Epidural injection of xylazine for perineal analgesia in horses.
Abstract: Local anesthetics given in the epidural space of a horse may cause hind limb weakness in addition to analgesia. Because alpha 2 agonists given by epidural injection cause sensory blockade without motor effects in human beings and other species, their use in veterinary anesthesia is appealing. This study was designed to examine the effectiveness of xylazine HCl, an alpha 2 agonist commonly used in horses. Xylazine, 0.9% NaCl, and lidocaine were given by epidural injection to horses subjected to perineal electrical stimulation. Administration of xylazine (0.17 mg/kg of body weight, diluted to a 10-ml volume, using 0.9% NaCl) induced approximately 2.5 hours of local analgesia without apparent side effects. Higher doses of xylazine caused mild hind limb ataxia. Administration of lidocaine induced a similar duration of analgesia, with severe hind limb ataxia (100% incidence). We concluded that xylazine given by epidural injection results in safe, effective perineal analgesia in horses.
Publication Date: 1988-12-01 PubMed ID: 3209451
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- Comparative Study
- Journal Article
Summary
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The research article investigates the use of the drug xylazine, an alpha 2 agonist, for perineal analgesia in horses via epidural injection. The study concludes that this method is both safe and effective in providing pain relief without causing significant side effects such as hind limb weakness.
Objective of the Research
- The main goal of this study is to investigate the suitability and effectiveness of epidural injection of xylazine for perineal analgesia in horses.
The Rationale of the Study
- The research arises from the issue that local anesthetics, when given in the horse’s epidural space, often lead to hind limb weakness in addition to pain relief.
- Alpha 2 agonists, such as xylazine, are known to cause sensory blockade without motor effects in humans and other species. This characteristic makes it an appealing choice in veterinary anesthesia.
Methodology and Findings
- The study utilized xylazine, 0.9% NaCl, and lidocaine, which were delivered by epidural injection, to horses subjected to perineal electrical stimulation. The dosage for xylazine used was 0.17 mg/kg of body weight, diluted to a 10 ml volume with 0.9% NaCl.
- The results showed that administering xylazine induced approximately 2.5 hours of local analgesia without apparent side effects. However, at higher doses, mild hind limb ataxia was observed.
- The comparable administration of lidocaine also induced a similar duration of analgesia, but resulted in severe hind limb ataxia in all cases.
Conclusion of the Research
- The conclusion drawn from this research is that xylazine, when delivered by epidural injection, produces safe and effective perineal analgesia in horses.
- Compared to the use of lidocaine, xylazine resulted in less severe side effects, making it a more preferable choice in managing perineal pain in horses.
Cite This Article
APA
LeBlanc PH, Caron JP, Patterson JS, Brown M, Matta MA.
(1988).
Epidural injection of xylazine for perineal analgesia in horses.
J Am Vet Med Assoc, 193(11), 1405-1408.
Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing 48824.
MeSH Terms
- Analgesia, Epidural / veterinary
- Animals
- Horses
- Injections, Epidural / veterinary
- Lidocaine / administration & dosage
- Random Allocation
- Thiazines / administration & dosage
- Xylazine / administration & dosage
Citations
This article has been cited 10 times.- Vullo C, Tambella AM, Meligrana M, Catone G. Analgesic and Sedative Effects of Epidural Lidocaine-Xylazine in Elective Bilateral Laparoscopic Ovariectomy in Standing Mule Mares. Animals (Basel) 2021 Aug 17;11(8).
- Shepard MK, Lee WL, Eggleston RB. Perianesthetic development of diaphragmatic hernia in a horse with equine pituitary pars intermedia dysfunction (PPID). Can Vet J 2015 Jan;56(1):48-52.
- Kamiloglu A, Kamiloglu NN, Ozturk S, Atalan G, Kılıc E. Clinical assessment of epidural analgesia induced by xylazine-lidocaine combination accompanied by xylazine sedation in calves. Ir Vet J 2005 Oct 1;58(10):567-70.
- Caulkett N, Cribb PH, Duke T. Xylazine epidural analgesia for cesarian section in cattle. Can Vet J 1993 Nov;34(11):674-6.
- Singh V, Amarpal, Kinjavdekar P, Aithal HP, Pratap K. Medetomidine with ketamine and bupivacaine for epidural analgesia in buffaloes. Vet Res Commun 2005 Jan;29(1):1-18.
- Fierheller EE, Caulkett NA, Bailey JV. A romifidine and morphine combination for epidural analgesia of the flank in cattle. Can Vet J 2004 Nov;45(11):917-23.
- DeRossi R, Sampaio BF, Varela JV, Junqueira AL. Perineal analgesia and hemodynamic effects of the epidural administration of meperidine or hyperbaric bupivacaine in conscious horses. Can Vet J 2004 Jan;45(1):42-7.
- Csik-Salmon J, Blais D, Vaillancourt D, Garon O, Bisaillon A. [Use of a mix of lidocaine and butorphanol as a caudal epidural anesthesia in a mare]. Can J Vet Res 1996 Oct;60(4):288-95.
- Caron JP, LeBlanc PH. Caudal epidural analgesia in cattle using xylazine. Can J Vet Res 1989 Oct;53(4):486-9.
- Giusto G, Bellino C, Cerullo A, Gandini M. Short-Term Outcomes of Abdominal Surgeries Performed with Epidural Anaesthesia in Italian Calves. Vet Sci 2025 Apr 28;12(5).
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