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右美托咪定-氯胺酮-咪达唑仑与异氟烷用于黑尾土拨鼠麻醉的比较()

Comparison of Dexmedetomidine-Ketamine-Midazolam and Isoflurane for Anesthesia of Black-tailed Prairie Dogs ().

作者信息

Browning Geoffrey R, Eshar David, Beaufrere Hugues

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Manhattan, Kansas;, Email:

Department of Clinical Sciences, College of Veterinary Medicine, Manhattan, Kansas.

出版信息

J Am Assoc Lab Anim Sci. 2019 Jan 1;58(1):50-57. doi: 10.30802/AALAS-JAALAS-18-000001. Epub 2018 Nov 5.

Abstract

Few studies evaluate anesthesia in black-tailed prairie dogs (). Isoflurane inhalant anesthesia is used in this species most commonly, but injectable protocols are poorly described. Here we compared the physiologic effects, including anesthetic depth, vital signs, and hematologic changes, of anesthetic protocols using isoflurane or a combination of dexmedetomidine, ketamine, and midazolam in black-tailed prairie dogs. In a randomized, complete crossover study design, intact male black-tailed prairie dogs ( = 9; age, 6 mo) were anesthetized by using a combination of dexmedetomidine (0.25 mg/kg IM), ketamine (40 mg/kg IM), and midazolam (1.5 mg/kg IM). For reversal, atipamezole (0.15 mg/kg) and flumazenil (0.05 mg/kg) were administered 45 min after induction. For comparison, isoflurane was administered at 5% in 100% oxygen at 5 L/min in an anesthetic induction chamber, followed by maintenance isoflurane 2% in 2 L/min oxygen through a tight-fitting facemask for 45 min. Induction and recovery time, respiratory rate, heart rate, body temperature, SpO₂, indirect blood pressure, and reflexes were monitored every 5 min during the anesthetic period. Blood samples for venous blood gases, PCV, and refractometric total protein were obtained from the cranial vena cava at 5 min and 45 min. Both protocols appeared to achieve safe and effective anesthesia. Except for blood pressure, all vital signs differed between the 2 treatments. Isoflurane anesthesia resulted in a slightly longer induction and lower respiratory rate and body temperature but increased likelihood of absent reflexes. DKM anesthesia resulted in a faster induction and less hypothermia but also prolonged recovery and lower heart rate and SpO₂ readings. These findings suggest that isoflurane provides a more stable and consistent anesthetic plane, whereas dexmedetomidine-ketamine-midazolam anesthesia may be an effective alternative for short procedures that require fast induction and limited analgesia.

摘要

很少有研究评估黑尾土拨鼠的麻醉情况。异氟烷吸入麻醉是该物种最常用的麻醉方式,但关于注射麻醉方案的描述却很少。在此,我们比较了使用异氟烷或右美托咪定、氯胺酮和咪达唑仑联合麻醉方案对黑尾土拨鼠的生理影响,包括麻醉深度、生命体征和血液学变化。在一项随机、完全交叉研究设计中,完整的雄性黑尾土拨鼠(n = 9;年龄,6个月)使用右美托咪定(0.25毫克/千克,肌肉注射)、氯胺酮(40毫克/千克,肌肉注射)和咪达唑仑(1.5毫克/千克,肌肉注射)联合进行麻醉。为了进行苏醒,诱导后45分钟给予阿替美唑(0.15毫克/千克)和氟马西尼(0.05毫克/千克)。作为对照,在麻醉诱导室中,以5升/分钟的速度将5%的异氟烷与100%的氧气混合给药,随后通过紧密贴合的面罩以2升/分钟的速度给予2%的异氟烷维持麻醉45分钟。在麻醉期间,每隔5分钟监测诱导和苏醒时间、呼吸频率、心率、体温、SpO₂、间接血压和反射情况。在5分钟和45分钟时,从颈静脉采集血样用于检测静脉血气、红细胞压积和折射总蛋白。两种方案似乎都能实现安全有效的麻醉。除血压外,两种治疗方法的所有生命体征均存在差异。异氟烷麻醉导致诱导时间略长、呼吸频率和体温较低,但反射消失的可能性增加。右美托咪定 - 氯胺酮 - 咪达唑仑麻醉诱导更快、体温过低情况较少,但苏醒时间延长,心率和SpO₂读数较低。这些发现表明,异氟烷提供了更稳定和一致的麻醉平面,而右美托咪定 - 氯胺酮 - 咪达唑仑麻醉可能是需要快速诱导和有限镇痛的短时间手术的有效替代方法。

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