Department of Animal Medicine and Surgery, Veterinary Faculty, Complutense University of Madrid, Madrid, Spain.
Vet J. 2011 Jul;189(1):63-6. doi: 10.1016/j.tvjl.2010.05.029. Epub 2010 Jul 1.
The objective of this study was to determine the effects of a constant rate of infusion of lidocaine and ketamine in combination with either morphine or fentanyl on the minimum alveolar concentration of isoflurane (MAC(ISO)) during ovariohysterectomy in dogs. Female dogs (n=44) were premedicated with acepromazine and midazolam. Anaesthesia was induced with propofol and maintained with isoflurane. Dogs received ketamine (0.6 mg/kg/h) and lidocaine (3 mg/kg/h) together with morphine (0.24 mg/kg/h; MLK) or fentanyl (0.0036 mg/kg/h; FLK). The control group received Ringer's lactate solution. A skin incision was used as the noxious stimulus. The MAC(ISO) value was obtained with Dixon's up-and-down method. MAC(ISO) was 0.7±0.0 vol.% in the control group, 0.3±0.0 vol.% in the MLK group (45% MAC reduction) and 0.0±0.0 vol.% in the FLK group (97% MAC reduction). A combination of fentanyl with lidocaine and ketamine decreased the MAC(ISO) in dogs; this decrease was more pronounced than that produced by morphine, lidocaine and ketamine.
本研究旨在确定在犬卵巢子宫切除术时,持续输注利多卡因和氯胺酮与吗啡或芬太尼联合应用对异氟烷最小肺泡浓度(MAC(ISO))的影响。给予雌性犬咪达唑仑和乙酰丙嗪进行预处理。用丙泊酚诱导麻醉,并用异氟烷维持。犬接受氯胺酮(0.6mg/kg/h)和利多卡因(3mg/kg/h),同时给予吗啡(0.24mg/kg/h;MLK)或芬太尼(0.0036mg/kg/h;FLK)。对照组给予乳酸林格氏液。皮肤切口用作伤害性刺激。采用 Dixon 上下法测定 MAC(ISO)值。对照组的 MAC(ISO)值为 0.7±0.0 体积%,MLK 组为 0.3±0.0 体积%(MAC 降低 45%),FLK 组为 0.0±0.0 体积%(MAC 降低 97%)。芬太尼与利多卡因和氯胺酮联合降低了犬的 MAC(ISO);与吗啡、利多卡因和氯胺酮相比,这种降低更为明显。