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猫血浆右美托咪定浓度与镇静评分及热阈值之间的关系。

Relationship between plasma dexmedetomidine concentration and sedation score and thermal threshold in cats.

作者信息

Pypendop Bruno H, Ilkiw Jan E

机构信息

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.

出版信息

Am J Vet Res. 2014 May;75(5):446-52. doi: 10.2460/ajvr.75.5.446.

Abstract

OBJECTIVE

To characterize the relationship between plasma dexmedetomidine concentration and the temperature difference between the thermal threshold and skin temperature (ΔT) and between plasma dexmedetomidine concentration and sedation score in healthy cats.

ANIMALS

5 healthy adult spayed female cats.

PROCEDURES

Cats received IV administrations of saline (0.9% NaCl) solution, dexmedetomidine (5, 20, or 50 μg/kg), or acepromazine (0.1 mg/kg). Blood samples were collected and thermal threshold and sedation score were determined before and at various times up to 8 hours after drug administration. In addition, cats received an IV infusion of dexmedetomidine that targeted a concentration achieving 99% of the maximum effect on ΔT.

RESULTS

No change in ΔT over time was found for the saline solution and acepromazine treatments; ΔT increased for 45 minutes when cats received dexmedetomidine at 5 and 20 μg/kg and for 180 minutes when cats received dexmedetomidine at 50 μg/kg. No change in sedation score over time was found for saline solution. Sedation score increased for 120 minutes after cats received acepromazine and for 60, 120, and 180 minutes after cats received dexmedetomidine at 5, 20, and 50 μg/kg, respectively. The plasma dexmedetomidine concentration-effect relationships for the effect on ΔT and sedation score were almost identical. The plasma dexmedetomidine concentration after infusion was lower than targeted, and ΔT was not significantly affected.

CONCLUSIONS AND CLINICAL RELEVANCE

Dexmedetomidine administration to cats resulted in thermal analgesia and also profound sedation. These data may be useful for predicting the course of thermal analgesia and sedation after dexmedetomidine administration to cats.

摘要

目的

明确在健康猫中,血浆右美托咪定浓度与热阈值和皮肤温度之间的温差(ΔT)以及血浆右美托咪定浓度与镇静评分之间的关系。

动物

5只健康成年绝育雌性猫。

步骤

猫静脉注射生理盐水(0.9%氯化钠)溶液、右美托咪定(5、20或50μg/kg)或乙酰丙嗪(0.1mg/kg)。在给药前及给药后长达8小时的不同时间采集血样,并测定热阈值和镇静评分。此外,猫接受右美托咪定静脉输注,目标浓度为对ΔT产生最大效应的99%。

结果

生理盐水溶液和乙酰丙嗪治疗组的ΔT随时间无变化;猫接受5和20μg/kg右美托咪定时,ΔT升高45分钟,接受50μg/kg右美托咪定时,ΔT升高180分钟。生理盐水溶液组的镇静评分随时间无变化。猫接受乙酰丙嗪后,镇静评分升高120分钟,接受5、20和50μg/kg右美托咪定后,镇静评分分别升高60、120和180分钟。右美托咪定对ΔT和镇静评分的血浆浓度-效应关系几乎相同。输注后血浆右美托咪定浓度低于目标值,且ΔT未受到显著影响。

结论及临床意义

给猫使用右美托咪定可导致热镇痛和深度镇静。这些数据可能有助于预测给猫使用右美托咪定后的热镇痛和镇静过程。

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