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[颈动脉及静脉注射丙泊酚致脑电静息对犬循环和呼吸的影响]

[Effects of carotid arterial and intravenous propofol administration for electrocerebral silence on circulation and respiration in dogs].

作者信息

Gai Cheng-lin, Chen Wei-min, Zheng Xiao-chun, Ran De-chun, Ai Chang-liang, Sun Zheng-qing

机构信息

Department of Anesthesiology, Second Affiliated Hospital of China Medical University, Shenyang 110001, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2006 Dec;26(12):1799-802.

Abstract

OBJECTIVE

To compare the effects of common carotid artery and femoral vein administration of propofol for electrocerebral silence (ES) on circulatory and respiratory function and the dosage of propofol required during ES in dogs.

METHODS

Eight dogs were anesthetized by common carotid arterial and femoral vein administration of propofol for ES for 1 h. The time of consciousness loss and recovery, dose of propofol during ES, mean arterial pressure, heart rate, respiration rate, end-tidal carbon dioxide, SpO2, cerebral state index (CSI) and anal temperature were continuously monitored. Changes in the outcome variables were analyzed at 7 time points, namely the baseline, upon loss of consciousness, at 10 s, 30 min and 1 h of CSI=0, and recovery of CSI and consciousness.

RESULTS

Carotid artery propofol administration produced ES with only half of the dose for intravenous administration. Compared with the baseline values, the mean artery pressure and respiration rate remained unchanged or decreased transiently during ES with carotid artery propofol administration. In contrast, intravenous propofol administration resulted in systemic hypotension and severe respiratory depression.

CONCLUSION

Carotid artery propofol administration produces ES with a much smaller dose than intravenous propofol administration without causing systemic hypotension or respiratory depression.

摘要

目的

比较经犬颈总动脉和股静脉注射丙泊酚实现脑电静息(ES)时对循环和呼吸功能的影响以及ES期间所需丙泊酚的剂量。

方法

八只犬经颈总动脉和股静脉注射丙泊酚进行ES麻醉1小时。持续监测意识丧失和恢复的时间、ES期间丙泊酚的剂量、平均动脉压、心率、呼吸频率、呼气末二氧化碳分压、脉搏血氧饱和度(SpO₂)、脑状态指数(CSI)和肛温。在7个时间点分析结果变量的变化,即基线、意识丧失时、CSI = 0时10秒、30分钟和1小时以及CSI和意识恢复时。

结果

经颈总动脉注射丙泊酚产生ES所需剂量仅为静脉注射的一半。与基线值相比,经颈总动脉注射丙泊酚实现ES期间平均动脉压和呼吸频率保持不变或短暂下降。相比之下,静脉注射丙泊酚导致全身性低血压和严重呼吸抑制。

结论

经颈总动脉注射丙泊酚产生ES所需剂量比静脉注射丙泊酚小得多,且不会引起全身性低血压或呼吸抑制。

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