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野生圈养黑猩猩(黑猩猩属)对四种不同野外麻醉方案的心率和间接血压反应

HEART RATE AND INDIRECT BLOOD PRESSURE RESPONSES TO FOUR DIFFERENT FIELD ANESTHETIC PROTOCOLS IN WILD-BORN CAPTIVE CHIMPANZEES (PAN TROGLODYTES).

作者信息

Atencia Rebeca, Stöhr Eric J, Drane Aimee L, Stembridge Mike, Howatson Glyn, Del Rio Pablo Rodriguez Lopez, Feltrer Yedra, Tafon Babila, Redrobe Sharon, Peck Bruce, Eng Jaclyn, Unwin Steve, Sanchez Carlos R, Shave Rob E

出版信息

J Zoo Wildl Med. 2017 Sep;48(3):636-644. doi: 10.1638/2016-0181.1.

Abstract

Limited data are available on hemodynamic responses to anesthetic protocols in wild-born chimpanzees (Pan troglodytes). Accordingly, this study characterized the heart rate (HR) and blood pressure responses to four anesthetic protocols in 176 clinically healthy, wild-born chimpanzees undergoing routine health assessments. Animals were anesthetized with medetomidine-ketamine (MK) (n = 101), tiletamine-zolazepam (TZ) (n = 30), tiletamine-zolazepam-medetomidine (TZM) (n = 24), or medetomidine-ketamine (maintained with isoflurane) (MKI) (n = 21). During each procedure, HR, systolic blood pressure (SBP), and diastolic blood pressure (DBP) were regularly recorded. Data were grouped according to anesthetic protocol, and mean HR, SBP, and DBP were calculated. Differences between mean HR, SBP, and DBP for each anesthetic protocol were assessed using the Kruskall-Wallis test and a Dunn multiple comparisons post hoc analysis. To assess the hemodynamic time course response to each anesthetic protocol, group mean data (±95% confidence interval [CI]) were plotted against time postanesthetic induction. Mean HR (beats/min [CI]) was significantly higher in TZ (86 [80-92]) compared to MKI (69 [61-78]) and MK (62 [60-64]) and in TZM (73 [68-78]) compared to MK. The average SBP and DBP values (mm Hg [CI]) were significantly higher in MK (130 [126-134] and 94 [91-97]) compared to TZ (104 [96-112] and 58 [53-93]) and MKI (113 [103-123] and 78 [69-87]) and in TZM (128 [120-135] and 88 [83-93]) compared to TZ. Time course data were markedly different between protocols, with MKI showing the greatest decline over time. Both the anesthetic protocol adopted and the timing of measurement after injection influence hemodynamic recordings in wild-born chimpanzees and need to be considered when monitoring or assessing cardiovascular health.

摘要

关于野生黑猩猩(黑猩猩属)对麻醉方案的血流动力学反应的数据有限。因此,本研究对176只接受常规健康评估的临床健康野生黑猩猩在四种麻醉方案下的心率(HR)和血压反应进行了特征描述。动物分别用美托咪定 - 氯胺酮(MK)(n = 101)、替来他明 - 唑拉西泮(TZ)(n = 30)、替来他明 - 唑拉西泮 - 美托咪定(TZM)(n = 24)或美托咪定 - 氯胺酮(用异氟烷维持)(MKI)(n = 21)进行麻醉。在每个操作过程中,定期记录HR、收缩压(SBP)和舒张压(DBP)。数据根据麻醉方案分组,并计算平均HR、SBP和DBP。使用Kruskal - Wallis检验和Dunn多重比较事后分析评估每种麻醉方案的平均HR、SBP和DBP之间的差异。为了评估对每种麻醉方案的血流动力学时间过程反应,将组平均数据(±95%置信区间[CI])相对于麻醉诱导后的时间作图。与MKI(69[61 - 78])和MK(62[60 - 64])相比,TZ组的平均HR(次/分钟[CI])显著更高(86[80 - 92]),与MK相比,TZM组的平均HR(73[68 - 78])也显著更高。与TZ(104[96 - 112]和58[53 - 93])和MKI(113[103 - 123]和78[69 - 87])相比,MK组的平均SBP和DBP值(毫米汞柱[CI])显著更高(130[126 - 134]和94[91 - 97]),与TZ相比,TZM组的平均SBP和DBP值(128[120 - 135]和88[83 - 93])也显著更高。不同方案之间的时间过程数据明显不同,MKI显示出随时间下降幅度最大。所采用的麻醉方案和注射后测量的时间都会影响野生黑猩猩的血流动力学记录,在监测或评估心血管健康时需要考虑这些因素。

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