Sedation with dexmedetomidine-butorphanol or xylazine-butorphanol continuous intravenous infusions during unilateral ovariectomy in standing donkeys.
Abstract: Intravenous infusions of alpha-2 adrenoceptor sedatives and opioids can potentially facilitate surgery in donkeys while standing. Literature on this subject matter is scant. Objective: Evaluation of efficacy of sedation from α -adrenoceptors (dexmedetomidine or xylazine) and butorphanol during ovariectomy in standing donkeys. Methods: Randomised, masked in vivo experiment. Methods: Thirteen female donkeys were sedated with butorphanol (0.05 mg/kg bwt followed by 0.5 mg/kg bwt/h) IV. Concomitantly, 6 of the 13 jennies were sedated with dexmedetomidine 2.5 mcg/kg bwt followed by 2.5 mcg/kg bwt/h (Dex-B group), while seven jennies were sedated with xylazine 0.5 mg/kg bwt followed by 0.5 mg/kg bwt/h (Xyl-B group). A line block of the left flank and an infiltration block around uterine ligament were performed with lidocaine. While the jennies underwent ovariectomies standing, sedation scores and head height above ground were assessed at 2 and 10 min after sedative boluses and every 10 min thereafter. If sedation was too light or too deep, the dose of dexmedetomidine or xylazine was increased or decreased by 25% of the original infusion rate, while butorphanol infusion rate was constant. Physiological parameters were measured. Normally distributed data were compared using the two-sample t test while repeatedly measured data were tested for differences between and within groups using repeated measures analysis of variance (ANOVA) by ranks followed by a Wilcoxon test with Tukey Honest Significant Difference for multiple testing. Statistical significance was set at p < 0.05. Results: Both Dex-B and Xyl-B caused moderate to marked sedation adequate for ovariectomy in donkeys. Evident sedation was absent by 60 min of termination of infusions. No adverse physiological effects were observed. Conclusions: Study on ovariectomy cases only, no pharmacokinetic profiling. Conclusions: Dexmedetomidine or xylazine and butorphanol sedation is feasible for ovariectomy in standing donkeys.
© 2024 EVJ Ltd.
Publication Date: 2024-01-03 PubMed ID: 38173139DOI: 10.1111/evj.14052Google 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.
- Journal Article
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.
The research study investigates the effectiveness of using two different types of sedative infusions – dexmedetomidine-butorphanol and xylazine-butorphanol – during unilateral ovariectomy surgery in standing donkeys. It concludes that both options provided sufficient sedation and no physiological issues were observed.
Objectives
- The objective of this study was to assess the efficacy of dexmedetomidine or xylazine (both alpha-2 adrenoceptor sedatives) combined with butorphanol, an opioid, to facilitate surgery in standing donkeys.
Methods
- Thirteen female donkeys were involved in this randomised, in vivo experiment.
- All donkeys were initially given butorphanol intravenously. Then they were divided into two groups: the first group was given dexmedetomidine and the second group was given xylazine.
- The donkeys’ sedation levels were monitored at regular intervals during and after surgery. Adjustments in dexmedetomidine or xylazine dosage were made if their sedation was identified to be too light or too deep. The butorphanol infusion rate remained constant throughout the operation.
- The level of analgesia was assessed by tracking the head height from the ground and subjective sedation scores.
- Physiological parameters, like heart rate and respiratory rate, were also recorded throughout the experiment.
- Statistical analysis was conducted using two-sample t-test and repeated measures analysis of variance (ANOVA).
Results
- The results showed that both dexmedetomidine-butorphanol and xylazine-butorphanol infusions caused moderate to marked sedation suitable for the surgery in donkeys.
- The sedation effects ended approximately 60 minutes after the infusions were stopped, and no adverse physiological effects were detected in any of the subjects.
Conclusion
- The study concludes that dexmedetomidine or xylazine combined with butorphanol can be successfully used for sedation during ovariectomy surgery in standing donkeys.
- However, the researchers note that their study focused only on ovariectomy procedures, and did not provide a pharmacokinetic profile for the tested compounds and their interactions.
Cite This Article
APA
Dzikiti TB, Maney JK, Thorogood J, Segabinazzi L, Peterson E, Dzikiti LN, Escobar A.
(2024).
Sedation with dexmedetomidine-butorphanol or xylazine-butorphanol continuous intravenous infusions during unilateral ovariectomy in standing donkeys.
Equine Vet J.
https://doi.org/10.1111/evj.14052 Publication
Researcher Affiliations
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
- Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.
Grant Funding
- Center for Integrative Mammalian Research, Ross University School of Veterinary Medicine
References
This article includes 40 references
- Hamm D, Jöchle W. Sedation and analgesia with dormosedan® (Detomidine hydrochloride) or acepromazine for suturing of the vulvar lips in mares (Caslick's surgery).. J Equine Vet Sci 1991;11:86-88.
- Vigani A, Garcia-Pereira FL. Anesthesia and analgesia for standing equine surgery.. Vet Clin North Am Equine Pract 2014;30:1-17.
- Schauvliege S, Cuypers C, Michielsen A, Gasthuys F, Gozalo-Marcilla M. How to score sedation and adjust the administration rate of sedatives in horses: a literature review and introduction of the Ghent Sedation Algorithm.. Vet Anaesth Analg 2019;46:4-13.
- Lawless SP, Moorman VJ, Hendrickson DA, Mama KR. Comparison of sedation quality and safety of detomidine and romifidine as a continuous rate infusion for standing elective laparoscopic ovariectomy in mares.. Vet Surg 2021;50:990-998.
- Van Dijk P, Lankveld D, Rijkenhuizen A, Jonker FH. Hormonal, metabolic and physiological effects of laparoscopic surgery using a detomidine-buprenorphine combination in standing horses.. Vet Anaesth Analg 2003;30:71-79.
- DeRossi R, Jorge TP, Ossuna MR, Carneiro RPB, Alves OD, Zanenga NF. Sedation and pain management with intravenous romifidine-butorphanol in standing horses.. J Vet Sci 2009;29:75-81.
- Vesal N, Mogheiseh A. Standing sedation using xylazine-morphine combination for flank ovariectomy in a mare.. Online J Vet Res 2011;15:249-255.
- Mueller C, Hopster K, Hopster-Iversen C, Rohn K, Kaestner SBR. Elaboration of a xylazine and dexmedetomidine infusion regime which provides a constant level of sedation in horses.. Pferdeheilkunde 2012;28:668-674.
- Ringer SK, Portier KG, Fourel I, Bettschart-Wolfensberger R. Development of a xylazine constant rate infusion with or without butorphanol for standing sedation of horses.. Vet Anaesth Analg 2012;39:1-11.
- Taylor P, Coumbe K, Henson F, Scott D, Taylor A. Evaluation of sedation for standing clinical procedures in horses using detomidine combined with buprenorphine.. Vet Anaesth Analg 2014;41:14-24.
- Marly-Voquer C, Schwarzwald CC, Bettschart-Wolfensberger R. The use of dexmedetomidine continuous rate infusion for horses undergoing transvenous electrical cardioversion-a case series.. Can Vet J 2016;57:70-75.
- Potter JJ, MacFarlane PD, Love EJ, Tremaine H, Taylor PM, Murrell JC. Preliminary investigation comparing a detomidine continuous rate infusion combined with either morphine or buprenorphine for standing sedation in horses.. Vet Anaesth Analg 2016;43:189-194.
- Medeiros LQ, Gozalo-Marcilla M, Taylor PM, Campagnol D, de Oliveira FA, Watanabe MJ. Sedative and cardiopulmonary effects of dexmedetomidine infusions randomly receiving, or not, butorphanol in standing horses.. Vet Rec 2017;181:402.
- Gozalo-Marcilla M, Luna SP, Gasthuys F, Pollaris E, Vlaminck L, Martens A. Clinical applicability of detomidine and methadone constant rate infusions for surgery in standing horses.. Vet Anaesth Analg 2019;46:325-334.
- Hubbell JAE. Practical standing chemical restraint of the horse.. Proc Am Assoc Equine Practnrs 2009;55:2-6.
- Gomaa NA, Ghazy AE, Atiba AS. Effect of repeated intravenous administration of xylazine on sedation, analgesia and ECG parameters in donkeys (Equus Asinus).. Assiut Vet Med J 2015;61:130-136.
- Aziz DM, Al-Badrany MS, Taha MB. Laparoscopic ovariectomy in standing donkeys by using a new instrument.. Anim Reprod Sci 2008;107:107-114.
- Lizarraga I, Janovyak E. Comparison of the mechanical hypoalgesic effects of five α2-adrenoceptor agonists in donkeys.. Vet Rec 2013;173:294.
- Lizarraga I, Castillo-Alcala F, Varner KM, Robinson LS. Sedation and mechanical antinociception after intravenous administration of detomidine in donkeys: a dosage-effect study.. Vet Rec 2015;176:202.
- Matthews N, van Loon JPAM. Anesthesia, sedation, and pain management of donkeys and mules.. Vet Clin North Am Equine Pract 2019;35:515-527.
- Waelbers T, Vermoere P, Polis I. Total intravenous anesthesia in dogs. Totale intraveneuze anesthesie bij de hond.. Vlaams Diergeneeskundig Tijdschrift 2009;78:160-168.
- Bettschart-Wolfensberger R, Freeman SL, Bowen IM, Aliabadi FS, Weller R, Huhtinen M. Cardiopulmonary effects and pharmacokinetics of i.v. dexmedetomidine in ponies.. Equine Vet J 2005;37:60-64.
- Bidwell LA. How to anesthetize donkeys for surgical procedures in the field.. Proc Am Assoc Equine Practnrs 2010;56:38-40.
- Rezende ML, Grimsund KN, Stanley SD, Steffey EP, Mama K. Pharmacokinetics and pharmacodynamics of intravenous dexmedetomidine in the horse.. J Vet Pharamcol Ther 2015;38:15-23.
- Gozalo Marcilla M, Gasthuys F, Luna S, Schauvliege S. Is there a place for dexmedetomidine in equine anaesthesia and analgesia? A systematic review (2005-2017).. J Vet Pharmacol Therap 2018;41:205-217.
- Lizarraga I, Castillo-Alcala F. Sedative and mechanical hypoalgesic effects of butorphanol in xylazine-premedicated donkeys.. Equine Vet J 2015;47:308-312.
- Maney JK, Durham HE Jr, Goucher KP, Little EL. Induction of anesthesia and recovery in donkeys sedated with xylazine: a comparison of midazolam-alfaxalone and midazolam-ketamine.. Vet Anaesth Analg 2018;45:539-544.
- Ringer SK, Portier K, Torgerson PR, Castagno R, Bettschart-Wolfensberger R. The effects of a loading dose followed by constant rate infusion of xylazine compared with romifidine on sedation, ataxia and response to stimuli in horses.. Vet Anaesth Analg 2013;40:157-165.
- Hammad A, Gadallah S, Sharshar A, Misk T. Effect of constant rate infusion of xylazine & xylazine-morphine combination on sedation, analgesia and ataxia in horses.. Am J Biomed Sci & Res 2020;8:169-176.
- Joubert KE, Briggs P, Gerber D, Gottschalk RG. The sedative and analgesic effects of detomidine-butorphanol and detomidine alone in donkeys.. J S Afr Vet Assoc 1999;70:112-118.
- Nimmo AF, Absalom AR, Bagshaw O, Biswas A, Cook TM, Costello A. Guidelines for the safe practice of total intravenous anaesthesia (TIVA): joint guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia.. Anaesthesia 2019;74:211-224.
- Peck KE, Matthews NS, Taylor TS, Mealey KL. Pharmacokinetics of sulfamethoxazole and trimethoprim in donkeys, mules, and horses.. Am J Vet Res 2002;63:349-353.
- Coakley M, Peck KE, Taylor TS, Matthews NS, Mealey KL. Pharmacokinetics of flunixin meglumine in donkeys, mules, and horses.. Am J Vet Res 1999;60:1441-1444.
- Mealey KL, Matthews NS, Peck KE, Ray AC, Taylor TS. Comparative pharmacokinetics of phenylbutazone and its metabolite oxyphenbutazone in clinically normal horses and donkeys.. Am J Vet Res 1997;58:53-55.
- Hopster K, Müller C, Hopster-Iversen C, Stahl J, Rohn K, Kästner S. Effects of dexmedetomidine and xylazine on cardiovascular function during total intravenous anaesthesia with midazolam and ketamine and recovery quality and duration in horses.. Vet Anaesth Analg 2014;41:25-35.
- Hofmeister EH, Mackey EB, Trim CM. Effect of butorphanol administration on cardiovascular parameters in isoflurane-anesthetized horses - a retrospective clinical evaluation.. Vet Anaesth Analg 2008;35:38-44.
- Straticò P, Carluccio A, Varasano V, Guerri G, Suriano R, Robbe D. Analgesic effect of butorphanol during castration in donkeys under total intravenous anaesthesia.. Animals (Basel) 2021;11:2346.
- Adams SB, Lamar CH, Masty J. Motility of the distal portion of the jejunum and pelvic flexure in ponies: effects of six drugs.. Am J Vet Res 1984;45:795-799.
- Lester GD, Bolton JR, Cullen LK, Thurgate SM. Effects of general anesthesia on myoelectric activity of the intestine in horses.. Am J Vet Res 1992;53:1553-1557.
- Cox R, Proudman CJ, Trawford AF, Burden F, Pinchbeck GL. Epidemiology of impaction colic in donkeys in the UK.. BMC Vet Res 2007;3:3.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists