Bienert A, Bartmann C P, von Oppen T, Poppe C, Schiemann V, Deegen E
Klinik für Pferde, Tierärztliche Hochschule Hannover.
Dtsch Tierarztl Wochenschr. 2003 Jun;110(6):244-8.
Isofluorane is a modern, only slightly depressive inhalation anaesthetic with excellent pharmacologic characteristics in use in equine medicine. In contrast to halothane, isofluorane is hardly broken down in the liver, but is eliminated by the lung. It low solubility in blood permits excellent control of anaesthesia. However, due to its swift elimination from the organism there is heightened risk of premature recovery from isofluorane anaesthesia. In this study the recovery phases of 96 horses were monitored for its duration and the animals' physical coordination. The horses were divided into four groups. Two groups were sedated with xylazine, one of which received postanaesthetic sedation with xylazine, the other saline solution only. The other two groups were sedated with romifidine, either with or without postanaesthetic sedation after general anaesthesia. In this study the horses of Group 4, sedated with 0.02 mg/kg BW romifidine at the moment of extubation, showed the best recovery phase. The number of attempts to arise was reduced and coordination was better. Similar results were obtained by postanaesthetic sedation with 0.2 mg/kg BW xylazine (Group 2). Premedication with 0.08 mg/kg BW romifidine without postanaesthetic sedation (Group 3) could be carried out at mean duration of anaesthesia of 85 minutes with no negative effects observed during the recovery period. Premedication with xylazine without postanaesthetic sedation (Group 1) is not to be recommended, as the number of attemps to stand up was significantly higher and coordination was either weak or significantly poorer than in the other three groups. The results of this study show that post-anaesthetic sedation of horses with an alpha 2-adrenoceptor agonist can improve the recovery phase after inhalant anaesthesia with isofluorane in regard to the number of attempts to arise and the animals' physical coordination.
异氟烷是一种现代的、仅具有轻微抑制作用的吸入性麻醉剂,在马医学中使用时具有出色的药理学特性。与氟烷不同,异氟烷在肝脏中几乎不被分解,而是通过肺部排出。它在血液中的低溶解度使得麻醉控制良好。然而,由于其从机体中迅速排出,异氟烷麻醉过早苏醒的风险增加。在本研究中,对96匹马的苏醒阶段进行了持续时间和动物身体协调性的监测。这些马被分为四组。两组用赛拉嗪进行镇静,其中一组在麻醉后用赛拉嗪进行镇静,另一组仅用生理盐水。另外两组用罗米芬定进行镇静,全麻后一组进行麻醉后镇静,另一组不进行。在本研究中,第4组的马在拔管时用0.02 mg/kg体重的罗米芬定进行镇静,显示出最佳的苏醒阶段。站立尝试的次数减少,协调性更好。用0.2 mg/kg体重的赛拉嗪进行麻醉后镇静(第2组)也得到了类似的结果。在平均麻醉持续时间为85分钟时,用0.08 mg/kg体重的罗米芬定进行术前用药且不进行麻醉后镇静(第3组),在苏醒期未观察到负面影响。不建议用赛拉嗪进行术前用药且不进行麻醉后镇静(第1组),因为站立尝试的次数明显更高,协调性要么较弱,要么比其他三组明显更差。本研究结果表明,用α2-肾上腺素能受体激动剂对马进行麻醉后镇静,可以在站立尝试次数和动物身体协调性方面改善异氟烷吸入麻醉后的苏醒阶段。