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雪貂的美托咪定/咪达唑仑/氯胺酮麻醉:对心肺参数的影响及血浆药物浓度评估

Medetomidine/midazolam/ketamine anaesthesia in ferrets: effects on cardiorespiratory parameters and evaluation of plasma drug concentrations.

作者信息

Schernthaner Anita, Lendl Christine E, Hartmann Katrin, Pragst Ingo, Preissel Anne-Kathrin, Henke Julia

机构信息

Centre of Preclinical Research, Technical University Munich, Munich, Germany.

出版信息

Vet Anaesth Analg. 2011 Sep;38(5):439-50. doi: 10.1111/j.1467-2995.2011.00635.x.

DOI:10.1111/j.1467-2995.2011.00635.x
PMID:21831049
Abstract

OBJECTIVE

To evaluate the cardiorespiratory effects and plasma concentrations of medetomidine-midazolam-ketamine (MMK) combinations administered by intramuscular (IM) or subcutaneous (SC) injection in sable ferrets (Mustela putorius furo).

STUDY DESIGN

Prospective randomized experimental study.

ANIMALS

Eighteen adult ferrets: weight median 1.19 (range 0.81-1.60) kg.

METHODS

Animals were allocated to one of three groups: group IM07 received 20 μg kg(-1) medetomidine, 0.5 mg kg(-1) midazolam and 7 mg kg(-1) ketamine IM; group IM10 20 μg kg(-1) medetomidine, 0.5 mg kg(-1) midazolam and 10 mg kg(-1) ketamine IM; and group SC10 20 μg kg(-1) medetomidine, 0.5 mg kg(-1) midazolam and 10 mg kg(-1) ketamine SC. Following instrumentation, cardiorespiratory parameters and plasma drug concentrations were measured every 5 minutes (T5-T30) for 30 minutes Ferrets were then euthanased. Data were analysed using anova for repeated measures. p<0.05 was considered significant.

RESULTS

Results are mean ± SD. Induction of anaesthesia (minutes) in IM07 and IM10 [2 (1)] was significantly faster than in SC10 [5 (2)]. All groups demonstrated the following: results given as groups IM07, IM10 and SC10 respectively. Mean arterial blood pressures (mmHg) were initially high [186 (13); 174 (33) and 174 (9) at T5] but decreased steadily. Pulse rates were initially 202 (20), 213 (17) and 207 (33) beats minute(-1) , decreasing with time. PaO(2) (mmHg) was low [54.0 (8), 47.7 (10) and 38.5 (1)] at T5, although in groups IM07 and IM10 it increased over time. Plasma concentrations of all drugs were highest at T5 (36, 794 and 8264 nmol L(-1) for medetomidine, midazolam and ketamine, respectively) and decreased thereafter: for both midazolam and ketamine, concentrations in IM07 and IM10 were higher than SC10.

CONCLUSIONS AND CLINICAL RELEVANCE

MMK combinations containing either 7 or 10 mg kg(-1) ketamine and given IM are suitable combinations for anaesthetising ferrets, although the observed degree of hypoxaemia indicates that oxygen administration is vital.

摘要

目的

评估肌肉注射(IM)或皮下注射(SC)美托咪定 - 咪达唑仑 - 氯胺酮(MMK)组合对黑足雪貂(鼬属臭鼬)的心肺效应及血浆浓度。

研究设计

前瞻性随机实验研究。

动物

18只成年雪貂,体重中位数为1.19(范围0.81 - 1.60)千克。

方法

将动物分为三组之一:IM07组肌肉注射20μg/kg美托咪定、0.5mg/kg咪达唑仑和7mg/kg氯胺酮;IM10组肌肉注射20μg/kg美托咪定、0.5mg/kg咪达唑仑和10mg/kg氯胺酮;SC10组皮下注射20μg/kg美托咪定、0.5mg/kg咪达唑仑和10mg/kg氯胺酮。仪器安装后,每隔5分钟(T5 - T30)测量30分钟的心肺参数和血浆药物浓度,然后对雪貂实施安乐死。数据采用重复测量方差分析进行分析。p<0.05被认为具有统计学意义。

结果

结果以平均值±标准差表示。IM07组和IM10组的麻醉诱导时间(分钟)[2(1)]明显快于SC10组[5(2)]。所有组均表现如下:结果分别以IM07组、IM10组和SC10组表示。平均动脉血压(mmHg)最初较高[T5时分别为186(13)、174(33)和174(9)],但呈稳步下降。心率最初分别为202(20)、213(17)和207(33)次/分钟,随时间下降。T5时动脉血氧分压(mmHg)较低[分别为54.0(8)、47.7(10)和38.5(1)],尽管IM07组和IM10组随时间有所升高。所有药物的血浆浓度在T5时最高(美托咪定、咪达唑仑和氯胺酮分别为36、794和8264nmol/L),此后下降:咪达唑仑和氯胺酮在IM07组和IM10组中的浓度高于SC10组。

结论及临床意义

含7mg/kg或10mg/kg氯胺酮的MMK组合肌肉注射是适合麻醉雪貂的组合,尽管观察到的低氧血症程度表明吸氧至关重要。

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