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咪达唑仑、氯胺酮、异丙酚和异氟醚对健康犬脊髓反射的影响。

Effect of medetomidine, midazolam, ketamine, propofol and isoflurane on spinal reflexes in healthy dogs.

机构信息

Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran.

Faculty of Veterinary Medicine, Department of Clinical Sciences, Ferdowsi University of Mashhad, Mashhad, Iran.

出版信息

Vet Med Sci. 2022 Nov;8(6):2351-2359. doi: 10.1002/vms3.938. Epub 2022 Sep 9.

Abstract

BACKGROUND

Sometimes it is necessary to use sedatives or even general anaesthetics to examine animals with spinal cord injuries. These drugs may affect spinal reflexes, alter the outcome of neurological examinations, and make it difficult to diagnose location of the lesion.

OBJECTIVES

The aim of this study was to evaluate the effects of five pre-anaesthetic and anaesthetic agents commonly used in clinics on spinal reflexes in dogs.

METHODS

Ten native adult dogs were participated in three groups. In all groups, the dogs were premedicated with medetomidine and midazolam; then, in the first group, ketamine, in the second group, propofol and in the third group, isoflurane were used for induction of anaesthesia. The spinal reflexes were evaluated before injection, 15 min after medetomidine, 20 min after midazolam, and at 15, 30, 45 and 60 min after induction of anaesthesia.

RESULTS

Medetomidine did not reduce monosynaptic reflexes (patellar and cranial tibial reflexes) but increased them while it had no effect on the polysynaptic limb withdrawal reflexes. Midazolam had no effect on the spinal reflexes; Ketamine did not affect the patellar, cranial tibial and extensor carpi radialis reflexes, but reduced polysynaptic pain-related reflexes; and propofol and isoflurane abolished the all spinal reflexes.

CONCLUSIONS

Medetomidine, midazolam and ketamine have no effect on reducing monosynaptic reflexes (patellar and cranial tibial reflexes) and may be used for neurological examination of restless animals in the clinic. Propofol and isoflurane eliminated all spinal reflex responses and are not suitable for neurological examinations.

摘要

背景

有时需要使用镇静剂甚至全身麻醉来检查患有脊髓损伤的动物。这些药物可能会影响脊髓反射,改变神经检查的结果,并使诊断病变部位变得困难。

目的

本研究旨在评估临床常用的五种麻醉前和麻醉药物对犬脊髓反射的影响。

方法

10 只本地成年犬分为三组。在所有组中,犬均用咪达唑仑和右美托咪定进行预给药;然后,在第一组中,使用氯胺酮,在第二组中,使用异丙酚,在第三组中,使用异氟醚进行麻醉诱导。在注射前、右美托咪定后 15 分钟、咪达唑仑后 20 分钟以及麻醉诱导后 15、30、45 和 60 分钟评估脊髓反射。

结果

右美托咪定不降低单突触反射(髌腱和坐骨神经反射),但会增强它们,而对多突触肢体退缩反射没有影响。咪达唑仑对脊髓反射没有影响;氯胺酮不影响髌腱、坐骨神经反射和桡侧伸腕肌反射,但会降低与疼痛相关的多突触反射;异丙酚和异氟醚会完全消除所有脊髓反射。

结论

右美托咪定、咪达唑仑和氯胺酮对降低单突触反射(髌腱和坐骨神经反射)没有影响,可能用于临床中检查烦躁不安的动物的神经功能。异丙酚和异氟醚消除了所有脊髓反射反应,不适合神经检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2330/9677393/343cbddf683b/VMS3-8-2351-g003.jpg

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