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Veterinary anaesthesia and analgesia2004; 31(2); 79-85; doi: 10.1111/j.1467-2987.2004.00155.x

Epidural administration of tiletamine/zolazepam in horses.

Abstract: To evaluate the analgesic, physiologic, and behavioral effects of the epidural administration of tiletamine/zolazepam in horses. Methods: Prospective, double-blind, randomized experimental study. Methods: Five adult, healthy horses aged 10-16 years and weighing (mean +/- SD) 400 +/- 98 kg. Methods: The horses were sedated with 1.0 mg kg(-1) intravenous (IV) xylazine, and an epidural catheter was placed into the first intercoccygeal intervertebral space. After a 48-hour resting period, epidural tiletamine/zolazepam, 0.5 mg kg(-1) (treatment I) or 1.0 mg kg(-1) (treatment II), diluted up to 5 mL in sterile water, was administered with a 1-week interval between the treatments. Heart rate, respiratory rate, arterial blood pressure, and sedation were evaluated. In order to evaluate the respiratory effects, blood from the carotid artery was withdrawn at time 0 (baseline), and then after 60 and 240 minutes. Analgesia was evaluated by applying a noxious stimulus with blunt-tipped forceps on the perineal region, and graded as complete, moderate, or absent. Data were collected before tiletamine/zolazepam administration and at 15-minute intervals for 120 minutes, and 4 hours after tiletamine/zolazepam administration. Data were analyzed with anova and Bonferroni's test with p < 0.05. Results: The results showed no significant difference between treatments in cardiovascular and respiratory measurements. Sedation was observed with both doses, and it was significantly different from baseline at 60, 75, and 90 minutes in treatment II. Moderate analgesia and locomotor ataxia were observed with both the treatments. Conclusions: The results suggest that caudal epidural 0.5 and 1.0 mg kg(-1) tiletamine/zolazepam increases the threshold to pressure stimulation in the perineal region in horses. The use of epidural tiletamine/zolazepam could be indicated for short-term moderate epidural analgesia. There are no studies examining spinal toxicity of Telazol, and further studies are necessary before recommending clinical use of this technique.
Publication Date: 2004-04-01 PubMed ID: 15053744DOI: 10.1111/j.1467-2987.2004.00155.xGoogle Scholar: Lookup
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  • Clinical Trial
  • Journal Article
  • Randomized Controlled Trial

Summary

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The research investigates the effects of using tiletamine/zolazepam, a type of anesthesia, administered epidurally in healthy horses. The findings indicate the substance raises the tolerance to pressure stimulation in horses and could be applicable for short-term moderate epidural analgesia, a method to relieve pain.

Research Methodology

  • The study is a ‘Prospective, double-blind, randomized experimental study’ carried out on five adult, healthy horses which were sedated with xylazine. An epidural catheter was inserted after which a resting period of 48 hours was observed.
  • The tiletamine/zolazepam was administered epidurally in two different doses, 0.5 mg kg(-1) (treatment I) and 1.0 mg kg(-1) (treatment II), each one week apart. The substance was diluted up to 5 mL in sterile water prior to administration.
  • Physiological parameters assessed during the study included heart rate, respiratory rate, arterial blood pressure, and level of sedation. To assess the respiratory effects, blood samples from the carotid artery were taken before and after (60 and 240 minutes) administration.
  • Analgesia was evaluated by applying a non-damaging stimulus with blunt-tipped forceps on the perineal area of the horses. The response to the stimuli was graded as complete, moderate, or absent.

Results of the Study

  • The statistical analysis of the data showed there were no significant differences in cardiovascular and respiratory measurements between the treatments.
  • Both doses resulted in sedation in the horses. For the higher dose (treatment II), there were notable variances from the baseline at 60, 75, and 90 minutes
  • Both the treatment I and II doses brought about moderate analgesia and locomotor ataxia (loss of full control of bodily movements) among the horses.

Conclusions and Future Recommendations

  • The key conclusion drawn from the results is that tiletamine/zolazepam, when administered epidurally, heightens the resistance to pressure stimulation in the perineal area of horses. As such, epidural tiletamine/zolazepam could be considered for providing short-term moderate epidural analgesia.
  • However, since there are no established studies on the potential spinal toxicity of tiletamine/zolazepam (Telazol), the researchers caution that further studies would be prudent before this technique is recommended for clinical use.

Cite This Article

APA
Natalini CC, Alves SD, Guedes AG, Polydoro AS, Brondani JT, Bopp S. (2004). Epidural administration of tiletamine/zolazepam in horses. Vet Anaesth Analg, 31(2), 79-85. https://doi.org/10.1111/j.1467-2987.2004.00155.x

Publication

ISSN: 1467-2987
NlmUniqueID: 100956422
Country: United States
Language: English
Volume: 31
Issue: 2
Pages: 79-85

Researcher Affiliations

Natalini, Claudio C
  • Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Skip Bertman Drive, Baton Rouge, LA 70803, USA. cnatalini@vetmed.lsu.edu
Alves, Simone D L
    Guedes, Alonso G P
      Polydoro, Alexandre S
        Brondani, Juliana T
          Bopp, Simone

            MeSH Terms

            • Anesthesia, Epidural / veterinary
            • Animals
            • Blood Pressure / drug effects
            • Double-Blind Method
            • Drug Combinations
            • Heart Rate / drug effects
            • Horses / physiology
            • Prospective Studies
            • Respiration / drug effects
            • Tiletamine / administration & dosage
            • Tiletamine / pharmacology
            • Zolazepam / administration & dosage
            • Zolazepam / pharmacology

            Citations

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