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犬腹腔镜检查中,美托咪定、丙泊酚和氟烷麻醉期间选定的心肺及脑反应评估。

Evaluation of selected cardiopulmonary and cerebral responses during medetomidine, propofol, and halothane anesthesia for laparoscopy in dogs.

作者信息

Bufalari A, Short C E, Giannoni C, Pedrick T P, Hardie R J, Flanders J A

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853-6401, USA.

出版信息

Am J Vet Res. 1997 Dec;58(12):1443-50.

PMID:9401697
Abstract

OBJECTIVES

To compare the dose-sparing effect of medetomidine on the propofol induction dose and concentration of halothane for maintenance of anesthesia during laparoscopy and to provide guidelines for effective and safe use of these anesthetics in dogs to ensure desirable perioperative analgesia.

ANIMALS

14 purpose-bred dogs.

PROCEDURE

Cardiopulmonary and electroencephalographic responses were determined during 2 anesthesia protocols in dogs scheduled for laparoscopy. Fifteen minutes before anesthesia induction, all dogs received atropine sulfate (0.02 mg/kg of body weight, i.m.). Seven dogs were then given propofol (6.6 mg/kg, i.v.); anesthesia was maintained with halothane in oxygen. The other dogs were given medetomidine hydrochloride (10 micrograms/kg, i.m.) 5 minutes after administration of atropine sulfate; anesthesia was then induced by administration of propofol (2.8 mg/kg, i.v.) and was maintained with halothane in oxygen.

RESULTS

The halothane concentration required for laparoscopy was lower in dogs given medetomidine. Anesthetic requirements were significantly increased during abdominal manipulation in both groups. Total amplitude of the electroencephalograph in medetomidine-treated dogs was not significantly lower than that in dogs not given medetomidine. Pulmonary responses were stable throughout all procedures. The primary cardiovascular response was an increase in blood pressure associated with the medetomidine-atropine preanesthetic combination. Significant differences in total amplitude or frequency shifts (spectral edge) of brain wave activity were not associated with surgical stimulation.

CONCLUSION

Lack of neurologic changes during laparoscopy supports the efficacy of either medetomidine-propofol-halothane or propofol-halothane combinations at higher concentrations to provide desirable analgesia and anesthesia in this group of dogs.

摘要

目的

比较美托咪定对腹腔镜手术中丙泊酚诱导剂量及氟烷维持麻醉浓度的剂量节省效应,并为犬有效安全使用这些麻醉剂提供指导,以确保理想的围手术期镇痛。

动物

14只专门繁育的犬。

程序

在计划进行腹腔镜手术的犬的两种麻醉方案中测定心肺和脑电图反应。麻醉诱导前15分钟,所有犬均肌肉注射硫酸阿托品(0.02mg/kg体重)。然后7只犬静脉注射丙泊酚(6.6mg/kg);用氧气和氟烷维持麻醉。其他犬在注射硫酸阿托品5分钟后肌肉注射盐酸美托咪定(10μg/kg);然后静脉注射丙泊酚(2.8mg/kg)诱导麻醉,并用氧气和氟烷维持麻醉。

结果

给予美托咪定的犬腹腔镜手术所需的氟烷浓度较低。两组在腹部操作期间麻醉需求均显著增加。美托咪定处理的犬脑电图的总振幅并不显著低于未给予美托咪定的犬。在所有手术过程中肺部反应均稳定。主要的心血管反应是美托咪定 - 阿托品麻醉前联合用药导致的血压升高。脑电波活动的总振幅或频率变化(频谱边缘)的显著差异与手术刺激无关。

结论

腹腔镜手术期间缺乏神经学变化支持美托咪定 - 丙泊酚 - 氟烷或更高浓度的丙泊酚 - 氟烷联合用药在这组犬中提供理想镇痛和麻醉的有效性。

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