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Equine veterinary journal2018; 51(4); 458-463; doi: 10.1111/evj.13052

A comparison of two ketamine doses for field anaesthesia in horses undergoing castration.

Abstract: Ketamine at 2.2 mg/kg given i.v. is often used to induce anaesthesia for surgical procedures in horses under field conditions. Commonly, additional doses are needed to complete the surgery. We hypothesised that surgical conditions would be improved when 5 mg/kg of ketamine was used to induce anaesthesia, while induction and recovery qualities would not differ from those when 2.2 mg/kg ketamine was used. Objective: To compare the anaesthetic effects of two ketamine doses (5 and 2.2 mg/kg) during field anaesthesia for castration of horses. Methods: Prospective, randomised, blinded, clinical study. Methods: Seventy-seven client-owned Icelandic horses presented for castration under field conditions were studied. Pre-anaesthetic medication was xylazine (0.7 mg/kg) butorphanol (25 μg/kg) and acepromazine (50 μg/kg) injected i.v. Anaesthesia was induced with either 2.2 mg/kg (K2.2) or 5 mg/kg (K5) i.v. of ketamine mixed with diazepam (30 μg/kg). The quality of induction, surgical conditions and recovery were compared using subjective and objective measures, and the number of additional ketamine doses recorded. Results: Ketamine 5 mg/kg provided better surgical conditions and a more rapid induction. Recovery quality was subjectively better in K2.2. Five horses in K2.2 and two in K5 required additional ketamine doses. Conclusions: While the pre-anaesthetic sedation and benzodiazepine doses were consistent among horses, the level of sedation and muscle relaxation achieved differed. Conclusions: A ketamine dose of 5 mg/kg can be used to improve the quality of field anaesthesia for castration in Icelandic horses. Although recovery quality is subjectively better when using 2.2 mg/kg, no adverse events were observed during recovery with either dose The Summary is available in Portuguese - see Supporting Information.
Publication Date: 2018-12-26 PubMed ID: 30471143DOI: 10.1111/evj.13052Google Scholar: Lookup
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  • Clinical Trial
  • Veterinary
  • Journal Article

Summary

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This research investigates the comparative effects of two different doses of ketamine used in field anaesthesia for Icelandic horse castration, revealing that the higher dosage provided better surgical conditions but the lower dose offered improved recovery quality.

Study Objectives and Methodology

  • The main purpose of this study was to determine the efficiency and effectiveness of two different ketamine dosages (5mg/kg and 2.2mg/kg) used in the anaesthesia given to horses before their castration.
  • This was conducted as a prospective, randomised, blinded clinical study. Seventy-seven Icelandic horses that were brought for castration under field conditions were involved in the study.
  • Each horse was given a pre-anaesthetic medication comprising of xylazine (0.7mg/kg), butorphanol (25 μg/kg), and acepromazine (50 μg/kg) via an intravenous injection.
  • Following pre-medication, anaesthesia was induced with either 2.2mg/kg (K2.2) or 5mg/kg (K5) of intravenously injected ketamine, combined with 30 μg/kg of diazepam.

Comparative Measures and Results

  • Various attributes, including the quality of induction, surgery conditions, and recovery, were evaluated using both objective and subjective measures. The number of additional ketamine doses required was also recorded and compared.
  • The research found that the usage of 5mg/kg dosage of ketamine yielded more rapid induction and better surgical conditions, compared to the lower 2.2mg/kg dosage.
  • However, the recovery quality seemed to be subjectively better in the case of the lower dosage group (K2.2), though this is subjective and no adverse events were observed during recovery with either dose.
  • The necessity of additional ketamine doses was observed in five horses who received the lower dose (K2.2) and in two horses who received the higher dose (K5).

Conclusions

  • While the pre-anaesthetic sedation and the benzodiazepine doses were consistent among the horses, the sedation level and muscle relaxation achieved varied.
  • The study concludes that a ketamine dose of 5mg/kg can effectively enhance the quality of field anaesthesia for castration in Icelandic horses.
  • Despite the subjective opinion that recovery quality is better with a lower dose of 2.2mg/kg, no negative occurrences were noted during recovery with either dose.

Cite This Article

APA
Harðardóttir H, Murison PJ, Blissitt K, Olason S, Clutton RE. (2018). A comparison of two ketamine doses for field anaesthesia in horses undergoing castration. Equine Vet J, 51(4), 458-463. https://doi.org/10.1111/evj.13052

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 51
Issue: 4
Pages: 458-463

Researcher Affiliations

Harðardóttir, H
  • Department of Anaesthesia, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, UK.
Murison, P J
  • Department of Anaesthesia, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, UK.
Blissitt, K
  • Department of Anaesthesia, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, UK.
Olason, S
  • Dýralaeknaþjónusta Suðurlands, Ölfus, Iceland.
Clutton, R E
  • Department of Anaesthesia, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, UK.

MeSH Terms

  • Anesthesia / veterinary
  • Anesthetics, Dissociative / administration & dosage
  • Anesthetics, Dissociative / pharmacology
  • Animals
  • Dose-Response Relationship, Drug
  • Horses / surgery
  • Ketamine / administration & dosage
  • Ketamine / pharmacology
  • Male
  • Orchiectomy / veterinary
  • Random Allocation