Relief of pain has been one of the most persistent
pursuits of mankind. SMITHCORS Anaesthesia Anaesthesia is used to denote loss of sensation to any part or whole of the body, produced by agents which depress the activity of nervous tissue either locally or centrally. It is a reversible process Terminology Local Anaesthesia is a loss of sensation in a limited body area. Regional Anaesthesia is a loss of sensation or insensibility in larger, but limited area. General Anaesthesia is complete unconsciousness. Surgical Anaesthesia is a state of unconsciousness, where adequate muscular relaxation is produced to perform surgical operation painlessly. Terminology Analgesia is a relief from pain Tranquilization is a state of behavioral change in which the patient is relaxed but unconcerned of his surroundings. Sedation is a state of mild degree central depression,when the patient is awake but calm. Narcosis is a state of deep sleep accompanied by analgesia. Hypnosis is an artifically induced sleep and results from moderate depression of central nervous system. Selection of Anaesthetic agent Time required to perform a surgical procedure and the amount of help available. The metabolic rate of an animal Age of animal Breed Specie differences Type of surgery Physical state or health of animal Availability of equipment and personnel Preanaesthetic Agents Used to prepare patient for administration of anaesthetic agents reduce slivary gland secretion and amount of general anaesthesia Easier restraint Prevent vomition Block vagovagal reflex Reduce pain Preanaesthetic Agents Preanaesthetic agents can be broadly classified into four categories 1. Anticholinergics 2. Morphine and its substitutes 3. Tranquilizers 4. Neuroleptanalgesic agents (Tranquilizer-narcotic combinations) Anticholinergics Atropine sulphate: Antisialogogue Increase heart rate by blocking vagus Bronchial musculature is relaxed Avoid in tachycardia Horse 40-60 mg I.M Hyoscine Glycopyrrolate Morphine and its derivatives Morphine: good sedation Good analgesic Depress respiratory center and produces bradycardia Horse 60mg I.M. or Sub cut Fentanyl: 50 times as potent as morphine Cause bradycardia Used in neuroleptanalgesia mixture with droperidol Horse 0.2 mg/kg Morphine and its derivatives Butorphenol: used in horses for analgesia Sedative effect with alfa-2 adrenoreceptors agonists Horse 0.1 to 0.4 mg/kg Pentazocine: Used for relief of colic pain in horses Horse 0.5 to 4 mg/kg orally 0.33 mg/kg I.V. Tranquilizers Useful in vicious and nervous animals Sedative and calming effect Antiemetic properties Potentiate action of narcotics and anaesthetics Some cause central depression Tranquilizers Chlorpromazine hydrochloride(largactil): Antiemetic Central depressent Not preffered in horses as it decreases blood pressure giving rise to panic due to muscle weakness. Horse 0.4 mg/kg I.M. Methotrimeprazine: More effective than chlorpromazine Horse 0.5 mg/kg I.M. Tranquilizers Acetylpromazine meleate (Acepromazine) Tranquilizer of choice for large and small animals Potent tranquilizer in veterinary practice Central nervous depressent Antiemetic Anticonvulsant Hypothermic Hypotensive Antispasmodic Alfa-2 Adrenoceptor agonists Xylazine: Potent non-narcotic sedative Analgesic Muscle relaxant Horse 1mg/kg I.V., 2 mg/kg I.M. Detomidine: Sedation in horses Dose dependent sedation Horse 10-100g/kg. I.V or I.M. 10-20 g/kg suitable for sedation Neuroleptanalgesic agents Innovar-Vet (Fentanyl citrate and droperidol) Analgesic and tranquilizer combination Reduction to painful stimuli Methadone- Acepromazine: Effective and reliable chemical restraint for horses Mixture of 50mg of methadone and 50mg acepromazine, sufficient for about 500 kg horse Local Anaesthetics Procaine hydrochloride Used widely Non-irritant to tissues Non-toxic Mucous membrane penetration is low Tetracaine Corneal anaesthesia Lignocaine hydrochloride(lidocaine)2-3% Injectible anaesthetic agent Extreme depression Mepivacaine hydrochloride(carbocaine) Equine lameness Ethyl chloride Short duration Surface anaesthesia Drugs administered with local anaesthetic agents Epinephrine Hyaluronidase Local Anaesthesia Surface Anaesthesia Infiltration Anaesthesia Field block Intrasynvial Anaesthesia