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麻醉药物选择对犬心率变异性的影响。

The effects of anesthetic drug choice on heart rate variability in dogs.

作者信息

Pattanapon Nakrob, Bootcha Ratikorn, Petchdee Soontaree

机构信息

Faculty of Veterinary Medicine, Kasetsart University Veterinary Teaching Hospital, Kasetsart University, Kamphaeng Saen Campus, Bangkok 73140 Thailand.

Department of Large Animal and Wildlife Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Kamphaeng Saen Campus, Bangkok 73140, Thailand.

出版信息

J Adv Vet Anim Res. 2018 Nov 30;5(4):485-489. doi: 10.5455/javar.2018.e303. eCollection 2018 Dec.

Abstract

OBJECTIVE

The objective of this study was to assess the effects of anesthetic drugs on heart rate (HR) and heart rate variability (HRV) in dogs.

MATERIALS AND METHODS

Twelve healthy client-owned dogs of various breeds, including five females and seven males were used for elective surgery in this study. The dogs were pre-medicated with four protocols; (1) alfaxalone [at 3 mg/kg body weight (bwt)], (2) zolazepam + tiletamine (Zoletil) (at 5 mg/kg bwt), (3) diazepam (at 0.3 mg/kg bwt) + ketamine (at 5 mg/kg bwt), and (4) diazepam (at 0.3 mg/kg bwt) + propofol (at 5 mg/kg bwt). The HR and HRV of 12 dogs were recorded 20 min before and after the administration of the anesthetic drugs. Doppler was used to obtain systolic, diastolic, and mean blood pressures.

RESULTS

After anesthetic drug administration, the dogs pre-medicated and inducted with alfaxalone had the lowest HR values as compared with those of other protocols. The HRV low frequency and high frequency power ratio decreased in the dogs pre-medicated and intubated with alfaxalone.

CONCLUSION

This study demonstrates that alfaxalone preserves the cardiovascular function; and hence, is considered as safe to use for the surgical applicability in dogs.

摘要

目的

本研究的目的是评估麻醉药物对犬心率(HR)和心率变异性(HRV)的影响。

材料与方法

本研究选用12只健康的不同品种的客户拥有的犬,包括5只雌性和7只雄性,用于择期手术。这些犬采用四种方案进行术前用药;(1)阿法沙龙[按3毫克/千克体重(bwt)],(2)唑拉西泮+替来他明(速眠新)(按5毫克/千克bwt),(3)地西泮(按0.3毫克/千克bwt)+氯胺酮(按5毫克/千克bwt),以及(4)地西泮(按0.3毫克/千克bwt)+丙泊酚(按5毫克/千克bwt)。在给予麻醉药物前20分钟和给药后记录12只犬的HR和HRV。使用多普勒获取收缩压、舒张压和平均血压。

结果

给予麻醉药物后,与其他方案相比,术前用阿法沙龙预处理并诱导麻醉的犬HR值最低。术前用阿法沙龙预处理并插管的犬HRV低频和高频功率比降低。

结论

本研究表明阿法沙龙可维持心血管功能;因此,被认为用于犬的手术适用性是安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f2/6702903/d82f8f9dabe9/JAVAR-5-485-g001.jpg

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