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接受神经外科手术的恒河猴(猕猴)中异氟烷和七氟烷的苏醒时间及质量比较。

Comparison of emergence times and quality between isoflurane and sevoflurane in rhesus macaque ( Macaca mulatta) undergoing neurosurgical procedure.

作者信息

Bertrand Henri G M J, Springer Svenja, Burnside Wesley, Sandersen Charlotte, Flecknell Paul A

机构信息

1 Comparative Biology Centre, Newcastle University, Newcastle upon Tyne, UK.

2 Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.

出版信息

Lab Anim. 2017 Oct;51(5):518-525. doi: 10.1177/0023677217692371. Epub 2017 Feb 23.

Abstract

Volatile agents for anaesthesia are widely used for anaesthetizing laboratory primates, and isoflurane is one of the most frequently used agents. Sevoflurane has been shown to offer a more rapid recovery than isoflurane in a number of species, but no comparisons have been made in non-human primates. This study compared the recovery characteristics of isoflurane and sevoflurane in rhesus macaques undergoing experimental neurosurgery. Twelve primates (7 males and 5 females) were randomly allocated to the treatment groups. They were sedated with ketamine (10 mg/kg) and anaesthesia was induced with propofol (usually 8 mg/kg intravenously [IV]). Anaesthesia was maintained with either sevoflurane (SEVO) (2.2 ± 0.4%) or isoflurane (ISO) (1.2 ± 0.2%) and alfentanil (0.2-0.5 µg/kg/min IV) for 332-592 min. Animals were mechanically ventilated. Meloxicam (0.3 mg/kg) and methylprednisolone infusion (5.4 mg/kg/h) were also administered. Time to extubation after cessation of anaesthesia was significantly shorter with sevoflurane (ISO: 7.0 ± 1.8 min; SEVO: 3.6 ± 1.5; *P = 0.005) as was the time to the animal sitting unaided (ISO: 15.7 ± 8.2 min; SEVO: 7.1 ± 1.7 min; *P = 0.004) . No significant difference in the quality of recovery following isoflurane or sevoflurane anaesthesia was found. In conclusion, isoflurane and sevoflurane are both suitable volatile agents for the maintenance of general anaesthesia in rhesus macaques undergoing experimental neurosurgical procedures. The two volatile agents presented a similar emergence quality profile, however sevoflurane anaesthesia was associated with a faster recovery, offering the possibility of conducting earlier post-operative neurological assessment.

摘要

挥发性麻醉剂被广泛用于麻醉实验用灵长类动物,异氟烷是最常用的麻醉剂之一。在许多物种中,七氟烷已被证明比异氟烷恢复得更快,但尚未在非人灵长类动物中进行比较。本研究比较了接受实验性神经外科手术的恒河猴使用异氟烷和七氟烷后的恢复特征。12只灵长类动物(7只雄性和5只雌性)被随机分配到治疗组。它们先用氯胺酮(10mg/kg)镇静,然后用丙泊酚(通常静脉注射8mg/kg)诱导麻醉。用七氟烷(SEVO)(2.2±0.4%)或异氟烷(ISO)(1.2±0.2%)和阿芬太尼(0.2 - 0.5μg/kg/min静脉注射)维持麻醉332 - 592分钟。动物进行机械通气。还给予了美洛昔康(0.3mg/kg)和甲泼尼龙输注(5.4mg/kg/h)。麻醉停止后拔管时间七氟烷显著短于异氟烷(ISO:7.0±1.8分钟;SEVO:3.6±1.5分钟;*P = 0.005),动物自主坐起时间也是如此(ISO:15.7±8.2分钟;SEVO:7.1±1.7分钟;*P = 0.004)。异氟烷或七氟烷麻醉后恢复质量无显著差异。总之,异氟烷和七氟烷都是用于接受实验性神经外科手术的恒河猴维持全身麻醉的合适挥发性麻醉剂。这两种挥发性麻醉剂的苏醒质量相似,但七氟烷麻醉后的恢复更快,这为更早进行术后神经学评估提供了可能性。

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