Effect of Pre- and Post-Operative Phenylbutazone and Morphine Administration on the Breathing Response to Skin Incision, Recovery Quality, Behavior and Cardiorespiratory Variables in Horses Undergoing Fetlock Arthroscopy. A Pilot Study.

This prospective blinded randomized study aimed to determine whether the timing of morphine and phenylbutazone administration affects the breathing response to skin incision, recovery quality, behavior and cardiorespiratory variables in horses undergoing fetlock arthroscopy.Ten Standardbred horses were premedicated with acepromazine (0.04 mg kg-1 IM) and romifidine (0.04 mg kg-1 IV). Anesthesia was induced with diazepam (0.05 mg kg-1) and ketamine (2.2 mg kg-1) IV at T0. Horses in group PRE (n = 5) received morphine (0.1 mg kg-1) and phenylbutazone (2.2 mg kg-1) IV after induction and an equivalent amount of saline after surgery. Horses in group POST (n = 5) received the inversed treatment. Anesthesia was maintained with isoflurane 2% in 100% oxygen. Hypotension (mean arterial pressure < 60 mmHg) was treated with dobutamine. All horses breathed spontaneously. Dobutamine requirements, respiratory rate (fR), heart rate (HR), mean arterial blood pressure, end tidal CO2, inspired (i) and expired (e) tidal and minute volume (VT and V̇E), inspiratory time (IT) and the inspiratory gas flow (VTi/IT) were measured every five minutes. Data were averaged during four 15 minutes periods before (P1, P2) and after the incision (P3, P4). Serial blood-gas analyses were also performed. Recoveries were unassisted, video-recorded and scored by three anesthetists blinded to the treatment. The post-operative behavior of the horses (25 demeanors), HR and fR were recorded at three time points before induction (T0-24h, T0-12h, and T0-2h) and six time points after recovery (TR) (TR+2, 4, 6, 12, 24, 48 h).Data were compared between groups using a Wilcoxon test and within groups using a Friedman test or a Kruskal-Wallis signed rank test when applicable.Tidal volumes (VTe and VTi) were higher in PRE than in POST during all the considered periods but the difference between groups was only significant during P2 (VTe in ml kg-1 in PRE: 13 [9, 15], in POST: 9 [8,9], p = 0.01). None of the other variables were significantly different between and within groups. Under our experimental conditions, skin incision did not affect respiratory variables. Administration of pre- versus post-operative phenylbutazone and morphine did not influence recovery quality, HR or fR