Thurmon J C, Ko J C, Benson G J, Tranquilli W J, Olson W A
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana 61801.
Am J Vet Res. 1994 Mar;55(3):363-7.
Hemodynamic and analgesic effects of medetomidine (30 micrograms/kg of body weight, IM), atropine (0.044 mg/kg, IM), and propofol (2 mg/kg, IV, as a bolus, and 165 micrograms/kg/min, IV, for 60 minutes, as an infusion) were evaluated in 6 healthy adult Beagles. Catheters were placed while the dogs were anesthetized with isoflurane in oxygen. Administration of isoflurane was then discontinued, and dogs were allowed to breath oxygen until end-tidal isoflurane concentration was < or = 0.5%. At this time, baseline measurements were recorded and medetomidine and atropine were administered. Ten minutes later, the bolus of propofol was given and the infusion was begun. Analgesia was evaluated with a tail clamp test and by use of a direct-current nerve stimulator. Sinoatrial and atrioventricular blockade developed in all 6 dogs within 2 minutes of administration of medetomidine and atropine, but disappeared within 10 minutes. Apnea did not develop after administration of propofol. Analgesia was strong and consistent throughout the entire 60-minute period of propofol infusion. Medetomidine significantly (P < 0.05) increased systemic vascular resistance and decreased cardiac output, compared with baseline values. Propofol infusion appeared to alleviate medetomidine-induced vasoconstriction. Recovery was smooth and uncomplicated. All dogs were able to walk normally at a mean time (+/- SEM) of 88.2 +/- 20.6 minutes after termination of propofol infusion. It was concluded that medetomidine, atropine, and propofol, as given in the present study, is a safe combination of anesthetic drugs for use in healthy Beagles.
在6只健康成年比格犬中评估了美托咪定(30微克/千克体重,肌肉注射)、阿托品(0.044毫克/千克,肌肉注射)和丙泊酚(2毫克/千克,静脉推注,随后以165微克/千克/分钟的速度静脉输注60分钟)的血流动力学和镇痛效果。在犬只吸入异氟烷和氧气麻醉状态下放置导管。然后停止给予异氟烷,让犬只呼吸氧气直至呼气末异氟烷浓度≤0.5%。此时,记录基线测量值并给予美托咪定和阿托品。10分钟后,给予丙泊酚推注并开始输注。通过尾夹试验和使用直流神经刺激器评估镇痛效果。给予美托咪定和阿托品后2分钟内,所有6只犬均出现窦房和房室传导阻滞,但在10分钟内消失。给予丙泊酚后未出现呼吸暂停。在丙泊酚输注的整个60分钟期间,镇痛效果强烈且持续。与基线值相比,美托咪定显著(P<0.05)增加全身血管阻力并降低心输出量。丙泊酚输注似乎减轻了美托咪定引起的血管收缩。恢复过程顺利且无并发症。在丙泊酚输注结束后,所有犬平均在88.2±20.6分钟时能够正常行走。得出的结论是,本研究中给予的美托咪定、阿托品和丙泊酚是用于健康比格犬的一种安全的麻醉药物组合。