Am J Vet Res. 2022 May 8;83(6):ajvr.21.12.0200. doi: 10.2460/ajvr.21.12.0200.
To determine the minimum alveolar concentration (MAC) of isoflurane in donkeys and characterize recovery from anesthesia.
7 healthy castrated male adult donkeys.
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).
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).
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.
确定驴的异氟醚最小肺泡浓度(MAC)并描述麻醉恢复情况。
7 只健康去势雄性成年驴。
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。
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)。
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。