Abstract: Muscle metabolism in horses has been studied mainly by analysis of substances in blood or plasma and muscle biopsy specimens. By using microdialysis, real-time monitoring of the metabolic events in local tissue with a minimum of trauma is possible. There is limited information about muscle metabolism in the early recovery period after anaesthesia in horses and especially in the colic horse. The aims were to evaluate the microdialysis technique as a complement to plasma analysis and to study the concentration changes in lactate, pyruvate, glucose, glycerol, and urea during anaesthesia and in the recovery period in colic horses undergoing abdominal surgery and in healthy horses not subjected to surgery. Methods: Ten healthy university-owned horses given anaesthesia alone and ten client-owned colic horses subjected to emergency abdominal surgery were anaesthetised for a mean (range) of 230 min (193-273) and 208 min (145-300) respectively. Venous blood samples were taken before anaesthesia. Venous blood sampling and microdialysis in the gluteal muscle were performed during anaesthesia and until 24 h after anaesthesia. Temporal changes and differences between groups were analysed with an ANOVA for repeated measures followed by Tukey Post Hoc test or Planned Comparisons. Results: Lactate, glucose and urea, in both dialysate and plasma, were higher in the colic horses than in the healthy horses for several hours after recovery to standing. In the colic horses, lactate, glucose, and urea in dialysate, and lactate in plasma increased during the attempts to stand. The lactate-to-pyruvate ratio was initially high in sampled colic horses but decreased over time. In the colic horses, dialysate glycerol concentrations varied considerably whereas in the healthy horses, dialysate glycerol was elevated during anaesthesia but decreased after standing. In both groups, lactate concentration was higher in dialysate than in plasma. The correspondence between dialysate and plasma concentrations of glucose, urea and glycerol varied. Conclusions: Microdialysis proved to be suitable in the clinical setting for monitoring of the metabolic events during anaesthesia and recovery. It was possible with this technique to show greater muscle metabolic alterations in the colic horses compared to the healthy horses in response to regaining the standing position.
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The research explores the changes in muscle metabolism in horses, specifically colic horses undergoing abdominal surgery and healthy ones not subjected to surgery, during anesthetic and recovery periods. It demonstrates how microdialysis can effectively monitor these metabolic changes with minimal trauma.
Objective of the Study
The researchers aim to use the microdialysis technique as a supplement to plasma analysis to study the shifts in lactate, pyruvate, glucose, glycerol, and urea concentrations during anaesthesia and post-anaesthesia recovery periods in colic horses and healthy horses.
Methods
The study included ten healthy horses given anaesthesia only and ten colic horses subjected to emergency abdominal surgery. The average duration of anaesthesia for both groups was around 219 minutes.
Researchers took venous blood samples before anaesthesia and continued venous blood sampling and microdialysis in the gluteal muscle during anaesthesia and for up to 24 hours post-anaesthesia.
They then analyzed the temporal changes and group differences using ANOVA for repeated measures, followed by the Tukey Post Hoc test or Planned Comparisons.
Results
For several hours post-recovery, lactate, glucose, and urea, in both dialysate and plasma, were higher in colic horses than in healthy horses.
Lactate, glucose, and urea in dialysate and lactate in plasma significantly increased in colic horses during attempts to stand.
The lactate-to-pyruvate ratio was initially high in the colic horses but decreased over time, indicating changes in muscle metabolism.
Dialysate glycerol concentrations were considerably varied in colic horses, whilst in healthy horses, there was an elevation during anaesthesia which decreased after standing.
Lactate concentration was consistently higher in dialysate than in plasma for both groups. The correspondence between dialysate and plasma levels of glucose, urea, and glycerol varied.
Conclusion
Microdialysis proved to be a viable clinical technique to monitor metabolic events during anaesthesia and recovery.
With this method, researchers could document more pronounced muscle metabolic alterations in colic horses than in healthy ones upon regaining the standing position post-anaesthesia.
Cite This Article
APA
Edner AH, Essén-Gustavsson B, Nyman GC.
(2009).
Metabolism during anaesthesia and recovery in colic and healthy horses: a microdialysis study.
Acta Vet Scand, 51(1), 10.
https://doi.org/10.1186/1751-0147-51-10
Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Science, Swedish University of Agricultural Sciences, Uppsala, Sweden. anna.edner@kv.slu.se
Essén-Gustavsson, Birgitta
Nyman, Görel C
MeSH Terms
Anesthesia / veterinary
Animals
Colic / metabolism
Colic / surgery
Colic / veterinary
Female
Horse Diseases / blood
Horse Diseases / metabolism
Horse Diseases / surgery
Horses
Male
Microdialysis / methods
Microdialysis / veterinary
References
This article includes 56 references
Ungerstedt U, Hallström A. In vivo microdialysis--a new approach to the analysis of neurotransmitters in the brain.. Life Sci 1987 Aug 17;41(7):861-4.
Hagström-Toft E, Enoksson S, Moberg E, Bolinder J, Arner P. Absolute concentrations of glycerol and lactate in human skeletal muscle, adipose tissue, and blood.. Am J Physiol 1997 Sep;273(3 Pt 1):E584-92.
Groth L, Serup J. Cutaneous microdialysis in man: effects of needle insertion trauma and anaesthesia on skin perfusion, erythema and skin thickness.. Acta Derm Venereol 1998 Jan;78(1):5-9.
Ettinger SN, Poellmann CC, Wisniewski NA, Gaskin AA, Shoemaker JS, Poulson JM, Dewhirst MW, Klitzman B. Urea as a recovery marker for quantitative assessment of tumor interstitial solutes with microdialysis.. Cancer Res 2001 Nov 1;61(21):7964-70.
Ungerstedt J, Nowak G, Ericzon BG, Ungerstedt U. Intraperitoneal microdialysis (IPM): a new technique for monitoring intestinal ischemia studied in a porcine model.. Shock 2003 Jul;20(1):91-6.
Rooyackers O, Thorell A, Nygren J, Ljungqvist O. Microdialysis methods for measuring human metabolism.. Curr Opin Clin Nutr Metab Care 2004 Sep;7(5):515-21.
Rosdahl H, Hamrin K, Ungerstedt U, Henriksson J. Metabolite levels in human skeletal muscle and adipose tissue studied with microdialysis at low perfusion flow.. Am J Physiol 1998 May;274(5):E936-45.
Jansson K, Ungerstedt J, Jonsson T, Redler B, Andersson M, Ungerstedt U, Norgren L. Human intraperitoneal microdialysis: increased lactate/pyruvate ratio suggests early visceral ischaemia. A pilot study.. Scand J Gastroenterol 2003 Sep;38(9):1007-11.
Luchette FA, Jenkins WA, Friend LA, Su C, Fischer JE, James JH. Hypoxia is not the sole cause of lactate production during shock.. J Trauma 2002 Mar;52(3):415-9.
Rosdahl H, Ungerstedt U, Henriksson J. Microdialysis in human skeletal muscle and adipose tissue at low flow rates is possible if dextran-70 is added to prevent loss of perfusion fluid.. Acta Physiol Scand 1997 Mar;159(3):261-2.
Lowry OH, Passonneau JV. A flexible system of enzymatic analysis. New York: Academic Press; 1973. pp. 1–291.
Delgado JM, DeFeudis FV, Roth RH, Ryugo DK, Mitruka BM. Dialytrode for long term intracerebral perfusion in awake monkeys.. Arch Int Pharmacodyn Ther 1972;198(1):9-21.
Abrahamsson P, Johansson G, Aberg AM, Haney M, Winsö O. Optimised sample handling in association with use of the CMA 600 analyser.. J Pharm Biomed Anal 2008 Nov 4;48(3):940-5.
James JH, Luchette FA, McCarter FD, Fischer JE. Lactate is an unreliable indicator of tissue hypoxia in injury or sepsis.. Lancet 1999 Aug 7;354(9177):505-8.
Gore DC, Jahoor F, Hibbert JM, DeMaria EJ. Lactic acidosis during sepsis is related to increased pyruvate production, not deficits in tissue oxygen availability.. Ann Surg 1996 Jul;224(1):97-102.
HUCKABEE WE. Relationships of pyruvate and lactate during anaerobic metabolism. III. Effect of breathing low-oxygen gases.. J Clin Invest 1958 Feb;37(2):264-71.
Larsson J, Hultman E. The effect of long-term arterial occlusion on energy metabolism of the human quadriceps muscle.. Scand J Clin Lab Invest 1979 May;39(3):257-64.
Müller M, Schmid R, Nieszpaur-Los M, Fassolt A, Lönnroth P, Fasching P, Eichler HG. Key metabolite kinetics in human skeletal muscle during ischaemia and reperfusion: measurement by microdialysis.. Eur J Clin Invest 1995 Aug;25(8):601-7.
Ungerstedt J, Goiny M, Ungerstedt U. Acute compartment syndrome in a pig model monitored with microdialysis. CMA/Microdialysis 3rd Scandinavian Microdialysis User Symposium; Bålsta, Sweden; 2002.
Setälä LP, Korvenoja EM, Härmä MA, Alhava EM, Uusaro AV, Tenhunen JJ. Glucose, lactate, and pyruvate response in an experimental model of microvascular flap ischemia and reperfusion: a microdialysis study.. Microsurgery 2004;24(3):223-31.
Fuchi T, Rosdahl H, Hickner RC, Ungerstedt U, Henricksson J. Microdialysis of rat skeletal muscle and adipose tissue: dynamics of the interstitial glucose pool.. Acta Physiol Scand 1994 Jun;151(2):249-60.
Rosdahl H, Ungerstedt U, Jorfeldt L, Henriksson J. Interstitial glucose and lactate balance in human skeletal muscle and adipose tissue studied by microdialysis.. J Physiol 1993 Nov;471:637-57.
Rosdahl H. Microdialysis sampling from skeletal muscle and adipose tissue with special reference to the effects of insulin on tissue blood flow and glucose metabolism. Doctoral thesis. Karolinska Institutet, the Department of Physiology and Pharmacology; 1998.
Hickner RC, Rosdahl H, Borg I, Ungerstedt U, Jorfeldt L, Henriksson J. The ethanol technique of monitoring local blood flow changes in rat skeletal muscle: implications for microdialysis.. Acta Physiol Scand 1992 Sep;146(1):87-97.
Kerckhoffs DA, Arner P, Bolinder J. Lipolysis and lactate production in human skeletal muscle and adipose tissue following glucose ingestion.. Clin Sci (Lond) 1998 Jan;94(1):71-7.
Lundberg G, Olofsson P, Ungerstedt U, Jansson E, Sundberg CJ. Lactate concentrations in human skeletal muscle biopsy, microdialysate and venous blood during dynamic exercise under blood flow restriction.. Pflugers Arch 2002 Jan;443(3):458-65.
Hagström-Toft E, Enoksson S, Moberg E, Bolinder J, Arner P. beta-Adrenergic regulation of lipolysis and blood flow in human skeletal muscle in vivo.. Am J Physiol 1998 Dec;275(6):E909-16.
Ostman B, Michaelsson K, Rahme H, Hillered L. Tourniquet-induced ischemia and reperfusion in human skeletal muscle.. Clin Orthop Relat Res 2004 Jan;(418):260-5.