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Journal of equine veterinary science2022; 111; 103872; doi: 10.1016/j.jevs.2022.103872

Evaluation of the Effects of Doxapram in Combination with Xylazine on Recovery of Horses Isoflurane-Anesthetized.

Abstract: This randomized double-blinded study evaluated the recovery from isoflurane anesthesia in horses receiving doxapram and xylazine. 6 horses were anesthetized 4 times (minimum of 2-week washout period). Anesthesia was performed with xylazine (0.6 mg/kg), ketamine (2.2 mg/kg), midazolam (0.1 mg/kg), and maintained with isoflurane for 90 minutes. At recovery, horses received one of the following randomized treatments: RX: xylazine (0.2 mg/kg), RXD1: xylazine (0.2 mg/kg) and doxapram (0.1 mg/kg), RXD2: xylazine (0.2 mg/kg) and doxapram (0.2 mg/kg), or RS: saline. Recoveries were rope-assisted and evaluated with a descriptive qualitative scale. Heart rate, respiratory frequency (f), and blood gas analysis were evaluated at 5 minutes intervals while the horse allowed. Data were analyzed with ANOVA or Friedman test (P < .05). Times to sternal (minutes) were RX: 40.5 ± 12.3, RXD1: 25.8 ± 11.5, RXD2: 31.4 ± 7.0, and RS: 33.4 ± 5.3, and were not different. Times to standing (minutes) were RX: 41.0 ± 9.9, RXD1: 33.5 ± 6.2, RXD2: 40.0 ± 11.3, and RS: 36.3 ± 9.9, and were not different. Heart rate decrease over time within RXD1 and RXD2 (T0 = 47 ± 15 and 47 ± 15, T5 = 38 ± 8 and 38 ± 8, T10 = 39 ± 4 and 36 ± 6, respectively), but was not different among groups. There was no difference in f among groups or over time. There was no difference in recovery scores among groups. In conclusion, administration of doxapram to isoflurane-anesthetized horses did not change recovery time or quality.
Publication Date: 2022-01-21 PubMed ID: 35074399DOI: 10.1016/j.jevs.2022.103872Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Veterinary
  • Research Support
  • Non-U.S. Gov't

Summary

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The research study involved examining the effects of a drug combination, specifically doxapram and xylazine, on the recovery of horses from the anesthesia drug, isoflurane. The study found that this drug combination did not have any significant impact on the recovery time or quality for the horses.

Study Design and Methodology

  • The study design was a randomized double-blinded process, which ensured no bias in the treatment administration and the evaluation of the results.
  • The study was performed on six horses, each getting anesthetized four times with a minimum gap of two weeks between each treatment, to let the effects of the previous treatment completely wash out.
  • The horses were anesthetized using a cocktail of drugs including xylazine, ketamine, midazolam, and finally maintained under anesthesia using isoflurane for 90 minutes.
  • The horses, for recovery, received one of the following, randomly chosen treatments: RX (xylazine), RXD1 (xylazine and doxapram), RXD2 (xylazine and a higher dosage of doxapram), and RS (saline).
  • Horses were aided by rope during recovery and their progress was evaluated with a descriptive qualitative scale.

Investigations and Results

  • Heart rate, respiratory frequency, and blood gas analysis were conducted at an interval of 5 minutes for as long as the horse allowed. The collected data were analyzed using either the ANOVA or Friedman test.
  • The study worked but didn’t find any significant difference in the time taken for the horses to get to a resting posture (sternal) or to stand, across all four groups (RX, RXD1, RXD2, and RS).
  • Decreases in heart rate over time were observed in the RXD1 and RXD2 groups, but these decreases were not significant.
  • No changes in respiratory frequency were observed among any of the groups. Additionally, recovery scores, which qualitatively measured recovery quality, did not differ across groups.

Conclusion

  • The research concluded that administering doxapram, in combination with xylazine, to isoflurane-anesthetized horses did not result in any significant changes in the recovery time or the quality of recovery.

Cite This Article

APA
Midon M, Yamada DI, Zangirolami Filho D, Natalini CC, Escobar A, Clark-Price SC. (2022). Evaluation of the Effects of Doxapram in Combination with Xylazine on Recovery of Horses Isoflurane-Anesthetized. J Equine Vet Sci, 111, 103872. https://doi.org/10.1016/j.jevs.2022.103872

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 111
Pages: 103872
PII: S0737-0806(22)00010-7

Researcher Affiliations

Midon, Monica
  • Department of Veterinary Surgery, Faculty of Agrarian and Veterinary Sciences (FCAV), Univ Estadual Paulista (UNESP), Jaboticabal, SP, Brazil. Electronic address: mmidon@upenn.edu.
Yamada, Diego Iwao
  • Department of Veterinary Surgery, Faculty of Agrarian and Veterinary Sciences (FCAV), Univ Estadual Paulista (UNESP), Jaboticabal, SP, Brazil.
Zangirolami Filho, Darcio
  • Department of Veterinary Surgery, Faculty of Agrarian and Veterinary Sciences (FCAV), Univ Estadual Paulista (UNESP), Jaboticabal, SP, Brazil.
Natalini, Claudio Correa
  • Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Starkville, MS.
Escobar, Andre
  • Department of Veterinary Surgery, Faculty of Agrarian and Veterinary Sciences (FCAV), Univ Estadual Paulista (UNESP), Jaboticabal, SP, Brazil.
Clark-Price, Stuart Charles
  • Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL.

MeSH Terms

  • Anesthesia Recovery Period
  • Anesthetics, Inhalation / pharmacology
  • Animals
  • Doxapram
  • Horses
  • Isoflurane / pharmacology
  • Xylazine / pharmacology

Citations

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