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吗啡和氟尼辛葡甲胺对山羊异氟烷最低肺泡浓度的影响。

Effect of morphine and flunixin meglumine on isoflurane minimum alveolar concentration in goats.

作者信息

Doherty Tom J, Will Whitney A, Rohrbach Barton W, Geiser Dennis R

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA.

出版信息

Vet Anaesth Analg. 2004 Apr;31(2):97-101. doi: 10.1111/j.1467-2987.2004.00156.x.

Abstract

OBJECTIVE

To determine the effect of morphine and flunixin meglumine on isoflurane (ISO) minimum alveolar concentration (MAC) in goats.

STUDY DESIGN

Prospective, randomized experimental study.

ANIMALS

Five adult, wether goats from 1 to 3 years in age, and weighing 24-65 kg.

METHODS

Anesthesia was induced using ISO, which was delivered via a mask. Goats were intubated and ventilated to maintain an end-tidal carbon dioxide concentration between 25 and 30 mm Hg (3.3-4 kPa). End-tidal ISO concentration was measured using an infrared analyzer. The baseline ISO MAC that prevented purposeful movement in response to clamping a claw was determined. Following baseline MAC determination, each goat received one of the following four treatments intravenously (IV): morphine (2 mg kg(-1)), flunixin (1.5 mg kg(-1)), flunixin (1.5 mg kg(-1)) plus morphine (2 mg kg(-1)) or saline, and the MAC was re-determined. Goats were studied at weekly intervals, and each goat received each treatment in a randomized fashion.

RESULTS

The baseline ISO MAC for the control treatment was 1.43%. Morphine reduced the MAC by 29.7%. Flunixin did not significantly decrease the MAC nor did it potentiate the effect of morphine on MAC. The quality of recovery was good in all cases.

CONCLUSIONS

Morphine (2 mg kg(-1), IV) significantly reduced the ISO MAC in goats and did not adversely affect the quality of recovery.

CLINICAL RELEVANCE

The use of morphine, at the dose studied, in association with ISO anesthesia, will allow a clinically significant reduction in the concentration of ISO required to maintain general anesthesia in goats.

摘要

目的

确定吗啡和氟尼辛葡甲胺对山羊异氟烷(ISO)最低肺泡浓度(MAC)的影响。

研究设计

前瞻性随机实验研究。

动物

5只1至3岁的成年阉山羊,体重24 - 65千克。

方法

使用ISO通过面罩诱导麻醉。山羊进行气管插管并通气,以维持呼气末二氧化碳浓度在25至30毫米汞柱(3.3 - 4千帕)之间。使用红外分析仪测量呼气末ISO浓度。确定防止因夹爪引起有目的运动的基线ISO MAC。在确定基线MAC后,每只山羊静脉内(IV)接受以下四种处理之一:吗啡(2毫克/千克)、氟尼辛(1.5毫克/千克)、氟尼辛(1.5毫克/千克)加吗啡(2毫克/千克)或生理盐水,然后重新确定MAC。每周对山羊进行一次研究,每只山羊以随机方式接受每种处理。

结果

对照处理的基线ISO MAC为1.43%。吗啡使MAC降低了29.7%。氟尼辛未显著降低MAC,也未增强吗啡对MAC的作用。所有情况下恢复质量良好。

结论

静脉注射吗啡(2毫克/千克)可显著降低山羊的ISO MAC,且对恢复质量无不良影响。

临床意义

在所研究的剂量下,吗啡与ISO麻醉联合使用,将使维持山羊全身麻醉所需的ISO浓度在临床上显著降低。

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