Mattos-Junior Ewaldo, Pypendop Bruno H, Cabrini Tatiana M, Honsho Cristiane S, Nishimura Lilian T
Veterinary Science Graduate Program, University of Franca, Franca, SP, Brazil.
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA, USA.
Vet Anaesth Analg. 2021 Jul;48(4):541-544. doi: 10.1016/j.vaa.2021.04.001. Epub 2021 Apr 29.
To evaluate the effects of dexmedetomidine alone or in combination with different opioids on intraocular pressure (IOP) in dogs.
Experimental, prospective, crossover, randomized, blinded study.
A total of six Beagle dogs (two males and four females) aged 2 years and weighing 15.9 ± 2.9 kg (mean ± standard deviation).
Dogs were distributed randomly into seven treatments (n = 6 per treatment) and were administered dexmedetomidine alone (10 μg kg; Dex) or in combination with butorphanol (0.15 mg kg; DexBut), meperidine (5 mg kg; DexMep), methadone (0.5 mg kg; DexMet), morphine (0.5 mg kg; DexMor), nalbuphine (0.5 mg kg; DexNal) or tramadol (5 mg kg; DexTra). All drugs were administered intramuscularly. IOP was measured before drug injection (time 0, baseline) and every 15 minutes thereafter for 120 minutes (T15-T120).
There were significant reductions in IOP compared with baseline in treatments Dex and DexMep at times T30-T120, and in treatment DexMet at T15-T90. IOP decreased compared with baseline in treatments DexBut, DexNal and DexTra at all evaluation times. No changes in IOP were seen in treatment DexMor. The mean IOP values in treatment DexMet at T105-T120 were higher than those for other treatments.
Dexmedetomidine alone or in combination with butorphanol, meperidine, methadone, nalbuphine or tramadol resulted in decreased IOP for 120 minutes in dogs. The magnitude of the reduction was small and lacked clinical significance.
评估右美托咪定单独使用或与不同阿片类药物联合使用对犬眼压(IOP)的影响。
实验性、前瞻性、交叉、随机、双盲研究。
总共6只比格犬(2只雄性,4只雌性),年龄2岁,体重15.9±2.9千克(平均值±标准差)。
将犬随机分为7组治疗(每组n = 6),分别单独给予右美托咪定(10μg/千克;Dex)或与布托啡诺(0.15mg/千克;DexBut)、哌替啶(5mg/千克;DexMep)、美沙酮(0.5mg/千克;DexMet)、吗啡(0.5mg/千克;DexMor)、纳布啡(0.5mg/千克;DexNal)或曲马多(5mg/千克;DexTra)联合使用。所有药物均通过肌肉注射给药。在注射药物前(时间0,基线)以及此后每15分钟测量一次眼压,共测量120分钟(T15 - T120)。
与基线相比,Dex组和DexMep组在T30 - T120时眼压显著降低,DexMet组在T15 - T90时眼压降低。在所有评估时间,DexBut组、DexNal组和DexTra组的眼压与基线相比均降低。DexMor组眼压未见变化。DexMet组在T105 - T120时的平均眼压值高于其他治疗组。
右美托咪定单独使用或与布托啡诺、哌替啶、美沙酮、纳布啡或曲马多联合使用可使犬眼压在120分钟内降低。降低幅度较小,缺乏临床意义。