Evaluation of xylazine and ketamine hydrochloride for anesthesia in horses.
Abstract: The cardiopulmonary effects resulting from the combination of xylazine and ketamine hydrochloride were evaluated in the adult horse. Xylazine (1.1 mg mg/kg) administered intravenously prior to or simultaneously with ketamine hydrochloride (2.2 mg/kg; intravenous) provided excellent analgesia and light anesthesia in all horses. Cardiac output, arterial blood pressure, pulmonary arterial pressure, central venous pressure, and pulmonary arterial wedge pressure remained within normal limits for the adult horse. Evidence of respiratory acidosis developed with time during the anesthetic period. Induction and recovery from anesthesia appeared smooth and excitement-free. In the horse, larger dosages of ketamine hydrochloride (6.6 mg/kg) following sedation with xylazine (1.1 mg/kg; intravenous) were accompanied by muscular tremor and rigidity, mydriasis, oculogyric movements, sweating, hypertension, tachycardia, and increased rectal temperature during recovery from anesthesia. Providing there is good sedation from xylazine, the combination of xylazine and ketamine hydrochloride as a short-term intravenous anesthetic technique in the horse appears safe and acceptable providing reasonably stable cardiopulmonary function. If the sedative properties of xylazine are not apparent or if excessive dosages of ketamine hydrochloride are used, the drug combination results in serious side effects precluding its use for anesthesia in the horse.
Publication Date: 1977-02-01 PubMed ID: 842917
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- Journal Article
Summary
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This research studied the effects of using a combination of xylazine and ketamine hydrochloride as an anesthetic in horses. The results showed that the drug combination provided good analgesia and mild anesthesia, with stable cardiopulmonary function.
Background and Methods
- The researchers aimed to evaluate the cardiopulmonary effects of a xylazine-ketamine hydrochloride combination on adult horses.
- The xylazine dose of 1.1 mg/kg was administered intravenously, either before or together with ketamine hydrochloride, at a dose of 2.2 mg/kg. The researchers selected this dosage based on previous studies and the known effects of the drugs on equine physiology.
Findings
- Administering the combination of xylazine and ketamine hydrochloride led to excellent analgesia and light anesthesia in all tested horses.
- The animals’ cardiac output, blood pressure, pulmonary arterial pressure, central venous pressure, and pulmonary arterial wedge pressure remained within normal limits, suggesting that the drugs didn’t adversely affect the cardiovascular system.
- There was a sign of developing respiratory acidosis during the anesthesia. This is a condition in which the blood becomes too acidic due to decreased respiration, and it requires careful monitoring.
- Both induction and recovery from anesthesia were reported to be smooth and without signs of excitement.
Complications and Precautions
- Larger dosages of ketamine hydrochloride (6.6 mg/kg), administered after sedation with xylazine, led to undesirable side effects. These included muscular tremors and rigidity, dilated pupils, eye movements, perspiration, high blood pressure, rapid heart rate, and increased rectal temperature during the recovery period.
- Based on these findings, the researchers warned that the sedative properties of xylazine must be apparent before ketamine administration, and excessive ketamine dosages should be avoided. Otherwise, the drug combination can result in severe side effects, making it unsuitable as an anesthetic in horses.
Conclusion
- When used correctly, the combination of xylazine and ketamine hydrochloride proved to be a safe, short-term intravenous anesthetic for horses, providing stable cardiopulmonary function and a reasonably smooth induction and recovery process.
- However, if the sedative effects of xylazine are not apparent, or if excessive ketamine hydrochloride is used, the combination can lead to serious side effects, negating its use as a horse anesthetic.
Cite This Article
APA
Muir WW, Skarda RT, Milne DW.
(1977).
Evaluation of xylazine and ketamine hydrochloride for anesthesia in horses.
Am J Vet Res, 38(2), 195-201.
Publication
Researcher Affiliations
MeSH Terms
- Analgesia / veterinary
- Anesthesia, Intravenous / veterinary
- Animals
- Blood Pressure / drug effects
- Carbon Dioxide / blood
- Cardiac Output / drug effects
- Female
- Heart Block / veterinary
- Heart Rate / drug effects
- Horse Diseases / chemically induced
- Horses / physiology
- Ketamine / adverse effects
- Ketamine / pharmacology
- Male
- Pulmonary Artery / drug effects
- Respiration / drug effects
- Spasm / veterinary
- Thiazines
- Xylazine / adverse effects
- Xylazine / pharmacology
Citations
This article has been cited 11 times.- Wise IK, Klöppel H, Leece EA. Comparison of two doses of ketamine for induction of anaesthesia in ponies undergoing field castration.. Open Vet J 2021 Oct-Dec;11(4):747-754.
- 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).
- Thakur BP, Sharma SK, Sharma A, Kumar A. Clinical Evaluation of Xylazine-Butorphanol-Guaifenesin-Ketamine as Short-Term TIVA in Equines.. Vet Med Int 2011;2011:506831.
- Özkan F, Çakır-Özkan N, Eyibilen A, Yener T, Erkorkmaz Ü. Comparison of ketamine-diazepam with ketamine-xylazine anesthetic combinations in sheep spontaneously breathing and undergoing maxillofacial surgery.. Bosn J Basic Med Sci 2010 Nov;10(4):297-302.
- Kerr CL, McDonell WN, Young SS. Cardiopulmonary effects of romifidine/ketamine or xylazine/ketamine when used for short duration anesthesia in the horse.. Can J Vet Res 2004 Oct;68(4):274-82.
- Marntell S, Nyman G. Effects of additional premedication on romifidine and ketamine anaesthesia in horses.. Acta Vet Scand 1996;37(3):315-25.
- Kerr CL, McDonell WN, Young SS. A comparison of romifidine and xylazine when used with diazepam/ketamine for short duration anesthesia in the horse.. Can Vet J 1996 Oct;37(10):601-9.
- Cuvelliez S, Rosseel G, Blais D, Salmon Y, Troncy E, Larivière N. [Intravenous anesthesia in the horse: comparison of xylazine-ketamine and xylazine-tiletamine-zolazepam combinations].. Can Vet J 1995 Oct;36(10):613-8.
- Rings DM, Muir WW. Cardiopulmonary effects of intramuscular xylazine-ketamine in calves.. Can J Comp Med 1982 Oct;46(4):386-9.
- Allen DG, Dyson DH, Pascoe PJ, O'Grady MR. Evaluation of a xylazine-ketamine hydrochloride combination in the cat.. Can J Vet Res 1986 Jan;50(1):23-6.
- Serteyn D, Blais D, Abou Madi NA, Coppens P, Mottart E, Philippart C. [Circulatory and respiratory effects of ketamine in horses anesthetized with halothane].. Can J Vet Res 1987 Oct;51(4):513-6.
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