Evaluation of Recovery Time and Quality After Two Different Post-Operative Doses of Medetomidine in Spanish Purebred Horses Anaesthetized with Medetomidine-Isoflurane Partial Intravenous Anaesthesia.
Abstract: Recovery from general anaesthesia is risky in horses. Alpha-agonist administration after anaesthesia enhances the quality of recovery but may prolong this phase. Recovery time and quality were investigated after medetomidine administration at the end of general anaesthesia in a prospective, randomised, masked and clinical study. Horses underwent medetomidine-isoflurane partial intravenous anaesthesia. Medetomidine (0.5 or 1 µg/kg) IV was administered just after isoflurane was discontinued. The duration of different recovery phases and the number of attempts were recorded. A composite scale (from 1-excellent to 6-accident) was used for quality assessment. Mann-Whitney U-test was performed ( < 0.05). Twenty-seven horses per group were included. Results for 0.5 and 1 µg/kg groups were as follows: lateral recumbency time: 35 (24-45) and 43 (35-55) minutes; sternal recumbency time: 6 (3-15) and 5 (2-15) minutes; total recovery time: 47 (40-59) and 49 (42-62) minutes; number of attempts to sternal: 1 (1-1) and 1 (1-2) and to standing: 1 (1-3) and 1 (1-2); and, quality: 2 (1-2) and 2 (1-2), respectively. No significant differences between the groups were found. Medetomidine 0.5 µg/kg dose did not decrease the recovery time but maintained the recovery quality.
Publication Date: 2024-11-18 PubMed ID: 39595360PubMed Central: PMC11591359DOI: 10.3390/ani14223308Google Scholar: Lookup
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Summary
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The research explores the effectiveness of two different doses of medetomidine in aiding recovery after anesthesia in horses. The study finds that a lower dose of medetomidine does not shorten the recovery time but maintains the quality of recovery.
Study Design and Execution
- The research was a prospective, randomized, and clinically supervised study.
- The team used horses undergoing medetomidine-isoflurane partial intravenous anesthesia.
- After discontinuation of isoflurane, medetomidine was administered intravenously at two different doses: 0.5 µg/kg and 1 µg/kg.
- The duration of different recovery phases and the number of attempts to reach a full standing position was closely monitored and recorded.
Assessment Methods
- The researchers used a composite scale to assess the quality of recovery. The scale ranged from 1 (excellent) to 6 (accident).
- Mann-Whitney U-test, a statistical method for comparing independent data samples, was utilized to analyze the results (P < 0.05).
- The sample included 27 horses for each dosage group.
Key Findings
- According to the results, the 0.5 µg/kg dosage group experienced 35 (24-45) minutes of lateral recumbency time, 6 (3-15) minutes of sternal recumbency time, and 47 (40-59) minutes total recovery time.
- On the other hand, the 1 µg/kg group had a lateral recumbency time of 43 (35-55) minutes, sternal recumbency time of 5 (2-15) minutes, and total recovery time of 49 (42-62) minutes.
- The number of attempts it took for the horse to reach a sternal and standing position also did not significantly differ between the two groups.
- When using the composite scale, both dosage groups yielded a score of 2, indicating a high-quality recovery.
- There were no significant differences between the two groups with regards to recovery durations or the quality of recovery.
Conclusion
- The study concluded that a dose of 0.5 µg/kg of medetomidine does not decrease the recovery time when compared to a 1 µg/kg dose.
- Importantly, the administration of the lower dosage maintained the quality of the horses’ recovery, making it a viable option in post-operative care.
Cite This Article
APA
Medina-Bautista F, Morgaz J, Domínguez JM, Navarrete-Calvo R, Sánchez de Medina A, Quirós-Carmona S, Granados MDM.
(2024).
Evaluation of Recovery Time and Quality After Two Different Post-Operative Doses of Medetomidine in Spanish Purebred Horses Anaesthetized with Medetomidine-Isoflurane Partial Intravenous Anaesthesia.
Animals (Basel), 14(22), 3308.
https://doi.org/10.3390/ani14223308 Publication
Researcher Affiliations
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
- Section Anaesthesiology, Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Córdoba, 14014 Córdoba, Spain.
Conflict of Interest Statement
The authors declare no conflicts of interest.
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