Lemke Kip A
Department of Companion Animals, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
Vet Anaesth Analg. 2001 Apr;28(2):75-86. doi: 10.1046/j.1467-2987.2000.00037.x. Epub 2016 Nov 15.
Objective To determine the electrocardiographic and cardiopulmonary effects of IM administration of romifidine with and without prior administration of glycopyrrolate in conscious dogs. Study design Prospective randomized study. Animals Twelve healthy, adult beagles. Materials and methods Dogs were assigned at random to each of three treatments with glycopyrrolate (six dogs), and to each of three treatments without glycopyrrolate (six dogs). Baseline data were recorded, and saline solution or glycopyrrolate (10 µg kg) was given IM. After 15 minutes, saline solution (control) or romifidine (20 or 40 µg kg) was given IM. An ECG, heart rate (HR), systemic blood pressures, and respiratory rate (RR) were recorded before and 2.5, 5, 10, 15, 30, 45, 60, 75, 90, 105 and 120 minutes after romifidine administration. Rectal temperature (RT), pH, PaCO, PaO, hematocrit and plasma protein were determined before and 15, 30, 60 and 120 minutes after romifidine administration. Data were analyzed using analysis of variance for repeated measures and Tukey multiple comparison tests. Results Without glycopyrrolate, HR (beats minute) decreased to minimum values (mean ± SD) of 52 ± 7 and 49 ± 12 (control 89 ± 20) 45 minutes after administration of romifidine at doses of 20 and 40 µg kg, respectively. Sinus bradycardia (HR < 60 beats minute), which persisted for up to 120 minutes, was observed in five of six and six of six dogs given romifidine at doses of 20 and 40 µg kg, respectively. With glycopyrrolate, decreases in HR were prevented and mean arterial pressure (mm Hg) increased to maximum values of 139 ± 25 and 173 ± 17 (control 113 ± 11) 30 minutes after administration of romifidine at doses of 20 and 40 µg kg, respectively. With and without glycopyrrolate, RR did not change appreciably, RT decreased, and pH, PaCO, PaO, hematocrit and plasma protein did not change after administration of romifidine. Conclusions and clinical relevance In healthy conscious beagles, IM administration of romifidine at doses of 20 and 40 µg kg causes sinus bradycardia which persists for up to 120 minutes. Administration of glycopyrrolate 15 minutes before administration of romifidine, prevents sinus bradycardia and induces moderate increases in arterial pressure.
目的 确定在清醒犬中,肌内注射罗米非定(romifidine)时,预先给予或未预先给予格隆溴铵(glycopyrrolate)的心电图及心肺效应。研究设计 前瞻性随机研究。动物 12 只健康成年比格犬。材料与方法 将犬随机分为三组,一组预先给予格隆溴铵(6 只犬),另一组不预先给予格隆溴铵(6 只犬)。记录基线数据,然后肌内注射生理盐水或格隆溴铵(10 μg/kg)。15 分钟后,肌内注射生理盐水(对照)或罗米非定(20 或 40 μg/kg)。在注射罗米非定前及注射后 2.5、5、10、15、30、45、60、75、90、105 和 120 分钟记录心电图、心率(HR)、体循环血压和呼吸频率(RR)。在注射罗米非定前及注射后 15、30、60 和 120 分钟测定直肠温度(RT)、pH、动脉血二氧化碳分压(PaCO₂)、动脉血氧分压(PaO₂)、血细胞比容和血浆蛋白。数据采用重复测量方差分析和 Tukey 多重比较检验进行分析。结果 未预先给予格隆溴铵时,分别给予 20 μg/kg 和 40 μg/kg 罗米非定后 45 分钟,心率(次/分钟)降至最低值(均值±标准差),分别为 52±7 和 49±12(对照为 89±20)。分别给予 20 μg/kg 和 40 μg/kg 罗米非定的犬中,6 只犬中有 5 只和 6 只犬出现窦性心动过缓(HR<60 次/分钟),且持续长达 120 分钟。预先给予格隆溴铵时,心率下降得到预防,分别给予 20 μg/kg 和 40 μg/kg 罗米非定后 30 分钟,平均动脉压(mmHg)升至最高值,分别为 139±25 和 173±17(对照为 113±11)。无论是否预先给予格隆溴铵,注射罗米非定后呼吸频率均无明显变化,直肠温度下降,pH、PaCO₂、PaO₂、血细胞比容和血浆蛋白均无变化。结论及临床意义 在健康清醒比格犬中,肌内注射 20 μg/kg 和 40 μg/kg 罗米非定可导致窦性心动过缓,持续长达 120 分钟。在注射罗米非定前 15 分钟给予格隆溴铵可预防窦性心动过缓,并使动脉压适度升高。