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American journal of veterinary research2019; 81(1); 13-16; doi: 10.2460/ajvr.81.1.13

Effect of 3% chloroprocaine hydrochloride when used for median and ulnar regional nerve blocks in lame horses.

Abstract: To assess onset of analgesia for 3% chloroprocaine hydrochloride and 2% mepivacaine hydrochloride when used for median and ulnar nerve blocks in lame horses. Methods: 6 naturally lame horses. Methods: A crossover experiment was conducted. Horses were assigned to 1 of 2 treatment groups (3% chloroprocaine or 2% mepivacaine first). Median and ulnar nerve blocks were performed in the lame limb with the assigned treatment. Lameness was objectively evaluated before treatment administration and at various points for 120 minutes after treatment with a wireless inertial sensor-based motion analysis system. Following a 7-day washout period, horses then received the other treatment and lameness evaluations were repeated. Results: Median and ulnar nerve blocks performed with 3% chloroprocaine resulted in more consistent, rapid, and profound amelioration of lameness than did blocks performed with 2% mepivacaine. Lameness decreased more between 20 and 40 minutes after injection when 3% chloroprocaine was used than when 2% mepivacaine was used. Complete resolution of lameness was detected a mean of 9 minutes after injection when median and ulnar nerve blocks were performed with 3% chloroprocaine and a mean of 28 minutes after injection when performed with 2% mepivacaine. Conclusions: 3% chloroprocaine had a more rapid onset and provided better analgesia for median and ulnar nerve blocks in horses with naturally occurring lameness, compared with 2% mepivacaine. These favorable properties suggest that 3% chloroprocaine would be useful for performance of median and ulnar regional nerve blocks during complicated lameness evaluations.
Publication Date: 2019-12-31 PubMed ID: 31887088DOI: 10.2460/ajvr.81.1.13Google Scholar: Lookup
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  • Clinical Trial
  • Veterinary
  • Journal Article

Summary

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The study investigates the efficacy of 3% chloroprocaine hydrochloride versus 2% mepivacaine hydrochloride for providing pain relief in lame horses undergoing median and ulnar nerve blocks. The results indicate that 3% chloroprocaine hydrochloride provided rapid and effective pain relief compared to 2% mepivacaine hydrochloride.

Research Methodology

  • The study was a crossover experiment conducted with 6 lame horses, which were divided into two treatment groups. One group first received 3% chloroprocaine while the other received 2% mepivacaine.
  • The median and ulnar nerve blocks were performed in the affected limb of the horse. The lameness of the horse was evaluated before and at different time intervals for 120 minutes after the nerve block procedure using a wireless inertial sensor-based motion analysis system.
  • A 7-day washout period was put in place in between the treatments for removing traces of the first drug before administering the second. The horses then received the other treatment and the lameness assessments were repeated.

Research Findings

  • The results of the study showed that median and ulnar nerve blocks performed with 3% chloroprocaine provided quicker and more effective relief from lameness than those performed with 2% mepivacaine. The improvement was particularly significant between 20 and 40 minutes after administering the injection.
  • Complete disappearance of lameness occurred after an average of 9 minutes following the injection with 3% chloroprocaine. In contrast, it took roughly 28 minutes for the lameness to completely disappear after the injection with 2% mepivacaine.

Conclusions

  • The findings of the study suggest that 3% chloroprocaine is superior to 2% mepivacaine in terms of rapid onset and effective analgesia when used for median and ulnar nerve blocks in lame horses.
  • Considering the promising effects of 3% chloroprocaine, it would potentially be beneficial for use in complicated lameness evaluations in equine practice.

Cite This Article

APA
Boone LH, DeGraves FJ, Klein CE, Cole RC, Schumacher J. (2019). Effect of 3% chloroprocaine hydrochloride when used for median and ulnar regional nerve blocks in lame horses. Am J Vet Res, 81(1), 13-16. https://doi.org/10.2460/ajvr.81.1.13

Publication

ISSN: 1943-5681
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 81
Issue: 1
Pages: 13-16

Researcher Affiliations

Boone, Lindsey H
    DeGraves, Fred J
      Klein, Chelsea E
        Cole, Robert C
          Schumacher, John

            MeSH Terms

            • Analgesia / veterinary
            • Anesthetics, Local / pharmacology
            • Anesthetics, Local / therapeutic use
            • Animals
            • Cross-Over Studies
            • Gait / drug effects
            • Horse Diseases / drug therapy
            • Horses
            • Lameness, Animal / drug therapy
            • Male
            • Mepivacaine / pharmacology
            • Mepivacaine / therapeutic use
            • Nerve Block / veterinary
            • Pain / drug therapy
            • Pain / veterinary
            • Procaine / analogs & derivatives
            • Procaine / pharmacology
            • Procaine / therapeutic use

            Citations

            This article has been cited 1 times.
            1. Valle AP, Brown KA, Reilly P, Ciamillo SA, Davidson EJ, Stefanovski D, Stewart HL, Ortved KF. Effect of video angle on detection of induced front limb lameness in horses. BMC Vet Res 2024 May 3;20(1):172.
              doi: 10.1186/s12917-024-04032-9pubmed: 38702691google scholar: lookup