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多巴胺和多巴酚丁胺对伊斯帕尼奥拉亚马逊鹦鹉(Amazona ventralis)异氟烷诱导的低血压的影响。

Effects of dopamine and dobutamine on isoflurane-induced hypotension in Hispaniolan Amazon parrots (Amazona ventralis).

作者信息

Schnellbacher Rodney W, da Cunha Anderson F, Beaufrère Hugues, Queiroz Patricia, Nevarez Javier G, Tully Thomas N

机构信息

Zoological Medicine Service, Department of Small Animal Medicine, College of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.

出版信息

Am J Vet Res. 2012 Jul;73(7):952-8. doi: 10.2460/ajvr.73.7.952.

DOI:10.2460/ajvr.73.7.952
PMID:22738045
Abstract

OBJECTIVE

To assess the effects of dopamine and dobutamine on the blood pressure of isoflurane-anesthetized Hispaniolan Amazon parrots (Amazona ventralis).

ANIMALS

8 Hispaniolan Amazon parrots.

PROCEDURES

A randomized crossover study was conducted. Each bird was anesthetized (anesthesia maintained by administration of 2.5% isoflurane in oxygen) and received 3 doses of each drug during a treatment period of 20 min/dose. Treatments were constant rate infusions (CRIs) of dobutamine (5, 10, and 15 μg/kg/min) and dopamine (5, 7, and 10 μg/kg/min). Direct systolic, diastolic, and mean arterial pressure measurements, heart rate, esophageal temperature, and end-tidal partial pressure of CO(2) were recorded throughout the treatment periods.

RESULTS

Mean ± SD of the systolic, mean, and diastolic arterial blood pressures at time 0 (initiation of a CRI) were 132.9 ± 22.1 mm Hg, 116.9 ± 20.5 mm Hg, and 101.9 ± 22.0 mm Hg, respectively. Dopamine resulted in significantly higher values than did dobutamine for the measured variables, except for end-tidal partial pressure of CO(2). Post hoc multiple comparisons revealed that the changes in arterial blood pressure were significantly different 4 to 7 minutes after initiation of a CRI. Overall, dopamine at rates of 7 and 10 μg/kg/min and dobutamine at a rate of 15 μg/kg/min caused the greatest increases in arterial blood pressure.

CONCLUSIONS AND CLINICAL RELEVANCE

Dobutamine CRI at 5, 10, and 15 μg/kg/min and dopamine CRI at 5, 7, and 10 μg/kg/min may be useful in correcting severe hypotension in Hispaniolan Amazon parrots caused by anesthesia maintained with 2.5% isoflurane.

摘要

目的

评估多巴胺和多巴酚丁胺对异氟烷麻醉的伊斯帕尼奥拉亚马逊鹦鹉(Amazona ventralis)血压的影响。

动物

8只伊斯帕尼奥拉亚马逊鹦鹉。

程序

进行了一项随机交叉研究。每只鸟均接受麻醉(通过在氧气中给予2.5%异氟烷维持麻醉),并在每个20分钟/剂量的治疗期内接受3种剂量的每种药物。治疗方法为多巴酚丁胺(5、10和15微克/千克/分钟)和多巴胺(5、7和10微克/千克/分钟)的恒速输注(CRIs)。在整个治疗期内记录直接收缩压、舒张压和平均动脉压测量值、心率、食管温度和呼气末二氧化碳分压。

结果

在时间0(CRI开始时),收缩压、平均动脉压和舒张压的平均值±标准差分别为132.9±22.1毫米汞柱、116.9±20.5毫米汞柱和101.9±22.0毫米汞柱。除呼气末二氧化碳分压外,多巴胺导致的测量变量值显著高于多巴酚丁胺。事后多重比较显示,CRI开始后4至7分钟,动脉血压变化显著不同。总体而言,7和10微克/千克/分钟的多巴胺以及15微克/千克/分钟的多巴酚丁胺导致动脉血压升高幅度最大。

结论及临床意义

5、10和15微克/千克/分钟的多巴酚丁胺CRI以及5、7和10微克/千克/分钟的多巴胺CRI可能有助于纠正由2.5%异氟烷维持麻醉引起的伊斯帕尼奥拉亚马逊鹦鹉严重低血压。

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