Oliveira Renato Ls, Moreira Clarissa Mr, Barcellos Myla Cb, Silva Camile Pp, Teixeira Jorge Gc, Souza Heloisa Jm
Department of Medicine and Surgery, Veterinary Institute, UFRRJ, Seropédica, Rio de Janeiro, Brazil.
J Feline Med Surg. 2018 Feb;20(2):91-94. doi: 10.1177/1098612X17695891. Epub 2017 Mar 1.
Objectives The objective of this study was to determine the effect of administration rate on propofol dose for induction of anesthesia and the effect of methadone on this dose. Methods This was a prospective, randomized, blinded clinical study. Forty male cats (mean ± SD age 1.5 ± 0.8 years) were admitted for orchiectomy. Cats were randomly allocated to receive acepromazine (0.05 mg/kg) with either methadone (MET; 0.3 mg/kg) or saline (SAL; 0.03 ml/kg). Each premedication group then received anesthetic induction with propofol at 5 (F) or 1.5 mg/kg/min (S), resulting in the following four groups: MET-F, SAL-F, MET-S and SAL-S. Sedation scores were assigned at 15 and 30 mins after premedication using a simple descriptive scale (SDS) and a visual analog scale (VAS). After assignment of sedation scores, respiratory frequency ( f) was recorded, and anesthetic induction began and was continued until cats lost their palpebral reflexes and jaw tone, and the eye globe rotated ventromedially. The time for induction and the total amount of propofol needed was recorded, and intubation was then performed. After intubation, f was also recorded. Results SDS and VAS sedation scores were low at 15 and 30 mins after premedication. There was no significant difference in sedation scores by time or between the groups at any time on any scale. The amount of propofol needed to achieve anesthetic induction was 5.3 ± 1.1 mg/kg in group MET-F, which was statistically lower when compared with the other three groups, which demonstrated no difference among them. Conclusions and relevance Premedication with acepromazine and methadone was not able to produce adequate sedation in healthy cats. The slow induction rate is not adequate for use in cats considering that all of the animals demonstrated excitement during anesthetic induction. The fast administration rate was able to produce adequate induction of anesthesia and reduce the amount of propofol needed to achieve intubation only when using methadone.
目的 本研究的目的是确定给药速率对丙泊酚诱导麻醉剂量的影响以及美沙酮对该剂量的影响。方法 这是一项前瞻性、随机、双盲临床研究。40只雄性猫(平均±标准差年龄1.5±0.8岁)因去势手术入院。猫被随机分配接受乙酰丙嗪(0.05mg/kg)加美沙酮(MET;0.3mg/kg)或生理盐水(SAL;0.03ml/kg)。然后,每个术前用药组以5(F)或1.5mg/kg/分钟(S)的速率接受丙泊酚麻醉诱导,形成以下四组:MET-F、SAL-F、MET-S和SAL-S。在术前用药后15和30分钟使用简单描述性量表(SDS)和视觉模拟量表(VAS)进行镇静评分。在分配镇静评分后,记录呼吸频率(f),开始麻醉诱导并持续进行,直到猫失去睑反射和下颌张力,眼球向腹内侧转动。记录诱导时间和所需丙泊酚总量,然后进行插管。插管后,也记录f。结果 术前用药后15和30分钟时SDS和VAS镇静评分较低。在任何时间点,按时间或组间比较,任何量表上的镇静评分均无显著差异。MET-F组实现麻醉诱导所需的丙泊酚量为5.3±1.1mg/kg,与其他三组相比有统计学差异,其他三组之间无差异。结论及相关性 乙酰丙嗪和美沙酮术前用药不能在健康猫中产生足够的镇静效果。考虑到所有动物在麻醉诱导期间均表现出兴奋,缓慢的诱导速率不适用于猫。快速给药速率仅在使用美沙酮时能够产生足够的麻醉诱导并减少插管所需的丙泊酚量。