Guzman David Sanchez-Migallon, Ceulemans Susanne M, Beaufrère Hugues, Olsen Glenn H, Paul-Murphy Joanne R
J Avian Med Surg. 2018 Mar;32(1):1-7. doi: 10.1647/2016-190.
Previous studies have validated the clinical use of opioids with μ-receptor affinities for pain management in raptors. Buprenorphine has a longer duration of action and minimal adverse effects when compared with other opioids in American kestrels ( Falco sparverius). To evaluate the thermal antinociceptive effects, sedative effects, and duration of action of sustained-release buprenorphine given intramusculary in American kestrels, 12 adult kestrels (8 females and 4 males) were used in a randomized masked complete-crossover experimental design. Buprenorphine SR LAB (1.8 mg/kg) or a control solution were administered intramuscularly. Foot withdrawal response to a thermal stimulus was determined 1 hour before (baseline) and at 1.5, 6, 12, 24, 48, and 72 hours after treatment administration. Agitation-sedation scores were determined 3-5 minutes before each time point, and adverse effects were monitored at these times. Buprenorphine SR LAB significantly increased thermal thresholds at 6, 12, and 24 hours and resulted in mild sedation according to the mean sedation-agitation scores comparing the treatment and control groups. Depending on the severity and type of pain, adjunctive therapy, and individual response, Buprenorphine SR LAB administered at 1.8 mg/kg IM to American kestrels would require administration every 24 hours to manage pain. Further pharmacodynamic and clinical evaluations are warranted in kestrels and other Falconiformes, Accipitriformes, and Strigiformes to establish accurate dosing recommendations.
先前的研究已经证实了具有μ受体亲和力的阿片类药物在猛禽疼痛管理中的临床应用。与其他阿片类药物相比,丁丙诺啡在美国红隼(Falco sparverius)中的作用持续时间更长,副作用最小。为了评估肌肉注射缓释丁丙诺啡在美国红隼中的热镇痛效果、镇静效果和作用持续时间,12只成年红隼(8只雌性和4只雄性)被用于随机双盲完全交叉实验设计。肌肉注射丁丙诺啡SR LAB(1.8毫克/千克)或对照溶液。在给药前1小时(基线)以及给药后1.5、6、12、24、48和72小时测定对热刺激的足部退缩反应。在每个时间点前3 - 5分钟测定激动 - 镇静评分,并在这些时间监测不良反应。根据治疗组和对照组的平均镇静 - 激动评分,丁丙诺啡SR LAB在6、12和24小时显著提高了热阈值,并导致轻度镇静。根据疼痛的严重程度和类型、辅助治疗以及个体反应,以1.8毫克/千克的剂量肌肉注射给美国红隼的丁丙诺啡SR LAB需要每24小时给药一次以控制疼痛。有必要对红隼以及其他隼形目、鹰形目和鸮形目鸟类进行进一步的药效学和临床评估,以确定准确的给药建议。