USE OF NEOSTIGMINE AS AN ADDITIVE TO LIGNOCAINE AND BUPIVACAINE FOR EPIDURAL ANAESTHESIA IN COW CALVES
Loading...
Date
2006
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
AAU, Anand
Abstract
A study on epidural anaesthesia was conducted in 24 cow calves allotted to 4 groups of 6 each by injecting the drug(s) into the first intercoccygeal site. In group A, 2% Hgnocaine hydrochloride @ 0.2mg/kg b.wt.; in group B, combination of 2% lignocaine hydrochloride @ 0.2mg/kg b.wt. with neostigmine 250µg; in group C, 0.5% bupivacaine @ 0.1mg/kg b.wt. and in group D, combination of 0.5% bupivacaine @ 0.1mg/kg b.wt. and neostigmine 250µg were injected epidurally through first intercoccygeal site. The total volume for epidural injection was kept constant (2ml) by adding normal saline solution in all the individuals. The efficacy of each drug alone and in combination was evaluated by observing induction time, return of reflex, duration of anaesthesia, heart and respiration rates, rectal temperature at 0, 5, 10, 15, 30 and 60 minutes interval after injection. Onset of anaesthesia was found to be significantly (P < 0.05) early in animals of group D as compared to animals of groups B and C, however, inspite of longer time for onset no significant difference was observed in animals of group A as compared to the animals of group D. Duration of anaesthesia was found to be significantly longer (P < 0.05) in animals of group D as compared to animals of other groups. Moreover, duration of anaesthesia also significantly differ (P < 0.05) in animals of groups B and C as compared to animals of group A, however, no significant difference was observed in animals of groups B and C.Return of pinprick reflex was earliest in the animals when lignocaine HCl was used alone (group A) whereas it was almost similar when lignocaine-neostigmine combination (group B), and bupivacaine alone (group C) were used. However, it was much delayed when bupivacaine-neostigmine combination (group D) was used. Animals developed loss of hindlimb co-ordination i.e. ataxia whenever lignocaine HCl alone (group A) was used, however, all the animals of this group were standing throughout the period of study upto 60 min. post injection, whereas, animals of other groups did not showed any signs of ataxia. Analgesia was restricted only to the base of tail when pin prick reflex made in animals of group D where bupivacaine was used in combination with neostigmine, whereas, analgesia was present on entire tail in animals of other groups. In all the groups, alterations in mean heart and respiration rates and rectal temperature observed at various time intervals were non-significant and remained within the normal physiological limits throughout the period of study. Side effects such as ataxia was seen in some animals wherein lignocaine HCl was used. The present study infers that epidural neostigmine in combination with Hgnocaine HCL and bupivacaine is safe, effective and well tolerated by cow calves and as caudal additive to lognocaine HCl and bupivacaine increased the duration of analgesia vis-a-vis when used alone.
Description
Keywords
VETERINARY SURGERY, A STUDY