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在骨科手术期间,对接受右美托咪定 - 氯胺酮 - 氟烷和右美托咪定 - 氯胺酮 - 异氟烷麻醉的马匹进行脑电图检查。一项比较研究。

Electroencephalography of detomidine-ketamine-halothane and detomidine-ketamine-isoflurane anesthetized horses during orthopedic surgery. A comparison.

作者信息

Ekström P M, Short C E, Geimer T R

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York 14853-6401.

出版信息

Vet Surg. 1993 Sep-Oct;22(5):414-8. doi: 10.1111/j.1532-950x.1993.tb00416.x.

DOI:10.1111/j.1532-950x.1993.tb00416.x
PMID:8236790
Abstract

This study was done to compare the electroencephalographic (EEG) response evoked by orthopedic surgery in halothane- and isoflurane-anesthetized horses. Eight horses scheduled for bilateral arthroscopic surgery of the stifle were premedicated with detomidine (20 micrograms/kg) intravenously and five minutes later induced to anesthesia with ketamine (2.2 mg/kg) intravenously. Anesthesia was maintained with either halothane or isoflurane. Assignment of inhalation anesthetic was done randomly. The multiple of minimal alveolar concentration (MAC) of halothane required for anesthesia was significantly higher than the multiple of MAC of isoflurane (p < .05) required. Total amplitude of the EEG with halothane was smaller than with isoflurane (p < .05), but 13.0 to 32.0 Hz high frequency/0.0 to 3.9 Hz low frequency (beta/delta) ratio was greater for halothane (p < .05). Arterial partial pressure of oxygen (PaO2) was significantly (p < .05) higher with isoflurane than with halothane. The differences in EEG frequency shift observed suggest that isoflurane provided better analgesia than halothane for this group of horses.

摘要

本研究旨在比较氟烷和异氟烷麻醉马匹在骨科手术中诱发的脑电图(EEG)反应。八匹计划进行双侧膝关节镜手术的马,静脉注射地托咪定(20微克/千克)进行术前用药,五分钟后静脉注射氯胺酮(2.2毫克/千克)诱导麻醉。用氟烷或异氟烷维持麻醉。吸入麻醉剂的分配是随机进行的。麻醉所需氟烷的最低肺泡浓度(MAC)倍数显著高于所需异氟烷的MAC倍数(p < 0.05)。氟烷麻醉时EEG的总振幅小于异氟烷麻醉时(p < 0.05),但氟烷的13.0至32.0赫兹高频/0.0至3.9赫兹低频(β/δ)比值更大(p < 0.05)。异氟烷麻醉时动脉血氧分压(PaO2)显著高于氟烷麻醉时(p < 0.05)。观察到的EEG频率变化差异表明,对于这组马,异氟烷比氟烷提供了更好的镇痛效果。

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