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吗啡联合甲磺酸右美托咪定和阿法沙龙在兔的心肺、麻醉和恢复效果。

Cardiorespiratory, anaesthetic and recovery effects of morphine combined with medetomidine and alfaxalone in rabbits.

机构信息

Department of Animal Medicine and Surgery, Scholl of Veterinary Medicine, University of Córdoba, Córdoba, Spain;

出版信息

Vet Rec. 2014 Jan 25;174(4):95. doi: 10.1136/vr.101293. Epub 2014 Jan 8.

Abstract

Ten New Zealand White rabbits were used in a crossover experimental study: 200 µg/kg medetomidine and 1 (M1) or 2 mg/kg (M2) morphine were administered intramuscularly. After preoxygenation, anaesthesia was induced with alfaxalone at 10 mg/kg intravenously. The trachea was intubated and 60 per cent oxygen provided. Heart and respiratory rates (HR and RR), direct arterial pressures (APs), arterial pH (pHa), PaO2, PaCO2 and SaO2 were taken at baseline, after premedication and every 10 minutes during the 90 minutes following induction. The times to return the ear pinch, toe pinch and righting reflexes were recorded. Data were analysed using a two-way analysis of variance and a paired samples t test. Compared to baseline values, HR, RR, APs, PaO2 and SaO2 decreased significantly after premedication in both groups. Postinduction apnoea of 20 ± 10 with M1 and 27 ± 18 minutes with M2 was experienced following alfaxalone administration, intermitent positive pressure ventilation was applied until spontaneous breathing efforts appeared. Cardiovascular variables, RR and pHa remained below, and PaCO2 over baseline values during the anaesthetic period. No significant differences were observed in the recovery times. Morphine at 1 or 2 mg/kg combined with medetomidine and alfaxalone in rabbits produced a suitable level of anaesthesia, although profound cardiorespiratory depression was found.

摘要

十只新西兰白兔被用于一项交叉实验研究

肌肉内注射 200μg/kg 美托咪定和 1(M1)或 2 毫克/千克(M2)吗啡。预充氧后,静脉内给予 10 毫克/千克的阿尔法酮诱导麻醉。气管插管并提供 60%氧气。在诱导后 90 分钟内,每隔 10 分钟记录一次心率(HR)和呼吸率(RR)、直接动脉压(APs)、动脉 pH(pHa)、PaO2、PaCO2 和 SaO2。记录恢复耳夹、脚趾夹和翻身反射的时间。使用双向方差分析和配对样本 t 检验对数据进行分析。与基线值相比,两组在预给药后 HR、RR、APs、PaO2 和 SaO2 均显著降低。在给予阿尔法酮后,M1 组出现 20±10 分钟的诱导后呼吸暂停,M2 组出现 27±18 分钟的呼吸暂停,随后给予间歇正压通气,直至出现自主呼吸努力。麻醉期间,心血管变量、RR 和 pHa 仍低于基线值,而 PaCO2 高于基线值。在恢复时间方面,两组无显著差异。在兔中,1 或 2 毫克/千克吗啡与美托咪定和阿尔法酮联合使用可产生适当的麻醉水平,但发现严重的心肺抑制。

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