Effects of epidural morphine on gastrointestinal transit in unmedicated horses.
Abstract: To evaluate the effect of epidural morphine on gastrointestinal (GI) motility in horses. Methods: Randomly ordered crossover design. Methods: Six healthy adult horses weighing 585± 48 kg (mean±SD). Methods: Horses were randomly assigned to receive either 0.2 mg kg(-1) morphine or an equal volume (0.04 mL kg(-1)) of saline epidurally (the first inter coccygeal space) with 2 weeks between treatments. The horses were stabled, fed a standardized diet and allowed water ad libitum throughout the duration of the study. Radiopaque spheres were administered by stomach tube. Xylazine 0.2 mg kg(-1) intravenously was administered prior to epidural injection. Heart rate, respiratory rate, GI sounds score and behavior score were recorded before drug administration and after epidural injection at 4, 8, 12, 18, 24 hours and every 12 hours thereafter for 6 days. Feces were weighed, radiographed and the number of spheres counted. Data were analyzed using a mixed effect model. Results: At no time did horses exhibit signs of colic or show significant differences between treatments regarding heart rate, respiratory rate, GI sounds score, behavior score, or cumulative number of spheres. The concentration of spheres per kg of feces was significantly lower (p<0.05) for the morphine group at 18 and 24 hours. Using the centroid of the curves (spheres kg(-1) plotted versus time) the average transit time after saline epidural was 38 hours and after morphine it was 43 hours. The weight of feces hour(-1) was significantly lower (p<0.05) at only 4 and 8 hours after morphine. Conclusions: Epidural morphine, at a dose of 0.2 mg kg(-1) , temporarily reduced GI motility but did not cause ileus or colic in this small group of healthy unfasted horses. Care should be taken when extrapolating these data to situations in which other factors may also affect GI motility.
© 2011 The Authors. Veterinary Anaesthesia and Analgesia © 2011 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesiologists.
Publication Date: 2011-02-10 PubMed ID: 21303443DOI: 10.1111/j.1467-2995.2010.00588.xGoogle Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research investigates how epidural morphine affects the gastrointestinal motility in healthy adult horses. The study concluded that while epidural morphine reduced gastrointestinal activity, it did not result in any symptoms of colic or ileus.
Research Methods
- The study was designed as a randomly ordered crossover experiment involving six healthy adult horses. Each horse was given either an injection of 0.2 mg kg(-1) of morphine or an equal volume of saline into their first intercoccygeal space (base of the spine) in a random sequence.
- The horses were kept in stables and fed a standardized diet with water provided as needed throughout the study.
- Observations included heart rate, respiratory rate, gastrointestinal sounds, behavior scores, and the presence of radiopaque spheres which were administered through a stomach tube to track gastrointestinal transit.
- Measurements were done before the drug administration and then at several intervals after the epidural injection, for a total duration of six days.
- Researchers used a mixed-effect model for data analysis, and the findings between the two treatment groups were compared.
Research Findings
- The results showed no significant differences between the morphine and saline treatments in terms of heart rate, respiratory rate, GI sounds, behavior score, or the total number of radiopaque spheres detected.
- However, the concentration of spheres per kg of feces was significantly lower in the morphine group at 18 and 24 hours post-injection, indicating slowed GI transit.
- On average, transit time after saline injection was 38 hours, while it was 43 hours after morphine injection. Additionally, the weight of feces per hour was significantly lower in the morphine group at only 4 and 8 hours after treatment.
Research Conclusions
- Based on the findings, the researchers concluded that epidural morphine at a dose of 0.2 mg kg(-1) reduced GI motility temporarily. However, it did not result in severe gastrointestinal problems such as ileus or colic in the studied horses.
- Though the findings provide valuable insight into the effect of epidural morphine on horses’ digestive systems, the researchers warn care should be taken when extrapolating these data to other situations considering other factors may likewise impact GI motility.
Cite This Article
APA
Sano H, Martin-Flores M, Santos LC, Cheetham J, Araos JD, Gleed RD.
(2011).
Effects of epidural morphine on gastrointestinal transit in unmedicated horses.
Vet Anaesth Analg, 38(2), 121-126.
https://doi.org/10.1111/j.1467-2995.2010.00588.x Publication
Researcher Affiliations
- Department of Clinical Sciences, Cornell University, Ithaca, NY 14853-6401, USA. hs524@cornell.edu
MeSH Terms
- Analgesia, Epidural / veterinary
- Animals
- Gastrointestinal Motility / drug effects
- Gastrointestinal Motility / physiology
- Gastrointestinal Transit / drug effects
- Gastrointestinal Transit / physiology
- Heart Rate / drug effects
- Horses / physiology
- Injections, Epidural / veterinary
- Morphine / administration & dosage
- Morphine / pharmacology
- Narcotics / administration & dosage
- Narcotics / pharmacology
- Respiratory Rate / drug effects
Citations
This article has been cited 4 times.- Douglas H, Midon M, Shroff K, Floriano D, Driessen B, Hopster K. Caudal epidural catheterization for pain management in 48 hospitalized horses: A descriptive study of demographics, complications, and outcomes. Front Vet Sci 2022;9:995299.
- Watkins AR, Hopster K, Levine D, Hurcombe SD. Cervical Epidural Spinal Analgesia for Acute Management of Severe Unilateral Forelimb Lameness: Case Report. Front Vet Sci 2021;8:749713.
- Martin-Flores M, Singh B, Walsh CA, Brooks EP, Taylor L, Mitchell LM. Effects of Buprenorphine, Methylnaltrexone, and Their Combination on Gastrointestinal Transit in Healthy New Zealand White Rabbits. J Am Assoc Lab Anim Sci 2017 Mar 1;56(2):155-159.
- Thomson ACS, McCarrel TM, Zakharov A, Gomez B, Lyubimov A, Schwark WS, Mallicote MF, Portela DA, Bisiau AL, Wakshlag JJ. Pharmacokinetics and tolerability of single-dose enteral cannabidiol and cannabidiolic acid rich hemp in horses (Equus caballus). Front Vet Sci 2024;11:1356463.
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