Jeong Man Bok, Narfström Kristina, Park Shin Ae, Chae Je Min, Seo Kang Moon
Department of Veterinary Surgery and Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University, Seoul, 151-742, Republic of Korea.
Doc Ophthalmol. 2009 Oct;119(2):79-88. doi: 10.1007/s10633-009-9173-x. Epub 2009 Apr 14.
The objective of this study is to compare the effects of three different anesthetic combinations on the electroretinogram in the same animals under similar laboratory conditions. Thiopental-isoflurane (TI), medetomidine-ketamine (MK), and xylazine-ketamine (XK) were used on each of 12 healthy miniature schnauzer dogs (MS) with a period of at least 3 weeks in between subsequent anesthesia protocols, using the Dog Standard Protocol. The scotopic ERGs consisted of scotopic low stimulus strength (S) responses designated S1, S2, S3, S4, and S5, at 1, 5, 10, 15, and 20 min after dark adaptation, respectively, and scotopic standard stimulus strength (S-ST) responses. The photopic ERGs consisted of a photopic single flash (P) response and 31 Hz flicker (P-FL) responses. For S-ST (2.5 cd s/m(2)), the amplitude of the a-wave using TI was significantly lower than that using MK (adjusted P = 0.05) and XK (adjusted P = 0.03), and the implicit time of the a-wave was significantly shorter than that using MK (adjusted P = 0.04). For P (2.5 cd s/m(2)), the amplitude of the b-wave using XK was significantly higher than that using MK (adjusted P = 0.01). The implicit times of the b-wave using TI was significantly longer and shorter than that of MK for S1, S2 and P-FL and for S4 and S-ST, respectively, and than that of XK for S2 and P-FL and for S5 and S-ST, respectively. The results of the present study showed that TI affected both the amplitude and the implicit time of the a-wave for S-ST and the implicit time of the b-wave relatively more so than was the case when using XK or MK. Therefore, it appears that either XK or MK could be advantageous to use rather than TI for clinical studies.
本研究的目的是在相似的实验室条件下,比较三种不同麻醉组合对同一动物视网膜电图的影响。使用硫喷妥钠-异氟烷(TI)、美托咪定-氯胺酮(MK)和赛拉嗪-氯胺酮(XK),对12只健康的迷你雪纳瑞犬(MS)分别进行麻醉,后续麻醉方案之间间隔至少3周,采用犬标准方案。暗视视网膜电图包括暗适应后1、5、10、15和20分钟时的暗视低刺激强度(S)反应,分别命名为S1、S2、S3、S4和S5,以及暗视标准刺激强度(S-ST)反应。明视视网膜电图包括明视单次闪光(P)反应和31Hz闪烁(P-FL)反应。对于S-ST(2.5cd s/m²),使用TI时a波的振幅显著低于使用MK(校正P = 0.05)和XK(校正P = 0.03)时,且a波的潜伏时显著短于使用MK时(校正P = 0.04)。对于P(2.5cd s/m²),使用XK时b波的振幅显著高于使用MK时(校正P = 0.01)。对于S1、S2和P-FL以及S4和S-ST,使用TI时b波的潜伏时分别显著长于和短于使用MK时,对于S2和P-FL以及S5和S-ST,使用TI时b波的潜伏时分别显著长于和短于使用XK时。本研究结果表明,与使用XK或MK相比,TI对S-ST时a波的振幅和潜伏时以及b波的潜伏时影响相对更大。因此,对于临床研究而言,使用XK或MK似乎比TI更具优势。