Local anesthetics as pain therapy in horses.
Abstract: This article describes the rationale behind the use of systemically administered lidocaine as an analgesic. The analgesic efficacy of intravenously administered lidocaine is well documented by studies in human patients and laboratory animals. The mechanism by which systemically administered lidocaine produces analgesia is uncertain but is thought to include action at sodium, calcium, and potassium channels and the N-methyl-D-aspartate acid receptor. In addition, the anti-inflammatory actions of lidocaine are important in producing analgesia because inflammatory mediators augment neuronal excitability. The available studies of systemically administered lidocaine in horses provide evidence for the analgesic and anesthetic effects of intravenous lidocaine in this species.
Copyright © 2010 Elsevier Inc. All rights reserved.
Publication Date: 2010-11-09 PubMed ID: 21056298DOI: 10.1016/j.cveq.2010.07.004Google Scholar: Lookup
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Summary
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The paper discusses the usage of systemically administered lidocaine, a type of local anesthetic, for pain relief in horses. It delves into its analgesic efficiency, mechanisms, and its impact on various molecular channels.
Analgesic Efficacy of Intravenously Administered Lidocaine
- The research article discusses numerous studies on human patients and laboratory animals that demonstrate the effectiveness of lidocaine when administered intravenously as an analgesic.
- These studies highlight the potency of lidocaine in producing analgesia, allowing it to be utilized effectively in pain therapy, especially concerning horses.
Mechanism Driving the Analgesic Effect
- Lidocaine’s exact mechanism of analgesia induction remains uncertain; however, speculation exists that it acts on sodium, calcium, and potassium channels, as well as the N-methyl-D-aspartate acid receptor.
- These receptors and channels play a pivotal role in conducting nerve impulses, and their modulation by lidocaine could provide an explanation for its analgesic properties.
Anti-Inflammatory Actions
- Another significant aspect of lidocaine’s analgesic properties stems from its anti-inflammatory actions.
- Since inflammatory mediators increase neuronal excitability and thereby enhance pain perception, lidocaine’s capacity to mitigate inflammation contributes significantly to its analgesic effects.
Studies on Systemically Administered Lidocaine in Horses
- The paper further discusses the empirical studies carried out on horses that underscored the analgesic and anesthetic characteristics of intravenous lidocaine.
- Documenting the effectiveness of lidocaine in equine species substantiates its applicability as a potent anesthetic agent for pain therapy in horses.
Cite This Article
APA
Doherty TJ, Seddighi MR.
(2010).
Local anesthetics as pain therapy in horses.
Vet Clin North Am Equine Pract, 26(3), 533-549.
https://doi.org/10.1016/j.cveq.2010.07.004 Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, The University of Tennessee, 2407 River Drive, Knoxville, TN 37996, USA. tdoherty@utk.edu
MeSH Terms
- Anesthesia, Intravenous / veterinary
- Anesthetics, Local / administration & dosage
- Anesthetics, Local / pharmacology
- Anesthetics, Local / therapeutic use
- Animals
- Calcium Channels / metabolism
- Horse Diseases / drug therapy
- Horses
- Infusions, Intravenous / veterinary
- Lidocaine / administration & dosage
- Lidocaine / pharmacology
- Lidocaine / therapeutic use
- Membrane Transport Modulators / administration & dosage
- Membrane Transport Modulators / pharmacology
- Membrane Transport Modulators / therapeutic use
- Pain / drug therapy
- Pain / veterinary
- Potassium Channels / metabolism
- Signal Transduction / drug effects
- Sodium Channels / metabolism
Citations
This article has been cited 5 times.- Morris TB, Lumsden JM, Dunlop CI, Locke V, Sommerauer S, Hurcombe SDA. Clinical Assessment of an Ipsilateral Cervical Spinal Nerve Block for Prosthetic Laryngoplasty in Anesthetized Horses. Front Vet Sci 2020;7:284.
- Thengchaisri N, Mahidol C. Evaluating the effects of continuous intravenous infusions of tramadol and tramadol-lidocaine on sevoflurane minimum alveolar concentration (MAC) and entropy values in dogs. J Vet Med Sci 2019 May 11;81(5):682-688.
- Kubota K, Ohtake N, Ohbuchi K, Mase A, Imamura S, Sudo Y, Miyano K, Yamamoto M, Kono T, Uezono Y. Hydroxy-α sanshool induces colonic motor activity in rat proximal colon: a possible involvement of KCNK9. Am J Physiol Gastrointest Liver Physiol 2015 Apr 1;308(7):G579-90.
- Stahl J, Kietzmann M. The effects of chemical and physical penetration enhancers on the percutaneous permeation of lidocaine through equine skin. BMC Vet Res 2014 Jun 20;10:138.
- Ruíz-López P, Cuypers C, Schauvliege S. Xylazine Infusion during Equine Colic Anesthesia with Isoflurane and Lidocaine: A Retrospective Study. Animals (Basel) 2023 Sep 13;13(18).
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