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犬胸部计算机断层扫描期间两种不同诱导呼吸暂停方法的比较。

A Comparison of Two Different Methods for Inducing Apnoea During Thoracic Computed Tomography of Dogs.

作者信息

Hordle Thomas, Navarro-Carrillo Maria, Schofield Imogen, Plested Mark, Niimura Del Barrio Maria Chie

机构信息

Lumbry Park Veterinary Specialists (CVS), Alton GU34 3HL, UK.

出版信息

Animals (Basel). 2025 Apr 1;15(7):1014. doi: 10.3390/ani15071014.

Abstract

Apnoea may be induced by pharmacological or ventilatory measures in animals under general anaesthesia to prevent motion blur on thoracic computed tomography (CT) sequences. The effectiveness of such methods has previously been reported in terms of CT image quality but not in the success of apnoea induction. Therefore, the purpose of this study was to evaluate the efficacy of two different methods used to induce apnoea. A total of 61 client-owned dogs undergoing general anaesthesia for thoracic CT were randomised to group M ( = 30) and group V ( = 31). In group M, midazolam 0.2 mg kg was administered by rapid intravenous injection. In group V, dogs were mechanically ventilated to maintain normocapnia, before pausing the ventilator for image acquisition. Apnoea was induced in 77% of dogs in group M and 94% in group V ( = 0.08). The onset of apnoea was quicker and of a longer duration in group V ( < 0.001). Changes in cardiorespiratory parameters and the degree of atelectasis were greater following midazolam administration. For these reasons, the authors recommend interruption of mechanical ventilation to induce apnoea in suitable dogs, as it enables the period of apnoea to be more controlled and repeated if required.

摘要

在全身麻醉的动物中,可通过药物或通气措施诱发呼吸暂停,以防止胸部计算机断层扫描(CT)序列出现运动模糊。此前已有关于此类方法在CT图像质量方面有效性的报道,但未涉及呼吸暂停诱发的成功率。因此,本研究的目的是评估两种不同呼吸暂停诱发方法的疗效。共有61只接受胸部CT全身麻醉的客户拥有的犬被随机分为M组(n = 30)和V组(n = 31)。在M组中,通过快速静脉注射给予咪达唑仑0.2 mg/kg。在V组中,在暂停呼吸机进行图像采集之前,对犬进行机械通气以维持正常碳酸血症。M组77%的犬和V组94%的犬诱发了呼吸暂停(P = 0.08)。V组呼吸暂停的发作更快且持续时间更长(P < 0.001)。给予咪达唑仑后,心肺参数变化和肺不张程度更大。基于这些原因,作者建议对合适的犬中断机械通气以诱发呼吸暂停,因为这样可以更有效地控制呼吸暂停时间,并在需要时重复进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70cc/11988056/fd27ff12aa8a/animals-15-01014-g001.jpg

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