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American journal of veterinary research2005; 66(6); 1002-1007; doi: 10.2460/ajvr.2005.66.1002

Evaluation of xylazine and ketamine for total intravenous anesthesia in horses.

Abstract: To evaluate the use of xylazine and ketamine for total i.v. anesthesia in horses. Methods: 8 horses. Methods: Anesthetic induction was performed on 4 occasions in each horse with xylazine (0.75 mg/kg, i.v.), guaifenesin (75 mg/kg, i.v.), and ketamine (2 mg/kg, i.v.). Intravenous infusions of xylazine and ketamine were then started by use of 1 of 6 treatments as follows for which 35, 90, 120, and 150 represent infusion dosages (microg/kg/min) and X and K represent xylazine and ketamine, respectively: X35 + K90 with 100% inspired oxygen (O2), X35 + K120-(O2), X35 + K150-(O2), X70 + K90-(O2), K150-(O2), and X35 + K120 with a 21% fraction of inspired oxygen (ie, air). Cardiopulmonary measurements were performed. Response to a noxious electrical stimulus was observed at 20, 40, and 60 minutes after induction. Times to achieve sternal recumbency and standing were recorded. Quality of sedation, induction, and recovery to sternal recumbency and standing were subjectively evaluated. Results: Heart rate and cardiac index were higher and total peripheral resistance lower in K150-(O2) and X35 + K120-air groups. The mean arterial pressure was highest in the X35 + K120-air group and lowest in the K150-(O2) group (125 +/- 6 vs 85 +/- 8 at 20 minutes, respectively). Mean Pa(O2) was lowest in the X35 + K120-air group. Times to sternal recumbency and standing were shortest for horses receiving K150-(O2) (23 +/- 6 minutes and 33 +/- 8 minutes, respectively) and longest for those receiving X70 + K90-(O2) (58 +/- 28 minutes and 69 +/- 27 minutes, respectively). Conclusions: Infusions of xylazine and ketamine may be used with oxygen supplementation to maintain 60 minutes of anesthesia in healthy adult horses.
Publication Date: 2005-07-13 PubMed ID: 16008223DOI: 10.2460/ajvr.2005.66.1002Google Scholar: Lookup
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  • Comparative Study
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research paper describes the evaluation of the use of xylazine and ketamine for intravenous anesthesia in horses. The study examined different combinations of these drugs administered to horses, and observed the effects on their heart rate, blood pressure, and other cardiopulmonary measurements, as well as their response to pain and recovery times.

Objective of the Study

The main goal of this study was to assess the effectiveness and safety of using xylazine and ketamine, two common veterinary anesthetics, as intravenous anesthetics for horses. The risk factors, recovery time, and overall physical impact on the horses were evaluated.

Experimental Design

  • The study was conducted using eight horses as experimental subjects.
  • The anesthetic induction was administered in four separate instances using three different substances: xylazine, guaifenesin, and ketamine at predetermined doses.
  • Thereafter, the horses underwent one of the six treatment regimes, with varying dosage infusion rates of xylazine and ketamine.
  • The treatments differed by doses (35, 90, 120, and 150 microg/kg/min), substances used (either xylazine (X) or ketamine (K)) and oxygen levels.

Data Collection and Observations

  • Cardiopulmonary measurements were used to monitor the physiological response of the horses during the anesthesia period.
  • The horses’ responses to a harsh electrical stimulus were observed at three varying intervals after induction.
  • The durations to achieve sternal recumbency (lying down on their sternum) and standing were recorded. The quality of sedation, induction, and recovery were also observed and evaluated subjectively by the research team.

Results

  • The study found that heart rate and cardiac index were higher, and total peripheral resistance was lower in certain treatment groups (K150-(O2) and X35 + K120-air).
  • Mean arterial pressure was found to be highest in the X35 + K120-air group and the lowest in the K150-(O2) group.
  • The duration for recovery, marked by the time to reach sternal recumbency and standing, varied between different treatment groups. It was shortest for horses in the K150-(O2) group and longest for those in the X70 + K90-(O2) group.

Conclusion

The paper concludes that infusions of xylazine and ketamine may be utilized, along with oxygen support, for maintaining 60 minutes of anesthesia in healthy adult horses. This sheds light on effective medications and anesthesia processes for equine health and surgery.

Cite This Article

APA
Mama KR, Wagner AE, Steffey EP, Kollias-Baker C, Hellyer PW, Golden AE, Brevard LF. (2005). Evaluation of xylazine and ketamine for total intravenous anesthesia in horses. Am J Vet Res, 66(6), 1002-1007. https://doi.org/10.2460/ajvr.2005.66.1002

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 66
Issue: 6
Pages: 1002-1007

Researcher Affiliations

Mama, Khursheed R
  • Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA.
Wagner, Ann E
    Steffey, Eugene P
      Kollias-Baker, Cynthia
        Hellyer, Peter W
          Golden, Anne E
            Brevard, Lucien F

              MeSH Terms

              • Anesthesia, Intravenous / methods
              • Anesthesia, Intravenous / veterinary
              • Anesthetics, Intravenous / pharmacology
              • Animals
              • Blood Pressure / drug effects
              • Cardiac Output / drug effects
              • Dose-Response Relationship, Drug
              • Electric Stimulation
              • Evaluation Studies as Topic
              • Heart Rate / drug effects
              • Horses / physiology
              • Ketamine / pharmacology
              • Time Factors
              • Xylazine / pharmacology

              Citations

              This article has been cited 4 times.
              1. Gozalo-Marcilla M, Ringer SK. Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature. Animals (Basel) 2021 Jun 14;11(6).
                doi: 10.3390/ani11061777pubmed: 34198637google scholar: lookup
              2. Umar MA, Fukui S, Kawase K, Itami T, Yamashita K. Cardiovascular effects of total intravenous anesthesia using ketamine-medetomidine-propofol (KMP-TIVA) in horses undergoing surgery. J Vet Med Sci 2015 Mar;77(3):281-8.
                doi: 10.1292/jvms.14-0370pubmed: 25409552google scholar: lookup
              3. Nóbrega Neto PI, Luna SP, Queiroz-Williams P, Mama KR, Steffey EP, Carregaro AB. Cardiorespiratory and antinociceptive effects of two different doses of lidocaine administered to horses during a constant intravenous infusion of xylazine and ketamine. BMC Vet Res 2013 Oct 9;9:199.
                doi: 10.1186/1746-6148-9-199pubmed: 24103634google scholar: lookup
              4. Brumund L, Wittenberg-Voges L, Rohn K, Kästner SBR. Risk assessment in equine anesthesia: a first evaluation of the usability, utility and predictivity of the two-part CHARIOT. Front Vet Sci 2024;11:1384525.
                doi: 10.3389/fvets.2024.1384525pubmed: 38846780google scholar: lookup