Dyson D, Pettifer G
Department of Clinical Studies, Ontario Veterinary College, University of Guelph.
Can J Vet Res. 1997 Oct;61(4):241-5.
Alteration in the arrhythmogenic dose of epinephrine (ADE) was determined in 6 healthy dogs under halothane anesthesia following the administration of xylazine at 1.1 mg/kg i.v. and acepromazine at 0.025 mg/kg i.v. The order of treatment was randomly assigned with each dog receiving both treatments and testing was carried out on 2 separate occasions with at least a 1 wk interval. The ADE determinations were made prior to drug administration during halothane anesthesia (CNTL) and then 20 min and 4 h following drug treatment. Epinephrine was infused for 3 min at increasing dose rates (2.5, 5.0, 10.0 micrograms/kg/min) until the arrhythmia criterion (4 or more intermittent or continuous premature ventricular contractions) was reached within the 3 min of infusion or the 1 min following cessation. The interinfusion interval was 20 min. There was a significant difference (P = 0.0001) in the ADE determined following acepromazine administration at 20 min (20.95 micrograms/kg +/- 2.28 SEM) compared to CNTL (6.64 micrograms/kg +/- 1.09), xylazine at 20 min (5.82 micrograms/kg +/- 0.95) and 4 h (6.13 micrograms/kg +/- 1.05), and acepromazine at 4 h (7.32 micrograms/kg +/- 0.34). No other significant differences existed (P < 0.05). In this study we were unable to show any sensitization to epinephrine following xylazine administration during halothane anesthesia, while a protective effect was shown with a low dose of acepromazine.
在6只健康犬中,于氟烷麻醉下静脉注射1.1 mg/kg甲苯噻嗪和0.025 mg/kg乙酰丙嗪后,测定致心律失常剂量的肾上腺素(ADE)。治疗顺序随机分配,每只犬接受两种治疗,且在至少间隔1周的2个不同时间进行测试。在氟烷麻醉下给药前(对照)、给药后20分钟和4小时测定ADE。以递增剂量率(2.5、5.0、10.0微克/千克/分钟)输注肾上腺素3分钟,直至在输注的3分钟内或停止输注后的1分钟内达到心律失常标准(4次或更多次间歇性或持续性室性早搏)。输注间隔为20分钟。与对照(6.64微克/千克±1.09)、20分钟时的甲苯噻嗪(5.82微克/千克±0.95)和4小时时的甲苯噻嗪(6.13微克/千克±1.05)以及4小时时的乙酰丙嗪(7.32微克/千克±0.34)相比,20分钟时给予乙酰丙嗪后测定的ADE(20.95微克/千克±2.28标准误)有显著差异(P = 0.0001)。不存在其他显著差异(P < 0.05)。在本研究中,我们未能显示在氟烷麻醉期间给予甲苯噻嗪后对肾上腺素的任何致敏作用,而低剂量的乙酰丙嗪显示出保护作用。