Laboratory of Veterinary Emergency Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1, Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.
Vet J. 2013 Oct;198(1):289-91. doi: 10.1016/j.tvjl.2013.06.021. Epub 2013 Aug 12.
Most anaesthetic and analgesic drugs affect the cardiovascular system and can cause intraoperative hypotension (IOH). This study aimed to compare the incidence of IOH in anaesthetised dogs when isoflurane-fentanyl was used, compared to propofol-fentanyl. Intraoperative hypotension was defined as an episode of mean blood pressure below 60 mmHg for more than 5 min during anaesthesia. The incidence of IOH was 65.3% for isoflurane-fentanyl and 27.6% for propofol-fentanyl. The adjusted odds ratio for IOH when propofol-fentanyl was compared to isoflurane-fentanyl was 0.2 (95% CI 0.11-0.38). These results suggest that propofol-fentanyl is associated with a lower risk of IOH than isoflurane-fentanyl anaesthesia.
大多数麻醉和镇痛药物会影响心血管系统,并可导致术中低血压(IOH)。本研究旨在比较使用异氟烷-芬太尼和丙泊酚-芬太尼时麻醉犬发生 IOH 的发生率。术中低血压定义为麻醉期间平均血压低于 60mmHg 超过 5 分钟的发作。异氟烷-芬太尼的 IOH 发生率为 65.3%,丙泊酚-芬太尼的发生率为 27.6%。与异氟烷-芬太尼相比,丙泊酚-芬太尼发生 IOH 的调整比值比为 0.2(95%CI 0.11-0.38)。这些结果表明,与异氟烷-芬太尼麻醉相比,丙泊酚-芬太尼与较低的 IOH 风险相关。