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低剂量阿托品给药对用右美托咪定和氟烷麻醉的马匹多巴酚丁胺剂量需求的影响。

Effect of low-dose atropine administration on dobutamine dose requirement in horses anesthetized with detomidine and halothane.

作者信息

Weil A B, Keegan R D, Greene S A

机构信息

Department of Veterinary Clinical Sciences, Washington State University, Pullman, USA.

出版信息

Am J Vet Res. 1997 Dec;58(12):1436-9.

PMID:9401695
Abstract

OBJECTIVE

To determine whether a low dose of atropine is associated with decreased requirement for cardiovascular supportive treatment in horses given detomidine prior to maintenance of general anesthesia with halothane.

ANIMALS

3 groups of 10 healthy horses.

PROCEDURE

Detomidine (20 micrograms/kg of body weight, i.m.) was administered to all 30 horses. Then, 10 horses received atropine (0.006 mg/kg, i.v.) 1 hour after detomidine administration, 10 horses received atropine (0.012 mg/kg, i.m.) at the time of detomidine administration, and 10 horses served as a control group. Heart rate was measured prior to detomidine administration and at fixed intervals throughout anesthesia. The dobutamine infusion rate necessary to maintain mean arterial blood pressure between 70 and 80 mm of Hg was recorded. Systemic blood pressures, end-tidal halothane, end-tidal CO2, and arterial blood gas tensions were measured at fixed intervals.

RESULTS

Mean heart rate was higher among horses receiving atropine i.v. or i.m., compared with that in control horses. Horses that received atropine i.v. had higher systemic arterial blood pressure and required a lower dobutamine infusion rate than did horses of the other groups.

CONCLUSION

Detomidine-treated, halothane-anesthetized horses given atropine i.v. required less dobutamine, compared with horses receiving or not receiving atropine i.m. Complications, such as colic and dysrhythmias, from use of higher doses of atropine, were not observed at this lower dose of atropine.

CLINICAL RELEVANCE

i.v. administration of a low dose of atropine prior to induction of general anesthesia may result in improved blood pressure in horses that have received detomidine before anesthesia with halothane.

摘要

目的

确定在使用氟烷维持全身麻醉前给予右美托咪定的马匹中,低剂量阿托品是否与心血管支持治疗需求的降低相关。

动物

3组,每组10匹健康马匹。

步骤

对所有30匹马给予右美托咪定(20微克/千克体重,肌肉注射)。然后,10匹马在给予右美托咪定1小时后接受阿托品(0.006毫克/千克,静脉注射),10匹马在给予右美托咪定的同时接受阿托品(0.012毫克/千克,肌肉注射),10匹马作为对照组。在给予右美托咪定之前以及整个麻醉过程中的固定间隔测量心率。记录将平均动脉血压维持在70至80毫米汞柱之间所需的多巴酚丁胺输注速率。在固定间隔测量全身血压、呼气末氟烷、呼气末二氧化碳和动脉血气张力。

结果

与对照马匹相比,静脉注射或肌肉注射阿托品的马匹平均心率更高。静脉注射阿托品的马匹全身动脉血压更高,且所需的多巴酚丁胺输注速率低于其他组的马匹。

结论

与接受或未接受肌肉注射阿托品的马匹相比,静脉注射阿托品的右美托咪定处理、氟烷麻醉的马匹需要的多巴酚丁胺更少。在这种较低剂量的阿托品下未观察到因使用较高剂量阿托品而出现的并发症,如绞痛和心律失常。

临床意义

在全身麻醉诱导前静脉注射低剂量阿托品可能会改善在使用氟烷麻醉前已接受右美托咪定的马匹的血压。

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