Literature DB >> 24835127

Evaluation of a romifidine constant rate infusion protocol with or without butorphanol for dentistry and ophthalmologic procedures in standing horses.

Charlotte Marly1, Regula Bettschart-Wolfensberger, Paeivi Nussbaumer, Sebastien Moine, Simone K Ringer.   

Abstract

OBJECTIVE: To compare the clinical usefulness of constant rate infusion (CRI) protocols of romifidine with or without butorphanol for sedation of horses. STUDY
DESIGN: Prospective 'blinded' controlled trial using block randomization. ANIMALS: Forty healthy Freiberger stallions.
METHODS: The horses received either intravenous (IV) romifidine (loading dose: 80 μg kg(-1) ; infusion: 30 μg kg(-1)  hour(-1) ) (treatment R, n = 20) or romifidine combined with butorphanol (romifidine loading: 80 μg kg(-1) ; infusion: 29 μg kg(-1)  hour(-1) , and butorphanol loading: 18 μg kg(-1) ; infusion: 25 μg kg(-1)  hour(-1) ) (treatment RB, n = 20). Twenty-one horses underwent dentistry and ophthalmic procedures, while 19 horses underwent only ophthalmologic procedure and buccal examination. During the procedure, physiologic parameters and occurrence of head/muzzle shaking or twitching and forward movement were recorded. Whenever sedation was insufficient, additional romifidine (20 μg kg(-1) ) was administered IV. Recovery time was evaluated by assessing head height above ground. At the end of the procedure, overall quality of sedation for the procedure was scored by the dentist and anaesthetist using a visual analogue scale. Statistical analyses used two-way anova or linear mixed models as relevant.
RESULTS: Sedation quality scores as assessed by the anaesthetist were R: median 7.55, range: 4.9-9.0 cm, RB: 8.8, 4.7-10.0 cm, and by the dentist R: 6.6, 3.0-8.2 cm, RB: 7.9, 6.6-8.8 cm. Horses receiving RB showed clinically more effective sedation as demonstrated by fewer poor scores and a tendency to reduced additional drug requirements. More horses showed forward movement and head shaking in treatment RB than treatment R. Three horses (two RB, one R) had symptoms of colic following sedation. CONCLUSIONS AND CLINICAL RELEVANCE: The described protocols provide effective sedation under clinical conditions but for dentistry procedures, the addition of butorphanol is advantageous.
© 2014 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia.

Entities:  

Keywords:  butorphanol; constant rate infusion; horse; romifidine; sedation

Mesh:

Substances:

Year:  2014        PMID: 24835127     DOI: 10.1111/vaa.12174

Source DB:  PubMed          Journal:  Vet Anaesth Analg        ISSN: 1467-2987            Impact factor:   1.648


  3 in total

1.  Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel-sealing device.

Authors:  Airina Kallmyr; Ellen M Giving; Lars O Moen; Marianne Øverlie; Therese Holm; Florent David
Journal:  Vet Surg       Date:  2020-02-06       Impact factor: 1.495

2.  Development, Validation, and Reliability of a Sedation Scale in Horses (EquiSed).

Authors:  Alice Rodrigues de Oliveira; Miguel Gozalo-Marcilla; Simone Katja Ringer; Stijn Schauvliege; Mariana Werneck Fonseca; Pedro Henrique Esteves Trindade; José Nicolau Prospero Puoli Filho; Stelio Pacca Loureiro Luna
Journal:  Front Vet Sci       Date:  2021-02-16

3.  Effect of butorphanol, midazolam or ketamine on romifidine based sedation in horses during standing cheek tooth removal.

Authors:  Theresa Maria Müller; Klaus Hopster; Astrid Bienert-Zeit; Karl Rohn; Sabine B R Kästner
Journal:  BMC Vet Res       Date:  2017-12-06       Impact factor: 2.741

  3 in total

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