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在麻醉的美洲驼中使用阿曲库铵进行神经肌肉阻滞。

Neuromuscular blockade by use of atracurium in anesthetized llamas.

作者信息

Hildebrand S V, Hill T

机构信息

Department of Surgery, School of Veterinary Medicine, University of California, Davis 95616-8745.

出版信息

Am J Vet Res. 1993 Mar;54(3):429-33.

PMID:8498748
Abstract

Anesthesia was induced in 8 healthy llamas by administration of guaifenesin and ketamine, and was maintained with halothane in oxygen. On 2 separate experimental days, atracurium was given to induce 95 to 99% reduction of evoked hind limb digital extensor tension (twitch). For the first part of the study, atracurium was given IV as repeat boluses, with muscle twitch strength being allowed to return without intervention to 75% of baseline after each bolus before the subsequent bolus was given. A total of 5 bolus doses of atracurium was given. For the first bolus, 0.15 mg/kg of body weight IV, and for subsequent boluses, 0.08 mg/kg, induced desired relaxation. Onset of relaxation was slightly more rapid for repeat, compared with initial, bolus. Duration of relaxation and recovery time were similar to initial and repeat doses. Maximal twitch reduction was observed in 4 +/- 0.2 minutes (mean +/- SEM). Duration from maximal twitch reduction to 10% recovery was 6.3 +/- 0.4 minutes. Twitch recovery from 10 to 50% of baseline took 11.6 +/- 0.6 minutes. Twitch recovery from 10 to 75% recovery took 19.5 +/- 1.1 minutes. Recovery from 10% twitch to 50% fade took 12.8 +/- 0.5 minutes. Fade at 50% recovery of twitch was 39 +/- 0.02%. Significant (P < 0.05) animal-to-animal variation was observed in twitch recovery times. For the second part of the study, atracurium was initially given IV as a 0.15-mg/kg bolus, followed by infusion for 1 to 2 hours.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

通过给予愈创甘油醚和氯胺酮,对8只健康的美洲驼实施麻醉,并通过在氧气中使用氟烷维持麻醉状态。在2个不同的实验日,给予阿曲库铵以诱导后肢趾伸肌诱发张力(抽搐)降低95%至99%。在研究的第一部分,阿曲库铵通过静脉重复推注给药,在每次推注后,允许肌肉抽搐强度在不干预的情况下恢复至基线的75%,然后再给予后续推注。总共给予了5次阿曲库铵推注剂量。首次推注时,静脉注射0.15mg/kg体重,后续推注剂量为0.08mg/kg,可诱导出所需的肌肉松弛效果。与首次推注相比,重复推注时肌肉松弛的起效稍快。肌肉松弛持续时间和恢复时间与首次和重复剂量相似。在4±0.2分钟(平均值±标准误)时观察到最大抽搐降低。从最大抽搐降低到恢复至10%的持续时间为6.3±0.4分钟。抽搐从基线的10%恢复到50%需要11.6±0.6分钟。抽搐从10%恢复到75%需要19.5±1.1分钟。从10%抽搐恢复到50%消退需要12.8±0.5分钟。抽搐恢复至50%时的消退率为39±0.02%。在抽搐恢复时间上观察到显著的(P<0.05)动物个体差异。在研究的第二部分,阿曲库铵最初以0.15mg/kg的静脉推注给药,随后输注1至2小时。(摘要截断于250字)

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