PH.OBJECTIVE To measure concentrations of trazodone and its major metabolite in plasma and urine after administration to healthy horses and concurrently assess selected physiologic and behavioral effects of the drug. ANIMALS 11 Thoroughbred horses enrolled in a fitness training program. PROCEDURES In a pilot investigation, 4 horses received trazodone IV (n = 2) or orally (2) to select a dose for the full study; 1 horse received a vehicle control treatment IV. For the full study, trazodone was initially administered IV (1.5 mg/kg) to 6 horses and subsequently given orally (4 mg/kg), with a 5-week ...
Evaluation of a portable media device for use in determining postural stability in standing horses.
American journal of veterinary research    August 25, 2017   Volume 78, Issue 9 1036-1042 doi: 10.2460/ajvr.78.9.1036
Moorman VJ, Kawcak CE, King MR.OBJECTIVE To determine the ability of an accelerometer within a commercially available portable media device (PMD) to measure changes in postural stability of standing horses during various stance conditions and to compare these results with data obtained by use of a stationary force platform. ANIMALS 7 clinically normal horses. PROCEDURES A PMD was mounted on a surcingle; the surcingle was placed immediately caudal to the highest point of the shoulders (withers). Each horse was examined while standing on a stationary force platform system in a normal square stance, forelimb base-narrow stance...
Sedative and cardiopulmonary effects of dexmedetomidine infusions randomly receiving, or not, butorphanol in standing horses.
The Veterinary record    August 19, 2017   Volume 181, Issue 15 402 doi: 10.1136/vr.104359
Medeiros LQ, Gozalo-Marcilla M, Taylor PM, Campagnol D, de Oliveira FA, Watanabe MJ, de Araujo Aguiar AJ.Dexmedetomidine (DEX) alone, or combined with butorphanol (BUT), may be administered by constant rate infusions (CRIs) in standing horses. This blinded, randomised, crossover study in six healthy adult horses aimed to determine the sedative and cardiopulmonary effects of DEX (dexmedetomidine (3.5 µg/kg+5 µg/kg/hour CRI) and DEX/BUT (dexmedetomidine (3.5 µg/kg+3.5 µg/kg/hour CRI) and butorphanol (20 µg/kg+24 µg/kg/hour CRI)). Head height above ground (HHAG), ataxia, responses to tactile/auditory stimuli and cardiopulmonary variables were recorded before, at 5/15/30/60/90 min...
[Equine dentistry: Survey on Swiss horse owners].
Schweizer Archiv fur Tierheilkunde    August 10, 2017   Volume 159, Issue 8 437-444 doi: 10.17236/sat00125
Schiesser E, Geyer H, Kummer M, Jackson M.The interest in equine dentistry has significantly increased in the last 15 years. On the part of the veterinarians as well as of the horse owners there is a strong attention to the topic. The aim of the questionnaire was to investigate amongst horse owners what their level of information and preferences about dental treatment are and how they are implemented. The questionnaire was translated into the three national languages and included 20 questions about level and sources of information, frequency of treatments and the horse owner's stance over sedation of the animals. With a return rate of...
Pharmacokinetic profile and partitioning in red blood cells of romifidine after single intravenous administration in the horse.
Veterinary medicine and science    July 20, 2017   Volume 3, Issue 4 187-197 doi: 10.1002/vms3.70
Romagnoli N, Al-Qudah KM, Armorini S, Lambertini C, Zaghini A, Spadari A, Roncada P.The aims of this study were to assess the plasma concentrations of romifidine in horses after intravenous injection, to evaluate the red blood cell (RBC) partitioning of the anaesthetic drug, and to improve knowledge regarding its sedative effect in horses describing the pharmacokinetic model. Eight adult Standardbred horses received a single bolus of romifidine at a dosage of 100 g/kg. Blood samples (5 mL) were collected immediately before romifidine administration (), and at 2, 5, 10, 15, 20, 25, 30, 40, 50, 60, 75, 90, 105, 120, 150 and 180 min after injection. A sedation score was recor...
Laparoscopic evaluation of the small intestine in the standing horse: Technique and effects.
Veterinary surgery : VS    April 29, 2017   Volume 46, Issue 6 812-820 doi: 10.1111/vsu.12664
Jones ARE, Ragle CA, Anderson D, Scott C.To evaluate the feasibility and clinical outcomes after laparoscopic evaluation of the small intestines via laparoscopy. Methods: Prospective pilot study. Methods: Healthy adult horses (n = 5). Methods: Horses were restrained in standing stocks and received an infusion of detomidine. One port was placed in the left last intercostal space and 3 ports were placed in the right paralumbar fossa. The small intestine was run with atraumatic laparoscopic grasping forceps, from the duodenocolic plica to the ileocecal plica. Postoperative pain was scored every 4 hours for the first 48 hours. Horses...
Clinical comparison of dexmedetomidine and medetomidine for isoflurane balanced anaesthesia in horses.
Veterinary anaesthesia and analgesia    April 26, 2017   Volume 44, Issue 5 1128-1138 doi: 10.1016/j.vaa.2016.12.061
Sacks M, Ringer SK, Bischofberger AS, Berchtold SM, Bettschart-Wolfensberger R.To compare the effects of two balanced anaesthetic protocols (isoflurane-dexmedetomidine versus medetomidine) on sedation, cardiopulmonary function and recovery in horses. Methods: Prospective, blinded, randomized clinical study. Methods: Sixty healthy adult warm blood horses undergoing elective surgery. Methods: Thirty horses each were sedated with dexmedetomidine 3.5 μg kg (group DEX) or medetomidine 7 μg kg (group MED) intravenously. After assessing and supplementing sedation if necessary, anaesthesia was induced with ketamine/diazepam and maintained with isoflurane in oxygen/air and ...
Sedative and antinociceptive effects of different combinations of detomidine and methadone in standing horses.
Veterinary anaesthesia and analgesia    April 17, 2017   Volume 44, Issue 5 1116-1127 doi: 10.1016/j.vaa.2017.03.009
Gozalo-Marcilla M, Luna SP, Crosignani N, Filho JNP, Possebon FS, Pelligand L, Taylor PM.To evaluate intravenous (IV) detomidine with methadone in horses to identify a combination which provides sedation and antinociception without adverse effects. Methods: Randomized, placebo-controlled, blinded, crossover. Methods: A group of eight adult healthy horses aged (mean ± standard deviation) 7 ± 2 years and 372 ± 27 kg. Methods: A total of six treatments were administered IV: saline (SAL); detomidine (5 μg kg; DET); methadone (0.2 mg kg; MET) alone or combined with detomidine [2.5 (MLD), 5 (MMD) or 10 (MHD) μg kg]. Thermal, mechanical and electrical nociceptive thresholds were mea...
Effects of sedation and salbutamol administration on hyperpnoea and tidal breathing spirometry in healthy horses.
Veterinary journal (London, England : 1997)    March 7, 2017   Volume 222 22-28 doi: 10.1016/j.tvjl.2017.03.001
Raidal SL, Burnheim K, Evans D, Hughes KJ.Sedation is often required to perform pulmonary function testing (PFT) in horses, but drug effects may influence respiratory function. The current study was designed to characterise the effects of sedation and bronchodilator administration on absolute and relative indices of pulmonary function during eupnoeic respiration and carbon dioxide-induced hyperpnoea (rebreathing) in healthy horses using a pneumotachographic spirometry system. Sedation with acetylpromazine (ACP), xylazine, or both drugs in combination was associated with significant reductions in respiratory frequency, minute ventilati...
Left paralumbar laparoscopic bilateral ovariectomy in mares.
Veterinary surgery : VS    February 24, 2017   Volume 46, Issue 4 574-579 doi: 10.1111/vsu.12637
Colbath AC, Hackett ES, Lesser CS, Hendrickson DA.To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares. Methods: Prospective descriptive clinical study. Methods: Twelve client-owned mares. Methods: Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with...
Pharmacokinetics and pharmacodynamics of intravenous romifidine and propranolol administered alone or in combination for equine sedation.
Veterinary anaesthesia and analgesia    February 23, 2017   Volume 44, Issue 1 86-97 doi: 10.1111/vaa.12410
Cenani A, Brosnan RJ, Madigan S, Knych HK, Madigan JE.Propranolol has been suggested for anxiolysis in horses, but its sedation efficacy and side effects, both when administered alone and in combination with α-adrenoceptor agonists, remain undetermined. This study aimed to document the pharmacokinetics and pharmacodynamics of propranolol, romifidine and their combination. Methods: Randomized, crossover study. Methods: Six adult horses weighing 561 ± 48 kg. Methods: Propranolol (1 mg kg; treatment P), romifidine (0.1 mg kg; treatment R) or their combination (treatment PR) were administered intravenously with a minimum of 1 week between treatment...
Pharmacokinetics and selected pharmacodynamics of romifidine following low-dose intravenous administration in combination with exercise to quarter horses.
Journal of veterinary pharmacology and therapeutics    January 17, 2017   Volume 40, Issue 5 569-574 doi: 10.1111/jvp.12395
Knych HK, Stanley SD, McKemie DS, Steinmetz SJ.Romifidine is an alpha-2 adrenergic agonist used for sedation and analgesia in horses. As it is a prohibited substance, its purported use at low doses in performance horses necessitates further study. The primary goal of the study reported here was to describe the serum concentrations and pharmacokinetics of romifidine following low-dose administration immediately prior to exercise, utilizing a highly sensitive liquid chromatography-tandem mass spectrometry assay that is currently employed in many drug testing laboratories. An additional objective was to describe changes in heart rate and rhyt...
Comparison between the effects of postanesthetic xylazine and dexmedetomidine on characteristics of recovery from sevoflurane anesthesia in horses.
Veterinary anaesthesia and analgesia    January 11, 2017   Volume 44, Issue 2 273-280 doi: 10.1016/j.vaa.2016.04.002
Guedes AGP, Tearney CC, Cenani A, Aristizabal F, Nieto J.To compare postanesthetic xylazine and dexmedetomidine on recovery characteristics from sevoflurane anesthesia in horses. Methods: Randomized, crossover study. Methods: Six geldings, mean±standard deviation (SD) (range), 17±4 (11-24) years and 527±80 (420-660) kg. Methods: Horses were anesthetized with sevoflurane for 60 minutes under standardized conditions for a regional limb perfusion study. In recovery, horses were administered either xylazine (200 μg kg) or dexmedetomidine (0.875 μg kg) intravenously. Recoveries were unassisted and were video-recorded for later evaluation of rec...
Validation of the bispectral index as an indicator of anesthetic depth in Thoroughbred horses anesthetized with sevoflurane.
Journal of equine science    December 15, 2016   Volume 27, Issue 4 169-173 doi: 10.1294/jes.27.169
Tokushige H, Kakizaki M, Ode H, Okano A, Okada J, Kuroda T, Wakuno A, Ohta M.To evaluate the bispectral index (BIS) as an indicator of anesthetic depth in Thoroughbred horses, BIS values were measured at multiple stages of sevoflurane anesthesia in five horses anesthetized with guaifenesin and thiopental following premedication with xylazine. There was no significant difference between the BIS values recorded at end-tidal sevoflurane concentrations of 2.8% (median 60 ranging from 47 to 68) and 3.5% (median 71 ranging from 49 to 82) in anesthetized horses. These BIS values during anesthesia were significantly lower (P<0.01) than those in awake horses (median 98 ranging ...
Validation of a method for sedatives and β-blockers determination in swine, bovine and equine kidney using liquid chromatography coupled with tandem mass spectrometry.
Food additives & contaminants. Part A, Chemistry, analysis, control, exposure & risk assessment    November 21, 2016   Volume 34, Issue 1 32-39 doi: 10.1080/19440049.2016.1252468
de Oliveira LG, Barreto F, Hoff R, Rübensam G, Scherer Kurz MH, Galle G, Gonçalves FF.A method for the determination of five sedatives and 14 β-blocker residues in swine, bovine and equine kidney was validated. Samples were extracted with acetonitrile and purified using dispersive solid phase extraction (d-SPE) with Celite 545 with subsequent analysis by LC-MS/MS. A simplified protocol was applied to validate the method scope extension to include new matrices. Parameters such as recovery, trueness, linearity (r), relative standard deviation (RSD), decision limit (CCα) and method capability (CCβ) were measured for the bovine and equine kidney matrices. The method was applied ...
Clinical responses and plasma drug concentrations associated with different infusions of xylazine and ketamine in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 27, Issue 1 58-59 doi: 10.1046/j.1467-2995.2000.00008-9.x
Mama KR, Wagner AE, Steffey EP, Kollias-Baker C, Hellyer PW, Golden AE, Brevard LF.No abstract available
Airlifting horses by helicopter: sedation requirements.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 108-109 doi: 10.1046/j.1467-2995.2002.00078_28.x
Pettifer G, Smith J, McConnico R, Latimer F, Hubert J.No abstract available
Retrospective analysis of detomidine infusion for standing chemical restraint in 51 horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 1 54-57 doi: 10.1046/j.1467-2987.2001.00047.x
Wilson DV, Bohart GV, Evans AT, Robertson S, Rondenay Y.To assess the effectiveness of a detomidine infusion technique to provide standing chemical restraint in the horse. Methods: Retrospective study. Methods: Fifty-one adult horses aged 9.5 ± 6.9 years (range 1-23 years) and weighing 575 ± 290.3 kg. Methods: Records of horses presented to our clinic over a 3-year period in which a detomidine infusion was used to provide standing chemical restraint were reviewed. Information relating to the types of procedure performed, duration of infusion, drug dosages and adjunct drugs administered was retrieved. Results: Detomidine was administered as an ini...
Comparison of romifidine-ketamine-midazolam and romifidine-tiletamine-zolazepam total intravenous anaesthesia (TIVA) for clinical anaesthesia in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 92-93 doi: 10.1046/j.1467-2995.2002.00705.x
Bouts T, Gasthuys F, Vlaminck L, Van Branteghem L.No abstract available
Evaluation of anesthesia maintained with halothane and epidural xylazine for hind limb surgery in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 28, Issue 2 107 doi: 10.1046/j.1467-2987.2001.temp.doc.x-i17
Teixeira Neto FJ, McDonell W, Pearce S, Kerr C, Hurtig M, Durongphongtorn S.No abstract available
Evaluation of xylazine, butorphanol and propofol for short-term intravenous anesthesia in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 106 doi: 10.1046/j.1467-2995.2002.00078_22.x
Garcia Lascurain AA, Sumano Lopez H, Steffey EP, Santillan Doherty P, Nuñez Hernandez E.No abstract available
Urinary effects of xylazine and general anesthesia in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 107 doi: 10.1046/j.1467-2995.2002.00078_25.x
Watson ZE, Steffey EP, Van Hoogmoed LM, Snyder JR.No abstract available
Cardiopulmonary, hematological, serum chemistry and peritoneal fluid alterations associated with abdominal insufflation with carbon dioxide during standing laparoscopy in healthy horses sedated with detomidine and butorphanol.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 107-108 doi: 10.1046/j.1467-2995.2002.00078_26.x
Latimer F, Eades S, Pettifer G, Tetens J, Hosgood G, Moore R.No abstract available
Hormonal, metabolic and physiological effects of laparoscopic surgery using a detomidine-buprenorphine combination in standing horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 71-79 doi: 10.1046/j.1467-2995.2003.00097.x
Van Dijk P, Lankveld D, Rijkenhuizen A, Jonker FH.To assess the hormonal, metabolic and physiological effects of laparascopic surgery performed under a sedative analgesic combination of detomidine and buprenorphine in standing horses. Methods: Prospective study. Methods: Eight healthy adult Dutch Warmblood horses and five healthy adult ponies undergoing laparoscopy were studied. Five healthy adult horses not undergoing laparoscopy were used as a control group. Methods: The sedative effect of an initial detomidine and buprenorphine injection was maintained using a continuous infusion of detomidine alone. The heart and respiratory rate, arteria...
Serum concentrations and effects of detomidine delivered orally to horses in three different mediums.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 219-222 doi: 10.1046/j.1467-2995.2002.00096.x
Ramsay EC, Geiser D, Carter W, Tobin T.To compare the effect of orally delivered detomidine on head posture when administered alone or in combination with two different food items, and to determine the serum concentrations of detomidine after oral delivery. Methods: Prospective randomized experimental study. Methods: Fifteen adult grade mares weighing 328-537 kg. Methods: The horses were randomly assigned to one of the three treatment groups (five horses each). The groups were given detomidine (0.06 mg kg): alone; mixed with 3 mL of an apple sauce and gum mixture; or mixed with 3 mL molasses. Head droop, measured before treatment a...
Hormonal, metabolic and physiological effects of laparoscopic surgery using a detomidine-buprenorphine combination in standing horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 71-79 doi: 10.1046/j.1467-2995.2003.00097.x
Van Dijk P, Lankveld D, Rijkenhuizen A, Jonker FH.To assess the hormonal, metabolic and physiological effects of laparascopic surgery performed under a sedative analgesic combination of detomidine and buprenorphine in standing horses. Methods: Prospective study. Methods: Eight healthy adult Dutch Warmblood horses and five healthy adult ponies undergoing laparoscopy were studied. Five healthy adult horses not undergoing laparoscopy were used as a control group. Methods: The sedative effect of an initial detomidine and buprenorphine injection was maintained using a continuous infusion of detomidine alone. The heart and respiratory rate, arteria...
Pharmacokinetic and pharmacodynamics of xylazine administered to exercised thoroughbred horses.
Drug testing and analysis    September 13, 2016   Volume 9, Issue 5 713-720 doi: 10.1002/dta.2047
Knych HK, Stanley SD, McKemie DS, Arthur RM, Kass PH.There is limited data describing xylazine serum concentrations in the horse and no reports of concentrations beyond 24 hours. The primary goal of the study reported here was to update the pharmacokinetics of xylazine following intravenous (IV) administration in order to assess the applicability of current regulatory recommendations. Pharmacodynamic parameters were determined using PK-PD modeling. Sixteen exercised adult Thoroughbred horses received a single IV dose of 200 mg of xylazine. Blood and urine samples were collected at time 0 and at various times for up to 96 hours and analyzed...
Dental Disease in Aged Horses and Its Management.
The Veterinary clinics of North America. Equine practice    July 28, 2016   Volume 32, Issue 2 215-227 doi: 10.1016/j.cveq.2016.04.002
Nicholls VM, Townsend N.Improved recognition of equine geriatric conditions has resulted in a surge in our aged population with a concurrent escalation of many age-related dental pathologies. Prevention of these disorder is the ultimate aim but early identification and appropriate management can increase an animal's oral comfort and maximise its masticatory ability. There is only a finite amount of tooth available for eruption in the horse and therefore as the teeth become worn and less efficient as a grinding unit, dietary modification becomes a paramount consideration to accommodate this. Geriatric animals have dif...
Objective assessment of gait in xylazine-induced ataxic horses.
Equine veterinary journal    July 23, 2016   Volume 49, Issue 3 334-340 doi: 10.1111/evj.12602
Nout-Lomas YS, Page KM, Kang HG, Aanstoos ME, Greene HM.There is poor agreement between observers of equine neurological gait abnormalities using the modified Mayhew grading scale. Objective: To stimulate a dose-dependent ataxia in horses through xylazine administration and identify quantifiable relevant gait parameters. Methods: Balanced, randomised, 2-way crossover design. Methods: Eight horses were assessed before and after administration of xylazine (low dose and high dose). Gait analyses performed before and after xylazine administration included: 1) kinematic data collected on an equine high-speed treadmill (flat and 10% decline) and from acc...
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