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Twenty-eight horses with the diagnosis of an intestinal disorder requiring surgical intervention were randomly assigned to lidocaine (n ϭ 13) or saline (control, n ϭ 15) treatment groups. After induction of anesthesia, treated horses received a loading dose of 2% lidocaine (0.65 mg/kg) intravenously, followed by a continuous rate of infusion of 1% lidocaine (0.025 mg/kg/min) until the discontinuation of anesthesia. Upon recovery from anesthesia, a 2nd loading dose of 2% lidocaine (1.3 mg/kg) was administered, followed by an infusion of 1% lidocaine (0.05 mg/kg/min) for 24 hours postoperatively. The control group received equivalent volumes of saline. Lidocaine-treated horses had significantly better minimum jejunal cross-sectional area scores (P ϭ .011), minimum jejunal diameter scores (P ϭ .002), and intestinal ultrasound index (IUI) (P ϭ .007). Peritoneal fluid was detected by percutaneous ultrasound examination in 8 of the 15 control animals but in none of the treated animals (P ϭ .003). Failure to obtain fluid via abdominocentesis was significantly more frequent for lidocaine-treated horses (P ϭ .025). No significant differences between the groups were found in the presence of gastrointestinal sounds, time to passage of 1st feces, number of defecations in the 1st 24 hours, presence of gastric reflux, duodenal or jejunal wall thickness, maximum duodenal or jejunal diameter or crosssectional area, minimum duodenal diameter or cross-sectional area, duodenal and jejunal intraluminal echogenicity, small-intestinal contractions per minute, rate of complications, or outcome. On the basis of this study, lidocaine infusion may have some desirable effects on jejunal distension and peritoneal fluid accumulation and was well tolerated perioperatively in horses with colic. The low incidence of small-intestinal lesions and gastric reflux in the study makes it difficult to assess the use of lidocaine in the prevention of postoperative ileus (POI).
Summary Ten horses admitted for lameness evaluation including bone scintigraphy had enostosis‐like lesions, described scintigraphically as focal or multifocal areas of intense increased radioisotope uptake within the medullary cavity of one or more long bones, and radiographically as one or multiple round to irregularly shaped radiopacities within the medullary cavity, often in close proximity to the nutrient foramen. There were 6 Thoroughbreds, one male, one female and 4 geldings, 3 Standardbreds, all geldings and one Appaloosa gelding; age 3–10 years. Enostosis‐like lesions were seen in the tibia (5 horses), radius (3 horses), humerus (one horse) and third metatarsal bone (MT‐III) (4 horses). The number of affected bones in each horse was 1–3. Of 16 affected limbs, there were 9 hindlimbs and 7 forelimbs. Enostosis‐like lesions were considered a possible cause of lameness in 5 horses, but were considered incidental findings in the other horses. Lesions thought to cause lameness were seen in the tibia (2 horses), MT‐III (one horse) and in the radius (4 horses). Lameness resolved after horses were rested (2–6 months) and given nonsteroidal anti‐inflammatory drugs (4 horses). Follow‐up scintigraphic examination in 3 horses (2, 6 and 9 months later, respectively) revealed normal radioisotope uptake in the affected areas.
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