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硬膜外给予美托咪定对奶牛镇痛效果的评估。

Evaluation of analgesia induced by epidural administration of medetomidine to cows.

作者信息

Lin H C, Trachte E A, DeGraves F J, Rodgerson D H, Steiss J E, Carson R L

机构信息

Department of Large Animal Surgery and Medicine, College of Veterinary Medicine, Auburn University, AL 36849-5522, USA.

出版信息

Am J Vet Res. 1998 Feb;59(2):162-7.

PMID:9492930
Abstract

OBJECTIVE

To evaluate analgesic effects after epidural administration of medetomidine to cows, compared with effects of lidocaine hydrochloride and 0.9% NaCl solution.

ANIMALS

6 adult beef cows.

PROCEDURE

3 treatments were administered to each cow, with a 1-week interval between subsequent treatments. Treatments consisted of 5 ml of physiologic saline (0.9% NaCl) solution; 0.2 mg of lidocaine/kg of body weight, not to exceed 100 mg (5 ml); and 15 micrograms of medetomidine/kg, diluted with 0.9% NaCl solution to provide a volume of 5 ml. Epidural injections were given in the first or second coccygeal space. Heart rate, respiratory rate, and arterial blood pressure values were recorded before injection, 5 and 10 minutes after injection, and at 10-minute intervals thereafter. Onset and duration of analgesia, sedation, and ataxia were recorded. A repeated-measures ANOVA was used to detect differences between treatments.

RESULTS

Epidural administration of 0.9% NaCl solution did not induce analgesia. Lidocaine induced analgesia within 5 to 20 minutes, which lasted 10 to 115 minutes (mean +/- SD, 43.3 +/- 37.2 minutes). Heart rate decreased during lidocaine-induced analgesia. Heart and respiratory rates decreased, but blood pressure remained unchanged, after medetomidine administration. Medetomidine induced analgesia within 5 to 10 minutes, which lasted 412 +/- 156 minutes. Mild to moderate sedation and moderate ataxia were observed. Two cows became recumbent, but were easily coaxed to stand. Medetomidine-induced salivation and increased frequency of urination were observed in all cows.

CONCLUSIONS AND CLINICAL RELEVANCE

Epidural administration of medetomidine induced prolonged analgesia that was suitable for perineal surgery, postoperative analgesia, and relief of continuous straining.

摘要

目的

与盐酸利多卡因和0.9%氯化钠溶液的效果相比,评估硬膜外给予美托咪定对奶牛的镇痛效果。

动物

6头成年肉用奶牛。

程序

每头奶牛接受3种处理,后续处理之间间隔1周。处理包括5毫升生理盐水(0.9%氯化钠)溶液;0.2毫克利多卡因/千克体重,不超过100毫克(5毫升);以及15微克美托咪定/千克,用0.9%氯化钠溶液稀释至5毫升。在第一或第二尾椎间隙进行硬膜外注射。在注射前、注射后5分钟和10分钟以及此后每隔10分钟记录心率、呼吸频率和动脉血压值。记录镇痛、镇静和共济失调的起效时间和持续时间。采用重复测量方差分析来检测处理之间的差异。

结果

硬膜外给予0.9%氯化钠溶液未诱导镇痛。利多卡因在5至20分钟内诱导镇痛,持续10至115分钟(平均值±标准差,43.3±37.2分钟)。利多卡因诱导镇痛期间心率下降。给予美托咪定后,心率和呼吸频率下降,但血压保持不变。美托咪定在5至10分钟内诱导镇痛,持续412±156分钟。观察到轻度至中度镇静和中度共济失调。2头奶牛卧倒,但很容易哄其站立。所有奶牛均观察到美托咪定诱导的流涎和排尿频率增加。

结论及临床意义

硬膜外给予美托咪定可诱导长时间镇痛,适用于会阴手术、术后镇痛和缓解持续性努责。

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