Treatment of ILEUS with Lidocaine

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samjd

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Has anybody experienced this please? My daughters pony was taken ill on Sunday, showing a very mild colic, he was 1st diagnosed with an impaction but 2 hours later was being rushed off for surgery. He had twisted his bowel & was having fluxes through his nostrils. He has today started on Lidocaine to try & get the motility back in his intestine & stop the fluxes. I can only cope with positive stories at the moment please, very distressed at moment.
thank you
 
I have taken this extract from a web page off the Google search engine and I titled the search 'Ileus in horses'. I am sorry but I have no personal experience of this myself so cannot advise. I will however keep my fingers crossed and thought this information might help although it is a bit technical. I just felt sorry for you as no one else had replied to your post. Good luck, big hugs xxx

Pro-motility (prokinetic) agents
The author’s preference for a pro-motility agent is lidocaine (1.3mg/kg IV bolus, followed by 0.05mg/kg/min) because it blocks inhibitory neural pathways, and perhaps more importantly appears to have anti-inflammatory properties.17 However, correct administration of the drug requires a continuous rate infusion pump. Nonetheless, if a veterinarian wants to pursue this form of treatment, these pumps are relatively easy to use, and are readily obtainable. The side effects of lidocaine administration are muscle fasciculations and ataxia. One alternative to avoiding complications is to use the CRI dose immediately without the bolus. This drug can be administered during surgery, and may reduce the amount of gas anesthetic required to maintain anesthesia. Other agents include metoclopramide, which acts predominantly on the gastroduodenal junction, and erythromycin. Metoclopramide does have some clinical efficacy, but the neurological side effects, including hyperexcitability and agitation, can be a problem. Although these can be rapidly reversed by decreasing the rate of metoclopramide administration (it should also be given as a CRI) and sedation, horses on this medication require very close monitoring.
 
Never had any experience of this but i hope your pony can be treated and recovers well. All i can say is that if he has come out of the surgery then he stands a good chance. Good luck
 
Thank you, I have done so much research & finish up scarring myself. He's been on this drug since lunchtime yesterday, but sadly no improvement yet. We're absolutely gutted, he's such a special little chap. Thanks for your words, & thoughts.
 
Fingers crossed for you, I know exactly what you are going through mentally and emotionally right now. My mare had emergency surgery for an epoploic foramen entrapment following a colic attack and had 17 ft of intestine removed, I don't think she had the drugs that your pony's on but she had refluxes for the first 48 hours or so and it was about 10 days before we could bring her home which were a bit of a rollercoaster. She had recurring colic when they tried to bring her back onto food.
Sorry, I know you're probably sat there reading this thinking this doesn't sound very positive but my mare did pull through it all and that was 6 years ago.
Hang in there for your pony,he/ she will be in very deep shock right now following the trauma of the op so make sure you go and visit as much as possible and talk to him, the vets looking after my mare gave me some brushes so i could give her a gentle groom and she definitly responded to my attention.
I really really hope it works out for you
 
Thank you so much, things are starting to look up. he has had the drugs & fluids taken away from him so he is now having to support himself. We have had no reflux since weds night, which is a real relief. The next 24/48 hours are going to be the hard ones as he is now being allowed to graze in hand & try to get everything going again. He was allowed a bucket of water last night, sounds nothing but seems a big step! He is such a champ & his spirit must have kept him going, as he is so perky you would never believe he hadn't eaten in nearly a week. We've been visiting & brushing, I feel like a little girl again, so privileged to brush a pony!. I will update with anymore news. Thank you though for replying & so glad your mare made it through, it is pure torture. x
 
grazing apparently stimulates gut action and the digestive system so fingers crossed it all goes well. Let me know how he gets on - PM me if you ever want to know more about what I experienced with my mare x
 
Thank you for your lovely repiles, he is doing great! The vets are so pleased with his progress, heart rate is back to normal, he's now passing droppings, started some turn out & been allowed haylage, I think he has amazed them - & us- with his progress, soo looking forward to him coming home. xx
 
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Little man is home, going to be a long recovery. But thank goodness he pulled through. Lots of grazing in hand for now, not too keen on any hay or haylage at the moment, so being very spoilt with picked grass aswell! Got a sore tummy, which he doesn't like you to look at, but I think his spirit lifted coming back to his stable mates! x
 
That's really good news
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my mare was really glad to get home after her horspital trip too.............there's nothing like your own bed!
 
Still doing well! he has another 4 weeks of restricted grazing & another 10 till he can start to ridden again! So a long way to go still. But back to eating normally, & pooing properly & back to his grumpy self, thank goodness. His wound is now very well healed & has put some of the 30 kg's he lost back on, fingers crossed he carries on & makes a full recovery. Thanks to all who emailed me xx
 
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