Distal paravertebral block anesthesia with a mixture of lidocaine and xylazine has a longer duration than a lidocaine block coupled with intramuscular xylazine in steers

Kelley M. Varner College of Veterinary Medicine, North Carolina State University, Raleigh, NC

Search for other papers by Kelley M. Varner in
Current site
Google Scholar
PubMed
Close
 DVM, DACVAA
,
Maya Keefer College of Veterinary Medicine, North Carolina State University, Raleigh, NC

Search for other papers by Maya Keefer in
Current site
Google Scholar
PubMed
Close
 BS
,
Margaret Mooring College of Veterinary Medicine, North Carolina State University, Raleigh, NC

Search for other papers by Margaret Mooring in
Current site
Google Scholar
PubMed
Close
 BS
,
Sarah Klein College of Veterinary Medicine, North Carolina State University, Raleigh, NC

Search for other papers by Sarah Klein in
Current site
Google Scholar
PubMed
Close
 DVM, DACVAA
, and
Kim Love K. R. Love Quantitative Consulting and Collaboration, Athens, GA

Search for other papers by Kim Love in
Current site
Google Scholar
PubMed
Close
 PhD

Abstract

OBJECTIVE

To determine whether the site of administration of xylazine alters its impact on lidocaine’s duration of action when administered as a distal paravertebral block (DPV) in steers.

METHODS

6 healthy steers were used. Unilateral DPVs were performed at L1, L2, and L4. Each steer received 2 treatments in a blinded random crossover study. The local xylazine treatment group received 6 mg of lidocaine/kg mixed with 0.02 mg of xylazine/kg as a DPV, followed by an injection of 0.9% NaCl in the cervical musculature. The systemic xylazine treatment group received 6 mg of lidocaine/kg as a DPV and 0.02 mg of xylazine/kg in the cervical musculature. Sensation was assessed by response to needle pricks along the paralumbar fossa with a 22-gauge hypodermic needle. The time of onset, duration of action, sedation score, and heart rate were compared between treatments. Data are reported as mean ± SD. This study was completed over a 2-week period in May 2023.

RESULTS

The duration of anesthesia was significantly prolonged after DPV in steers treated with local xylazine (186.7 ± 58.7 minutes) compared to systemic xylazine (95 ± 36.3 minutes). Both treatments were associated with mild decreases in heart rate and sedation but were not significantly different between groups.

CONCLUSIONS

The addition of xylazine to lidocaine when administered as a DPV provides a longer duration of anesthesia than when xylazine is administered at a distant site to local anesthetic solution deposition.

CLINICAL RELEVANCE

The combination of lidocaine and xylazine when administered as a DPV prolongs the duration of action of lidocaine and is a practical, inexpensive technique.

Abstract

OBJECTIVE

To determine whether the site of administration of xylazine alters its impact on lidocaine’s duration of action when administered as a distal paravertebral block (DPV) in steers.

METHODS

6 healthy steers were used. Unilateral DPVs were performed at L1, L2, and L4. Each steer received 2 treatments in a blinded random crossover study. The local xylazine treatment group received 6 mg of lidocaine/kg mixed with 0.02 mg of xylazine/kg as a DPV, followed by an injection of 0.9% NaCl in the cervical musculature. The systemic xylazine treatment group received 6 mg of lidocaine/kg as a DPV and 0.02 mg of xylazine/kg in the cervical musculature. Sensation was assessed by response to needle pricks along the paralumbar fossa with a 22-gauge hypodermic needle. The time of onset, duration of action, sedation score, and heart rate were compared between treatments. Data are reported as mean ± SD. This study was completed over a 2-week period in May 2023.

RESULTS

The duration of anesthesia was significantly prolonged after DPV in steers treated with local xylazine (186.7 ± 58.7 minutes) compared to systemic xylazine (95 ± 36.3 minutes). Both treatments were associated with mild decreases in heart rate and sedation but were not significantly different between groups.

CONCLUSIONS

The addition of xylazine to lidocaine when administered as a DPV provides a longer duration of anesthesia than when xylazine is administered at a distant site to local anesthetic solution deposition.

CLINICAL RELEVANCE

The combination of lidocaine and xylazine when administered as a DPV prolongs the duration of action of lidocaine and is a practical, inexpensive technique.

All Time Past Year Past 30 Days
Abstract Views 59 59 0
Full Text Views 511 511 399
PDF Downloads 285 285 220
Advertisement