Kaartinen M Johanna, Cuvelliez Sophie, Brouillard Line, Rondenay Yves, Kona-Boun Jean Jacques, Troncy Eric
Unit of Anesthesiology, Departments of Clinical Sciences, Faculté de médecine vétérinaire, Université de Montreal, Saint-Hyacinthe, Québec.
Can Vet J. 2007 Jul;48(7):725-30.
This survey evaluates early perceptions about the use of medetomidine and atipamezole among veterinary practitioners in Quebec in 2002. Response rate was 23.5%; 71.1% of the practitioners did not use these products because of lack of information (69.3%), unavailability of the drugs in the practice (23.3%), or other reasons (7.3%), including concerns about the safety of alpha-2 agonists. Most veterinarians who used these products (70.4%) used them only rarely. Sedation by medetomidine was qualified as good (44.2%) or excellent (36%), and analgesia as good (46.5%) or average (32.7%). Waking up after atipamezole was qualified as good (47.5%) or excellent (40.9%). These perceptions indicate an opportunity for wider use of the products in veterinary practice. With more education and experience, practitioners could find medetomidine hydrochloride alone or in combination with an opioid useful for sedation, analgesia, and premedication for healthy animals. Reversal with atipamezole hydrochloride is considered effective, when residual sedation is undesirable.
本调查评估了2002年魁北克兽医从业者对美托咪定和阿替美唑使用的早期看法。回复率为23.5%;71.1%的从业者未使用这些产品,原因包括缺乏信息(69.3%)、诊所没有这些药物(23.3%)或其他原因(7.3%),其中包括对α-2激动剂安全性的担忧。大多数使用这些产品的兽医(70.4%)只是很少使用。美托咪定的镇静效果被评为良好(44.2%)或优秀(36%),镇痛效果被评为良好(46.5%)或一般(32.7%)。使用阿替美唑后的苏醒效果被评为良好(47.5%)或优秀(40.9%)。这些看法表明这些产品在兽医实践中有更广泛使用的机会。通过更多的教育和经验,从业者可能会发现盐酸美托咪定单独使用或与阿片类药物联合使用对健康动物的镇静、镇痛和术前用药有用。当不需要残留镇静作用时,盐酸阿替美唑的逆转作用被认为是有效的。