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宠物兔的镇静与麻醉

Sedation and anesthesia of pet rabbits.

作者信息

Borkowski R, Karas A Z

机构信息

Department of Clinical Sciences, Tufts University, School of Veterinary Medicine, North Grafton, MA 01536, USA.

出版信息

Clin Tech Small Anim Pract. 1999 Feb;14(1):44-9. doi: 10.1016/S1096-2867(99)80026-7.

Abstract

Pet rabbits frequently become stressed when handled and may require sedation or chemical immobilization for procedures such as blood collection, IV catheter placement, radiography, deep ear cleaning, and dentistry. Common surgical procedures requiring general anesthesia include spay, castration, gastrotomy, cystotomy, and orthopedic procedures. Rabbits may be difficult to safely sedate or anesthetize. Individual rabbits may have varying sensitivity to the depressant effects of anesthetics. The apparent sensitivity of the rabbit's respiratory center to anesthetic drugs and the narrow range between anesthetic and toxic doses in this species add to the unpredictable character of rabbit anesthesia. Furthermore, mortality following anesthesia and surgery in sick rabbits is common. Strategically, safe anesthesia of rabbits must include the planning of procedures so that anesthetic time is minimized. Clinicians must be on guard for individual variation in response to drugs. Minimizing the use of cardiovascular depressant agents, use of agents with a high therapeutic index, and careful titration of doses to effect, along with thorough cardiorespiratory monitoring, will permit attainment of appropriate anesthetic depth with the widest margin of safety. This article presents several injectable and inhalant anesthetic protocols that may assist in effective management of many types of rabbit patient.

摘要

宠物兔在被处理时经常会感到紧张,在进行采血、静脉导管置入、放射照相、深部耳部清洁和牙科治疗等操作时,可能需要镇静或化学保定。需要全身麻醉的常见外科手术包括卵巢子宫切除术、去势术、胃切开术、膀胱切开术和骨科手术。兔子可能很难安全地进行镇静或麻醉。不同的兔子对麻醉药的抑制作用可能有不同的敏感性。兔子呼吸中枢对麻醉药物的明显敏感性以及该物种麻醉剂量和中毒剂量之间的狭窄范围,增加了兔子麻醉的不可预测性。此外,患病兔子麻醉和手术后的死亡率很常见。从策略上讲,兔子的安全麻醉必须包括对手术的规划,以便将麻醉时间减至最短。临床医生必须警惕个体对药物反应的差异。尽量减少心血管抑制药物的使用,使用治疗指数高的药物,并仔细滴定剂量以达到效果,同时进行全面的心肺监测,将有助于在最宽的安全范围内达到适当的麻醉深度。本文介绍了几种注射和吸入麻醉方案,可能有助于有效管理多种类型的兔子患者。

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