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两种设计的犬静脉麻醉组合的对比实验研究

Comparative experimental study on two designed intravenous anaesthetic combinations in dogs.

作者信息

Abdel-Hady Abdelnaser Abdelmoneim Azab, Abdelbasset Khaled M, Soliman Ahmed S

机构信息

Department of Surgery, Anaesthesiology and Radiology, Faculty of Veterinary Medicine, South Valley University, Qena, Egypt.

Department of Surgery, Anaesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt.

出版信息

EXCLI J. 2017 May 22;16:770-779. doi: 10.17179/excli2017-298. eCollection 2017.

DOI:10.17179/excli2017-298
PMID:28827993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5547379/
Abstract

The goal of the present study is to design a good anaesthetic program for dogs which can lead to optimal anaesthesia with no or minimal post-operative adverse effects. For this purpose, we designed two anaesthetic combinations and compared their effects in Mongrel dogs: combination 'A' consisting of atropine, xylazine, ketamine plus propofol, and combination 'B' consisting of atropine, diazepam, ketamine plus propofol. The onset and duration of anaesthesia induction, the duration of maintenance as well as the period of recovery were recorded and compared for both combinations. Furthermore, heart rate, respiratory rate, body temperature as well as blood picture were analyzed before and after administration of the proposed anaesthetic regimens. Administration of combination 'A' lead to rapid onset, within seconds, and induction of anaesthesia. The anaesthetic effect was maintained for approximately 29 minutes after injection of propofol. This was followed by very smooth recovery within approximately 68 minutes after induction of anaesthesia. In contrast, a less efficient induction and maintenance of anaesthesia as well as individual variability was observed after administration of combination 'B'. Approximately 14 minutes were needed for anaesthesia induction, which was maintained for 23 minutes after injection of propofol. Furthermore, administration of combination 'B' was associated with alterations in heart rate, body temperature and hematological picture. In conclusion, our results revealed that combined administration of atropine, xylazine, ketamine plus propofol (combination 'A') is considered satisfactory for anaesthesia in dogs with minimal post-operative side effects.

摘要

本研究的目的是为犬设计一种良好的麻醉方案,该方案可实现最佳麻醉效果,且术后不良反应极少或没有。为此,我们设计了两种麻醉组合,并比较它们在杂种犬中的效果:组合“A”由阿托品、赛拉嗪、氯胺酮加丙泊酚组成,组合“B”由阿托品、地西泮、氯胺酮加丙泊酚组成。记录并比较了两种组合的麻醉诱导起效时间和持续时间、维持时间以及恢复时间。此外,在给予建议的麻醉方案前后,分析了心率、呼吸频率、体温以及血常规。给予组合“A”后,数秒内即可快速起效并诱导麻醉。注射丙泊酚后,麻醉效果维持约29分钟。随后,麻醉诱导后约68分钟内恢复非常平稳。相比之下,给予组合“B”后,麻醉诱导和维持效果较差,且存在个体差异。麻醉诱导大约需要14分钟,注射丙泊酚后维持23分钟。此外,给予组合“B”与心率、体温和血液学指标的改变有关。总之,我们的结果表明,阿托品、赛拉嗪、氯胺酮加丙泊酚联合给药(组合“A”)对犬麻醉而言是令人满意的,术后副作用极小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/485616466bbe/EXCLI-16-770-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/f24435441eca/EXCLI-16-770-t-001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/485616466bbe/EXCLI-16-770-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/f24435441eca/EXCLI-16-770-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/41bde7d50aff/EXCLI-16-770-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/4842f9bb2ef1/EXCLI-16-770-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd4/5547379/f1b63939d87b/EXCLI-16-770-t-004.jpg
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本文引用的文献

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Propofol and fentanyl infusions in dogs of various breeds undergoing surgery.不同品种犬在接受手术时输注丙泊酚和芬太尼。
Vet Anaesth Analg. 2009 Nov;36(6):523-31. doi: 10.1111/j.1467-2995.2009.00490.x.
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The cardiopulmonary effects of anesthetic induction with isoflurane, ketamine-diazepam or propofol-diazepam in the hypovolemic dog.
异氟烷、氯胺酮-地西泮或丙泊酚-地西泮麻醉诱导对低血容量犬心肺功能的影响。
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Cardiopulmonary effects of anesthetic induction with thiopental, propofol, or a combination of ketamine hydrochloride and diazepam in dogs sedated with a combination of medetomidine and hydromorphone.在使用美托咪定和氢吗啡酮联合镇静的犬中,硫喷妥钠、丙泊酚或盐酸氯胺酮与地西泮联合进行麻醉诱导的心肺效应。
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