Khojasteh Keyvan, Vesal Nasser
Department of Clinical Sciences, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.
Vet Res Forum. 2023;14(2):79-85. doi: 10.30466/vrf.2021.537306.3220. Epub 2023 Feb 15.
In a prospective, randomized, experimental non-blinded study, the continuous infusions rates of propofol required to prevent swallowing (P-SR) or pedal withdrawal reflex (P-WR) were evaluated in healthy premedicated dogs. Dogs were randomly assigned to one of two treatments at weekly intervals. Following premedication with a combination of acepromazine and methadone, anesthesia was induced with propofol (4.00 mg kg per min) and was maintained for 90 min. The propofol infusion rate was increased or decreased by 0.05 mg kg per min based on positive or negative swallowing (P-SR) or pedal withdrawal reflexes (P-WR). Propofol induction doses were 2.12 ± 0.43 mg kg (P-SR) and 2.14 ± 0.31 mg kg (P-WR), which were not significantly different. The mean (±SD) propofol infusion rate was significantly higher for P-WR (0.26 ± 0.10 mg kg per min) when compared to P-SR (0.22 ± 0.12 mg kg per min). During the last 30 min, the mean propofol infusion rates were 0.09 ± 0.02 and 0.18 ± 0.03 mg kg per min for P-SR and P-WR, respectively. There were no significant differences between treatments with respect to heart rate (HR), respiratory rate, arterial blood pressure, end-tidal CO partial pressure, hemoglobin oxygen saturation, partial pressures of oxygen or pH. Transient apnea lasting up to three minutes was observed in three dogs with each treatment. Propofol infusion rate of 0.22 ± 0.12 mg kg per min can be used in premedicated dogs requiring tracheal intubation and undergoing mechanical ventilation, non-painful procedures or painful procedures with local anesthetic techniques.
在一项前瞻性、随机、非盲实验研究中,评估了在已进行术前用药的健康犬中,预防吞咽(P-SR)或足趾退缩反射(P-WR)所需的丙泊酚持续输注速率。犬每周随机分配接受两种治疗之一。在用乙酰丙嗪和美沙酮联合进行术前用药后,用丙泊酚(4.00毫克/千克每分钟)诱导麻醉并维持90分钟。根据吞咽(P-SR)或足趾退缩反射(P-WR)的阳性或阴性,丙泊酚输注速率以0.05毫克/千克每分钟的幅度增加或降低。丙泊酚诱导剂量分别为2.12±0.43毫克/千克(P-SR)和2.14±0.31毫克/千克(P-WR),两者无显著差异。与P-SR(0.22±0.12毫克/千克每分钟)相比,P-WR的平均(±标准差)丙泊酚输注速率显著更高(0.26±0.10毫克/千克每分钟)。在最后30分钟内,P-SR和P-WR的平均丙泊酚输注速率分别为0.09±0.02和0.18±0.03毫克/千克每分钟。在心率(HR)、呼吸频率、动脉血压、呼气末二氧化碳分压、血红蛋白氧饱和度、氧分压或pH方面,各治疗组之间无显著差异。每种治疗中有三只犬出现了持续长达三分钟的短暂呼吸暂停。0.22±0.12毫克/千克每分钟的丙泊酚输注速率可用于已进行术前用药、需要气管插管并接受机械通气、非疼痛性手术或采用局部麻醉技术的疼痛性手术的犬。