Karrasch Nicole M, Hubbell John A E, Aarnes Turi K, Bednarski Richard M, Lerche Phillip
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, Ohio 43210, USA.
Can Vet J. 2015 Apr;56(4):387-92.
This study compared cardiorespiratory variables in dorsally recumbent horses anesthetized with guaifenesin-ketamine-xylazine and spontaneously breathing 50% or maximal (> 90%) oxygen (O2) concentrations. Twelve healthy mares were randomly assigned to breathe 50% or maximal O2 concentrations. Horses were sedated with xylazine, induced to recumbency with ketamine-diazepam, and anesthesia was maintained with guaifenesin-ketamine-xylazine to effect. Heart rate, arterial blood pressures, respiratory rate, lithium dilution cardiac output (CO), inspired and expired O2 and carbon dioxide partial pressures, and tidal volume were measured. Arterial and mixed-venous blood samples were collected prior to sedation (baseline), during 30 minutes of anesthesia, 10 minutes after disconnection from O2, and 30 minutes after standing. Shunt fraction, O2 delivery, and alveolar-arterial O2 partial pressures difference [P(A-a)O2] were calculated. Recovery times were recorded. There were no significant differences between groups in cardiorespiratory parameters or in P(A-a)O2 at baseline or 30 minutes after standing. Oxygen partial pressure difference in the 50% group was significantly less than in the maximal O2 group during anesthesia.
本研究比较了用愈创甘油醚 - 氯胺酮 - 赛拉嗪麻醉并自主呼吸50%或最大(>90%)氧气(O₂)浓度的仰卧位马匹的心肺变量。12匹健康母马被随机分配呼吸50%或最大O₂浓度。马匹先用赛拉嗪镇静,再用氯胺酮 - 地西泮诱导卧倒,并用愈创甘油醚 - 氯胺酮 - 赛拉嗪维持麻醉效果。测量心率、动脉血压、呼吸频率、锂稀释心输出量(CO)、吸入和呼出的O₂及二氧化碳分压以及潮气量。在镇静前(基线)、麻醉30分钟期间、停止吸氧10分钟后以及站立30分钟后采集动脉和混合静脉血样。计算分流分数、O₂输送量以及肺泡 - 动脉O₂分压差[P(A-a)O₂]。记录恢复时间。两组在基线或站立30分钟后的心肺参数或P(A-a)O₂方面无显著差异。在麻醉期间,50%组的氧分压差值显著低于最大O₂组。