Sedative and cardiopulmonary effects of dexmedetomidine infusions randomly receiving, or not, butorphanol in standing horses.
Abstract: Dexmedetomidine (DEX) alone, or combined with butorphanol (BUT), may be administered by constant rate infusions (CRIs) in standing horses. This blinded, randomised, crossover study in six healthy adult horses aimed to determine the sedative and cardiopulmonary effects of DEX (dexmedetomidine (3.5 µg/kg+5 µg/kg/hour CRI) and DEX/BUT (dexmedetomidine (3.5 µg/kg+3.5 µg/kg/hour CRI) and butorphanol (20 µg/kg+24 µg/kg/hour CRI)). Head height above ground (HHAG), ataxia, responses to tactile/auditory stimuli and cardiopulmonary variables were recorded before, at 5/15/30/60/90 minutes and after CRIs terminated (15/30/60 minutes). Repeated measures analysis of variance with Tukey-Kramer test were used for cardiopulmonary values (mean±SD) and HHAG reduction (per cent), and Friedman's and Dunn's for non-parametric data (P<0.05). Maximum HHAG reductions of 54 per cent (DEX) and 58 per cent (DEX/BUT) occurred at 15 minutes, with ataxia for 15 minutes in both treatments. Responses to stimuli were reduced for 30 minutes in both treatments, and auditory up to 60 minutes in DEX. Cardiopulmonary effects typical of α-agonists were observed, with no differences between treatments. At the doses and rates reported here, both regimens provided clinically sufficient sedation for only 30 minutes.
© British Veterinary Association (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Publication Date: 2017-08-19 PubMed ID: 28822974DOI: 10.1136/vr.104359Google Scholar: Lookup
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- Journal Article
- Randomized Controlled Trial
Summary
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The research investigated the sedative and cardiopulmonary effects of dexmedetomidine, either alone or combined with butorphanol, on standing horses. It was found that both methods yielded clinically sufficient sedation for approximately 30 minutes, with notable reductions in response to tactile and auditory stimuli, as well as typical changes in cardiopulmonary activities.
Research Design
- The study was a randomized, crossover trial involving six healthy adult horses. It aimed to establish the various effects of dexmedetomidine (DEX) either alone or combined with butorphanol (BUT) when given continuously to standing horses.
- DEX and DEX/BUT were administered in specific quantities with the goal of determining their sedative and cardiopulmonary effects. As such, doses of DEX (3.5 µg/kg initially + 5 µg/kg/hour continuously), and a combination of DEX/BUT (dexmedetomidine at the rate of 3.5 µg/kg at first + 3.5 µg/kg/hour continuously and butorphanol at 20 µg/kg initially + 24 µg/kg/hour continuously) were utilized.
Data Gathering and Analysis
- Several observations and measurements were conducted before, during, and after the infusions, including head height above ground, ataxia, responses to tactile and auditory stimuli, and cardiopulmonary variables. These measurements were carried out at intervals (5/15/30/60/90 minutes) during infusion and after it stopped (15/30/60 minutes).
- The study employed statistical tests such as the repeated measures analysis of variance paired with the Tukey-Kramer test, primarily for cardiopulmonary values and head height reduction, and non-parametric methods such as Friedman’s and Dunn’s for non-parametric data.
Research Findings
- The study found that the most substantial reduction in head height above ground occurred within 15 minutes, amounting to 54 per cent for DEX and 58 per cent for DEX/BUT infusions. At the same time, ataxia or loss of full control of bodily movements was observed for 15 minutes under both treatments.
- The responses to tactile and auditory stimuli were significantly diminished for half an hour for both treatments. In the DEX administered horses, the auditory response was reduced up to 60 minutes.
- Cardiopulmonary effects typical of α-agonists were observed in all horses. Still, there were no discernable differences in these effects between horses that received only DEX and those that received the DEX/BUT combination.
- At the used doses and rates, both DEX and DEX/BUT succeeded in providing clinically decent sedation for around 30 minutes in the horses.
Cite This Article
APA
Medeiros LQ, Gozalo-Marcilla M, Taylor PM, Campagnol D, de Oliveira FA, Watanabe MJ, de Araujo Aguiar AJ.
(2017).
Sedative and cardiopulmonary effects of dexmedetomidine infusions randomly receiving, or not, butorphanol in standing horses.
Vet Rec, 181(15), 402.
https://doi.org/10.1136/vr.104359 Publication
Researcher Affiliations
- Graduate Program in Anaesthesiology, Medical School of Botucatu, UNESP-Univ Estadual Paulista, Botucatu-SP, Brazil.
- Department of Veterinary Surgery and Anaestesiology, Faculty of Veterinary Medicine and Animal Science, UNESP - Univ Estadual Paulista, Botucatu-SP, Brazil.
- Taylor Monroe, Ely, UK.
- Graduate Program in Anaesthesiology, Medical School of Botucatu, UNESP-Univ Estadual Paulista, Botucatu-SP, Brazil.
- Graduate Program in Anaesthesiology, Medical School of Botucatu, UNESP-Univ Estadual Paulista, Botucatu-SP, Brazil.
- Department of Veterinary Surgery and Anaestesiology, Faculty of Veterinary Medicine and Animal Science, UNESP - Univ Estadual Paulista, Botucatu-SP, Brazil.
- Department of Veterinary Surgery and Anaestesiology, Faculty of Veterinary Medicine and Animal Science, UNESP - Univ Estadual Paulista, Botucatu-SP, Brazil.
MeSH Terms
- Analgesics, Opioid / administration & dosage
- Analgesics, Opioid / pharmacology
- Anesthetics, Combined / administration & dosage
- Anesthetics, Combined / pharmacology
- Animals
- Butorphanol / administration & dosage
- Butorphanol / pharmacology
- Cardiovascular System / drug effects
- Cross-Over Studies
- Dexmedetomidine / administration & dosage
- Dexmedetomidine / pharmacology
- Female
- Horses
- Hypnotics and Sedatives / administration & dosage
- Hypnotics and Sedatives / pharmacology
- Infusions, Intravenous / methods
- Infusions, Intravenous / veterinary
- Male
- Posture
- Respiratory System / drug effects
- Single-Blind Method
Conflict of Interest Statement
Competing interests: None declared.
Citations
This article has been cited 3 times.- Abass M, Ibrahim H, Salci H, Hamed MA. Evaluation of the effect of different sedative doses of dexmedetomidine on the intestinal motility in clinically healthy donkeys (Equus asinus).. BMC Vet Res 2022 Jul 14;18(1):274.
- de Oliveira AR, Gozalo-Marcilla M, Ringer SK, Schauvliege S, Fonseca MW, Esteves Trindade PH, Prospero Puoli Filho JN, Luna SPL. Development and validation of the facial scale (FaceSed) to evaluate sedation in horses.. PLoS One 2021;16(6):e0251909.
- Kim A, Sasaki N, Lee I, Seo JP. Comparison of intraoperative cardiorespiratory and behavioral responses to medetomidine combined with tramadol or butorphanol during standing laparoscopic ovariectomy in horses.. J Vet Med Sci 2021 Apr 9;83(4):643-647.
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