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Neostigmine Combined or Not With Lidocaine for Epidural Anesthesia in Mares

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Abstract Only a few studies have examined the effect of neostigmine combined with lidocaine on epidural anesthesia in gelding horses. The purpose of this investigation was to evaluate clinical effects,… Click to show full abstract

Abstract Only a few studies have examined the effect of neostigmine combined with lidocaine on epidural anesthesia in gelding horses. The purpose of this investigation was to evaluate clinical effects, ataxia, and the sensory block duration caused by adding neostigmine to epidural lidocaine in mares. Three independent treatments including neostigmine (NEOST), 2% lidocaine (LIDO), or 2% lidocaine combined with neostigmine (LIDO + NEOST) were administered to six mares using epidural catheters. Each animal received all treatments. A cutaneous pinprick nociception test with fine needle was used in perianal, sacral, and lumbar dermatomes in both antimeres. The response (attempt to kick, movement of the limbs, tail, or head toward the stimulus) was assessed immediately before and after each treatment (every 15 minutes in the first hour, and then every 30 minutes thereafter until the animal would go back to basal response). Analysis of variance ( P P > .05). No relevant changes in clinical and behavioral parameters were observed. In conclusion, adding neostigmine to lidocaine has not brought any relevant benefits to the epidural anesthesia in clinically normal mares.

Keywords: neostigmine combined; lidocaine epidural; anesthesia mares; combined lidocaine; epidural anesthesia

Journal Title: Journal of Equine Veterinary Science
Year Published: 2017

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