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Comparison of antinociceptive, cardiovascular, and respiratory effects, head ptosis, and position of pelvic limbs in mares after caudal epidural administration of xylazine and detomidine hydrochloride solution.

Abstract: To examine and compare effects of 2 alpha 2-adrenergic receptor agonists, xylazine and detomidine, administered into the sacrococcygeal epidural space to induce safe and effective perineal analgesia on cardiovascular and respiratory functions, head ptosis, and position of pelvic limbs in healthy mares. Methods: 8 healthy mares. Methods: Blood samples were drawn and systemic hemodynamics were determined, including cardiac output and pulmonary arterial, systemic arterial, and right atrial pressures. Two-way ANOVA with repeated measures was used to detect significant (P < 0.05) differences between mean scores of perineal analgesia, cardiorespiratory variables, head ptosis, and position of pelvic limbs in mares before and during a 3-hour testing period. Analgesia was determined by lack of sensory perception to electrical stimulation at the perineal dermatome and no response to needle prick stimulation in dermatomes extending from the coccyx to T15. Avoidance responses to electrical current and needle prick stimulation and behavioral changes (head ptosis, position of pelvic limbs) were quantitatively assessed by use of a scoring system. Results: Epidurally administered xylazine induced perineal analgesia and variable bilateral caudal analgesia extending from the coccyx to S3 dermatome, with minimal cardiovascular and respiratory depression, head ptosis, changes in position of pelvic limbs, and no urination in standing mares. Epidurally administered detomidine induced perineal analgesia, variable bilateral analgesia with dermatomal spread ranging from coccyx to S3 and coccyx to T15, with cardiovascular depression, marked head ptosis, changes in position of pelvic limbs, and diuresis in standing mares. Onset of perineal analgesia after xylazine and detomidine administrations was 13.1 +/- 3.7 and 12.5 +/- 2.7 minutes (mean +/- SD), respectively. The period of perineal analgesia was significantly (P 180 minutes vs 160 +/- 8 minutes). Conclusions: Caudal epidurally administered xylazine (0.25 mg/kg of body weight in 8 ml of 0.9% NaCl) offers the most desirable conditions in mares: long-term perineal analgesia (> 2.5 hours), with minimal cardiopulmonary depression, head ptosis, changes in pelvic limb position, and no urination in standing mares during a 3-hour test period.
Publication Date: 1996-09-01 PubMed ID: 8874730
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research compares the effects of two drugs, xylazine and detomidine, when administered to horses for inducing analgesia or pain relief. The study finds that the administration of xylazine resulted in longer pain relief and fewer side effects in terms of cardiovascular and respiratory depression, head dropping, and changes in stance.

Study Design and Methodology

  • The study was conducted using 8 healthy mares.
  • To assess the drugs’ effects, the researchers measured several factors like the lack of sensory perception to electrical stimulation and needle prick stimulation, changes in the position of pelvic limbs, and head ptosis.
  • Cardiovascular and respiratory function measurements were determined using blood samples and systemic hemodynamic testing, which included cardiac output and different arterial pressures.
  • Statistical analysis was performed using a two-way ANOVA to detect significant differences between the before and after conditions for each measurement parameter.

Results

  • Epidural administration of xylazine and detomidine brought about perineal analgesia, but the effects varied.
  • Xylazine induced analgesia from the coccyx to the S3 dermatome with minimal cardiopulmonary depression, head ptosis, changes in the pelvic limb position, and no urination observed in standing mares.
  • Detomidine induced analgesia ranging from the coccyx to either the S3 or T15 dermatome, but it caused cardiovascular depression, pronounced head ptosis, limb position changes, and diuresis or increased urination in standing mares.
  • The onset of analgesia after the administration of xylazine and detomidine was approximately 13.1 and 12.5 minutes, respectively.
  • The duration of analgesia was significantly longer for mares after xylazine administration, lasting from 165 to over 180 minutes, compared to around 160 minutes for detomidine.

Conclusions

  • Based on the results, xylazine administration (0.25 mg/kg of body weight in 8 ml of 0.9% NaCl) via the caudal epidural route is found to provide the most favorable conditions.
  • It provided a long-lasting perineal analgesia of over 2.5 hours, with minimal cardiovascular and respiratory depression, changes in pelvic limb position, and no observed urination in standing mares over a 3-hour test period.

In conclusion, xylazine is deemed safer and more effective overall for inducing analgesia in mares compared to detomidine due to its superior analgesic properties and lesser side effects.

Cite This Article

APA
Skarda RT, Muir WW. (1996). Comparison of antinociceptive, cardiovascular, and respiratory effects, head ptosis, and position of pelvic limbs in mares after caudal epidural administration of xylazine and detomidine hydrochloride solution. Am J Vet Res, 57(9), 1338-1345.

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 57
Issue: 9
Pages: 1338-1345

Researcher Affiliations

Skarda, R T
  • Department of Veterinary Clinical Sciences, Ohio State University, Columbus 43210-1089, USA.
Muir, W W

    MeSH Terms

    • Adrenergic alpha-Agonists / administration & dosage
    • Adrenergic alpha-Agonists / pharmacology
    • Analgesia, Epidural / veterinary
    • Animals
    • Blood Pressure / drug effects
    • Cardiac Output / drug effects
    • Female
    • Head
    • Heart Rate / drug effects
    • Hemodynamics / drug effects
    • Horses
    • Imidazoles / administration & dosage
    • Imidazoles / pharmacology
    • Pain
    • Posture
    • Pulmonary Circulation / drug effects
    • Respiration / drug effects
    • Stroke Volume / drug effects
    • Vascular Resistance / drug effects
    • Xylazine / administration & dosage
    • Xylazine / pharmacology

    Citations

    This article has been cited 2 times.
    1. Marzok M, Almubarak AI, Babiker H, Kandeel M, El-Hawari SF, El-Khodery S. Comparative evaluation of sedative and anti-nociceptive effects of epidural romifidine, romifidine-lidocaine, and lidocaine in donkeys (Equus asinus).. Front Vet Sci 2022;9:966715.
      doi: 10.3389/fvets.2022.966715pubmed: 36570502google scholar: lookup
    2. Pohl VH, Carregaro AB, Lopes C, Gehrcke MI, Muller DC, Garlet CD. Epidural anesthesia and postoperatory analgesia with alpha-2 adrenergic agonists and lidocaine for ovariohysterectomy in bitches.. Can J Vet Res 2012 Jul;76(3):215-20.
      pubmed: 23277701