Lagos-Carvajal Angie, Queiroz-Williams Patricia, Cremer Jeannette, Ricco Pereira Carolina H, Nevarez Javier, da Cunha Anderson F, Liu Chin-Chi
Am J Vet Res. 2020 Nov;81(11):850-855. doi: 10.2460/ajvr.81.11.850.
To investigate the effects of a priming dose of alfaxalone on the total anesthetic induction dose for and cardiorespiratory function of sedated healthy cats.
8 healthy adult cats.
For this crossover study, cats were sedated with dexmedetomidine and methadone administered IM. Cats next received a priming induction dose of alfaxalone (0.25 mg/kg, IV) or saline (0.9% NaCl) solution (0.025 mL/kg, IV) over 60 seconds and then an induction dose of alfaxalone (0.5 mg/kg/min, IV) until orotracheal intubation was achieved. Cardiorespiratory variables were recorded at baseline (immediately prior to priming agent administration), immediately after priming agent administration, after orotracheal intubation, and every 2 minutes until extubation. The total induction dose of alfaxalone was compared between the 2 priming agents.
Mean ± SD total anesthetic induction dose of alfaxalone was significantly lower when cats received a priming dose of alfaxalone (0.98 ± 0.28 mg/kg), compared with when cats received a priming dose of saline solution (1.41 ± 0.17 mg/kg). Mean arterial blood pressure was significantly higher when alfaxalone was used as the priming dose. No cats became apneic or had a hemoglobin oxygen saturation of < 90%. Expired volume per minute was not significantly different between the 2 priming agents.
Administration of a priming dose of alfaxalone to healthy sedated cats reduced the total dose of alfaxalone needed to achieve orotracheal intubation, maintained mean arterial blood pressure, and did not adversely impact the measured respiratory variables.
研究预充剂量的阿法沙龙对镇静健康猫的总麻醉诱导剂量及心肺功能的影响。
8只健康成年猫。
在这项交叉研究中,猫通过肌肉注射右美托咪定和美沙酮进行镇静。接下来,猫在60秒内接受阿法沙龙的预充诱导剂量(0.25毫克/千克,静脉注射)或生理盐水(0.9%氯化钠)溶液(0.025毫升/千克,静脉注射),然后接受阿法沙龙诱导剂量(0.5毫克/千克/分钟,静脉注射)直至实现气管插管。在基线(即将给予预充剂之前)、给予预充剂后立即、气管插管后以及拔管前每2分钟记录心肺变量。比较两种预充剂之间阿法沙龙的总诱导剂量。
与接受生理盐水预充剂量的猫(1.41±0.17毫克/千克)相比,接受阿法沙龙预充剂量的猫阿法沙龙的平均±标准差总麻醉诱导剂量显著更低(0.98±0.28毫克/千克)。当使用阿法沙龙作为预充剂量时,平均动脉血压显著更高。没有猫出现呼吸暂停或血红蛋白氧饱和度<90%。两种预充剂之间每分钟呼出量无显著差异。
给镇静的健康猫给予预充剂量的阿法沙龙可降低实现气管插管所需的阿法沙龙总剂量,并维持平均动脉血压,且对所测量的呼吸变量无不良影响。