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化学性约束对清醒、镇静和麻醉犬连续记录的视网膜电图的影响。

Effects of chemical restraint on electroretinograms recorded sequentially in awake, sedated, and anesthetized dogs.

作者信息

Freeman Kate S, Good Kathryn L, Kass Philip H, Park Shin Ae, Nestorowicz Natalia, Ofri Ron

机构信息

Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616, USA.

出版信息

Am J Vet Res. 2013 Jul;74(7):1036-42. doi: 10.2460/ajvr.74.7.1036.

Abstract

OBJECTIVE

To quantitatively and qualitatively compare electroretinography (ERG) recordings in awake, sedated, and anesthetized dogs.

ANIMALS

Six 6-month-old Beagles.

PROCEDURES

A brief ERG protocol for dogs was used. Following 1-minute and subsequent 5-minute dark adaptation, mixed rod-cone responses were recorded bilaterally with a handheld multispecies ERG device with dogs in each of 3 states of consciousness: awake, sedated (dexmedetomidine and butorphanol), and anesthetized (atropine and hydromorphone, followed by propofol and midazolam and anesthetic maintenance with isoflurane). Low- and high-frequency noise levels were quantified via Fourier analysis, and the effect of consciousness state on signal amplitude, implicit time, and noise was analyzed via repeated-measures ANOVA. In addition, 13 veterinary ophthalmologists who were unaware of the dogs' consciousness states subjectively graded the ERG recording quality, and scores for each tracing were compared.

RESULTS

ERG amplitudes were highest in awake dogs and lowest in anesthetized dogs. Implicit times were shortest in awake dogs and longest in anesthetized dogs. Differences in b-wave amplitudes and a-wave implicit times were significant. Neither low- nor high-frequency noise levels differed significantly among consciousness states. Furthermore, no significant differences were identified among observers' scores assigned to ERG tracings.

CONCLUSIONS AND CLINICAL RELEVANCE

Anesthesia and sedation resulted in significant attenuation and delay of ERG responses in dogs. Chemical restraint of dogs had no consistently significant effect on low- or high-frequency noise levels or on observer perception of signal quality.

摘要

目的

对清醒、镇静和麻醉犬的视网膜电图(ERG)记录进行定量和定性比较。

动物

6只6月龄比格犬。

步骤

采用一种适用于犬的简短ERG检测方案。在1分钟及随后5分钟的暗适应后,使用手持式多物种ERG设备双侧记录混合视杆 - 视锥细胞反应,犬处于3种意识状态:清醒、镇静(右美托咪定和布托啡诺)和麻醉(阿托品和氢吗啡酮,随后丙泊酚和咪达唑仑,并用异氟烷维持麻醉)。通过傅里叶分析对低频和高频噪声水平进行量化,并通过重复测量方差分析分析意识状态对信号幅度、隐含时间和噪声的影响。此外,13名不知犬意识状态的兽医眼科医生对ERG记录质量进行主观评分,并比较每个记录的得分。

结果

ERG幅度在清醒犬中最高,在麻醉犬中最低。隐含时间在清醒犬中最短,在麻醉犬中最长。b波幅度和a波隐含时间的差异具有显著性。意识状态之间的低频和高频噪声水平均无显著差异。此外,观察者对ERG记录的评分之间未发现显著差异。

结论及临床意义

麻醉和镇静导致犬的ERG反应显著衰减和延迟。对犬的化学性约束对低频或高频噪声水平或观察者对信号质量的感知没有始终一致的显著影响。

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