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Veterinary journal (London, England : 1997)2013; 196(3); 483-491; doi: 10.1016/j.tvjl.2012.11.016

Evaluation of clinical and electrocardiographic changes during the euthanasia of horses.

Abstract: The objective of this prospective field study was to investigate whether commonly used criteria for clinical death occurred at the same time as cardiac death, as determined by electrocardiography. Specific ECG changes during euthanasia were also studied. Twenty-nine horses were euthanized with pentobarbital at two different dose rates and 15 of the 29 horses also received detomidine hydrochloride for sedation. ECG was recorded prior to and during euthanasia. Time to collapse, cessation of reflexes, heart sounds and asystole were recorded. ECG recordings were used to calculate RR intervals, PQ duration, QRS duration, distance from QRS complex to end of T wave corrected for HR (QTc interval), duration of T-wave from peak to end (TpeakTend) and amplitudes of T wave (Tpeak) before and during euthanasia. Differences between groups and ECG changes were evaluated using analysis of variance. Clinical determination of death occurred before cardiac death (P<0.05). Sedated horses took longer to collapse than unsedated horses (P<0.0001), but asystole occurred faster in sedated horses (P<0.0001). No significant changes in QRS duration were observed, but RR, PQ, QTc, TpeakTend and Tpeak were influenced by both pentobarbital dose and sedation (P<0.05-<0.0001). In conclusion, sedation prior to euthanasia resulted in a shorter time to asystole and is therefore recommended for the euthanasia of horses. Importantly, the results show that the clinical definition of death occurred significantly earlier than cardiac death (defined as asystole), which indicates that the clinical declaration of death in horses could be premature compared to that used in humans.
Publication Date: 2013-01-04 PubMed ID: 23290564DOI: 10.1016/j.tvjl.2012.11.016Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Research Support
  • Non-U.S. Gov't

Summary

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The research study investigates if there’s a synchronization between clinical death and cardiac death in horses during euthanasia. It also studies changes that occur in EKG readings during this process. The results suggest that clinical signs of death appear before cardiac death, and the use of sedatives prior to euthanasia accelerates the cardiac death process.

Research Design and Methodology

  • The study was a prospective field study that followed 29 horses to be euthanized with the use of pentobarbital at two different doses. Among these, 15 horses were also administered detomidine hydrochloride for sedation.
  • The EKG readings of the horses were recorded prior to and during the euthanization process. Time of collapse, when reflexes stopped, the end of heart sounds, and asystole (end of cardiac activity) were documented.
  • The EKG recordings were later analyzed to calculate intervals and amplitudes connected to different waves prior to and during euthanasia.
  • Differences in groups and changes in EKG readings were evaluated with analysis of variance.

Observations and Findings

  • The study found that clinical death occurred before cardiac death, meaning the horses exhibited signs of clinical death before their hearts completely stopped (asystole).
  • Sedated horses took longer to collapse than unsedated ones, but their hearts stopped (asystole) faster.
  • Although changes in QRS duration were not observed, RR, PQ, QTc, TpeakTend, and Tpeak were affected by both the dose of pentobarbital and sedation.

Conclusions

  • The research concluded that sedating a horse prior to euthanasia can shorten the time to asystole, and thus, is recommended.
  • Importantly, the study suggests that the clinical definition of death in horses may be premature compared to that in humans, signifying that clinically, horses may be declared dead before their hearts have completely stopped.

Cite This Article

APA
Buhl R, Andersen LO, Karlshøj M, Kanters JK. (2013). Evaluation of clinical and electrocardiographic changes during the euthanasia of horses. Vet J, 196(3), 483-491. https://doi.org/10.1016/j.tvjl.2012.11.016

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 196
Issue: 3
Pages: 483-491
PII: S1090-0233(12)00488-1

Researcher Affiliations

Buhl, R
  • Department of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Højbakkegård Allé 5, DK-2630 Taastrup, Denmark. rib@sund.ku.dk
Andersen, L O F
    Karlshøj, M
      Kanters, J K

        MeSH Terms

        • Animals
        • Death
        • Dose-Response Relationship, Drug
        • Drug Therapy, Combination
        • Electrocardiography / veterinary
        • Euthanasia, Animal
        • Horses / physiology
        • Hypnotics and Sedatives / administration & dosage
        • Hypnotics and Sedatives / pharmacology
        • Imidazoles / administration & dosage
        • Imidazoles / pharmacology
        • Pentobarbital / administration & dosage
        • Pentobarbital / pharmacology

        Citations

        This article has been cited 2 times.
        1. Lanata A, Guidi A, Baragli P, Valenza G, Scilingo EP. A Novel Algorithm for Movement Artifact Removal in ECG Signals Acquired from Wearable Systems Applied to Horses. PLoS One 2015;10(10):e0140783.
          doi: 10.1371/journal.pone.0140783pubmed: 26484686google scholar: lookup
        2. Aleman M, Williams DC, Guedes A, Madigan JE. Cerebral and brainstem electrophysiologic activity during euthanasia with pentobarbital sodium in horses. J Vet Intern Med 2015 Mar-Apr;29(2):663-72.
          doi: 10.1111/jvim.12570pubmed: 25800436google scholar: lookup