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健康咪达唑仑/布托啡诺或咪达唑仑/吗啡镇静犬的超声心动图评估

Echocardiographic Assessment of Healthy Midazolam/Butorphanol or Midazolam/Morphine-Sedated Dogs.

作者信息

Possidonio Geovana, Santos Caroliny A, Ferreira Mariana A, Floriano Beatriz P, de Almeida Breno F M, Marques Ana Elisa G W, Marques Marcel G

机构信息

Department of Veterinary Medicine of University Center of the Integrated Colleges of Ourinhos (UNIFIO), Ourinhos, São Paulo State, Brazil.

DVM, MSC., Ourinhos, São Paulo State, Brazil.

出版信息

Top Companion Anim Med. 2021 Nov;45:100553. doi: 10.1016/j.tcam.2021.100553. Epub 2021 Jun 25.

DOI:10.1016/j.tcam.2021.100553
PMID:34175451
Abstract

The purpose of this study was to assess the effects of midazolam combined with morphine or butorphanol on echocardiographic variables of healthy dogs. Twenty-four dogs of various breeds aged 34.33 ± 23.41 months and weighing 8.1 ± 4.7 kg were enrolled in the study. Subjects were randomly allocated in one of two experimental groups of sedation with intramuscular midazolam (0.3 mg/kg) combined with butorphanol (0.2 mg/kg) (G, n = 12) or morphine (0.3 mg/kg) (G, n = 12). Transthoracic echocardiographic examinations comprised B-Mode, M-Mode, spectral Doppler and pulsed tissue Doppler assessment. Data were recorded before sedation (T) and 20 minutes following intramuscular administration of either sedation protocol (T). Data were analyzed using repeated measures ANOVA followed by Tukey's posthoc test. Shortening fraction, ejection fraction, left ventricular diameter and volume did not differ among groups and time points. The A and E' waves were decreased in G at T compared to T. Isovolumic relaxation time, Ae/Ao ratio, aortic and pulmonary flows and S' wave did not differ among time points and groups. These sedation protocols did not cause clinically relevant changes in echocardiographic variables, therefore can be used for sedation of uncooperative dogs during echocardiographic evaluation.

摘要

本研究的目的是评估咪达唑仑联合吗啡或布托啡诺对健康犬超声心动图变量的影响。24只年龄为34.33±23.41个月、体重为8.1±4.7 kg的不同品种犬被纳入本研究。将受试动物随机分配到两个实验组之一,即肌肉注射咪达唑仑(0.3 mg/kg)联合布托啡诺(0.2 mg/kg)(G组,n = 12)或吗啡(0.3 mg/kg)(G组,n = 12)进行镇静。经胸超声心动图检查包括B型、M型、频谱多普勒和脉冲组织多普勒评估。在镇静前(T0)和肌肉注射任一镇静方案后20分钟(T1)记录数据。采用重复测量方差分析,随后进行Tukey事后检验分析数据。缩短分数、射血分数、左心室直径和容积在各组和各时间点之间无差异。与T0相比,G组在T1时A波和E'波降低。等容舒张时间、Ae/Ao比值、主动脉和肺血流以及S'波在各时间点和各组之间无差异。这些镇静方案在超声心动图变量方面未引起临床相关变化,因此可用于在超声心动图评估期间对不合作犬进行镇静。

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