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瑞芬太尼与丙泊酚用于犬全凭静脉麻醉的临床研究

Clinical investigation of remifentanil and propofol for the total intravenous anaesthesia of dogs.

作者信息

Murrell J C, van Notten R Wesselink, Hellebrekers L J

机构信息

Department of Clinical Sciences of Companion Animals, University of Utrecht, PO Box 80154, Yalelaan 8, NL-3508 TD Utrecht, The Netherlands.

出版信息

Vet Rec. 2005 Jun 18;156(25):804-8. doi: 10.1136/vr.156.25.804.

Abstract

Fifteen adult dogs underwent elective ovariectomy. They were premedicated with 0.5 mg/kg methadone and 0.05 mg/kg(-1) atropine administered intramuscularly, and anaesthesia was induced with propofol and maintained with intravenous infusions of remifentanil at 0.6 microg/kg/minute and propofol; the mean (sd) rate of infusion of propofol throughout the period of anaesthesia was 0.33 (0.03) mg/kg/minute. The dogs were ventilated continuously with oxygen while they were anaesthetised. Their haemodynamic parameters were clinically acceptable during the period of anaesthesia. Two dogs received additional atropine to correct bradycardias of less than 60 bpm and several dogs received additional boluses of remifentanil or propofol to maintain an adequate depth of anaesthesia, as determined by a clinical assessment. The mean (range) time to the return of spontaneous respiration after stopping the remifentanil infusion was 11.1 (6.0 to 17.0) minutes, and the mean (range) time to the dogs standing was 38.0 (20.0 to 80.0) minutes. The quality of recovery was good in 12 of the dogs, two showed mild excitation in the immediate postoperative period and the other dog required additional analgesia with methadone.

摘要

十五只成年犬接受了择期卵巢切除术。术前肌肉注射0.5毫克/千克美沙酮和0.05毫克/千克(-1)阿托品进行预处理,采用丙泊酚诱导麻醉,并通过静脉输注瑞芬太尼(0.6微克/千克/分钟)和丙泊酚维持麻醉;整个麻醉期间丙泊酚的平均(标准差)输注速率为0.33(0.03)毫克/千克/分钟。犬在麻醉期间持续用氧气通气。麻醉期间其血流动力学参数在临床上是可接受的。两只犬接受了额外的阿托品以纠正心率低于60次/分钟的心动过缓,几只犬接受了额外的瑞芬太尼或丙泊酚推注以维持足够的麻醉深度,这是通过临床评估确定的。停止输注瑞芬太尼后自主呼吸恢复的平均(范围)时间为11.1(6.0至17.0)分钟,犬站立的平均(范围)时间为38.0(20.0至80.0)分钟。12只犬恢复质量良好,两只在术后即刻表现出轻度兴奋,另一只犬需要用美沙酮进行额外镇痛。

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