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测定驴的异氟烷肺泡最低有效浓度。

Determination of the minimum alveolar concentration of isoflurane in donkeys.

出版信息

Am J Vet Res. 2022 May 8;83(6):ajvr.21.12.0200. doi: 10.2460/ajvr.21.12.0200.

Abstract

OBJECTIVE

To determine the minimum alveolar concentration (MAC) of isoflurane in donkeys and characterize recovery from anesthesia.

ANIMALS

7 healthy castrated male adult donkeys.

PROCEDURES

Anesthesia was induced with propofol and maintained under mechanical ventilation with 1.3% isoflurane end-tidal concentration (ETiso). The MAC of isoflurane was determined after a 60-minute propofol washout period using the bracketing method. A continuous noxious electrical stimulation was applied to the oral mucosa for 1 minute or until the donkey moved. The ETiso was increased or decreased by 10% depending on the response, and MAC was defined as the average of 2 ETiso values allowing and preventing movement in response to stimulation. Arterial blood gases were measured during anesthesia and the recovery period. Unassisted recovery was timed, and a quality score was assigned from 1 (very poor) to 5 (excellent).

RESULTS

The mean dose of propofol required for induction was 3.0 ± 0.6 mg/kg. The MAC of isoflurane was 1.44 ± 0.13%. One donkey was excluded from the study because it was still responsive when stimulated at ETiso of 2.8%. Immediately after extubation, the median (range) partial pressure of oxygen in the arterial blood was 63 (minimum to maximum, 46 to 72) mm Hg and 3 donkeys were hypoxemic (partial pressure of arterial oxygen < 60 mm Hg). The median time to standing was 13 (7 to 38) minutes, while the recovery score was 3 (2 to 5).

CLINICAL RELEVANCE

The MAC of isoflurane in donkeys is similar to that reported in other species. Oxygen support should be provided to donkeys during recovery from isoflurane anesthesia to prevent hypoxemia.

摘要

目的

确定驴的异氟醚最小肺泡浓度(MAC)并描述麻醉恢复情况。

动物

7 只健康去势雄性成年驴。

程序

使用丙泊酚诱导麻醉,机械通气维持 1.3%异氟醚呼气末浓度(ETiso)。在 60 分钟丙泊酚洗脱期后,使用区间法确定异氟醚的 MAC。用持续的有害电刺激口腔黏膜 1 分钟或直到驴移动。根据反应增加或减少 ETiso 10%,并将 MAC 定义为允许和防止刺激反应运动的 2 个 ETiso 值的平均值。在麻醉和恢复期测量动脉血气。记录自主恢复时间,并从 1(非常差)到 5(优秀)分配质量评分。

结果

诱导所需的丙泊酚平均剂量为 3.0 ± 0.6 mg/kg。异氟醚的 MAC 为 1.44 ± 0.13%。由于在 ETiso 为 2.8%时仍有反应,1 只驴被排除在研究之外。拔管后即刻,动脉血氧分压中位数(范围)为 63(最低至最高,46 至 72)mmHg,3 只驴存在低氧血症(动脉血氧分压<60 mmHg)。站立时间中位数为 13(7 至 38)分钟,而恢复评分中位数为 3(2 至 5)。

临床相关性

驴的异氟醚 MAC 与其他物种报道的相似。在异氟醚麻醉恢复期间,应向驴提供氧支持,以预防低氧血症。

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