title: Anesthesia and analgesia for standing equine surgery.
abstract: Morbidity and mortality rate in equine anesthesia is still unacceptably high. Thus it is critical contemplating whether the benefit of general anesthesia for a specific patient and procedure outweighs the risks. Sedative protocols that would allow performing diagnostic and surgical procedures with the patient remaining standing would therefore be ideal. Infusion of short-acting agents allows to rapidly achieve a titratable steady state of sedation. Supplementing sedatives and tranquilizers with systemic analgesic or regional anesthetic techniques (i.e. epidurals) facilitates standing surgical procedures. Multimodal analgesia would also provide superior analgesia with potentially fewer side effects than a single agent approach.
authors.affiliation: Department of Small Animal Clinical Science, College of Veterinary Medicine, University of Florida, 2015 Southwest 16th Avenue, Gainesville, FL 32608, USA. Electronic address: alessio.vigani@gmail.com.
authors.forename: Alessio
authors.initials: A
authors.lastname: Vigani
authors.affiliation: Department of Large Animal Clinical Science, College of Veterinary Medicine, University of Florida, 2015 Southwest 16th Avenue, Gainesville, FL 32608, USA.
authors.forename: Fernando L
authors.initials: FL
authors.lastname: Garcia-Pereira
mesh_terms: D058647:Adrenergic alpha-2 Receptor Agonists / Q000627:therapeutic use; D000698:Analgesia / Q000379:methods / Q000662:veterinary*; D000768:Anesthesia, General / Q000379:methods / Q000662:veterinary*; D000818:Animals; D005260:Female; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses / Q000601:surgery*; D059408:Pain Management / Q000662:veterinary; D010149:Postoperative Pain / Q000188:drug therapy / Q000517:prevention & control / Q000662:veterinary; D011247:Pregnancy; D013514:Surgical Procedures, Operative / Q000662:veterinary*
chemical_list: D058647:Adrenergic alpha-2 Receptor Agonists
keywords: Epidural catheterization; Epidural equine analgesia; Equine Anesthesia; Standing equine surgery; Standing sedation