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Home / Equine Research Bank / Equine Vet J / Recovery of horses from general anaesthesia: A systematic re...
Equine veterinary journal2021; 54(2); 201-218; doi: 10.1111/evj.13517

Recovery of horses from general anaesthesia: A systematic review (2000-2020) of risk factors and influence of interventions during the recovery period.

Abstract: In equine anaesthesia, the recovery period is a time of considerable risk and has been the focus of prolific research. Risk factors, including age, type and duration of procedure or temperament may influence recovery quality. Unfortunately, the anaesthetist is unable to control for these factors, therefore various pharmacological interventions and recovery methods have been developed with the objective of improving recovery quality. However, no consensus among anaesthetists has been reached for many of these interventions and their implications for recovery-related mortality and morbidity. Objective: To conduct a systematic review of the published evidence relating to risk factors and interventions in the recovery period which may influence recovery quality from equine general anaesthesia (GA). Methods: A systematic evaluation of the equine veterinary literature using the GRADE framework. Methods: A literature search was performed and studies were assessed for eligibility by both authors utilising PRISMA guidelines. Studies meeting inclusion criteria were evaluated by both authors, categorically summarised and the quality of evidence for each sub-topic was assessed using the GRADE framework. Results: Thirty-nine studies were identified which directly assessed the impact of risk factors and recovery interventions on recovery quality after equine GA. There was evidence to support that peri-anaesthetic risk factors such as anaesthesia duration, American Society of Anesthesiologists (ASA) physical status and surgical procedure influenced recovery quality. We also identified sufficient evidence that administration of α-2 adrenoreceptor agonists immediately prior to recovery, improves recovery quality. Conclusions: The validity of the results of some studies may have been compromised by missing data and small sample sizes. Conclusions: Recovery quality is influenced by factors including: anaesthesia duration, ASA physical status and surgical procedure. Recovery quality can be improved by the administration of an α-2 adrenoreceptor agonist immediately prior to recovery.
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Publication Date: 2021-10-11 PubMed ID: 34537994DOI: 10.1111/evj.13517Google Scholar: Lookup
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  • Journal Article
  • Review
  • Systematic Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study is a systematic review of research conducted from 2000 to 2020 examining risk factors and the impact of various interventions on the quality of recovery in horses following general anaesthesia.

Objective and Methodology

  • The main objective of this research was to review and assess the published evidence concerning risk factors and interventions during the recovery period that may affect recovery quality from general anaesthesia in horses.
  • In terms of methodology, a thorough evaluation of the veterinary literature pertaining to equines was carried out, primarily based on the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework.
  • The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were used to select eligible studies. Both authors assessed and summarized studies that met the inclusion criteria and then determined the quality of evidence for each subtopic using the GRADE system.

Results

  • Overall, 39 studies were identified which directly examined the impact of risk factors and recovery interventions on the quality of outputs after general anaesthesia.
  • These studies provided evidence to suggest that risk factors occurring around the time of anaesthesia, such as the duration of the anaesthesia, the physical status as determined by the American Society of Anesthesiologists, and the surgical procedure can significantly influence recovery quality.
  • The review also revealed that the quality of recovery can be improved by administering α-2 adrenoreceptor agonists immediately prior to the recovery period.

Conclusions

  • The authors noted that the results of some studies included in the review might have been affected by missing data and small sample sizes, raising concerns about validity.
  • The overall conclusions drawn from the research were that recovery quality is impacted by factors including the duration of anaesthesia, physical status according to the ASA, and the surgical procedure.
  • Further, it was concluded that the administration of an α-2 adrenoreceptor agonist immediately before the recovery stage can enhance recovery quality.

The researchers have highlighted that despite significant research in this domain, no consensus has yet been reached among anaesthetists about many of these recovery interventions and their implications for recovery-related mortality and morbidity. These findings provide a basis for further research into more consistently effective interventions during the recovery period of horses from general anaesthesia.

Cite This Article

APA
Loomes K, Louro LF. (2021). Recovery of horses from general anaesthesia: A systematic review (2000-2020) of risk factors and influence of interventions during the recovery period. Equine Vet J, 54(2), 201-218. https://doi.org/10.1111/evj.13517

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 54
Issue: 2
Pages: 201-218

Researcher Affiliations

Loomes, Kate
  • Rainbow Equine Hospital, Malton, UK.
Louro, Luís Filipe
  • School of Veterinary Science, Leahurst Campus, University of Liverpool, Wirral, UK.

MeSH Terms

  • Anesthesia, General / adverse effects
  • Anesthesia, General / veterinary
  • Anesthetics
  • Animals
  • Horses
  • Risk Factors

References

This article includes 94 references
  1. Dugdale AH, Obhrai J, Cripps PJ. Twenty years later: a single-centre, repeat retrospective analysis of equine perioperative mortality and investigation of recovery quality.. Vet Anaesth Analg 2016;43:171-8.
  2. Laurenza C, Ansart L, Portier K. Risk factors of anesthesia-related mortality and morbidity in one equine hospital: a retrospective study on 1,161 cases undergoing elective or emergency surgeries.. Front Vet Sci 2020;6:1-10.
  3. Nicolaisen A-SK, Bendix Nygaard A, Christophersen MT, Jensen DB, Lindegaard C. Effect of head and tail rope-assisted recovery of horses after elective and emergency surgery under general anaesthesia.. Equine Vet Educ. 2020.
  4. Kim A, Yang Y, Song D, Kim J, Kim H, Kwon C. Retrospective analysis of equine general anesthesia performed at Korea racing authority.. J Vet Clin 2014;31:102-7.
  5. Johnston GM, Eastment JK, Wood JLN, Taylor PM. The confidential enquiry into perioperative equine fatalities (CEPEF): mortality results of Phases 1 and 2.. Vet Anaesth Analg 2002;29:159-70.
  6. Bidwell LA, Bramlage LR, Rood WA. Equine perioperative fatalities associated with general anaesthesia at a private practice - a retrospective case series.. Vet Anaesth Analg 2007;34:23-30.
  7. Young SS, Taylor PM. Factors leading to serious anaesthetic-related problems in equine anaesthesia.. J Assoc Vet Anaesth Great Britain Ireland 1990;17:59.
  8. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.. BMJ 2021;372:1-9.
  9. Moberg J, Oxman AD, Rosenbaum S, Schünemann HJ, Guyatt G, Flottorp S. The GRADE Evidence to Decision (EtD) framework for health system and public health decisions.. Health Res Policy Syst 2018;16:45.
  10. Creighton CM, Lemke KA, Lamont LA, Horney BS, Doyle AJ. Comparison of the effects of xylazine bolus versus medetomidine constant rate infusion on the stress response, urine production, and anesthetic recovery characteristics in horses anesthetized with isoflurane.. J Am Vet Med Assoc 2012;240:998-1002.
  11. Suthers JM, Christley RM, Clutton RE. Quantitative and qualitative comparison of three scoring systems for assessing recovery quality after general anaesthesia in horses.. Vet Anaesth Analg 2011;38:352-62.
  12. Love EJ, Geoffrey Lane J, Murison PJ. Morphine administration in horses anaesthetized for upper respiratory tract surgery.. Vet Anaesth Analg 2006;33:179-88.
  13. Douglas H, Hopster K, Cerullo M, Hopster-Iversen C, Stefanovski D, Driessen B. The effects of flumazenil on ventilatory and recovery characteristics in horses following midazolam-ketamine induction and isoflurane anaesthesia.. Equine Vet J 2020;53:1257-1267.
    doi: 10.1111/evj.13391google scholar: lookup
  14. Corletto F, Raisis AA, Brearley JC. Comparison of morphine and butorphanol as pre-anaesthetic agents in combination with romifidine for field castration in ponies.. Vet Anaesth Analg 2005;32:16-22.
  15. Vettorato E, Chase-Topping ME, Clutton RE. A comparison of four systems for scoring recovery quality after general anaesthesia in horses.. Equine Vet J 2010;42:400-6.
  16. Clark-Price SC, Lascola KM, Carter JE, Da Cunha AF, Donaldson LL, Doherty TJ. Assessment of agreement among diplomates of the American College of Veterinary Anesthesia and Analgesia for scoring the recovery of horses from anesthesia by use of subjective grading scales and development of a system for evaluation of the recovery of horses from anesthesia by use of accelerometry.. Am J Vet Res 2017;78:668-76.
  17. Farmer E, Chase-Topping M, Lawson H, Clutton RE. Factors affecting the perception of recovery quality in horses after anaesthesia.. Equine Vet J 2014;46:328-32.
  18. Scarabelli S, Rioja E. Retrospective evaluation of correlation and agreement between two recovery scoring systems in horses.. Veterinary Record 2018;182:169.
  19. Aarnes TK, Bednarski RM, Bertone AL, Hubbell JAE, Lerche P. Recovery from desflurane anesthesia in horses with and without post-anesthetic xylazine.. Can J Vet Res 2014;78:103-9.
  20. Dell RB, Holleran S, Ramakrishnan R. Sample size determination.. ILAR J 2002;43:207-12.
  21. Cruz Benedetti IC, Nottrott K, Fourel I, Le Bris M, Mongellas E, Portier K. Comparison of the effects of an intravenous lidocaine infusion combined with 1% isoflurane versus 2% isoflurane alone on selected cardiovascular variables and recovery characteristics during equine general anaesthesia.. Vet Anaesth Analg 2017;44:63-9.
  22. Chesnel MA, Clutton RE. A comparison of two morphine doses on the quality of recovery from general anaesthesia in horses.. Res Vet Sci 2013;95:1195-200.
  23. Page P. Beyond statistical significance: clinical interpretation of rehabilitation research literature.. Int J Sports Phys Ther 2014;9:726-36.
  24. Johnston GM, Eastment JK, Taylor PM, Wood JLN. Is isoflurane safer than halothane in equine anaesthesia? Results from a prospective multicentre randomised controlled trial.. Equine Vet J 2004;36:64-71.
  25. Johnston GM, Taylor PM, Holmes MA, Wood JL. Confidential enquiry of perioperative equine fatalities (CEPEF-1): preliminary results.. Equine Vet J 1995;27:193-200.
  26. Franci P, Leece EA, Brearley JC. Post anaesthetic myopathy/neuropathy in horses undergoing magnetic resonance imaging compared to horses undergoing surgery.. Equine Vet J 2006;38:497-501.
  27. Niimura Del Barrio MC, David F, Hughes JML, Clifford D, Wilderjans H, Bennett R. A retrospective report (2003-2013) of the complications associated with the use of a one-man (head and tail) rope recovery system in horses following general anaesthesia.. Irish Vet J 2018;71:1-9.
  28. Duke T, Filzek U, Read MR, Read EK, Ferguson JG. Clinical observations surrounding an increased incidence of postanesthetic myopathy in halothane-anesthetized horses.. Vet Anaesth Analg 2006;33:122-7.
  29. Rüegg M, Bettschart-Wolfensberger R, Hartnack S, Junge HK, Theiss F, Ringer SK. Comparison of non-assisted versus head and tail rope assisted recovery after emergency abdominal surgery in horses.. Pferdeheilkunde 2016;32:469-78.
  30. Young SS, Taylor PM. Factors influencing the outcome of equine anaesthesia: a review of 1,314 cases.. Equine Vet J 1993;25:147-51.
  31. Valverde A, Gunkel C, Doherty TJ, Giguère S, Pollak AS. Effect of a constant rate infusion of lidocaine on the quality of recovery from sevoflurane or isoflurane general anaesthesia in horses.. Equine Vet J 2005;37:559-64.
  32. Louro LF, Milner PI, Bardell D. Epidural administration of opioid analgesics improves quality of recovery in horses anaesthetised for treatment of hindlimb synovial sepsis.. Equine Vet J 2021;53:682-9.
  33. Parviainen AKJ, Trim CM. Complications associated with anaesthesia for ocular surgery: a retrospective study 1989-1996.. Equine Vet J 2000;32:555-9.
  34. McCoy AM, Hackett ES, Wagner AE, Mama KR, Hendrickson DA. Pulmonary gas exchange and plasma lactate in horses with gastrointestinal disease undergoing emergency exploratory laparotomy: a comparison with an elective surgery horse population.. Vet Surg 2011;40:601-9.
  35. Czupalla I, Gerhards H. Risk of general anesthesia in horses - A retrospective study on 1,989 cases.. Pferdeheilkunde 2013;29:729-38.
  36. Hector RC, Rezende ML, Mama KR, Hess AM. Recovery quality following a single post-anaesthetic dose of dexmedetomidine or romifidine in sevoflurane anaesthetised horses.. Equine Vet J 2020;52:685-91.
  37. Fürst A, Meier D, Michel S, Schmidlin A, Held L, Laib A. Effect of age on bone mineral density and micro architecture in the radius and tibia of horses: an Xtreme computed tomographic study.. BMC Vet Res 2008;4:1-12.
  38. Aleman M, Watson JL, Williams DC, LeCouteur RA, Nieto JE, Shelton GD. Myopathy in horses with pituitary pars intermedia dysfunction (Cushing’s disease).. Neuromuscul Disord 2006;16:737-44.
  39. Rothenbuhler R, Hawkins JF, Adams SB, Lescun TB, Weil AB, Glickman LT. Evaluation of surgical treatment for signs of acute abdominal pain in draft horses: 72 Cases (1983-2002).. J Am Vet Med Assoc 2006;228:1546-50.
  40. Mee AM, Cripps PJ, Jones RS. A retrospective study of mortality associated with general anaesthesia in horses: emergency procedures.. Vet Rec 1998;142:307-9.
  41. Richey MT, Holland MS, McGrath CJ, Dodman NH, Marshall DB, Court MH. Equine post-anesthetic lameness. A retrospective study.. Vet Surg 1990;19:392-7.
  42. White NA, Suarez M. Change in triceps muscle intracompartmental pressure with repositioning and padding of the lowermost thoracic limb of the horse.. Am J Vet Res 1986;47:2257-60.
  43. Mansel JC, Clutton RE. The influence of body mass and thoracic dimensions on arterial oxygenation in anaesthetized horses and ponies.. Vet Anaesth Analg 2008;35:392-9.
  44. Lloyd AS, Martin JE, Bornett-Gauci HLI, Wilkinson RG. Horse personality: variation between breeds.. Appl Anim Behav Sci 2008;112:369-83.
  45. Voulgaris DA, Hofmeister EH. Multivariate analysis of factors associated with post-anesthetic times to standing in isoflurane-anesthetized horses: 381 cases.. Vet Anaesth Analg 2009;36:414-20.
  46. Woodhouse KJ, Brosnan RJ, Nguyen KQ, Moniz GW, Galuppo LD. Effects of postanesthetic sedation with romifidine or xylazine on quality of recovery from isoflurane anesthesia in horses.. J Am Vet Med Assoc 2013;242:533-9.
  47. Matthews NS, Hartsfield SM, Mercer D, Beleau MH, MacKenthun A. Recovery from sevoflurane anesthesia in horses: comparison to isoflurane and effect of postmedication with xylazine.. Vet Surg 1998;27:480-5.
  48. Whitehair KJ, Steffey EP, Willits NH, Woliner MJ. Recovery of horses from inhalation anesthesia.. Am J Vet Res 1993;54:1693-702.
  49. Leece EA, Corletto F, Brearley JC. A comparison of recovery times and characteristics with sevoflurane and isoflurane anaesthesia in horses undergoing magnetic resonance imaging.. Vet Anaesth Analg 2008;35:383-91.
  50. Kain ZN, Caldwell-Andrews AA, Maranets I, McClain B, Gaal D, Mayes LC. Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors.. Anesth Analg 2004;99:1648-54.
  51. Beringer RM, Greenwood R, Kilpatrick N. Development and validation of the Pediatric Anesthesia Behavior score - an objective measure of behavior during induction of anesthesia.. Paediatr Anaesth 2014;24:196-200.
  52. Tzelos T, Blissitt KJ, Clutton RE. Electrocardiographic indicators of excitability in horses for predicting recovery quality after general anaesthesia.. Vet Anaesth Analg 2015;42:269-79.
  53. Dugdale AH, Taylor PM. Equine anaesthesia-associated mortality: where are we now?. Vet Anaesth Analg 2016;43:242-55.
  54. Borland KJ, Shaw DJ, Clutton RE. Time-related changes in post-operative equine morbidity: a single-centre study.. Equine Vet Educ 2017;29:33-7.
  55. Moreno KL, Scallan EM, Friedeck WO, Simon BT. Transient pelvic limb neuropathy following proximal metatarsal and tarsal magnetic resonance imaging in seven horses.. Equine Vet J 2020;52:359-63.
  56. Lindsay WA, Pascoe PJ, McDonell WN, Burgess ML. Effect of protective padding on forelimb intracompartmental muscle pressures in anesthetized horses.. Am J Vet Res 1985;46:688-91.
  57. Auckburally A, Nyman G. Review of hypoxaemia in anaesthetized horses: predisposing factors, consequences and management.. Vet Anaesth Analg 2017;44:397-408.
  58. Turner CE, Barker-Collo SL, Connell CJW, Gant N. Acute hypoxic gas breathing severely impairs cognition and task learning in humans.. Physiol Behav 2015;142:104-10.
  59. Curto EM, Griffith EH, Posner LP, Walsh KT, Balko JA, Gilger BC. Factors associated with postoperative complications in healthy horses after general anesthesia for ophthalmic versus non-ophthalmic procedures: 556 cases (2012-2014).. J Am Vet Med Assoc 2018;252:1113-9.
  60. Glitz F, Lorber K, Oppen TV, Bubeck K, Bartmann CP, Deegen E. Recovery phase of horses after general anesthesia with inhalants with and without postanesthetic sedation with xylazine (Rompun®).. Pferdeheilkunde 2001;17:165-72.
  61. Krein SR, Lindsey JC, Blaze CA, Wetmore LA. Evaluation of risk factors, including fluconazole administration, for prolonged anesthetic recovery times in horses undergoing general anesthesia for ocular surgery: 81 cases (2006-2013).. J Am Vet Med Assoc 2014;244:577-81.
  62. Santos M, Fuente M, Garcia-Iturralde P, Herran R, Lopez-Sanroman J, Tendillo FJ. Effects of alpha-2 adrenoceptor agonists during recovery from isoflurane anaesthesia in horses.. Equine Vet J 2003;35:170-5.
  63. Portier KG, Séna A, Senior M, Clutton RE. A study of the correlation between objective and subjective indices of recovery quality after inhalation anaesthesia in equids.. Vet Anaesth Analg 2010;37:329-36.
  64. Valverde A, Black B, Cribb NC, Hathway A, Daw A. Assessment of unassisted recovery from repeated general isoflurane anesthesia in horses following post-anesthetic administration of xylazine or acepromazine or a combination of xylazine and ketamine.. Vet Anaesth Analg 2013;40:3-12.
  65. Boscan P, Steffey EP, Farver TB, Mama KR, Huang NJ, Harris SB. Comparison of high (5%) and low (1%) concentrations of micellar microemulsion propofol formulations with a standard (1%) lipid emulsion in horses.. Am J Vet Res 2006;67:1476-83.
  66. Platt JP, Simon BT, Coleman M, Martinez EA, Lepiz MA, Watts AE. The effects of multiple anaesthetic episodes on equine recovery quality.. Equine Vet J 2018;50:111-6.
  67. Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, Moschetti I, Phillips B, Thornton H. The 2011 Oxford CEBM Levels of Evidence (Introductory Document).. Oxford Centre for Evidence-Based Medicine, 2011. [cited 2021 May 8].
  68. Tapio HA, Raekallio MR, Mykkänen AK, Al-Ramahi D, Scheinin M, Hautajärvi HJ. Effects of vatinoxan on cardiorespiratory function, fecal output and plasma drug concentrations in horses anesthetized with isoflurane and infusion of medetomidine.. Vet J 2019;251:105345.
  69. Kästner SBR. How to manage recovery from anaesthesia in the horse to assist or not to assist?. Pferdeheilkunde 2010;26:604-8.
  70. Wohlfender FD, Doherr MG, Driessen B, Hartnack S, Johnston GM, Bettschart-Wolfensberger R. International online survey to assess current practice in equine anaesthesia.. Equine Vet J 2015;47:65-71.
  71. de Miguel Garcia C, Campoy L, Parry S, Miller J, Martin-Flores M, Gleed R. Questionnaire on the process of recovering horses from general anesthesia and associated personnel injury in equine practice.. Vet Anaesth Analg 2021;48(2):223-9.
  72. Yamashita K, Tsubakishita S, Futaoka S, Ueda I, Hamaguchi H, Seno T. Cardiovascular effects of medetomidine, detomidine and xylazine in horses.. J Vet Med Sci 2000;62:1025-32.
  73. Steffey EP, Mama KR, Brosnan RJ. Inhalation anesthetics.. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA, editors. Veterinary anesthesia and analgesia: the fifth edition of Lumb and Jones. 5th ed. Ames, IA: John Wiley & Sons Ltd, 2015; p. 297-331.
  74. Bienert A, Bartmann CP, Von Oppen T, Poppe C, Schiemann V, Deegen E. Recovery phase of horses after inhalant anaesthesia with isofluorane (Isoflo®) and postanaesthetic sedation with romifidine (Sedivet®) or xylazine (Rompun®).. Dtsch Tierärztl Wochenschr 2003;110:244-8.
  75. Ida KK, Fantoni DT, Ibiapina BT, Souto M-TTMR, Zoppa ALV, Silva LCLC. Effect of postoperative xylazine administration on cardiopulmonary function and recovery quality after isoflurane anesthesia in horses.. Vet Surg 2013;42:877-84.
  76. Wagner AE, Mama KR, Steffey EP, Hellyer PW. A comparison of equine recovery characteristics after isoflurane or isoflurane followed by a xylazine-ketamine infusion.. Vet Anaesth Analg 2008;35:154-60.
  77. Bauquier SH, Kona-Boun JJ. Comparaison des effets de la xylazine et de la romifidine administrées en Période péri-opératoire sur le réveil de chevaux anesthésiés.. Can Vet J 2011;52:987-93.
  78. Guedes A, Knych H, Tucker L, Almeida DC, Baldo CF, Wendt-Hornickle E. Pharmacokinetics and clinical effects of xylazine and dexmedetomidine in horses recovering from isoflurane anesthesia.. J Vet Pharmacol Ther 2020;43:369-76.
  79. Guedes AGP, Tearney CC, Cenani A, Aristizabal F, Nieto J. Comparison between the effects of postanesthetic xylazine and dexmedetomidine on characteristics of recovery from sevoflurane anesthesia in horses.. Vet Anaesth Analg 2017;44:273-80.
  80. Wagner AE, Mama KR, Steffey EP, Hellyer PW. Evaluation of infusions of xylazine with ketamine or propofol to modulate recovery following sevoflurane anesthesia in horses.. Am J Vet Res 2012;73:346-52.
  81. Steffey EP, Mama KR, Brosnan RJ, Imai A, Maxwell LK, Cole CA. Effect of administration of propofol and xylazine hydrochloride on recovery of horses after four hours of anesthesia with desflurane.. Am J Vet Res 2009;70:956-63.
  82. Steffey EP, Brosnan RJ, Galuppo LD, Mama KR, Imai A, Maxwell LK. Use of propofol-xylazine and the anderson sling suspension system for recovery of horses from desflurane anesthesia.. Vet Surg 2009;38:927-33.
  83. Taylor EL, Galuppo LD, Steffey EP, Scarlett CC, Madigan JE. Use of the Anderson sling suspension system for recovery of horses from general anesthesia.. Vet Surg 2005;34:559-64.
  84. Tidwell SA, Schneider RK, Ragle CA, Weil AB, Richter MC. Use of a hydro-pool system to recover horses after general anesthesia: 60 cases.. Vet Surg 2002;31:455-61.
  85. Sullivan EK, Klein LV, Richardson DW, Ross MW, Orsini JA, Nunamaker DM. Use of a pool-raft system for recovery of horses from general anesthesia: 393 horses (1984-2000).. J Am Vet Med Assoc 2002;221:1014-8.
  86. Clark-Price SC, Posner LP, Gleed RD. Recovery of horses from general anesthesia in a darkened or illuminated recovery stall.. Vet Anaesth Analg 2008;35:473-9.
  87. Ray-Miller WM, Hodgson DS, McMurphy RM, Chapman PL. Comparison of recoveries from anesthesia of horses placed on a rapidly inflating-deflating air pillow or the floor of a padded stall.. J Am Vet Med Assoc 2006;229:711-6.
  88. Elmas CR, Cruz AM, Kerr CL. Tilt Table recovery of horses after orthopedic surgery: fifty-four cases (1994-2005).. Vet Surg 2007;36:252-8.
  89. Picek S, Kalchofner KS, Ringer SK, Kummer M, Fürst A, Beitschart-Wolfensberger R. Anaesthetic management for hydropool recovery in 50 horses.. Pferdeheilkunde 2010;26:515-22.
  90. Richter MC, Bayly WM, Keegan RD, Schneider RK, Weil AB, Ragle CA. Cardiopulmonary function in horses during anesthetic recovery in a hydropool.. Am J Vet Res 2001;62:1903-10.
  91. François I, Lalèyê FX, Micat M, Benredouane K, Portier K. Arterial oxygen tension and pulmonary ventilation in horses placed in the Anderson Sling suspension system after a period of lateral recumbency and anaesthetised with constant rate infusions of romifidine and ketamine.. Equine Vet J 2014;46:596-600.
  92. Arndt S, Hopster K, Sill V, Rohn K, Kästner SBR. Comparison between head-tail-rope assisted and unassisted recoveries in healthy horses undergoing general anesthesia for elective surgeries.. Vet Surg 2020;49:329-38.
  93. Bird AR, Morley SJ, Sherlock CE, Mair TS. The outcomes of epidural anaesthesia in horses with perineal and tail melanomas: complications associated with ataxia and the risks of rope recovery.. Equine Vet Educ 2019;31:567-74.
  94. Scarabelli S, Timofte D, Malalana F, Bardell D. Corneal abrasion and microbial contamination in horses following general anaesthesia for non-ocular surgery.. Vet Anaesth Analg 2018;45:278-84.

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