Lumbosacral spinal cord somatosensory evoked potentials for quantification of nociception in horses.
Abstract: There is a need for objective evaluation and quantification of the efficacy of analgesic drugs and analgesic techniques in horses. Objective: To determine whether lumbosacral spinal cord somatosensory evoked potentials (SSEP) can be a useful and reliable tool to assess nociception in equines. Methods: SSEPs and electromyograms (EMG) from the epaxial muscles were recorded simultaneously, following electrical stimulation applied to the distal hindlimb in lightly anaesthetised Shetland ponies (n=7). In order to validate the model, the effect of increasing stimulus intensity was documented and the conduction velocities (CV) of the stimulated nerves were calculated. The effect of epidurally applied methadone (0.4 mg/kg bwt) in a randomised, crossover design was investigated. Results: Two distinct complexes (N1P1 and N2P2) were identified in the SSEP waveform. Based on their latency and conduction velocity and the depressant effect of epidurally applied methadone, the SSEP N2P2 was ascribed to nociceptive Adelta-afferent stimulation. The SSEP N1P1 originated from non-nociceptive Abeta-afferent stimulation and was not influenced by epidurally applied methadone. Conclusions: The nociceptive Adelta component of the SSEP, the N2P2 complex, is presented as a valid and quantitative parameter of spinal nociceptive processing in the horse. Validation of the equine SSEP model enables the analgesic effects of new analgesics/analgesic techniques to be quantified and analgesia protocols for caudal epidural analgesia in equidae improved.
Publication Date: 2010-05-22 PubMed ID: 20486983DOI: 10.1111/j.2042-3306.2009.00023.xGoogle Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Clinical Trial
- Journal Article
Summary
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This research investigates the effectiveness of a technique known as lumbosacral spinal cord somatosensory evoked potentials (SSEP) in quantifying nociception, or the sensory nervous system’s response to harmful stimuli, in horses. The results suggest that this method could be used to measure how well different painkillers and painkilling methods work in these animals.
Research Methodology
- Researchers used lightly anaesthetised Shetland ponies for the study.
- SSEPs and electromyograms (EMG) from the horses’ epaxial muscles (near the spine) were recorded following electrical stimulation to the distal hindlimb (lower part of the back leg).
- The team examined the SSEP waveform and identified two distinct complexes, denoted as N1P1 and N2P2.
- The effect of epidurally applied methadone was also investigated as a part of this research.
- The researchers studied the effects of increasing stimulus intensity and calculated the conduction velocities (CV) of the stimulated nerves to ensure the validity of their model.
Key Findings
- The N2P2 complex in the SSEP waveform corresponded to nociceptive Adelta-afferent stimulation – the functioning of nerves that are sensitive to pain.
- The depressant effect of epidurally applied methadone showed it influenced the N2P2 complex, confirming its link to nociception.
- The N1P1 complex in the SSEP waveform arose from non-nociceptive Abeta-afferent stimulation – the functioning of nerves that do not typically respond to pain – and was not affected by epidurally applied methadone.
Conclusions and Implications
- The N2P2 complex in the SSEP has been identified as a valid measure of how the spinal cord processes nociception in horses.
- This research helps to validate the equine SSEP model, which can be used to study how effective new analgesics or painkilling methods are.
- These findings can enhance the protocols for caudal epidural analgesia in horses, an important method of managing pain during surgical and diagnostic procedures.
Cite This Article
APA
van Loon JP, van Oostrom H, Doornenbal A, Hellebrekers LJ.
(2010).
Lumbosacral spinal cord somatosensory evoked potentials for quantification of nociception in horses.
Equine Vet J, 42(3), 255-260.
https://doi.org/10.1111/j.2042-3306.2009.00023.x Publication
Researcher Affiliations
- Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, PO Box 80.153, Yalelaan 114, 3584 CM, The Netherlands.
MeSH Terms
- Analgesia, Epidural / veterinary
- Analgesics, Opioid / administration & dosage
- Analgesics, Opioid / pharmacology
- Animals
- Cross-Over Studies
- Evoked Potentials, Somatosensory / physiology
- Horses / physiology
- Lumbosacral Region / physiology
- Methadone / administration & dosage
- Methadone / pharmacology
- Naloxone / administration & dosage
- Naloxone / pharmacology
- Narcotic Antagonists / administration & dosage
- Narcotic Antagonists / pharmacology
- Pain Measurement / methods
- Pain Measurement / veterinary
- Spinal Cord / physiology
Citations
This article has been cited 1 times.- Truchetti G, Burns P, Nichols S, Parent J. Effects of isoflurane on somatosensory-evoked potentials in calves: a pilot study. Can J Vet Res 2015 Jan;79(1):22-30.
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