The analgesic effects of magnesium in veterinary patients: a qualitative evidence synthesis.
Abstract: To perform a qualitative evaluation of the analgesic effects of magnesium in domestic animals, including its anaesthetic sparing effects. Methods: All database searches were made using PubMed and Google Scholar. Studies published after 1990, evaluating the use of magnesium and reporting information on analgesia, in dogs, cats, horses, cows, goats and sheep were selected (last search in August 2023). A reference check in the selected papers was performed to identify any study which was omitted. The CERQual (Confidence in Evidence from Reviews of Qualitative research) approach was used to assess confidence and analyse the evidence. Results: A total of 20 studies relevant to the analgesic effects of magnesium in veterinary patients and two reviews were included. All were published after 2006. Of the 20, five studies provided information about analgesia in the postoperative period in dogs with heterogenous results. Magnesium added epidurally increased the duration of the sensory block in several species. Motor block was also observed when added to spinal analgesia. Results regarding volatile agents sparing effect were conflicting. Occasional moderate adverse effects were reported in dogs, such as nausea and vomiting, when administered as a bolus in conscious animals, and hypotension when administered intraperitoneally. Collapse was reported in horses after epidural administration. Conclusions: The evidence of an analgesic effect of magnesium in veterinary patients remains scarce considering the paucity and low quality of published data. Further research may be helpful to establish the efficacy and indications of magnesium in multimodal analgesia in animals.
Copyright © 2024 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.
Publication Date: 2024-01-17 PubMed ID: 38331673DOI: 10.1016/j.vaa.2024.01.002Google Scholar: Lookup
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Summary
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This research aims to evaluate the pain-relieving properties of magnesium in domestic animals, with particular focus on whether it can enhance anaesthetic effects. The research, which encompassed a range of animals, including dogs, cats, horses, cows, sheep, and goats, found mixed results and calls for further studies to conclusively establish the effectiveness and applicability of magnesium in animal pain management.
Research Methodology
- The researchers conducted a comprehensive review of studies using online databases like PubMed and Google Scholar. Only those studies published after 1990 were considered.
- The studies were selected based on their pertinence to the use of magnesium in domestic animals and whether or not they involved pain relief.
- A detailed cross-check of references in the selected publications was undertaken to ensure no relevant paper was overlooked.
- Quality and reliability of the evidence gathered were assessed using the CERQual (Confidence in Evidence from Reviews of Qualitative Research) method.
Results and Findings
- A total of 20 studies were found that dealt with magnesium’s analgesic effects in pets, as well as two review articles. All these were published post 2006.
- Out of the 20 studies, five offered information on pain relief in dogs after surgery, but the results varied widely.
- The use of magnesium in epidural form was found to increase sensory block duration in multiple species. It was also seen to cause a motor block when added to spinal analgesia.
- The research found conflicting data on whether magnesium had any effect in reducing the requirement for volatile agents.
- Occasionally, moderate side effects were observed in dogs, such as nausea, vomiting, and hypotension, particularly when given as a concentrated dose to conscious animals or via the abdominal cavity. Horses were reported to have collapsed post epidural administration.
Conclusions
- The authors concluded that the evidence of magnesium’s analgesic properties in veterinary patients is limited due to the lack of high-quality data.
- The study establishes the need for additional research to determine the effectiveness and appropriate usage of magnesium in multimodal animal pain management.
Cite This Article
APA
Debuigne M, Chesnel MA, Chebroux A.
(2024).
The analgesic effects of magnesium in veterinary patients: a qualitative evidence synthesis.
Vet Anaesth Analg, S1467-2987(24)00002-3.
https://doi.org/10.1016/j.vaa.2024.01.002 Publication
Researcher Affiliations
- Centre Hospitalier Vétérinaire Atlantia, Nantes, France. Electronic address: morgane.debuigne@wanadoo.fr.
- Centre Hospitalier Vétérinaire Atlantia, Nantes, France.
- Centre Hospitalier Vétérinaire Atlantia, Nantes, France.
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