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Veterinary anaesthesia and analgesia2006; 33(2); 104-110; doi: 10.1111/j.1467-2995.2005.00237.x

The influence of butorphanol dose on characteristics of xylazine-butorphanol-propofol anesthesia in horses at altitude.

Abstract: To characterize behavioral and physiological responses to short-term, unsupplemented intravenous (IV) anesthesia in healthy horses at high altitude (2240 m), and to test the hypothesis that the dose of butorphanol modifies the response of the horse to propofol anesthesia following xylazine pre-medication. Methods: Randomized prospective butorphanol dose cross-over experimental design. Animals Eight healthy horses, 13 +/- 6 (mean +/- SD) years of age, and weighing 523 +/- 26 kg. Methods: Each horse was anesthetized three times with at least 3 weeks between each anesthesia. After collecting pre-drug data, xylazine (0.5 mg kg(-1)) was given IV. Five minutes later butorphanol was given IV according to a randomized order of three doses: 0.025, 0.05 and 0.075 mg kg(-1). Five minutes later, anesthesia was induced with propofol, 2 mg kg(-1) IV. Data on heart rate (HR) and respiratory rate (f(r)), mean arterial blood pressure, P(a)O(2), P(a)CO(2) and pH(a) were collected before, during and for 60 minutes following anesthesia, and quality of induction and recovery was scored. Results: The pre-drug values for the three butorphanol groups did not differ. The combined pre-drug values from the 24 studies were HR, 33 +/- 7 beats minute(-1); f(r), 11 +/- 3 breaths minute(-1); P(a)O(2), 67 +/- 7 mmHg; P(a)CO(2), 36 +/- 4 mmHg; and pH(a), 7.42 +/- 0.04. Five minutes after anesthetic induction P(a)O(2) decreased and P(a)CO(2) increased 14.5 +/- 7.7 and 5.1 +/- 4.9 mmHg, respectively, but returned to pre-drug levels within 15 minutes of anesthetic recovery. There were no significant butorphanol dose-related differences in physiological results, anesthetic induction and recovery quality scores or recovery time. Conclusions: Dose of butorphanol did not markedly influence study results. Notably, low P(a)O(2) values related to geographic location of study and general anesthesia indicates a narrow margin of error for hypoxemia-related complications in anesthetized horses breathing unsupplemented air at high altitude.
Publication Date: 2006-02-16 PubMed ID: 16476000DOI: 10.1111/j.1467-2995.2005.00237.xGoogle Scholar: Lookup
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  • Clinical Trial
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The study explored how different doses of butorphanol affect the behavior and physiological responses of horses undergoing anesthesia at a high altitude. Despite varying the doses of butorphanol, researchers found that it did not significantly impact the horses’ physiological results, the quality of anesthetic induction and recovery, or recovery time.

Objective and Hypothesis

  • Primarily, the researchers wanted to examine how horses respond behaviorally and physiologically to anesthesia, delivered intravenously (IV), at a high altitude. The study took place at an altitude of 2240 m.
  • They hypothesized that the dose of butorphanol, a type of pain medication, could alter how horses react to propofol anesthesia when given after xylazine pre-medication.

Methods of the Study

  • A group of eight healthy horses was involved in the study. They varied in age and weight but were categorized as mature adults.
  • Each horse was anesthetized three times, with a minimum of three weeks between each session to allow for recovery and prevent potential interference with the next anesthesia.
  • Xylazine was administered to each horse before they were given varying doses of butorphanol. This was followed by anesthesia induced with propofol.
  • During the trial, a range of data was gathered, including heart and respiratory rates, arterial blood pressure, concentration of oxygen and carbon dioxide in the arterial blood (P(a)O(2) and P(a)CO(2)), and arterial pH levels.
  • Similarly, the researchers measured the quality of induction and recovery after anesthesia.

Results

  • The researchers found that the quantity of butorphanol administered did not significantly affect any of the variables measured.
  • After anesthetizing the horse, P(a)O(2) levels dropped and P(a)CO(2) levels rose, but these returned to their normal levels within 15 minutes of recovery from anesthesia.
  • Regardless of the dose, butorphanol did not have a noticeable impact on the horses’ physiological response, the quality of anesthetic induction and recovery, or recovery time.

Conclusion

  • The study concluded that adjusting the dose of butorphanol does not significantly influence how horses at high altitudes react to anesthesia.
  • The researchers cautioned that the low P(a)O(2) levels observed at this high altitude and caused by the general anesthesia suggest a limited toleration for hypoxemia-related complications in anesthetized horses breathing unsupplemented air at high altitude.

Cite This Article

APA
Garcia Lascurain AA, Sumano Lopez H, Steffey EP, Santillán Doherty P, Hernandez EN. (2006). The influence of butorphanol dose on characteristics of xylazine-butorphanol-propofol anesthesia in horses at altitude. Vet Anaesth Analg, 33(2), 104-110. https://doi.org/10.1111/j.1467-2995.2005.00237.x

Publication

ISSN: 1467-2987
NlmUniqueID: 100956422
Country: United States
Language: English
Volume: 33
Issue: 2
Pages: 104-110

Researcher Affiliations

Garcia Lascurain, Alma A
  • Department of Medicine and Surgery in Equines, School of Veterinary Medicine of the National Autonomous University of Mexico, Mexico City, Mexico.
Sumano Lopez, Hector
    Steffey, Eugene P
      Santillán Doherty, Patricio
        Hernandez, Enrique Núñez

          MeSH Terms

          • Altitude
          • Anesthesia Recovery Period
          • Anesthesia, Intravenous / veterinary
          • Anesthetics, Intravenous / pharmacology
          • Animals
          • Blood Pressure
          • Butorphanol / administration & dosage
          • Butorphanol / pharmacology
          • Carbon Dioxide / blood
          • Dose-Response Relationship, Drug
          • Heart Rate / drug effects
          • Horses
          • Oxygen / blood
          • Propofol / pharmacology
          • Xylazine / pharmacology

          Citations

          This article has been cited 2 times.
          1. Sato S, Yamano Y, Kanno C, Maeda Y, Takahashi F. Cardiopulmonary function, anesthetic effects, quality of arousal, hematology, and blood biochemistry during continuous intravenous infusion of a combination solution of xylazine, butorphanol, and propofol in calves. Vet Res Commun 2024 Aug;48(4):2295-2308.
            doi: 10.1007/s11259-024-10404-1pubmed: 38748076google scholar: lookup
          2. Gozalo-Marcilla M, Ringer SK. Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature. Animals (Basel) 2021 Jun 14;11(6).
            doi: 10.3390/ani11061777pubmed: 34198637google scholar: lookup