Effects of a Caudal Epidural Anesthesia Using Midazolam With or Without Lidocaine to Perform an Endometrial Biopsy in Mares

Prevalence rates of Babesia caballi and Theileria equi in the horse population of northern Spain: a serological and molecular study

Equine piroplasmosis (EP), a tick-borne disease caused by Babesia caballi and Theileria equi, is of significant concern due to its impact on the international horse trade. According to standards established by the World Organisation for Animal Health (WOAH), horses imported from EP-endemic regions must have a certificate confirming negative serological and molecular test results. In EP-free countries, only seronegative horses are allowed to enter. This entails economic losses for endemic regions such as Spain. Our study aimed to assess the prevalence of B. caballi and T. equi in horses from northern Spain and to compare indirect fluorescent antibody tests (IFAT) with polymerase chain reaction (PCR) regarding diagnostic accuracy. In March 2019, blood samples were collected from 50 horses at a slaughterhouse in Zaragoza. The horses originated from meat farms in the Pyrenees and Cantabrian coastal regions, including northern Cantabria, the Basque Country, and Navarre. Serological results revealed a prevalence of 50% for B. caballi, 30% for T. equi, and 16% for mixed infections, with an overall EP prevalence of 64%. PCR results confirmed 22% positive for B. caballi, 42% for T. equi, and 16% for both parasites in one animal, showing an overall EP prevalence of 54%. Our study underscores the critical need for combining serological and molecular diagnostic tests to accurately identify carriers and active infections, with the goal of ensuring safe animal movement and controlling EP transmission.

Loco-Regional Anaesthesia during Standing Laparoscopic Ovariectomy in Equids: A Systematic Review (2003-2023) of the Literature

Laparoscopic ovariectomy is generally performed with equids in the standing position, with the animals heavily sedated and restrained in stocks. This procedure may be quite painful, and it is essential first to manage intraoperative pain to complete the surgery, respecting the animal's welfare and, at the same time, ensuring the safety of the operators. Laparoscopy requires multiple small incisions to introduce the instruments, with one to two incisions enlarged sufficiently to remove the ovary. The surgical procedure must be associated with effective pain control, usually obtained with loco-regional anaesthesia, mesovarian injection, mesovaric or ovarian topical anaesthesia, and epidural anaesthesia. This systematic review aims to discuss articles published from 2003 to 2023 on treating loco-regional anaesthesia in standing laparoscopic ovariectomy in association with an evaluation of pain. The literature review was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines on three databases (NCBI-PubMed, Web of Science, and SciVerse Scopus). Despite the collected papers numbering 36, we identified only five eligible papers, demonstrating that few studies are performed in order to evaluate the quality of analgesia with loco-regional anaesthesia in standing laparoscopic ovariectomy in equids. The authors of this systematic review agree that the association of injectable and epidural anaesthesia is the best solution to manage intraoperative pain in standing laparoscopic ovariectomy in equids.

Analgesic and Sedative Effects of Epidural Lidocaine-Xylazine in Elective Bilateral Laparoscopic Ovariectomy in Standing Mule Mares

Simple Summary

Elective bilateral ovariectomy in mule mares is recommended to correct undesirable behaviour effects related to oestrus and also in order to improve work performance. This procedure is usually carried out in a standing position with a combination of sedative and analgesic drugs along with local anaesthesia of the ovarian pedicles. The aim of the study was to evaluate the effects of epidural lidocaine-xylazine in sedated standing mules undergoing elective bilateral laparoscopic ovariectomy. The findings suggest that no significant changes were found in heart rate, respiratory rate, rectal temperature with respect to baseline values. Sedation and analgesia were satisfactory in six out of the eight mules. Epidural analgesia with lidocaine-xylazine may be a good alternative to local anaesthetics infiltration of the ovarian pedicle for elective bilateral laparoscopic ovariectomy in standing mule mares, but further studies should be performed.

Abstract

The purpose of this study was to determine the analgesic efficacy and safety of epidural lidocaine-xylazine administration in standing mules undergoing elective bilateral laparoscopic ovariectomy in order to suppress unwanted behaviour. Eight mule mares were sedated with intramuscular 0.05 mg/kg acepromazine followed by 1.3 mg/kg of xylazine and 0.02 mg/kg of butorphanol intravenously. Sedation was maintained by a constant rate infusion of 0.6 mg/kg/h of xylazine. The paralumbar fossae were infiltrated with 30 mL of 2% lidocaine. Epidural anaesthesia was performed at the first intercoccygeal space with 0.2 mg/kg of lidocaine and 0.17 mg/kg of xylazine. After 15 min, bilateral laparoscopic ovariectomy was performed. Heart rate, respiratory rate, rectal temperature, invasive arterial blood pressure, degree of analgesia, sedation and ataxia were evaluated during surgery. The laparoscopic ovariectomy was successfully completed in all animals. Sedation and analgesia were considered satisfactory in six out of the eight mules. In conclusion, caudal epidural block allowed surgery to be easily completed in six out of eight. The animals did not show any signs of discomfort associated with nociception and were mostly calm during the procedures, however additional studies are needed to establish epidural doses of xylazine and lidocaine that result in reliable abdominal pain control in mules for standing ovariectomy.