Sedation management for standing enucleation of the left eye in a 37 years old horse with decompensated left heart failure

Sedation management for standing enucleation of the left eye in a 37 years old horse with decompensated left heart failure

Sedierungsprotokoll für die Enukleation am stehenden Patienten bei einem 37 jährigen Pferd mit kongestivem Linksherzversagen

Hopster K, Kästner S

DOI: 10.21836/PEM20130506
Year: 2013
Volume: 29
Issue: 5
Pages: 616-620

A 37 year old Arabian horse was presented for enucleation. Because of decompensated left heart failure and pulmonary oedema the decision for surgery in a standing position was made. The horse was sedated with acepromazine, levomethadone and xylazine and the supraorbital, lacrimal, infratrochlear and zygomatic nerve were blocked for desensitizing of the eyelids. In addition, an auriculopalpebral and a retrobulbar block were performed to obtain palpebral akinesia and to prevent the occurrence of the oculocardiac reflex. The eye was enucleated without any adverse effects with the horse standing calm and stable without any signs of pain.