Comparison of two techniques for total intravenous anesthesia in horses.
Abstract: To characterize responses associated with two 1-hour total intravenous anesthesia techniques in horses. Methods: 6 mature, healthy mares. Methods: Each horse was anesthetized 3 times. Treatment order was determined by a series of Latin squares. After baseline measurements and instrumentation, horses were given xylazine (XYL) i.v.; anesthesia was induced 5 minutes later with 10% guaifenesin given i.v., then either ketamine (KET) or propofol (PRO) was given i.v. After anesthesia induction, each horse received an infusion of XYL and either KET or a low or high dose of PRO. Cardiopulmonary variables were measured at 20, 40, and 60 minutes after the start of the infusion; arterial blood samples were collected prior to each set of measurements, and blood gas tensions and plasma drug concentration were determined. A noxious stimulus was applied after each of the 3 sets of measurements. Results: Differences in measured cardiopulmonary variables were significant among all treatments at different times. Most notable differences were between KET and high PRO. Times to regaining sternal and standing posture were shortest for KET, and differed significantly from values for low and high PRO. Purposeful responses were not observed for high PRO in horses after noxious stimulation. In contrast, 4 horses given KET responded at all time points and 1 horse given low PRO responded. Conclusions: None of the infusion techniques were flawless, but results support continued efforts at technique refinement and selected clinical use.
Publication Date: 1998-10-22 PubMed ID: 9781464
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- Comparative Study
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research aimed to determine the differing responses to two types of intravenous anesthesia techniques applied to horses over a one-hour period. They found significant variations in heart-lung functions and recovery times between the methods, prompting recommendations for further refinement and careful clinical use.
Research Methodology
- For this study, six mature, healthy mares were selected. The order of treatment for each horse was decided using a Latin squares design system, which helps reduce variability in experimental outcomes.
- Initially, baseline measurements were taken for each horse. The horses were administered xylazine (XYL) intravenously, followed by the induction of anesthesia with 10% guaifenesin.
- Post this, the horses were given either ketamine (KET) or propofol (PRO). These drugs are anesthetics, which cause numbness and a loss of consciousness.
- During the anesthesia, the horses were given an infusion of XYL and either KET or a low or high dose of PRO.
- The heart and lung functions of the horses were measured at twenty, forty, and sixty minutes after the onset of the infusion. Arterial blood samples were also gathered at these stages to analyze blood gas tensions and plasma drug concentration.
- Also, a painful stimulus was applied at these stages to analyze the horses’ sensory responses.
Research Findings
- There were significant differences in heart and lung functions across all treatments at varying intervals. The most pronounced differences were observed between KET and high-dose PRO treatment.
- The recovery times for regaining sternal and standing posture were found to be shortest for KET. These time periods varied appreciably from those recorded for both high and low doses of PRO.
- For those administered high-dose PRO, responses to the painful stimulus were not perceived. Conversely, four out of the six horses who received KET showed responses at all intervals, and one horse who received low-dose PRO responded.
Conclusions
- The researchers concluded that none of the intravenous anesthesia techniques were perfect in their functionality.
- However, the outcomes of the study support the notion of persisting with attempts to enhance these techniques. The researchers also recommend the cautious and selective use of these techniques in clinical environments until their refinement.
Cite This Article
APA
Mama KR, Pascoe PJ, Steffey EP, Kollias-Baker C.
(1998).
Comparison of two techniques for total intravenous anesthesia in horses.
Am J Vet Res, 59(10), 1292-1298.
Publication
Researcher Affiliations
- Department of Clinical Sciences, Colorado State University, Fort Collins 80523, USA.
MeSH Terms
- Anesthesia, Intravenous / methods
- Anesthesia, Intravenous / veterinary
- Animals
- Behavior, Animal / drug effects
- Body Temperature / drug effects
- Female
- Halothane / administration & dosage
- Heart Rate / drug effects
- Horses / physiology
- Ketamine / administration & dosage
- Propofol / administration & dosage
- Respiration / drug effects
- Xylazine
Citations
This article has been cited 4 times.- Aoki M, Wakuno A, Kushiro A, Mae N, Kakizaki M, Nagata SI, Ohta M. Evaluation of total intravenous anesthesia with propofol-guaifenesin-medetomidine and alfaxalone-guaifenesin-medetomidine in Thoroughbred horses undergoing castration. J Vet Med Sci 2017 Dec 22;79(12):2011-2018.
- Umar MA, Fukui S, Kawase K, Itami T, Yamashita K. Cardiovascular effects of total intravenous anesthesia using ketamine-medetomidine-propofol (KMP-TIVA) in horses undergoing surgery. J Vet Med Sci 2015 Mar;77(3):281-8.
- Nóbrega Neto PI, Luna SP, Queiroz-Williams P, Mama KR, Steffey EP, Carregaro AB. Cardiorespiratory and antinociceptive effects of two different doses of lidocaine administered to horses during a constant intravenous infusion of xylazine and ketamine. BMC Vet Res 2013 Oct 9;9:199.
- Gholipourkanani H, Ahadizadeh S. Use of propofol as an anesthetic and its efficacy on some hematological values of ornamental fish Carassius auratus. Springerplus 2013 Dec;2(1):76.
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