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芬太尼、氯胺酮或利多卡因输注对清醒犬眼压和瞳孔大小的影响。

Influence of fentanyl, ketamine or lidocaine infusion on the intraocular pressure and pupil size in conscious dogs.

作者信息

Rauser Petr, Nemeckova Hana, Mrazova Marketa, Vaclavikova Jana, Novak Lukas

机构信息

Department of Surgery and Orthopedics, Small Animal Clinic, Faculty of Veterinary Medicine, University of Veterinary Sciences Brno, Brno, Czech Republic.

出版信息

Vet Med (Praha). 2022 Feb 14;67(5):240-244. doi: 10.17221/79/2021-VETMED. eCollection 2022 May.

Abstract

Fifty-five healthy conscious dogs were included in a prospective randomised double-blinded clinical study. The dogs allocated to one of four groups received intravenous bolus followed by infusion of fentanyl (FEN-group), or ketamine (KET-group), or lidocaine (LID-group), or saline (SAL-group). The intraocular pressure (IOP), pupil size (PS), heart rate (HR) and mean arterial pressure (MAP) were measured prior to and at 2, 5, 10, 20 and 30 min after initiation of the drug administration. The data were analysed using an analysis of variance and the Steel-Dwass test. No significant difference in the IOP within or between the groups was detected. In the FEN-group, the PS decreased significantly at all the measured times. In the KET-group, the PS increased significantly at 2, 5 and 10 minutes. The PS was significantly smaller in the FEN-group compared to the KET-group at 2, 5, 10 and 20 min, compared to the SAL-group at 5, 10, 20 and 30 minutes. In the FEN-group the HR significantly decreased compared to the baseline and was significantly lower compared to the KET-group and LID-group. Fentanyl, ketamine or lidocaine administered at the doses studied as a bolus followed by a 30-min infusion seem to cause no effect on the IOP in healthy conscious non-painful dogs without ocular abnormalities. Fentanyl decreased and ketamine transiently increased the PS.

摘要

55只健康清醒犬被纳入一项前瞻性随机双盲临床研究。被分配到四组之一的犬接受静脉推注,随后输注芬太尼(芬太尼组)、氯胺酮(氯胺酮组)、利多卡因(利多卡因组)或生理盐水(生理盐水组)。在给药前以及给药开始后2、5、10、20和30分钟测量眼内压(IOP)、瞳孔大小(PS)、心率(HR)和平均动脉压(MAP)。使用方差分析和Steel-Dwass检验对数据进行分析。未检测到组内或组间IOP有显著差异。在芬太尼组,所有测量时间的PS均显著降低。在氯胺酮组,PS在2、5和10分钟时显著增加。在2、5、10和20分钟时,芬太尼组的PS显著小于氯胺酮组;在5、10、20和30分钟时,芬太尼组的PS显著小于生理盐水组。在芬太尼组,HR与基线相比显著降低,且显著低于氯胺酮组和利多卡因组。以研究剂量静脉推注后再进行30分钟输注的芬太尼、氯胺酮或利多卡因似乎对无眼部异常的健康清醒无痛犬的IOP无影响。芬太尼使PS降低,氯胺酮使PS短暂升高。

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