Izquierdo-Moreno Jorge, de Paz Marta Illán, Manso-Díaz Gabriel, Villalba-Orero María, López-Sanromán Javier
Department of Animal Medicine and Surgery, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
Equine Vet J. 2025 May;57(3):798-805. doi: 10.1111/evj.14207. Epub 2024 Aug 14.
An accurate evaluation of the degree of sedation is mandatory to adjust the dosage of sedative drugs.
To determine the correlation between head height above the ground and ataxia degree in horses sedated with detomidine and the correlation existing between accelerometric variables and both parameters.
In vivo experiment.
Twelve horses were given 0.01 mg/kg of detomidine hydrochloride iv. Measured accelerometric parameters, with one accelerometer positioned between both sacral tuberosities, included speed, stride frequency and length, regularity, dorsoventral, longitudinal, mediolateral and total accelerometric activities, relative force index and dorsoventral, longitudinal and mediolateral parts of the accelerometric activities. Head height above the ground (cm) and subjective ataxia degree were also measured. Baseline values (-15 min) and values measured 5 and 15 min after the injection and then every 15 min for a period of 2 h were obtained.
There was a negative and strong correlation between head height above the ground and ataxia degree (Pearson r = -0.78, p < 0.001), particularly during the first 45 min. A significant correlation was found between head height above the ground and almost all accelerometric parameters. This correlation was very strong with stride frequency, regularity and dorsoventral and total accelerometric activities in both cases, but for ataxia, also with total accelerometric activity.
Experimental conditions may not represent real clinical situations.
Stride frequency and regularity are the most reliable parameters to determine degree of sedation and are related to the sedation produced. Ataxia should not be considered a separate property of sedation and does not need to be assessed separately to the depth of sedation.
准确评估镇静程度对于调整镇静药物剂量至关重要。
确定用右美托咪定镇静的马匹中地面以上头部高度与共济失调程度之间的相关性,以及加速度计变量与这两个参数之间存在的相关性。
体内实验。
给12匹马静脉注射0.01mg/kg盐酸右美托咪定。使用一个加速度计置于两荐结节之间测量加速度计参数,包括速度、步频和步长、规律性、背腹向、纵向、内外侧和总加速度计活动、相对力指数以及加速度计活动的背腹向、纵向和内外侧部分。还测量地面以上头部高度(厘米)和主观共济失调程度。获取基线值(-15分钟)以及注射后5分钟和15分钟时测量的值,然后每15分钟测量一次,持续2小时。
地面以上头部高度与共济失调程度之间存在强烈的负相关(Pearson r = -0.78,p < 0.001),特别是在最初45分钟内。发现地面以上头部高度与几乎所有加速度计参数之间存在显著相关性。在两种情况下,这种相关性与步频、规律性以及背腹向和总加速度计活动都非常强,但对于共济失调,也与总加速度计活动相关。
实验条件可能不代表实际临床情况。
步频和规律性是确定镇静程度最可靠的参数,并且与所产生的镇静作用相关。不应将共济失调视为镇静的一个单独特性,并且不需要与镇静深度分开评估。