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氯胺酮-赛拉嗪与氯胺酮-右美托咪定对大鼠麻醉及腹腔耐受性的比较

Comparison of ketamine-xylazine and ketamine-dexmedetomidine anesthesia and intraperitoneal tolerance in rats.

作者信息

Wellington David, Mikaelian Igor, Singer Laura

机构信息

Hoffmann-La Roche, Department of Comparative Medicine, Nutley, NJ, USA.

出版信息

J Am Assoc Lab Anim Sci. 2013 Jul;52(4):481-7.

PMID:23849447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3725934/
Abstract

We compared ketamine-xylazine (K, 100 mg/kg; X, 10 mg/kg) and ketamine-dexmedetomidine (K, 75 mg/kg; D, 1.0 mg/kg) for their ability to produce anesthesia, their tissue tolerance, and the reversibility of their effects by atipamezole (1.0 mg/kg) after intraperitoneal administration to Wistar Han rats. Both anesthetic combinations led to a comparable level of anesthesia over a 30-min period. However, the administration of KD led to a 20% decrease in heart rate, 33% decrease in respiratory rate, and a 20% decrease in peripheral oxygen saturation from baseline levels. Intraperitoneal administration of saline and both anesthetic combinations was associated with mild transient increases in serum ALT and AST concentrations in the absence of histomorphologic findings in liver. Muscle and tissue necrosis at the intraperitoneal injection sites correlated with increases in serum creatine kinase concentrations in rats given KD or KX; these increases were more severe in the KX group than the KD group. Compared with KX, intraperitoneal administration of KD offered better local tolerance and anesthesia of similar quality and depth.

摘要

我们比较了氯胺酮-甲苯噻嗪(K,100毫克/千克;X,10毫克/千克)和氯胺酮-右美托咪定(K,75毫克/千克;D,1.0毫克/千克)对Wistar Han大鼠腹腔注射后产生麻醉的能力、组织耐受性以及阿替美唑(1.0毫克/千克)对其作用的可逆性。两种麻醉组合在30分钟内导致的麻醉水平相当。然而,给予KD导致心率下降20%,呼吸频率下降33%,外周血氧饱和度较基线水平下降20%。腹腔注射生理盐水和两种麻醉组合均与血清ALT和AST浓度轻度短暂升高相关,肝脏无组织形态学改变。腹腔注射部位的肌肉和组织坏死与给予KD或KX的大鼠血清肌酸激酶浓度升高相关;这些升高在KX组比KD组更严重。与KX相比,腹腔注射KD具有更好的局部耐受性,且麻醉质量和深度相似。

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Comparison of effects of ketamine, ketamine-dexmedetomidine and ketamine-midazolam on dressing changes of burn patients.氯胺酮、氯胺酮-右美托咪定和氯胺酮-咪达唑仑对烧伤患者换药影响的比较。
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High doses of ketamine-xylazine anesthesia reduce cardiac ischemia-reperfusion injury in guinea pigs.高剂量氯胺酮-赛拉嗪麻醉可减轻豚鼠心脏缺血再灌注损伤。
J Am Assoc Lab Anim Sci. 2011 May;50(3):349-54.
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Effect of a short-term fast on ketamine-xylazine anesthesia in rats.短期禁食对大鼠氯胺酮-赛拉嗪麻醉的影响。
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Evaluation of dexmedetomidine and ketamine in combination with opioids as injectable anesthesia for castration in dogs.右美托咪定和氯胺酮联合阿片类药物作为犬去势注射麻醉剂的评估。
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Anesthetic considerations in orthopedic patients with or without trauma.有或无创伤的骨科患者的麻醉注意事项
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