Muir W W, Mason D E
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210-1089.
J Am Vet Med Assoc. 1993 Oct 1;203(7):1031-8.
The cardiorespiratory effects of thiamylal (10 mg/kg of body weight, IV) and the effects of preanesthetic medication with diazepam, acepromazine, detomidine, or xylazine administered prior to a thiamylal dosage of 6 mg/kg, IV, were evaluated in 6 adult horses. The quality of recovery from thiamylal anesthesia also was evaluated. Intravenous administration of thiamylal at a dosage of 10 mg/kg increased heart rate, systemic arterial, pulmonary artery, and central venous blood pressures, as well as cardiac output and arterial partial pressure of CO2 (PaCO2). The maximal rate of right ventricular pressure increase (RVdP/dtmax), respiratory rate, and arterial partial pressure of O2 (PaO2) decreased, whereas arterial pH and systemic vascular resistance remained unchanged. Preanesthetic medication with diazepam prior to IV administration of thiamylal (6 mg/kg) did not change the pattern of this response, but diazepam did increase heart rate, cardiac output, and respiratory rate during the recovery period. Administration of acepromazine (0.1 mg/kg, IV) prior to administration of thiamylal increased heart rate and decreased systemic arterial and central venous blood pressures and systemic vascular resistance. Detomidine (10 micrograms/kg, IV), administered prior to thiamylal, decreased heart rate, cardiac output, and respiratory rate, and increased right atrial blood pressure. Administration of xylazine (0.5 and 1.0 mg/kg, IV) prior to thiamylal induced effects qualitatively similar to detomidine. Thiamylal decreased RVdP/dtmax and PaO2 in horses that received diazepam, acepromazine, detomidine, or xylazine.(ABSTRACT TRUNCATED AT 250 WORDS)
在6匹成年马中评估了硫喷妥钠(静脉注射,10mg/kg体重)的心肺效应,以及在静脉注射6mg/kg硫喷妥钠之前给予地西泮、乙酰丙嗪、右美托咪定或赛拉嗪进行麻醉前用药的效果。还评估了硫喷妥钠麻醉后的恢复质量。静脉注射10mg/kg硫喷妥钠可增加心率、体动脉压、肺动脉压和中心静脉压,以及心输出量和动脉血二氧化碳分压(PaCO2)。右心室压力最大上升速率(RVdP/dtmax)、呼吸频率和动脉血氧分压(PaO2)降低,而动脉pH值和全身血管阻力保持不变。在静脉注射硫喷妥钠(6mg/kg)之前用地西泮进行麻醉前用药并未改变这种反应模式,但地西泮确实在恢复期增加了心率、心输出量和呼吸频率。在注射硫喷妥钠之前给予乙酰丙嗪(0.1mg/kg,静脉注射)可增加心率,并降低体动脉压、中心静脉压和全身血管阻力。在硫喷妥钠之前注射右美托咪定(10μg/kg,静脉注射)可降低心率、心输出量和呼吸频率,并增加右心房血压。在硫喷妥钠之前注射赛拉嗪(0.5和1.0mg/kg,静脉注射)所产生的效应在性质上与右美托咪定相似。硫喷妥钠可降低接受地西泮、乙酰丙嗪、右美托咪定或赛拉嗪的马匹的RVdP/dtmax和PaO2。(摘要截短于250字)