Systemic effects of a prolonged continuous infusion of ketamine in healthy horses.
Abstract: Ketamine as continuous rate infusion (CRI) provides analgesia in hospitalized horses. Objective: Determine effects of prolonged CRI of ketamine on gastrointestinal transit time, fecal weight, vital parameters, gastrointestinal borborygmi, and behavior scores in healthy adult horses. Methods: Seven adult Thoroughbred or Thoroughbred cross horses, with permanently implanted gastric cannulae. Methods: Nonblinded trial. Random assignment to 1 of 2 crossover designed treatments. Ketamine (0.55 mg/kg IV over 15 minutes followed by 1.2 mg/kg/h) or lactated Ringer's solution (50 mL IV over 15 minutes followed by 0.15 mL/kg/h) treatments. Two hundred 3 × 5 mm plastic beads administered by nasogastric tube before drug administration. Every 2 hours vital parameters, behavior scores recorded, feces collected and weighed, and beads retrieved. Every 6 hours gastrointestinal borborygmi scores recorded. Study terminated upon retrieval of 180 beads (minimum 34 hours) or maximum 96 hours. Nontransit time data analyzed between hours 0 and 34. Results: No significant (P < .05) differences detected between treatments in vital signs or gastrointestinal borborygmi. Significant (P = .002) increase in behavior score during ketamine infusion (0.381) from hours 24-34 compared with placebo (0). Ketamine caused significant delay in passage of 25, 50, and 75% of beads (ketamine = 30.6 ± 5.3, 41.4 ± 8.4, 65.3 ± 13.5 hours versus placebo = 26.8 ± 7.9, 34.3 ± 11.1, 45.8 ± 19.4 hours), and significant (P < .05) decrease in fecal weight from hours 22 (12.6 ± 3.2 versus 14.5 ± 3.8 kg) through 34 (18.5 ± 3.9 versus 12.8 ± 6.4 kg) of infusion. Conclusions: Ketamine CRI delayed gastrointestinal transit time in healthy horses without effect on vital parameters.
Copyright © 2011 by the American College of Veterinary Internal Medicine.
Publication Date: 2011-07-22 PubMed ID: 21781164DOI: 10.1111/j.1939-1676.2011.0761.xGoogle Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The research paper investigates the systemic effects of administering ketamine over a prolonged period of time in healthy horses.
Objective and Methodology of the Research
- The overall aim was to determine the impact of prolonged continuous rate infusion (CRI) of ketamine on parameters such as gastrointestinal transit time, fecal weight, vital health parameters, gastrointestinal borborygmi (a rumbling noise made by movement of fluid and gas in the intestines), and behavior scores in adult horses.
- The experiment involved seven adult Thoroughbred or Thoroughbred cross horses, all of which had permanently implanted gastric cannulae (leveraged for administering medicine directly into the stomach).
- The research design was a non-blinded trial with random assignment to one of two crossover designed treatments. Horses were subjected to ketamine treatment or were given a lactated Ringer’s solution as a placebo.
- Pre-treatment, all horses received two hundred 3 x 5 mm plastic beads via nasogastric tube. These beads were used to monitor gastrointestinal transit time.
- Various parameters were recorded at different intervals over a period ranging from a minimum of 34 hours to a maximum of 96 hours. The parameters recorded every two hours include vital parameters, behavior scores, fecal weights, and bead retrieval, while the borborygmi scores were documented every six hours.
Results and Conclusions
- No significant differences were found between the ketamine and placebo treatments in regards to vital signs or gastrointestinal borborygmi.
- However, a significant increase was observed in behavior score during the ketamine infusion, indicating changes in the horse’s behavior in response to the ketamine infusion.
- Ketamine also caused a significant delay in the passage of the ingestible beads (25, 50, and 75% respectively). This is indicated by longer hours needed for the passage of the same percentages of beads in ketamine-treated horses compared to those in placebo-treated ones.
- A significant decrease was observed in the fecal weight during the ketamine infusion, reflecting potential changes in digestion or gastrointestinal function.
- In conclusion, continuous ketamine infusion appeared to delay gastrointestinal transit time in healthy horses, without impacting other vital parameters. This finding is useful for managing pain in hospitalized horses, and further studies could extend understanding of ketamine’s impact on equine health.
Cite This Article
APA
Elfenbein JR, Robertson SA, Corser AA, Urion RJ, Sanchez LC.
(2011).
Systemic effects of a prolonged continuous infusion of ketamine in healthy horses.
J Vet Intern Med, 25(5), 1134-1137.
https://doi.org/10.1111/j.1939-1676.2011.0761.x Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, FL, USA. elfenbeinj@ufl.edu
MeSH Terms
- Analgesics / administration & dosage
- Analgesics / pharmacology
- Animals
- Feces
- Female
- Gastrointestinal Motility / drug effects
- Gastrointestinal Transit / drug effects
- Horses / metabolism
- Horses / physiology
- Infusions, Intravenous / veterinary
- Ketamine / administration & dosage
- Ketamine / pharmacology
- Male
Citations
This article has been cited 5 times.- Zhang T, Yue Z, Yu L, Li S, Xie Y, Wei J, Wu M, Liu H, Tan H. S-ketamine promotes postoperative recovery of gastrointestinal function and reduces postoperative pain in gynecological abdominal surgery patients: a randomized controlled trial.. BMC Surg 2023 Mar 30;23(1):74.
- Knutson KA, Petritz OA, Thomson AE, Balko JA. Intramuscular Alfaxalone-Butorphanol-Midazolam Compared with Ketamine-Butorphanol- Midazolam in New Zealand White Rabbits.. J Am Assoc Lab Anim Sci 2022 Sep 1;61(5):475-481.
- Melnyk MI, Dryn DO, Al Kury LT, Dziuba DO, Zholos AV. Suppression of mI(CAT) in Mouse Small Intestinal Myocytes by General Anaesthetic Ketamine and its Recovery by TRPC4 Agonist (-)-englerin A.. Front Pharmacol 2020;11:594882.
- Elfenbein JR, Robertson SA, MacKay RJ, KuKanich B, Sanchez L. Systemic and anti-nociceptive effects of prolonged lidocaine, ketamine, and butorphanol infusions alone and in combination in healthy horses.. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S6.
- Jennings K, Curtis L, Burford J, Freeman S. Prospective survey of veterinary practitioners' primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction.. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S2.
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