Machin K L, Caulkett N A
Department of Veterinary Internal Medicine, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada.
Am J Vet Res. 1998 May;59(5):598-602.
To compare safety of propofol with a medetomidine-midazolam-ketamine (MMK) combination as an anesthetic agent in mallard ducks.
12 healthy adult female mallard ducks.
Each duck was anesthetized twice in a crossover study design with 5 days between randomized treatments. Ducks were given medetomidine (50 micrograms), midazolam (2 mg), and ketamine (10 mg) in combination, i.v., or propofol (10 mg, i.v., followed by 1- to 4-mg boluses). Systolic, diastolic, and mean arterial pressures, heart and respiratory rates, and esophageal temperature were recorded before anesthesia and every 5 minutes after induction for 30 minutes, and at 5 minutes after reversal with atipamezole (250 micrograms) and flumazenil (25 micrograms; MMK group) or last bolus (propofol group). Arterial blood samples from 8 ducks were collected before anesthesia, 5, 10, 15, 30 minutes after induction, and after reversal or last bolus.
8 ducks survived the MMK anesthesia; 1 duck died and 3 ducks required resuscitation to prevent death. All ducks survived propofol anesthesia. Ducks anesthetized with either anesthetic agent had a significant increase in arterial carbon dioxide tension and decrease in arterial oxygen tension, arterial pH, and esophageal temperature. Ducks given MMK had a decrease in mean arterial pressure and respiratory rate, whereas ducks given propofol had an increase in respiratory rate. Rapid reversal of the effects of MMK was achieved with atipamezole and flumazenil. All physiologic variables, except esophageal temperature in the propofol group, returned to approximate baseline values after reversal or last bolus.
The MMK combination in unsafe for use in ducks. Ducks can be anesthetized safely with propofol but should be monitored and ventilated artificially.
比较丙泊酚与美托咪定 - 咪达唑仑 - 氯胺酮(MMK)联合用药作为绿头鸭麻醉剂的安全性。
12只健康成年雌性绿头鸭。
在交叉研究设计中,每只鸭子接受两次麻醉,随机治疗之间间隔5天。给鸭子静脉注射美托咪定(50微克)、咪达唑仑(2毫克)和氯胺酮(10毫克)的联合用药,或丙泊酚(10毫克静脉注射,随后1至4毫克推注)。在麻醉前、诱导后每5分钟记录30分钟的收缩压、舒张压和平均动脉压、心率和呼吸频率以及食管温度,并在使用阿替美唑(250微克)和氟马西尼(25微克;MMK组)或最后一次推注(丙泊酚组)后5分钟记录。从8只鸭子采集动脉血样本,分别在麻醉前、诱导后5、10、15、30分钟以及苏醒或最后一次推注后采集。
8只鸭子在MMK麻醉后存活;1只鸭子死亡,3只鸭子需要复苏以防止死亡。所有鸭子在丙泊酚麻醉后存活。用任何一种麻醉剂麻醉的鸭子动脉二氧化碳分压均显著升高,动脉氧分压、动脉pH值和食管温度均降低。给予MMK的鸭子平均动脉压和呼吸频率降低,而给予丙泊酚的鸭子呼吸频率增加。使用阿替美唑和氟马西尼可迅速逆转MMK的作用。除丙泊酚组的食管温度外,所有生理变量在苏醒或最后一次推注后均恢复至接近基线值。
MMK联合用药对鸭子不安全。丙泊酚可安全麻醉鸭子,但应进行监测并人工通气。