Johnson R A, Striler E, Sawyer D C, Brunson D B
Department of Comparative Biosciences, School of Veterinary Medicine, University of Wisconsin, Madison 53706, USA.
Am J Vet Res. 1998 Apr;59(4):478-81.
To compare mask anesthesia induction and recovery characteristics between 2 inhalant anesthetic agents: isoflurane and sevoflurane.
16 clinically normal, young adult Beagles.
Using a cross-over design, dogs were randomly selected to receive sevoflurane or isoflurane via a face mask and a circle anesthetic system. Vaporizer setting concentrations were increased in stepwise, equal minimum alveolar concentrations (MAC) for each anesthetic until the vaporizer setting of 2.6% for isoflurane or 4.8% for sevoflurane (2 MAC) was reached. Concentration was kept constant until the dog had a negative tail clamp response and was intubated. End-tidal concentration was maintained at 1.8 to 2.0% or 3.3 to 3.8% for isoflurane or sevoflurane, respectively (1.4 to 1.6 MAC) for 30 minutes. Dogs were allowed to recover with only tail clamp stimulation until a positive response was obtained. Extubation was performed when a spontaneous swallow reflex was observed. Dogs were allowed to achieve sternal recumbency and stand unassisted without further stimulation.
Sevoflurane induction resulted in shorter time to loss of palpebral reflex, negative tail clamp response, and time to tracheal intubation, and was of better quality than isoflurane induction. Both anesthetics were associated with rapid and smooth recovery.
Sevoflurane mask induction is faster and of better quality, compared with isoflurane, in adult dogs. Recovery time and quality are comparable.
On the basis of these results, sevoflurane is a suitable inhalant anesthetic for mask induction and recovery in adult dogs and appears to have some advantages over isoflurane, including faster and smoother mask induction.
比较两种吸入麻醉剂异氟烷和七氟烷面罩麻醉诱导和苏醒的特点。
16只临床健康的成年比格犬。
采用交叉设计,随机选择犬只通过面罩和循环麻醉系统接受七氟烷或异氟烷麻醉。逐步增加蒸发器设定浓度,每种麻醉剂的增加幅度均为最小肺泡浓度(MAC),直至异氟烷达到2.6%或七氟烷达到4.8%(2MAC)的蒸发器设定浓度。保持该浓度恒定,直至犬出现尾夹阴性反应并进行气管插管。异氟烷和七氟烷的呼气末浓度分别维持在1.8%至2.0%或3.3%至3.8%(1.4至1.6MAC)30分钟。仅通过尾夹刺激使犬苏醒,直至获得阳性反应。观察到自主吞咽反射时进行拔管。让犬在无进一步刺激的情况下自行达到胸卧姿势并站立。
七氟烷诱导导致睑反射消失、尾夹阴性反应及气管插管的时间更短,且诱导质量优于异氟烷。两种麻醉剂均与快速、平稳的苏醒相关。
在成年犬中,与异氟烷相比,七氟烷面罩诱导更快且质量更好。苏醒时间和质量相当。
基于这些结果,七氟烷是成年犬面罩诱导和苏醒的合适吸入麻醉剂,并且似乎比异氟烷具有一些优势,包括更快、更平稳的面罩诱导。