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山羊中丙泊酚、硫喷妥钠或氯胺酮作为诱导剂的比较。

A comparison of propofol, thiopental or ketamine as induction agents in goats.

作者信息

Prassinos Nikitas N, Galatos Apostolos D, Raptopoulos Dimitris

机构信息

Clinic of Surgery, Faculty of Veterinary Medicine, University of Thessaly, Greece.

出版信息

Vet Anaesth Analg. 2005 Sep;32(5):289-96. doi: 10.1111/j.1467-2995.2005.00204.x.

Abstract

OBJECTIVE

To compare propofol, thiopental and ketamine as induction agents before halothane anaesthesia in goats.

STUDY DESIGN

Prospective, randomized cross-over study. Animals Seven healthy adult female goats with mean (+/-SD; range) body mass of 38.9 +/- 3.29 kg; 35-45 kg.

METHODS

The seven animals were used on 21 occasions. Each received all three anaesthetics in a randomized cross-over design, with an interval of at least 2 weeks before re-use. Anaesthesia was induced with intravenous (IV) propofol (3 mg kg(-1)), thiopental (8 mg kg(-1), IV) or ketamine (10 mg kg(-1), IV). Following tracheal intubation, anaesthesia was maintained with halothane for 30 minutes. Indirect blood pressure, heart rate, respiratory rate and arterial blood gases were monitored. The quality of induction and recovery, recovery times and incidence of side-effects were recorded.

RESULTS

Induction of anaesthesia was smooth and uneventful, and tracheal intubation was easily performed in all but two goats receiving ketamine. Changes in cardiopulmonary variables and acid-base status were similar with all three induction agents and were within clinically acceptable limits. Mean recovery times (time to recovery of swallowing reflex and to standing) were significantly shorter, and side-effects, e.g. apnoea, regurgitation, hypersalivation and tympany, were less common in goats receiving propofol, compared with the other treatments.

CONCLUSIONS AND CLINICAL RELEVANCE

Propofol 3 mg kg(-1) IV is superior to thiopental and ketamine as an induction agent before halothane anaesthesia in goats. It provides uneventful recovery which is more rapid than thiopental or ketamine, so reduces anaesthetic risk.

摘要

目的

比较丙泊酚、硫喷妥钠和氯胺酮作为山羊氟烷麻醉前诱导剂的效果。

研究设计

前瞻性、随机交叉研究。动物七只健康成年雌性山羊,平均体重(±标准差;范围)为38.9±3.29千克;35 - 45千克。

方法

七只动物共使用21次。每只动物均按随机交叉设计接受三种麻醉剂,再次使用前间隔至少2周。静脉注射丙泊酚(3毫克/千克)、硫喷妥钠(8毫克/千克,静脉注射)或氯胺酮(10毫克/千克,静脉注射)诱导麻醉。气管插管后,用氟烷维持麻醉30分钟。监测间接血压、心率、呼吸频率和动脉血气。记录诱导和恢复的质量、恢复时间及副作用发生率。

结果

麻醉诱导平稳顺利,除两只接受氯胺酮的山羊外,其余山羊气管插管均轻松完成。三种诱导剂引起的心肺变量和酸碱状态变化相似,均在临床可接受范围内。与其他治疗方法相比,接受丙泊酚的山羊平均恢复时间(吞咽反射恢复至站立的时间)明显更短,副作用如呼吸暂停、反流、唾液分泌过多和气胀等也较少见。

结论及临床意义

在山羊氟烷麻醉前,静脉注射3毫克/千克的丙泊酚作为诱导剂优于硫喷妥钠和氯胺酮。它能实现平稳恢复,且比硫喷妥钠或氯胺酮更快,从而降低麻醉风险。

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