Intrathecal mepivacaine after general anesthesia is an effective method of equine euthanasia when compared to intravenous pentobarbital.
Abstract: This study aims to assess intrathecal mepivacaine for euthanasia in anesthetized horses and compare it to a traditional euthanasia method using a single intravenous injection of pentobarbital in sedated horses. Methods: Client-owned horses and horses requiring euthanasia due to involvement in concurrent research projects were used. Horses were randomly assigned to 1 of 2 groups: intrathecal mepivacaine after anesthesia or intravenous pentobarbital after sedation. All horses had normal vital parameters and no signs of infectious disease at the time of euthanasia. Methods: The intrathecal mepivacaine group was anesthetized before the intrathecal injection of mepivacaine. The pentobarbital group was sedated, concurrently anesthetized and euthanized using intravenous pentobarbital, then received an intrathecal saline (0.9% NaCl) solution injection to a blind observer. Both groups were sedated with detomidine and the time from sedation to the cessation of vital parameters (respirations, pulse, corneal reflex, and ECG) was recorded. Euthanasias were recorded for review by a blinded anesthesiologist, using an independent scale to assess the quality of sedation, anesthesia induction, and lateral recumbency. Results: Time from detomidine administration to cessation of each vital parameter was significantly longer in the intrathecal mepivacaine group. There was no statistically significant difference in qualitative scores between groups for sedation or induction, but lateral recumbency was subjectively superior in the anesthetized intrathecal mepivacaine group. Conclusions: Intrathecal mepivacaine provided a safe, effective, alternative method of euthanasia to intravenous pentobarbital and addresses concerns about barbiturate availability. This study also informs practitioners of what to expect (ie, longer cessation of vital parameters) when using the intrathecal mepivacaine method.
Publication Date: 2023-03-19 PubMed ID: 36921025DOI: 10.2460/ajvr.22.11.0201Google Scholar: Lookup
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- Randomized Controlled Trial
- Veterinary
- Journal Article
Summary
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This research analyzed intrathecal mepivacaine’s effectiveness in equine euthanasia and compared it to the traditional euthanasia method of intravenous pentobarbital.
Methodology
- The study utilized client-owned horses and those needing euthanasia due to concurrent research projects.
- The horses were randomly assigned to one of two groups: the first group were euthanized using intrathecal mepivacaine after anesthesia, and the second group through intravenous pentobarbital after sedation.
- All the horses used showed normal vital parameters and demonstrated no signs of infectious disease at euthanasia time.
- The intrathecal mepivacaine group received anesthesia before the mepivacaine dose. The second group was concurrently sedated, anesthetized, and euthanized using intravenous pentobarbital.
- Both groups were sedated using detomidine. The time from sedation to cessation of vital parameters like respiration, pulse, corneal reflex, and ECG was recorded.
- A blinded anesthesiologist recorded all euthanasias and later assessed the quality of sedation, anesthesia induction, and lateral recumbency using an independent scale.
Results
- The timeframe from detomidine administration to cessation of vital parameters was significantly longer in the intrathecal mepivacaine group compared to the one euthanized with pentobarbital.
- On a qualitative level, the scores for sedation or induction had no significant difference between the two groups. However, in terms of lateral recumbency, the anesthetized intrathecal mepivacaine group exhibited superior subjective performance.
Conclusions
- This study found that intrathecal mepivacaine presented a safe and effective alternative for euthanasia compared to intravenous pentobarbital. This offers a solution to concerns around barbiturate availability.
- The research also supplies practitioners with knowledge about what to anticipate when using the intrathecal mepivacaine method for euthanasia, i.e., a longer duration for the cessation of vital parameters.
Cite This Article
APA
Alexander K, Simon E, Mama K, Rao S, Bass L.
(2023).
Intrathecal mepivacaine after general anesthesia is an effective method of equine euthanasia when compared to intravenous pentobarbital.
Am J Vet Res, 84(5).
https://doi.org/10.2460/ajvr.22.11.0201 Publication
Researcher Affiliations
MeSH Terms
- Horses
- Animals
- Pentobarbital / pharmacology
- Mepivacaine / pharmacology
- Euthanasia, Animal / methods
- Anesthesia, General / veterinary
- Administration, Intravenous / veterinary
Citations
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