Alfaxalone for maintenance of anaesthesia in ponies undergoing field castration: continuous infusion compared with intravenous boluses.
Abstract: To compare alfaxalone as continuous intravenous (IV) infusion with intermittent IV injections for maintenance of anaesthesia in ponies undergoing castration. Methods: Prospective, randomized, 'blinded' clinical study. Methods: A group of 33 entire male Welsh ponies undergoing field castration. Methods: After preanaesthetic medication with IV detomidine (10 μg kg) and butorphanol (0.05 mg kg), anaesthesia was induced with IV diazepam (0.05 mg kg) followed by alfaxalone (1 mg kg). After random allocation, anaesthesia was maintained with either IV alfaxalone 2 mg kg hour (group A; n = 16) or saline administered at equal volume (group S; n = 17). When necessary, additional alfaxalone (0.2 mg kg) was administered IV. Ponies were breathing room air. Using simple descriptive scales, surgical conditions and anaesthesia recovery were scored. Total amount of alfaxalone, ponies requiring additional alfaxalone and time to administration, time from induction to end of infusion and end of infusion to standing were noted. Indirect arterial blood pressure, pulse and respiratory rates, end-expiratory carbon dioxide partial pressure and arterial haemoglobin oxygen saturation were recorded every 5 minutes. Data were analysed using Student t, Mann-Whitney U and chi-square tests, where appropriate (p < 0.05). Results: Total amount of alfaxalone administered after induction of anaesthesia (0.75 ± 0.27 versus 0.17 ± 0.23 mg kg; p < 0.0001) and time to standing (14.8 ± 4 versus 11.6 ± 4 minutes; p = 0.044) were higher in group A compared to group S. Ponies requiring additional alfaxalone boluses [four (group A) versus seven (group S)] and other measured variables were similar between groups; five ponies required oxygen supplementation [three (group A) versus two (group S)]. Conclusions: Continuous IV infusion and intermittent administration of alfaxalone provided similar anaesthesia quality and surgical conditions in ponies undergoing field castration. Less alfaxalone is required when used intermittently.
Copyright © 2017 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.
Publication Date: 2017-04-14 PubMed ID: 28687474DOI: 10.1016/j.vaa.2016.06.004Google Scholar: Lookup
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- Comparative Study
- Journal Article
- Randomized Controlled Trial
Summary
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This research compares the use of alfaxalone, an anesthetic agent, delivered continuously through intravenous infusion or intermittently through injections for maintaining anesthesia in ponies undergoing field castration. The results suggest that both methods provide similar quality of anesthesia and surgical conditions. However, intermittent administration requires less alfaxalone.
Research Method
- The study involved 33 male Welsh ponies that were about to undergo field castration.
- Before anesthesia was induced, preanesthetic medication comprising of IV detomidine and butorphanol was administered. This medication aids in calming the ponies and easing them into the procedure.
- Anesthesia was induced with IV diazepam followed by alfaxalone which puts the ponies to sleep.
- The ponies were then randomly allocated into two groups. Anesthesia was maintained using IV alfaxalone in one group (Group A, n=16) while the other group was given saline equal in volume (Group S, n=17).
- When necessary, additional alfaxalone was administered intravenously to maintain anesthesia.
- Surgical condition and the recovery process from anesthesia were scored based on described scales.
- Data regarding the total amount of Alfaxalone administered, time duration from the induction to the end of infusion, and time to standing were recorded.
Study Results
- The overall quantity of alfaxalone used after inducing anesthesia and time to standing were higher in Group A compared to Group S.
- Four ponies in Group A required additional doses of alfaxalone compared to seven in Group S.
- Other variables being measured, including blood pressure, pulse, respiratory rate, end-expiratory carbon dioxide partial pressure, and blood oxygen levels, were similar in both the groups.
- Additional oxygen supplementation was necessary for five ponies, three from Group A, and two from Group S.
Conclusion
- The researchers concluded that the intermittent and continuous IV administration of alfaxalone delivered similar levels of anesthesia and surgical conditions in the ponies that underwent field castration.
- However, the intermittent administration required less alfaxalone which can be cost-effective and potentially safer as it reduces the risk of over dosage.
Cite This Article
APA
Deutsch J, Ekiri A, de Vries A.
(2017).
Alfaxalone for maintenance of anaesthesia in ponies undergoing field castration: continuous infusion compared with intravenous boluses.
Vet Anaesth Analg, 44(4), 832-840.
https://doi.org/10.1016/j.vaa.2016.06.004 Publication
Researcher Affiliations
- Animal Health Trust, Kentford, Newmarket, UK. Electronic address: julia.deutsch@aht.org.uk.
- College of Public Health and Health Profession, University of Florida, Gainesville, FL, USA.
- Davies Veterinary Specialists, Higham Gobion, UK.
MeSH Terms
- Anesthesia / methods
- Anesthesia / veterinary
- Anesthetics / administration & dosage
- Animals
- Horses
- Infusions, Intravenous / veterinary
- Injections, Intravenous / veterinary
- Male
- Orchiectomy / methods
- Orchiectomy / veterinary
- Pregnanediones / administration & dosage
Citations
This article has been cited 2 times.- Gozalo-Marcilla M, Ringer SK. Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature.. Animals (Basel) 2021 Jun 14;11(6).
- Erickson RL, Blevins CE, Souza Dyer C, Marx JO. Alfaxalone-Xylazine Anesthesia in Laboratory Mice (Mus musculus).. J Am Assoc Lab Anim Sci 2019 Jan 1;58(1):30-39.
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