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Meperidine prolongs lidocaine caudal epidural anaesthesia in the horse
Rafael Derossi1, Ulisses Medeiros, Ricardo G de Almeida
1Department of Veterinary Medicine, Surgery and Anaesthesiology, Faculty of Veterinary Medicine, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil. derossi@nin.ufms.br
Abstract:
The aim of the study was to evaluate and compare the effects of caudal epidural administration of meperidine (MP), lidocaine (LD), and a combination of the two (MPLD) in six mature saddle horses. Horses were randomly assigned to receive three treatments (MP 0.3 mg/kg; LD 0.2 mg/kg; and MPLD: MP 0.3 mg/kg and LD 0.2 mg/kg), with at least 1 week between treatments. Drugs were injected into the epidural space between the first and second coccygeal areas in conscious standing horses. Analgesia, ataxia, sedation, cardiovascular and respiratory effects, and rectal temperature were recorded at different intervals before (baseline) and after administration. Epidural administration of MPLD resulted in a longer duration of analgesia of the tail, perineum, and upper hind limb regions than did administration of MP or LD alone.
Insights
Combining meperidine (MP) and lidocaine (LD) for epidural anesthesia in horses provided longer-lasting analgesia in the tail, perineum, and hind limbs compared to using either drug alone.
Area of Science:
- Veterinary Anesthesiology
- Equine Pharmacology
Background:
- Epidural anesthesia is utilized in equine practice.
- Meperidine (MP) and lidocaine (LD) are commonly used analgesics.
Purpose of the Study:
- To compare the efficacy of caudal epidural meperidine (MP), lidocaine (LD), and a combination (MPLD) in horses.
- To evaluate the duration of analgesia and potential side effects.
Main Methods:
- Six mature horses received MP (0.3 mg/kg), LD (0.2 mg/kg), or MPLD (MP 0.3 mg/kg + LD 0.2 mg/kg) epidurally.
- Treatments were administered with at least a 1-week interval.
- Analgesia, ataxia, sedation, cardiovascular, respiratory, and temperature effects were monitored.
Main Results:
- Epidural MPLD produced a significantly longer duration of analgesia in the tail, perineum, and upper hind limbs.
- Individual MP and LD provided shorter durations of analgesia.
Conclusions:
- The combination of meperidine and lidocaine via epidural administration offers prolonged analgesia in horses.
- MPLD is a potentially effective option for procedures requiring extended analgesia in the specified regions.
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