Short C E, Stauffer J L, Goldberg G, Vainio O
Acta Vet Scand. 1986;27(4):548-59. doi: 10.1186/BF03548134.
Detomidine is a sedative-analgesic which has a pharmacological profile similar to xylazine. There is evidence that the sedative effects are mediated through alpha-2 adrenoceptors. Cardiopulmonary responses were determined using detomidine as the principal agent and as a preanesthetic prior to the induction of general anesthesia. Compatibility with guaifenesin, sodium thia-mylal and halothane were determined. As in the case of xylazine, detomidine produces a slowing of heart rates. This was found to be either sinus bradycardia or heart block. There may be a corresponding increase in systolic blood pressures. The respiratory pattern is altered through the arterial blood gases and pH data supported evidence of adequate ventilation. The heart rate response to detomidine without anticholinergic treatment was transient and related to he duration of drug action. Atropine sulfate, 0.02 mg/kg i.v. was effective in preventing or treating bradycardia or heart block from detomidine. Heart rates also increased during the administration of guaifenesin and sodium thia-mylal when given 50 min poisit-detomidine.
地托咪定是一种镇静镇痛药,其药理特性与赛拉嗪相似。有证据表明,其镇静作用是通过α-2肾上腺素能受体介导的。以地托咪定为主要药物,并在全身麻醉诱导前作为麻醉前用药,测定其心肺反应。测定了其与愈创甘油醚、硫喷妥钠和氟烷的相容性。与赛拉嗪一样,地托咪定可使心率减慢。发现这要么是窦性心动过缓,要么是心脏传导阻滞。收缩压可能会相应升高。通过动脉血气和pH数据支持的充分通气证据表明呼吸模式发生了改变。在未进行抗胆碱能治疗的情况下,地托咪定引起的心率反应是短暂的,且与药物作用持续时间有关。静脉注射0.02mg/kg硫酸阿托品可有效预防或治疗地托咪定引起的心动过缓或心脏传导阻滞。在给予地托咪定50分钟后给予愈创甘油醚和硫喷妥钠时,心率也会增加。