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Journal of the American Veterinary Medical Association2011; 238(12); 1629-1633; doi: 10.2460/javma.238.12.1629

Evaluation of sedation and analgesia in standing horses after administration of xylazine, butorphanol, and subanesthetic doses of ketamine.

Abstract: To evaluate the sedative and analgesic effects of subanesthetic doses of ketamine in horses sedated with xylazine, with or without butorphanol. Methods: Prospective, randomized, controlled study. Methods: 10 adult horses. Methods: Each horse was sedated multiple times by administration of xylazine (treatment X), xylazine and butorphanol (treatment XB), xylazine with 1 of 2 dosages of ketamine (treatment XK1 or XK2), or xylazine and butorphanol with 1 of 2 dosages of ketamine (treatment XBK1 or XBK2). Head height and various behaviors, including responses to noise, insertion of a dental float, needle prick on the flank, algometer pressure on the scapula, and bilateral carpal arthrocenteses, were evaluated. Results: No significant differences were detected among sedation treatments for head height, response to noise, or response to arthrocenteses. Insertion of a dental float was easiest with treatment XBK2 and most difficult with treatments XK1 and XK2. Response to a needle prick on the flank was lowest with treatment XB and highest with treatment XK2. Tolerance to algometer pressure over the scapula was highest with treatment XBK2 and lowest with treatment X. Conclusions: Administration of a subanesthetic dosage of ketamine with xylazine and butorphanol may facilitate certain procedures, such as insertion of a dental float, in horses and enhance tolerance to pressure stimulation, but it may worsen responses to acute pain, such as that caused by a needle prick. Further evaluation is needed to determine whether subanesthetic dosages of ketamine might be useful when performing certain clinical procedures in horses.
Publication Date: 2011-06-16 PubMed ID: 21671819DOI: 10.2460/javma.238.12.1629Google 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 article explores the effects of administering subanesthetic doses of ketamine, in addition to xylazine and butorphanol, on sedation and pain relief in horses. The researchers discovered that co-administration could enhance certain procedures and improve tolerance to stimuli, but might potentially exacerbate reactions to acute pain.

Methodology

  • The study was designed as a prospective, randomized, controlled study with a sample group of 10 adult horses.
  • Each horse was given multiple sessions of sedation using different combinations of drugs (xylazine, xylazine and butorphanol, xylazine with either of two dosages of ketamine, or xylazine and butorphanol with either of two dosages of ketamine).
  • Variables such as the horse’s head height, behavior reactions to noise, response to inserting a dental float and a needle prick on the flank, reaction to algometer pressure on the scapula, and responses to bilateral carpal arthrocenteses were assessed.

Results

  • The study revealed no significant variances among the different sedative treatments in terms of head height, response to noise, or reaction to arthrocenteses.
  • It was easier to insert a dental float during treatment XBK2, while it was more challenging during treatments XK1 and XK2.
  • The reaction to a needle prick on the flank was at its lowest during treatment XB, and at its highest during treatment XK2.
  • Response to algometer pressure over the scapula was highest with treatment XBK2 and lowest with treatment X.

Conclusions

  • The study concluded that administration of subanesthetic dosages of ketamine in combination with xylazine and butorphanol might improve certain procedures, such as a dental float insertion in horses, and increase tolerance to pressure stimulation.
  • However, it might also worsen responses to acute pain such as that caused by a needle prick.
  • The researchers recommend further evaluation to determine whether subanesthetic dosages of ketamine might be beneficial in performing certain clinical procedures in horses.

Cite This Article

APA
Wagner AE, Mama KR, Contino EK, Ferris DJ, Kawcak CE. (2011). Evaluation of sedation and analgesia in standing horses after administration of xylazine, butorphanol, and subanesthetic doses of ketamine. J Am Vet Med Assoc, 238(12), 1629-1633. https://doi.org/10.2460/javma.238.12.1629

Publication

ISSN: 1943-569X
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 238
Issue: 12
Pages: 1629-1633

Researcher Affiliations

Wagner, Ann E
  • Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA. aewagner@colostate.edu
Mama, Khursheed R
    Contino, Erin K
      Ferris, Dora J
        Kawcak, Christopher E

          MeSH Terms

          • Analgesia / veterinary
          • Analgesics / administration & dosage
          • Analgesics / pharmacology
          • Animals
          • Butorphanol / administration & dosage
          • Butorphanol / pharmacology
          • Conscious Sedation / veterinary
          • Horses
          • Hypnotics and Sedatives / administration & dosage
          • Hypnotics and Sedatives / pharmacology
          • Ketamine / administration & dosage
          • Ketamine / pharmacology
          • Xylazine / administration & dosage
          • Xylazine / pharmacology

          Citations

          This article has been cited 2 times.
          1. Cock G, Blakeney Z, Hernandez JA, DeNotta S. Opioid-free sedation for atlantoaxial cerebrospinal fluid collection in adult horses. J Vet Intern Med 2022 Sep;36(5):1812-1819.
            doi: 10.1111/jvim.16450pubmed: 35639966google scholar: lookup
          2. Medina-Bautista F, Morgaz J, Quirós-Carmona S, Caravaca-Paredes ME, Navarrete-Calvo R, Medina ALS, Gómez-Villamandos R, Granados MDM. Effect of a Constant Rate Infusion of Ketamine on a Variable Rate Infusion of Xylazine in Standing Horses Undergoing Ventriculocordectomy and Laryngoplasty. Vet Sci 2026 Jan 12;13(1).
            doi: 10.3390/vetsci13010077pubmed: 41600733google scholar: lookup