Effects of antitussive agents administered before bronchoalveolar lavage in horses.
Abstract: To determine whether treatment of horses with antitussive agents before bronchoalveolar lavage (BAL) reduces the frequency and intensity of the cough reflex during BAL. Methods: 8 healthy horses. Methods: Standard BAL was performed on each horse weekly for 6 weeks. Detomidine was used as a general sedative, and various antitussive agents were evaluated for their suitability to suppress undesirable coughing. Treatments administered prior to BAL consisted of saline (0.9% NaCl) solution (control treatment), codeine, butorphanol tartrate, glycopyrrolate, lidocaine hydrochloride (final concentration, 0.33%), and lidocaine hydrochloride at a final concentration of 0.66% (lidocaine 0.66%). Frequency and intensity of coughing were digitally recorded throughout the BAL procedure. The volume of BAL fluid collected was measured, and the fluid was cytologically examined to assess potential effects of the medications on composition. Results: Coughing frequency was significantly reduced after intratracheal administration of lidocaine 0.66%. Moreover, intratracheal administration of lidocaine 0.66% or IV administration of butorphanol resulted in a significant reduction in the intensity of coughing episodes. All other treatments failed to significantly suppress coughing frequency and intensity, compared with results for the saline treatment. Glycopyrrolate caused obvious adverse clinical effects. Treatments did not influence the volume of BAL fluid collected nor composition of the fluid. Conclusions: Intratracheal administration of lidocaine (final concentration, 0.66%) proved to be the most reliable method to reduce frequency and intensity of coughing in horses during BAL.
Publication Date: 2005-09-22 PubMed ID: 16173487DOI: 10.2460/ajvr.2005.66.1420Google Scholar: Lookup
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- Clinical Trial
- Comparative Study
- Journal Article
- Randomized Controlled Trial
Summary
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The research article is about a study investigating the efficacy of various antitussive, or cough-suppressing, agents given to horses before a procedure called bronchoalveolar lavage (BAL). The most effective substance at reducing cough frequency and intensity was found to be lidocaine administered directly into the horse’s windpipe.
Methodology
- The study involved eight healthy horses. Over the course of six weeks, each horse underwent a standard BAL procedure weekly.
- The horses were sedated with detomidine and treated with different antitussive agents including saline solution, codeine, butorphanol tartrate, glycopyrrolate, and lidocaine hydrochloride at two different concentrations.
- The horse’s cough frequency and intensity were digitally recorded during the BAL procedure. The volume of the BAL fluid collected and its composition were also measured.
Results
- The findings showed that the intratracheal, or through the windpipe, administration of lidocaine with a final concentration of 0.66% notably reduced coughing frequency and intensity.
- The intravenous administration of butorphanol also significantly reduced the intensity of coughing.
- All other treatments, including the control treatment (saline solution), failed to affect coughing frequency and intensity measurably.
- Glycopyrrolate caused observable negative clinical effects.
- The volume of the BAL fluid collected and its composition remained unaffected by the various treatments.
Conclusions
- From their findings, the researchers concluded that intratracheal administration of lidocaine at a final concentration of 0.66% is the most reliable method to reduce both frequency and intensity of coughing in horses during a BAL procedure.
Cite This Article
APA
Westermann CM, Laan TT, van Nieuwstadt RA, Bull S, Fink-Gremmels J.
(2005).
Effects of antitussive agents administered before bronchoalveolar lavage in horses.
Am J Vet Res, 66(8), 1420-1424.
https://doi.org/10.2460/ajvr.2005.66.1420 Publication
Researcher Affiliations
- Department of Equine Science, Faculty of Veterinary Medicine, Utrecht University, PO Box 80152, 3508 TD, Utrecht, The Netherlands.
MeSH Terms
- Animals
- Antitussive Agents / pharmacology
- Bronchoalveolar Lavage / adverse effects
- Bronchoalveolar Lavage / veterinary
- Butorphanol / pharmacology
- Codeine / pharmacology
- Cough / prevention & control
- Cough / veterinary
- Cross-Over Studies
- Dose-Response Relationship, Drug
- Glycopyrrolate / pharmacology
- Horses / physiology
- Lidocaine / pharmacology
Citations
This article has been cited 6 times.- Lemonnier LC, Couroucé A, Cessans M, Petit L, Cardwell JM, Barbazanges P, Toquet M-, Richard EA. Detection of fungi in the airways of horses according to the sample site: a methodological study.. Vet Res Commun 2023 Sep 13;.
- Westermann CM, de Bie AG, Olave C, de Grauw JC, Teske E, Couetil LL. Effect of Lavage Solution Type on Bronchoalveolar Lavage Fluid Cytology in Clinically Healthy Horses.. Animals (Basel) 2023 Aug 15;13(16).
- Minuto J, Bedenice D, Ceresia M, Zaghloul I, Böhlke M, Mazan MR. Clinical effects and pharmacokinetics of nebulized lidocaine in healthy horses.. Front Vet Sci 2022;9:984108.
- Knych HK, Stucker K, Gretler SR, Kass PH, McKemie DS. Pharmacokinetics, adverse effects and effects on thermal nociception following administration of three doses of codeine to horses.. BMC Vet Res 2022 May 25;18(1):196.
- Varegg MS, Kløverød KM, Austnes MK, Siwinska N, Słowikowska M, Zak A, Madej JA, Kandefer-Gola M, Ciaputa R, Nowak M, Niedzwiedz A. Fatal pulmonary hemorrhage in a horse during bronchoalveolar lavage - single case report.. BMC Vet Res 2019 May 24;15(1):169.
- Ida KK, Sauvage A, Gougnard A, Grauwels M, Serteyn D, Sandersen C. Use of Nasotracheal Intubation during General Anesthesia in Two Ponies with Tracheal Collapse.. Front Vet Sci 2018;5:42.
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