Clinical Evaluation of Xylazine-Butorphanol-Guaifenesin-Ketamine as Short-Term TIVA in Equines.
Abstract: Xylazine (1.1 mg/kg), butorphanol (0.02 mg/kg), guaifenesin 5% (20 mg/kg), and ketamine (2.2 mg/kg) combinations were able to induce short-term surgical anaesthesia for 23.33 ± 2.57 min in Spiti ponies with excellent to good muscle relaxation and analgesia. Urination and neighing was a constant feature during recovery period. Biphasic P wave, biphasic T wave, and depressed PR segment were common electrocardiographic findings. Biochemical attributes were within physiological limits except a significant increase in ALT values during anaesthesia. The values returned to normal during recovery ruling out any renal or hepatic toxicity. Occasionally, negative T wave, notched P wave, and sinus block were noticed. It is recommended that the anaesthetic combinations xylazine-butorphanol-guaifenesin-ketamine can be safely used for short-term total intravenous anaesthesia (TIVA) in equines under field conditions.
Publication Date: 2011-05-11 PubMed ID: 21647339PubMed Central: PMC3103860DOI: 10.4061/2011/506831Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This study reveals that a specific combination of drugs, namely xylazine, butorphanol, guaifenesin, and ketamine, can be effectively used for short-term surgical anaesthesia in horses, particularly in Spiti ponies. The research shows that this mixture provides excellent muscle relaxation and pain relief, with minor temporary side effects like urination and neighing upon recovery.
Research Method
- The researchers employed a combination of drugs – Xylazine, Butorphanol, Guaifenesin, and Ketamine, injected intravenously at given concentrations to induce short-term anaesthesia in Spiti ponies.
- The effects of these drugs on the ponies’ heart rhythm, muscle relaxation, and pain relief (analgesia) were observed and measured.
- In addition, recovery outcomes and changes in the ponies’ biochemical attributes, such as the increase in ALT values during anaesthesia, were detailed and analysed.
- The researchers also observed urinary behaviour and vocal expressions (neighing) during the recovery period.
Findings
- This combination of drugs was able to successfully induce short-term surgical anaesthesia in Spiti ponies for approximately 23 minutes, providing excellent to good muscle relaxation and pain relief.
- Common changes in the heartbeat patterns (electrocardiographic findings) included Biphasic P wave, Biphasic T wave, and a depressed PR segment.
- Biochemical attributes were found to remain within normal physiological limits, with the exception of a significant increase in ALT (Alanine transaminase) values during anaesthesia, which may suggest mild liver impairment. However, this increase in ALT values returned to normal during recovery, ruling out any serious renal or hepatic toxicity caused by these drugs.
- Urination and neighing were consistently observed during the recovery period.
- Occasionally, negative T wave, notched P wave, and sinus obstruction were noticed, indicating possible side-effects of the anaesthetic combination.
Conclusion
- Given the findings, the researchers conclude that this specific anaesthetic combination – Xylazine, Butorphanol, Guaifenesin, and Ketamine, is safe and effective for short-term total intravenous anaesthesia (TIVA) in equines under field conditions.
- Despite minor alterations in heart rhythm and increased ALT values during anaesthesia, the entire process, including recovery, was reported to be within acceptable physiological parameters, without causing any serious renal or hepatic damage.
Cite This Article
APA
Thakur BP, Sharma SK, Sharma A, Kumar A.
(2011).
Clinical Evaluation of Xylazine-Butorphanol-Guaifenesin-Ketamine as Short-Term TIVA in Equines.
Vet Med Int, 2011, 506831.
https://doi.org/10.4061/2011/506831 Publication
Researcher Affiliations
- Department of Surgery and Radiology, Dr. G. C. Negi College of Veterinary & Animal Sciences, CSK Himachal Pradesh Agriculture University, Palampur (HP) 176 062, India.
References
This article includes 28 references
- Hall LW, Clarke KW. Anaesthesia of the horse. .
- Garcia AA, Sumano H, Nunez E. Pharmacological basis of short term intravenous general anaesthesia in the equines. Veterinaria México 2002;33(3):309–333.
- Nanda VS. Clinical evaluation of continuous maintenance anaesthesia using guaifenesin or diazepam combined with xylazine and ketamine in equines. Palampur, India: Department of Veterinary Surgery and Radiology, CSK Himachal Pradesh Krishi Vishvavidyalaya; 2009. M.S. thesis.
- Ringer SK, Kalchofner K, Boller J, Fürst A, Bettschart-Wolfensberger R. A clinical comparison of two anaesthetic protocols using lidocaine or medetomidine in horses.. Vet Anaesth Analg 2007 Jul;34(4):257-68.
- Kerr CL, McDonell WN, Young SS. A comparison of romifidine and xylazine when used with diazepam/ketamine for short duration anesthesia in the horse.. Can Vet J 1996 Oct;37(10):601-9.
- Muir WW, Skarda RT, Milne DW. Evaluation of xylazine and ketamine hydrochloride for anesthesia in horses.. Am J Vet Res 1977 Feb;38(2):195-201.
- Butera TS, Moore JN, Garner HE, Amend JF, Clarke LL, Hatfield DG. Diazepam/xylazine/ketamine combination for short-term anesthesia in the horse.. Vet Med Small Anim Clin 1978 Apr;73(4):490,495-6,499.
- Kaka JS, Klavano PA, Hayton WL. Pharmacokinetics of ketamine in the horse.. Am J Vet Res 1979 Jul;40(7):978-81.
- Muir WW, Skarda RT, Sheehan W. Evaluation of xylazine, guaifenesin, and ketamine hydrochloride for restraint in horses.. Am J Vet Res 1978 Aug;39(8):1274-8.
- Hubbell JA, Hinchcliff KW, Schmall LM, Muir WW 3rd, Robertson JT, Sams RA. Cardiorespiratory and metabolic effects of xylazine, detomidine, and a combination of xylazine and acepromazine administered after exercise in horses.. Am J Vet Res 1999 Oct;60(10):1271-9.
- Hsu WH. Xylazine-induced depression and its antagonism by alpha adrenergic blocking agents.. J Pharmacol Exp Ther 1981 Jul;218(1):188-92.
- McCarty JE, Trim CM, Ferguson D. Prolongation of anesthesia with xylazine, ketamine, and guaifenesin in horses: 64 cases (1986-1989).. J Am Vet Med Assoc 1990 Dec 15;197(12):1646-50.
- Baetge CL, Matthews NS, Carroll GL. Comparison of 3 total intravenous anaesthetic infusion combinations in adult horses. International Journal of Applied Research in Veterinary Medicine 2007;5(1):1–8.
- Staffieri F, Driessen B. Field anesthesia in the equine. Clinical Techniques in Equine Practice 2007;6(2):111–119.
- Aubin ML, Mama K. Field anesthetic techniques for use in horses. Compendium on Continuing Education for the Practicing Veterinarian 2002;24(5):411–417.
- Bertone J, Horspool LJI. Anaesthetics, tranquillizers and opioid analgesics. In: Bertone J, Horspool LJI, editors. Equine Clinical Pharmacology. 1st edition. Saunders, Elsevier; 2004. pp. 267–310.
- Sparks DL, Corssen G, Sides J, Black J, Kholeif A. Ketamine-induced anesthesia: neural mechanisms in the Rhesus monkey.. Anesth Analg 1973 Mar;52(2):288-97.
- Wright M. Pharmacologic effects of ketamine and its use in veterinary medicine.. J Am Vet Med Assoc 1982 Jun 15;180(12):1462-71.
- Cullen LK. Muscle relaxants and neuromuscular block. In: Thurmon JC, Tranquilli WJ, Benson GJ, editors. Lumb and Jones Veterinary Anaesthesia. 3rd edition. Baltimore, Md, USA: Williams and Wilkins; 1996. pp. 358–359.
- Geiser DR, Henton JE. Xylazine and butorphanol: survey of field use in the horses. 2006.
- Purohit RC, Mysinger PW, Redding RW. Effects of xylazine and ketamine hydrochloride on the electroencephalogram and the electrocardiogram in the horse.. Am J Vet Res 1981 Apr;42(4):615-9.
- Rings DM, Muir WW. Cardiopulmonary effects of intramuscular xylazine-ketamine in calves.. Can J Comp Med 1982 Oct;46(4):386-9.
- Robertson JT, Muir WW, Sams R. Cardiopulmonary effects of butorphanol tartrate in horses.. Am J Vet Res 1981 Jan;42(1):41-4.
- Hubbel JAE. Options for field anaesthesia in horse. In: Proceedings of the 45th AAEP Annual Convention, vol. 45; December 1999; Albuquerque, NM, USA. pp. 120–121.
- Tiwari SK, Kumar A, Parikh PV. Clinico-surgical effects of epidural xylazine and detomidine with or without local anaesthesia in buffaloes. Indian Journal of Veterinary Surgery 1999;76(2):108–111.
- Angel I, Langer SZ. Adrenergic-induced hyperglycemia in anaesthetized rats: involvement of peripheral alpha 2-adrenoceptors.. Eur J Pharmacol 1988 Sep 13;154(2):191-6.
- Young LE, Bartram DH, Diamond MJ, Gregg AS, Jones RS. Clinical evaluation of an infusion of xylazine, guaifenesin and ketamine for maintenance of anaesthesia in horses.. Equine Vet J 1993 Mar;25(2):115-9.
- Singh M, Kumar V, Varshney AC, Sharma SK, Nigam JM. Clinico-biochemical effect of xylazine administration in spiti ponies. Centaur 1996;13(2):21–23.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists