Court M H
Department of Pharmacology and Experimental Therapeutics, Sackler School of Graduate Biomedical Sciences, Tufts University, Boston, MA, USA.
Clin Tech Small Anim Pract. 1999 Feb;14(1):38-43. doi: 10.1016/S1096-2867(99)80025-5.
The sighthounds are an ancient group of dog breeds that have been selectively bred for high-speed pursuit of prey by sight. Probably as a consequence of this selection process, these dogs have a number of idiosyncrasies that can potentially adversely affect their anesthetic management. These include (1) nervous demeanor which can lead to stress-induced clinical complications, such as hyperthermia; (2) lean body conformation with high surface-area-to-volume ratio, which predisposes these dogs to hypothermia during anesthesia; (3) hematological differences such as a higher packed cell volume and lower serum protein compared with other dog breeds which may complicate interpretation of preanesthetic blood work; (4) Impaired biotransformation of drugs by the liver resulting in prolonged recovery from certain intravenous anesthetics, especially thiopental; and increased risks of drug interactions. Safe anesthetic management of sighthounds should include sedative premedication and appropriate use of analgesic drugs to minimize perioperative stress. Thiopental, or any other thiobarbiturate, should not be used in these dogs. Propofol, ketamine/diazepam combination, and methohexital are recommended alternative intravenous anesthetics. Avoid coadministration of agents that inhibit drug biotransformation, such as chloramphenicol. Inhalation anesthesia using isoflurane is the preferred anesthetic maintenance technique. Core body temperature should be monitored closely and techniques to minimize hypothermia should be employed both during anesthesia and into the recovery period.
视觉猎犬是一类古老的犬种,它们经过选择性培育,用于依靠视觉高速追捕猎物。可能由于这种选育过程,这些犬有一些特质,可能会对其麻醉管理产生潜在的不利影响。这些特质包括:(1)神经质的举止,这可能导致应激引起的临床并发症,如体温过高;(2)身体瘦长,表面积与体积之比高,这使这些犬在麻醉期间易发生体温过低;(3)血液学差异,如与其他犬种相比,红细胞压积较高,血清蛋白较低,这可能使麻醉前血液检查结果的解读复杂化;(4)肝脏对药物的生物转化受损,导致从某些静脉麻醉剂,尤其是硫喷妥钠中恢复的时间延长,以及药物相互作用的风险增加。视觉猎犬的安全麻醉管理应包括镇静前用药和适当使用镇痛药,以尽量减少围手术期应激。不应在这些犬中使用硫喷妥钠或任何其他硫代巴比妥酸盐。推荐使用丙泊酚、氯胺酮/地西泮组合和甲己炔巴比妥作为替代静脉麻醉剂。避免同时使用抑制药物生物转化的药物,如氯霉素。使用异氟醚进行吸入麻醉是首选的麻醉维持技术。应密切监测核心体温,在麻醉期间和恢复期间都应采用尽量减少体温过低的技术。