Equine Anesthesia: Wake Me When It’s Over

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It’s that time of year. It’s always a good sign when you’ve made it through February without any colic problems in your barn. Everyone always warns about what they call “winter colic” as winter is coming on, but the problems that cause colic–not drinking enough water, too little or irregular exercise, disruptive changes in routines because of weather, and all the rest–can have cumulative effects. The colic warning signs might not be obvious right away, but if you have problems, you’ll know it by the time  February comes. And making it through doesn’t mean the risk is over, but horses should soon be getting back to more active schedules and be less impacted by inclement weather.

Nevertheless, some unfortunate horses and owners will be headed to local vet hospitals or regional university clinics and some will find out that it is necessary to have surgery. Colic surgery is very common now, and you might hear about it all the time, but you’ll hear about the intestinal details. Most owners won’t hear about the anesthesia that will be needed for their horses to undergo the surgery, or the induction process and recovery protocol that the hospital uses.

Anesthesia is nothing to be afraid of, but the vet clinic staff will get very serious as they hand you the permission forms for your horse before any surgical preparation can begin. It’s not unlike the process you’d go through at a hospital for a family member who needs surgery, but many horse owners are completely unaware of what anesthesia means for a horse, and there is very little information available to them to find out before they’re in a highly-charged, emotional situation as their horse faces a serious problem.

Jurga Report: Barbaro after orthopedic surgery at University of Pennsylvania's George Widener Hospital at New Bolton Center

Who could forget this compelling image of Barbaro being lowered into the University of Pennsylvania's special anesthesia recovery pool after surgery in 2006? (University of Pennsylvania photo)

That’s why I put together this blog post, and I hope you’ll watch these videos even if you think your horse will never, ever be a candidate for surgery. Anesthesia does have its risks–everyone has heard the horror stories about horses emerging from an anesthetic haze in a panic–but modern veterinary medicine has developed protocols to make it as safe as possible for your horse.

Every hospital uses a slightly different system, depending on their available space, equipment and staff on hand. Sometimes emergency surgery is done on with no time to spare, and perhaps little time to explain to the owner what is going on. And in the middle of the night, no one may be around to hold your hand…or keep you from biting your nails off.

Ah, but the University of Minnesota College of Veterinary Medicine has prepared this little video, which is relevant whether your horse is having orthopedic surgery, colic surgery, or some other procedure that requires surgical procedures.

In the Minnesota video, you will be guided by Ronald Mandsager DVM, DACA. “DACA” means that Dr. Mandsager is a Diplomate of the American College of Veterinary Anesthesiologists.

Picaro in CT scanner at Tufts University large animal hospital

A horse in the CT scanner at the Tufts University's Cummings School's Hospital for Large Animals is constantly connected to anesthesia systems. (Tufts University photo)

The term “anesthesia” technically covers general anesthesia (meaning that the horse is rendered unconscious), as well as other anesthetizing methods such as standing sedation and the more common local anesthesia, which prevents the horse from feeling pain in a specific area of its body, such as part of a lower limb during lameness diagnosis.

General anesthesia makes it possible for the horse to be worked on in a recumbent (on its back) position in a sterile environment. An anesthesia assistant will monitor the horse and the anesthesia administration system while the surgeon and assistants concentrate on the procedure.

Horses scheduled for high-field MRI scanning, in which the horse has to be lying down, will also need general anesthesia. Standing MRI scans require sedation.

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In Kentucky, the always-busy Rood and Riddle Equine Hospital‘s surgery schedule runs like clockwork, and the equine anesthesia process is a team project, both in induction and recovery. The team members know what is normal, and what’s not. Notice how much of the Rood and Riddle protocol in this video mirrors the Minnesota plan, but has its own variations.

You can expect some slight variation wherever your horse may be hospitalized.

I hope you never need this information, but it’s good to know. If you can, attend an open house at your local vet hospital or at a regional university equine hospital. Chances are, they will demonstrate or show videos of how they administer anesthesia, and you’ll have a chance to ask plenty of questions that you can file away for “what if…” use. You might want to ask about anesthesia for older horses, or miniature horses, if that is relevant for you, or what might be different for foals, and the staff will have time for answers.

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Posted in Fran Jurga, The Jurga Report, anesthesia, hospital, surgery, veterinary | Tagged , , , , , , , , , , , , , , , , , , | 5 Comments

5 Responses to “Equine Anesthesia: Wake Me When It’s Over”

  1. Great information Fran! Thanks for sharing! Sorry I missed you at AAEP and the Hoof Summitt was a weather issue! Still do not like snow in central Texas. Take care and thanks again for all of your information.

    Debbie

  2. [...] original here: Equine Anesthesia: Wake Me When It's Over Related Posts:Inland Empire Dinner Theatre – Mask Anesthesia Remove Google Chrome. Kardashian [...]

  3. Erin Gilmore says:

    Nice videos. I worked in a surgery during college and helping those horses into and out of anesthesia was a process that I’ll never forget!

  4. Fran Jurga says:

    Thanks, Erin! I’m glad you survived and hopefully the horses did too! It’s something that really fascintates me…maybe it all started with Ruffian, though I didn’t have the heart to bring her up.

  5. angela says:

    Unfortunately, my very healthy horse that was in an equine hospital for a elective arthroscopic surgery was one of the statistics. She made it through the one hour surgery fine, but came out paralized in the hindlegs. She tried to stand up every 15-20min for almost two dyas before she expired from respitory arrest (probably from all the drugs she received). The surgeon said that the mortality rate for horses is 1.5%. Maybe you could add that or some research on that to this great info.
    Wouldn’t have changed my mind about the surgery, but food for thought.

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