Behavioral and Cardiopulmonary Effects of a Constant Rate Infusion of Remifentanil-Xylazine for Sedation in Horses.
Abstract: Xylazine and remifentanil in constant rate infusion (CRI) could be used for sedation in horses without adverse effects. The objective was to evaluate behavioral and cardiopulmonary effects of an intravenous (IV) infusion of xylazine and remifentanil for sedation in horses. Xylazine (0.8 mg/kg IV) followed after 3 minutes by a CRI of xylazine and remifentanil (0.65 mg/kg/h and 6 μg/kg/h, respectively) was administered in 10 healthy horses for 60 minutes. Sedation, ataxia, and cardiopulmonary, hematological, and blood gases variables were evaluated. Heart rate decreased significantly during the first 25 minutes after CRI of xylazine and remifentanil, whereas the respiratory rate showed a significant decrease at 20 minutes and remained significantly low until the endpoint. There were no statistically significant fluctuations in blood arterial pressure, blood pH, partial pressure of arterial carbon dioxide, lactate, creatinine, calcium, chlorine, and sodium, compared with baseline values. Blood partial pressure of arterial oxygen and bicarbonate values were significantly higher compared with baseline values, whereas potassium decreased. Sedation and ataxia developed immediately after the administration of xylazine in all horses. All horses recovered successfully within 10 minutes after interruption of the CRI of xylazine and remifentanil, with no ataxia. No adverse effects were observed. The use of a combination of xylazine and remifentanil as sedation protocol has no adverse effects at the described dosage.
Copyright © 2020 Elsevier Inc. All rights reserved.
Publication Date: 2020-05-08 PubMed ID: 32684256DOI: 10.1016/j.jevs.2020.103111Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The research explores the effect of using a continuous rate infusion of remifentanil and xylazine for sedating horses, and it demonstrates that this method has no adverse effects.
Objective of the Research
- To assess the impact of continuous rate infusion of remifentanil and xylazine on a horse’s behavior and cardiopulmonary performance.
Methodology
- Ten healthy horses were used in the study.
- Each was given a dose of xylazine (0.8 mg/kg intravenously), followed three minutes later by a continuous infusion of both xylazine and remifentanil (0.65 mg/kg/hr and 6 μg/kg/hr respectively) for a duration of 60 minutes.
- Various factors such as the horses’ sedation, balance control (ataxia), cardiopulmonary functionality, and blood variables were observed and measured during this process.
Observations
- The horse’s heart rate decreased significantly in the first 25 minutes after the continuous infusion of xylazine and remifentanil.
- Respiratory rate decreased significantly at the 20-minute mark and sustained this lower rate until the end of the experiment.
- No significant variations were recorded for blood arterial pressure, blood pH, arterial carbon dioxide partial pressure, lactate, creatinine, calcium, chlorine, and sodium, when compared to initial baseline values.
- Arterial oxygen and bicarbonate blood partial pressures were noticeably higher in comparison with baseline values, whereas potassium levels decreased.
- Sedation and loss of balance (ataxia) were immediately noticeable following the xylazine administration in all of the horses, however, this was not permanent.
- All horses successfully recovered within 10 minutes of the continuous infusion cessation, displaying no ataxia. No adverse effects were visible.
Conclusion
- The study concluded that a combination of xylazine and remifentanil, when used as a sedative measure for horses and administered at described dosages, shows no adverse outcomes.
Cite This Article
APA
Pallarols NB, Lamuraglia R, Guglielminetti A, Ortiz de Elguea MF, Carossino M, Funcia JP.
(2020).
Behavioral and Cardiopulmonary Effects of a Constant Rate Infusion of Remifentanil-Xylazine for Sedation in Horses.
J Equine Vet Sci, 91, 103111.
https://doi.org/10.1016/j.jevs.2020.103111 Publication
Researcher Affiliations
- Servicio de anestesiología y cirugía, Centro de Rehabilitación y Hospital Equino Kawell, Solís, Provincia de Buenos Aires, Argentina.
- Servicio de anestesiología y cirugía, Centro de Rehabilitación y Hospital Equino Kawell, Solís, Provincia de Buenos Aires, Argentina.
- Servicio de anestesiología y cirugía, Centro de Rehabilitación y Hospital Equino Kawell, Solís, Provincia de Buenos Aires, Argentina.
- Servicio de anestesiología y cirugía, Centro de Rehabilitación y Hospital Equino Kawell, Solís, Provincia de Buenos Aires, Argentina.
- Instituto de Investigación, Escuela de Veterinaria, Universidad del Salvador, Pilar, Buenos, Aires, Argentina.
- Servicio de anestesiología y cirugía, Centro de Rehabilitación y Hospital Equino Kawell, Solís, Provincia de Buenos Aires, Argentina. Electronic address: juanpablo.f@centrokawell.com.ar.
MeSH Terms
- Anesthesia / veterinary
- Animals
- Blood Pressure
- Heart Rate
- Horses
- Remifentanil
- Xylazine
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