Evidence map›Paper›PMID 41742534›Full record

ArticleJournal of veterinary internal medicine2026

An in-hospital clinical trial assessing nebulized lidocaine compared to saline for treatment of asthma in horses.

Ananya Mahalingam-Dhingra, Daniela Bedenice, Adam South, Jillian Minuto, Tyler-Jane Robins, Victoria Trautwein, Melissa Larkin, Bettina Wagner, Melissa R Mazan

Abstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ananya Mahalingam-DhingraClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.
Daniela BedeniceClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.ORCID 0000-0001-8451-8306
Adam SouthClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.
Jillian MinutoClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.
Tyler-Jane RobinsClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.
Victoria TrautweinClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.
Melissa LarkinClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.
Bettina WagnerDepartment of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, United States.
Melissa R MazanClinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, United States.ORCID 0000-0002-8366-355X

Funding

Grayson-Jockey Club Research Foundation
6 · The paper itself

Abstract

backgroundCorticosteroids are the main pharmacologic treatment for equine asthma (EA) but may have adverse effects in metabolically unstable horses. Recent pilot studies support the use of nebulized lidocaine as an alternative treatment option. HYPOTHESIS/

objectivesNebulized lidocaine will improve EA-associated clinical variables and airway inflammation. ANIMALS: Twenty client-owned horses diagnosed with EA.

methodsRandomized, blinded, in-hospital study comparing 1 mg/kg preservative-free 4% lidocaine (n = 10) nebulized via Flexineb (twice daily for 7 doses) to 0.9% saline control (n = 10). Clinical examination, endoscopy, lung function, bronchoalveolar lavage (BAL) cytology, and inflammatory cytokines in blood and epithelial lining fluid (ELF) were compared between treatment groups using univariate analyses. Global linear models were used to assess covariate impact (P < .05).

resultsThe effect of treatment on clinical variables (clinical score, lung function, mucus, and BAL cytology) did not differ between saline and lidocaine treated horses. However, the severity of EA as a covariate significantly impacted multiple baseline variables and confounded the effect of treatment type. Saline-treated horses showed significantly larger decreases in ELF tissue necrosis factor alpha (P = .04) and interferon gamma concentrations (P = .03), compared with lidocaine-treated horses, independent of covariates. CONCLUSIONS AND CLINICAL IMPORTANCE: We did not identify a difference in treatment effect of nebulized lidocaine compared to saline on clinical variables in hospitalized asthmatic horses. A longer duration of lidocaine administration or focus on severe EA may be necessary to establish treatment effects. Observed changes in lower airway cytokine concentrations suggest that saline may have more than a placebo effect in treating EA.

Indexed as

Anesthetics, LocalAsthmaHorse DiseasesLidocaineSaline SolutionAnimalsBronchoalveolar Lavage FluidCytokinesFemaleHorsesMaleNebulizers and VaporizersAnesthetics, LocalCytokinesLidocaineSaline Solutionequine asthmanebulized lidocainenebulized saline

Identifiers

PMID41742534
PMCPMC12881962

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.