Gavier D, Kittleson M D, Fowler M E, Johnson L E, Hall G, Nearenberg D
Department of Medicine, School of Veterinary Medicine, University of California, Davis 95616.
Am J Vet Res. 1988 Dec;49(12):2047-55.
Anesthesia induced by use of a combination of xylazine, ketamine, and halothane, under conditions of spontaneous and mechanically controlled ventilation, was evaluated in 5 llamas positioned in dorsal recumbency. Using chronically implanted catheters, systemic arterial blood pressure, pulmonary arterial pressure, right atrial pressure, heart rate and rhythm, cardiac output, blood pH and gas tensions, body temperature, and respiratory rate were measured before anesthesia induction (baseline), throughout the anesthetic period, and for 1 hour into the recovery period. During anesthesia, llamas undergoing spontaneous ventilation developed hypercapnia and respiratory acidosis. Cardiovascular function was decreased during both types of ventilation. The combination of xylazine, ketamine, and halothane in various doses and 2 ventilation procedures (spontaneous and controlled) provided a reliable method for general anesthesia in llamas, but marked cardiovascular depression developed during anesthesia maintenance with halothane. Spontaneous ventilation resulted in potentially clinically important respiratory acidosis.
在5只处于仰卧位的美洲驼中,评估了在自发通气和机械控制通气条件下,使用甲苯噻嗪、氯胺酮和氟烷联合诱导麻醉的效果。使用长期植入的导管,在麻醉诱导前(基线)、整个麻醉期间以及恢复期的1小时内,测量全身动脉血压、肺动脉压、右心房压、心率和心律、心输出量、血液pH值和气体张力、体温以及呼吸频率。在麻醉期间,进行自发通气的美洲驼出现了高碳酸血症和呼吸性酸中毒。两种通气类型下心血管功能均下降。不同剂量的甲苯噻嗪、氯胺酮和氟烷联合使用以及两种通气程序(自发通气和控制通气)为美洲驼提供了一种可靠的全身麻醉方法,但在使用氟烷维持麻醉期间出现了明显的心血管抑制。自发通气导致了可能具有临床重要意义的呼吸性酸中毒。