[en] Forty-eight horses subjected to elective surgery were randomly assigned to three groups of 16 horses. After premedication with 0.1 mg/kg acepromazine intramuscularly and 0.6 mg/kg xylazine intravenously, anaesthesia was induced either with 2 g thiopentone in 500 ml of a 10 per cent guaifenesin solution, given intravenously at a dose of 1 ml/kg (group TG), or with 100 mg/kg guaifenesin and 2.2 mg/kg ketamine given intravenously (group KG), or with 0.06 mg/kg midazolam, and 2.2 mg/kg ketamine given intravenously (group KM). Anaesthesia was maintained with isoflurane. The mean (sd) end tidal isoflurane concentration (per cent) needed to maintain a light surgical anaesthesia (stage III, plane 2) was significantly lower in group KM (0.91 [0.03]) than in groups TG (1.11 [0.03]) and KG (1.14 [0.03]). The mean (sd) arterial pressure (mmHg) was significantly lower in group KG (67.4 [2.07]) than in groups TC (75.6 [2.23]) and KM (81.0 [2.16]). There were no significant differences in the logarithm of the heart rate, recovery time or quality of recovery between the three induction groups. However, pronounced ataxia was observed in the horses of group KM, especially after periods of anaesthesia lasting less than 75 minutes.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Gangl, M.
Grulke, Sigrid ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Département clinique des animaux de compagnie et des équidés
Detilleux, Johann ; Université de Liège - ULiège > Département de productions animales > Génétique quantitative
Caudron, I.
Serteyn, Didier ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Language :
English
Title :
Comparison of Thiopentone/Guaifenesin, Ketamine/Guaifenesin and Ketamine/Midazolam for the Induction of Horses to Be Anaesthetised with Isoflurane
Bettschart-Wolfensberger R., Taylor P.M., Sear J.W., Bloomfield M.R., Rentsch K., Dawlings S. (1996) Physiologic effects of anaesthesia induced and maintained by intravenous administration of a climazolam-ketamine combination in ponies premedicated with acepromazine and xylazine. American Journal of Veterinary Research 57:1472-1477.
Campbell J.R., Lawson D.D. (1958) The signs and stages of anaesthesia in domestic animals. Veterinary Record 70:545-550.
Cuveliez S., Rosseel G., Blair D., Salmon Y., Troncy E., Lariviere N. (1995) L'anesthésie intraveineuse chez le cheval: Comparaison des combinaisons xylazine-kétamine et xylazine-tilétamine-zolazépam. Canadian Veterinary Journal 36:613-618.
Grandy J.L., Steffey E.P., Hodgson D.S., Woliner M.J. (1987) Arterial hypotension and the development of postanesthetic myopathy in halothane-anesthetized horses. American Journal of Veterinary Research 48:192-197.
Greiner A.S., Larach D.R. (1989) The effect of benzodiozadepine receptor antagonism by flumazenil on the MAC of balotbane in the rat. Anesthesiology 70:644-648.
Hall R.I., Schwieger I.M., Hug C.C. (1988) The anesthetic efficacy of midazolam in the enflurane-anesthetized dog. Anesthesiology 68:862-866.
Hodgson D.S., Dunlop C.I. (1990) General anesthesia for horses with specific problems. Veterinary Clinics of North America, Equine Practice 6:631-635.
Hubbell J.A., Muir W.W., Sams R.A. (1980) Guaifenesin: Cardiopulmonary effects and plasma concentration in horses. American Journal of Veterinary Research 41:1751-1755.
Inagaki Y., Sumikawa K., Yoshiya I. (1993) Anesthetic interaction between midazolam and halothane in humans. Anesthesia Analgesia 76:613-617.
Kaegi B. (1990) Injektionsanästhesie mit Xylazin, Ketamin und dem Benzodiazepinderivat Climazolam sowie Anwendung des Benzodiazepinantagonisten ro 15-3505. Schweizer Archiv für Tierheilkunde 132:251-257.
Lin H.C., Branson K.R., Thurmon J.C., Benson G.J., Tranquilli W.J., Olson W.A., Wähä-Vahe A.T. (1992) Ketamine, Telazol®, xylazine and detomidine. A comparative anesthetic drug combinations study in ponies. Acta Veterinaria Scandinavica 33:109-115.
Luna S.P.L., Massone F., Castro G.B., Fantoni D.T., Hussni C.A., Aguiar A.J.A. (1992) A combination of methotrimeprazine, midazolam and guaiphenesin, with and without ketamine, in an anaesthetic procedure for horses. Veterinary Record 131:33-35.
Luna S.P.L., Taylor P.M., Massone F. (1997) Midazolam and ketamine induction before halothane anaesthesia in ponies: Cardiorespiratory, endocrine and metabolic changes. Journal of Veterinary Pharmacology and Therapeutics 20:153-159.
Matthews N.S., Dollar N.S., Shawley R.V. (1990) Halothane sparing effect of benzodiazepines in ponies. Cornell Veterinarian 80:259-265.
Matthews N.S., Hartsfield S.M., Cornick J.L., Williams J.D., Beasley A. (1991) A comparison of injectable anesthetic combinations in horses. Veterinary Surgery 20:268-273.
Mee A.M., Cripps J., Jones R.S. (1998) A retrospective study of mortality associated with general anaesthesia in horses: Elective procedures. Veterinary Record 142:275-276.
Mee A.M., Cripps P.J., Jones R.S.A. (1998) A retrospective study of mortality associated with general anaesthesia in horses: Emergency procedures. Veterinary Record 143:307-309.
Melvin M.A., Johnson B.H., Quasha A.L., Eger E.I. (1982) Induction of anesthesia with midazolam decreases halothane MAC in humans. Anesthesiology 57:238-241.
Muir W.W. (1991) Standing chemical restraint in horses. Equine Anesthesia. Monitoring and Emergency Therapy. 1st edn. , Eds W. W. Muir, J. A. E. Hubbell. St Louis, Mosby Year Book; 247-280.
Muir W.W. (1991) Complications. Equine Anesthesia. Monitoring and Emergency Therapy , Eds W. W. Muir, J. A. E. Hubbell. St Louis, Mosby Year Book; 419-443.
Perisho J.A., Buechel D.R., Miller R.D. (1971) The effect of diazepam (valium®) on minimum alveolar anaesthetic requirement (MAC) in man. Canadian Anaesthetists Society Journal 18:536-540.
Picavet M.T., Vanhove L., Madder K. (1998) Experiences with midazolam as a co-induction agent together with ketamine in the induction of anaesthesia in horses. Proceedings of the Association of Veterinary Anaesthesists, Spring Meeting, Edinburgh, March 29-31, 1998; .
Reves J.G., Fragen R.J., Vinik R., Greenblatt D.J. (1985) Midazolam: Pharmacology and uses. Anesthesiology 62:310-324.
SAS/STAT User's Guide Version 6. 4th edn. , Cary NC, SAS Institute; 1959, 2.
Steffey E.P. (1996) Inhalation anesthetics. Lumb & Jones' Veterinary Anesthesia. 3rd edn. , Eds J. C. Thruman, W. J. Tranquilli, G. J. Benson. Baltimore, Williams & Wilkins; 297-329.
Steffey E.P., Howland D. (1977) Rate of changes of halothane concentration in a large animal circle anesthetic system. American Journal of Veterinary Research 38:1993-1996.
Steffey E.P., Howland D., Giri S., Eger E.I. (1977) Enflurane, halothane and isoflurane potency in horses. American Journal of Veterinary Research 38:1037-1039.
Taylor P.M. (1991) Stress responses in ponies during halothane or isoflurane anaesthesia after induction with thiopentone or xylazine/ketamine. Journal of Veterinary Anaesthesia 18:8-14.
Tevik A. (1983) The role of anesthesia in surgical mortality in horses. Nordisk Veterinaer Medicin 35:175-179.
Thurmon J.C., Tranquilli W.J., Benson G.J. (1996) Considerations for general anesthesia p. Lumb & Jones' Veterinary Anesthesia. 3rd edn. , Eds J. C. Thurmon, W. J. Tranquilli, G. J. Benson. Baltimore, Williams & Wilkins; 2-34.
Vree T.B., Baars A.N., Booij H.D., Driessen J.J. (1981) Simultaneous determination and pharmacokinetics of midazolam and its hydroxymetabolites in plasma and urine of man and dog by means of high performance liquid chromatography. Drug Research 31:2215-2219.
Wolfensberger R. (1993) Ketamine-climazolam anaesthesia in horses. Journal of Veterinary Anaesthesia 20:49-50.
Young S.S., Taylor P.M. (1993) Factors influencing the outcome of equine anaesthesia: A review of 1314 cases. Equine Veterinary Journal 25:147-151.