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右美托咪定作为丙泊酚-七氟醚麻醉的猫术前用药的临床应用。

Clinical use of dexmedetomidine as premedicant in cats undergoing propofol-sevoflurane anaesthesia.

作者信息

Mendes G M, Selmi A L, Barbudo-Selmi G R, Lins B T, Figueiredo J P

机构信息

Faculdade de Agronomia e Medicina Veterinária, Universidade de Brasília, Distrito Federal CEP 70910-970, Brasília, Brazil.

出版信息

J Feline Med Surg. 2003 Oct;5(5):265-70. doi: 10.1016/S1098-612X(03)00053-6.

Abstract

The purpose of this report was to evaluate the cardiorespiratory effects and efficacy of dexmedetomidine as a premedicant agent in cats undergoing ovariohysterectomy anaesthetized with propofol-sevoflurane. Cats were randomly divided into two groups of eight animals each. Dexmedetomidine (0.01 mg/kg) or 0.9% saline was administered intravenously (D and S, respectively). After 5 min, propofol was administered intravenously and anaesthesia was maintained with sevoflurane. Heart and respiratory rates, arterial blood pressure, oxygen saturation, rectal temperature and the amount of propofol needed for induction were measured. Premedication with dexmedetomidine reduced the requirement of propofol (6.7+/-3.8 mg/kg), but induced bradycardia, compared with the administration of saline (15.1+/-5.1 mg/kg). Recovery quality was significantly better in D but no significant difference in time to return of swallowing reflex was observed between groups (D=2.5+/-0.5 min; S=3.2+/-1.8 min). In conclusion, dexmedetomidine is a safe and effective agent for premedication in cats undergoing propofol-sevoflurane anaesthesia with minimal adverse effects.

摘要

本报告的目的是评估右美托咪定作为术前用药对接受丙泊酚-七氟醚麻醉的猫进行卵巢子宫切除术时的心肺效应和疗效。猫被随机分为两组,每组八只动物。分别静脉注射右美托咪定(0.01mg/kg)或0.9%生理盐水(分别为D组和S组)。5分钟后,静脉注射丙泊酚,并用七氟醚维持麻醉。测量心率、呼吸频率、动脉血压、血氧饱和度、直肠温度以及诱导所需的丙泊酚用量。与注射生理盐水相比,右美托咪定术前用药减少了丙泊酚的需求量(6.7±3.8mg/kg),但导致心动过缓(生理盐水组为15.1±5.1mg/kg)。D组的恢复质量明显更好,但两组间吞咽反射恢复时间无显著差异(D组=2.5±0.5分钟;S组=3.2±1.8分钟)。总之,右美托咪定是一种安全有效的术前用药,用于接受丙泊酚-七氟醚麻醉的猫,不良反应最小。

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