The effect of intra‐articular mepivacaine administration prior to carpal arthroscopy on anesthesia management and recovery characteristics in horses. Issue 7 (31st August 2020)

• Record Type: Journal Article
• Authors: Gaesser, Angela M.; Varner, Kelley M.; Douglas, Hope F.; Barr, Ciara A.; Hopster, Klaus; Levine, David G.
• Is Part Of: Veterinary surgery. Volume 49:Issue 7(2020)
• Page Start: 1343
• Page End: 1349
• Publication Date: 2020-08-31
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/vsu.13501
• Languages: English
• ISSNs: 0161-3499

Abstract

Abstract: Objective: To evaluate the effects of intra‐articular (IA) mepivacaine administration prior to carpal arthroscopy on anesthetic drug requirements, blood pressure support, hemodynamic variables, and quality of recovery in horses. Study design: Experimental, analytical, cohort study. Sample population: Twenty‐two horses (n = 11 horses/group). Methods: Horses were anesthetized by using the same protocol, but an IA injection of mepivacaine or saline was performed before carpal arthroscopy. End‐tidal isoflurane concentration, heart rate, and mean arterial pressure were recorded at specific time points. Quality of recovery was scored by the anesthetist, who was unaware of group assignment. Data were analyzed by using two‐way repeated‐measures analysis of variance. Results: Mean arterial pressure was higher during joint distension in the control group compared with baseline (7% higher, P = .02) and with the treatment group (10% higher, P = .04). Heart rate was higher in the control group compared with the treatment group during joint distension (8% higher, P = .04) and chip removal (11% higher, P = .03). Heart rate was higher in the control group compared with baseline during chip removal (5.5% higher, P = .04). Two horses in the control group required additional ketamine vs none in the treatment group. Quality of recovery was not different between groups. Conclusion: Intra‐articular mepivacaine resulted in fewer detectable reactions to surgical stimulation, with similar recovery scores and blood pressure support requirements. Clinical significance: Intra‐articular anesthesia prior to arthroscopy can be used safely in the horse and should be considered as a part of balanced anesthetic protocols.