How to score sedation and adjust the administration rate of sedatives in horses: a literature review and introduction of the Ghent Sedation Algorithm

Autor(es)

Schauvliege, Stijn ^[1] ; Cuypers, Charlotte ^[1] ; Michielsen, Anneleen ^[1] ; Gasthuys, Frank ^[1] ; Gozalo-Marcilla, Miguel ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Univ Ghent, Fac Vet Med, Dept Surg & Anaesthesia Domest Anim, Salisburylaan 133, B-9820 Merelbeke - Belgium

^[2] Sao Paulo State Univ UNESP, Fac Vet Med & Anim Sci, Dept Vet Surg & Anaesthesiol, Botucatu, SP - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: VETERINARY ANAESTHESIA AND ANALGESIA; v. 46, n. 1, p. 4-13, JAN 2019.
• Citações Web of Science: 2

Resumo

Objective To summarize the different methods used to assess sedation and/or adjust the dose or administration rate of alpha-2 agonists in horses and to propose an algorithm to adjust the administration rate of a constant rate infusion of an alpha-2 agonist in horses. Databases used PubMed and Web of Science; search terms: horse, sedation and score. Conclusions Most authors distinguish between sedation depth, sedation quality and degree of ataxia. These three features are evaluated using scoring systems similar to those classically used to assess pain, i.e. simple descriptive scales, numerical rating scales (NRS), visual analogue scales and/or multifactorial sedation scales. In addition, head height above the ground is often used as a measure of the depth of sedation. Very few authors have described how to adjust the administration rate or dose of alpha-2 agonists. Based on the available literature, the Ghent Sedation Algorithm was developed, which assigns scores (NRS) for degree of ataxia, sedation depth and surgical conditions, and uses these to prescribe changes in the administration rate of constant rate infusions of alpha-2 agonists. Studies are needed to validate this algorithm. (AU)

• Processo FAPESP: 17/01425-6 - Aplicação clínica de diferentes taxas de infusão de detomidina e metadona em cavalos em estação.
• Beneficiário: Miguel Gozalo Marcilla
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Pós-Doutorado
• Processo FAPESP: 14/00474-5 - Efeitos antinociceptivos e farmacocinética em equinos tratados com diferentes doses baixas de metadona e detomidina
• Beneficiário: Miguel Gozalo Marcilla
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado