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1.
Peter Buss Michele Miller Andrea Fuller Anna Haw Eliza Stout Francisco Olea-Popelka Leith Meyer 《Veterinary anaesthesia and analgesia》2018,45(1):57-67
Objective
To investigate the effects of postinduction butorphanol administration in etorphine-immobilized white rhinoceros on respiration and blood gases.Study design
Randomized crossover study.Animals
A group of six sub-adult male white rhinoceros.Methods
Etorphine, or etorphine followed by butorphanol 12 minutes after recumbency, was administered intramuscularly [2.5 mg etorphine, 25 mg butorphanol (1000–1250 kg), or 3.0 mg etorphine, 30 mg butorphanol (1250–1500 kg)]. Sampling started at 10 minutes after initial recumbency, and was repeated at 5 minute intervals for 25 minutes. Arterial blood gases, limb muscle tremors, expired minute ventilation and respiratory frequency were measured at each sampling point. Calculated values included alveolar–arterial oxygen gradient [], expected respiratory minute volume (e), tidal volume (Vt), oxygen consumption () and carbon dioxide production ().Results
Etorphine administration resulted in an initial median (range) hypoxaemia [arterial partial pressure of oxygen 25.0 (23.0–28.0) mmHg], hypercapnia [arterial partial pressure of carbon dioxide 76.2 (67.2–81.2) mmHg], increased [41.7 (36.6–45.1) mmHg, [11.1 (10.0–12.0) L minute?1] and muscle tremors. Butorphanol administration was followed by rapid, although moderate, improvements in arterial partial pressure of oxygen [48.5 (42.0–51.0) mmHg] and arterial partial pressure of carbon dioxide [62.8 (57.9–75.2) mmHg]. In rhinoceros administered butorphanol, [4.4 (3.6–5.1) L minute?1] and [4.2 (3.8–4.4) L minute?1] were lower than in those not administered butorphanol. Increased arterial oxygen tension was associated with lower oxygen consumption (p = 0.002) which was positively associated with lower muscle tremor scores (p < 0.0001).Conclusions and clinical relevance
Hypoxaemia and hypercapnia in etorphine-immobilized rhinoceros resulted from an increased [] and increased and associated with muscle tremors. Rather than being associated with changes in e, it appears that improved blood gases following butorphanol administration were a consequence of decreased associated with reduced muscle tremoring. 相似文献2.
Samuel A. Wyffels Mark K. Petersen Darrin L. Boss Bok F. Sowell Janice G.P. Bowman Lance B. McNew 《Strength and Conditioning Journal》2019,72(6):878-887
Grazing dormant forage under low-input heifer development strategies typically exposes cattle to low-quality forage. Protein supplementation while grazing dormant range can enhance heifer growth and reproductive performance. We examined resource utilization of heifers and the effects of dormant season grazing on residual vegetation characteristics under two supplementation management strategies. Approximately 100 weaned composite heifer calves were randomly selected and placed into one of two supplementation treatments in each of 2 yr, one receiving a free access 62% crude protein self-fed concentrate and the other receiving a daily hand-fed 20% crude protein cake. Grazing occurred from December (2015 and 2016) through March (2016 and 2017). Thirty transects were randomly located within each pasture for measuring vegetation quality and structure before and after grazing. Daily space use and behavior was evaluated for 21 individuals within each treatment using global positioning system (GPS) collars and resource utilization functions. Heifers supplemented with concentrated protein spent more time grazing per day than heifers supplemented with cake (6.92 ± 0.18, 6.24 ± 0.17 h). Relative use by heifers in the cake treatment was negatively related to horizontal distance from the supplement delivery site early to midwinter ( = ? 0.41 ± 0.16, ? 0.53 ± 0.17). Both treatments selected grazing locations relative to standing biomass of perennial grasses ( = 0.0005 ± 0.00004) and crude protein ( = 0.12 ± 0.007). However, resource selection was highly variable among individuals for both supplementation treatments. We found no treatment effects on pre-post grazing differences in residual cover of litter, grass, forbs and shrubs (P > 0.24). However, the time period when grazing occurred had an effect on residual vegetation conditions (P < 0.01). Our results indicate high levels of variability in grazing site selection by heifers, suggesting future research should incorporate individual animal measurements in an attempt to account for individual animal variability. 相似文献
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4.
Anna Binetti Martina Mosing Muriel Sacks Luc Duchateau Frank Gasthuys Stijn Schauvliege 《Veterinary anaesthesia and analgesia》2018,45(6):760-771
Objective
To describe the cardiorespiratory effects of a change in table position in anaesthetized horses.Study design
Prospective, crossover, randomized, experimental study.Animals
Six adult horses (mean body weight 621 ± 59 kg, aged 13 ± 4 years).Methods
The horses were anaesthetized twice in dorsal recumbency. They were either placed in the Trendelenburg position (head down; HD) followed by reverse Trendelenburg position (head up; HU) or in reverse order. Every position was maintained for 90 minutes. The order of positions was randomly assigned at initial anaesthesia. Extensive cardiorespiratory monitoring was performed. Statistical analysis consisted of a mixed model with horses as random effect and time, position, section of anaesthesia and interaction between those as fixed effects (p < 0.05).Results
When HU was applied during the first section of anaesthesia, PaO2, (p = 0.012), oxygen saturation (SaO2, p < 0.01) and oxygen content (CaO2, p < 0.01) were significantly higher, while venous admixture (s/t, p < 0.01), mean arterial (p = 0.039), right atrial (p < 0.01) and mean pulmonary arterial pressure (p < 0.01) were lower than in HD. After changing from HU to HD, PaO2 and SaO2 remained higher and s/t lower compared to the inverse order. Independent of the order, in the HD position s/t (p = 0.019) increased while PaO2 (p < 0.01), SaO2 (p = 0.011), CaO2 (p < 0.01), venous PO2 (PO2; p = 0.019), venous saturation (p = 0.004) and venous oxygen content (p = 0.010) decreased over time. No significant differences were found for cardiac output, oxygen delivery, oxygen consumption and dobutamine requirement between the two positions.Conclusions and clinical relevance
Gas exchange is better preserved in HU compared to HD, especially if applied from the start of the anaesthesia. 相似文献5.
Carrie A. Davis Reza Seddighi Sherry K. Cox Xiaocun Sun Christine M. Egger Thomas J. Doherty 《Veterinary anaesthesia and analgesia》2017,44(4):727-737
Objective
To determine the effect of fentanyl on the induction dose of propofol and minimum infusion rate required to prevent movement in response to noxious stimulation (MIRNM) in dogs.Study design
Crossover experimental design.Animals
Six healthy, adult intact male Beagle dogs, mean ± standard deviation 12.6 ± 0.4 kg.Methods
Dogs were administered 0.9% saline (treatment P), fentanyl (5 μg kg?1) (treatment PLDF) or fentanyl (10 μg kg?1) (treatment PHDF) intravenously over 5 minutes. Five minutes later, anesthesia was induced with propofol (2 mg kg?1, followed by 1 mg kg?1 every 15 seconds to achieve intubation) and maintained for 90 minutes by constant rate infusions (CRIs) of propofol alone or with fentanyl: P, propofol (0.5 mg kg?1 minute?1); PLDF, propofol (0.35 mg kg?1 minute?1) and fentanyl (0.1 μg kg?1 minute?1); PHDF, propofol (0.3 mg kg?1 minute?1) and fentanyl (0.2 μg kg?1 minute?1). Propofol CRI was increased or decreased based on the response to stimulation (50 V, 50 Hz, 10 mA), with 20 minutes between adjustments. Data were analyzed using a mixed-model anova and presented as mean ± standard error.Results
ropofol induction doses were 6.16 ± 0.31, 3.67 ± 0.21 and 3.33 ± 0.42 mg kg?1 for P, PLDF and PHDF, respectively. Doses for PLDF and PHDF were significantly decreased from P (p < 0.05) but not different between treatments. Propofol MIRNM was 0.60 ± 0.04, 0.29 ± 0.02 and 0.22 ± 0.02 mg kg?1 minute?1 for P, PLDF and PHDF, respectively. MIRNM in PLDF and PHDF was significantly decreased from P. MIRNM in PLDF and PHDF were not different, but their respective percent decreases of 51 ± 3 and 63 ± 2% differed (p = 0.035).Conclusions and clinical relevance
Fentanyl, at the doses studied, caused statistically significant and clinically important decreases in the propofol induction dose and MIRNM. 相似文献6.
《Strength and Conditioning Journal》2008,61(5):496-508
This study quantified herbaceous biomass responses to increases in honey mesquite (Prosopis glandulosa Torr.) cover on two soils from 1995 to 2001 in north central Texas. Vegetation was sampled randomly with levels of mesquite ranging from 0% to 100%. With no mesquite covering the silt loam soils of bottomland sites, peak herbaceous biomass averaged (±SE) 3 300 ± 210 kg · ha−1 vs. 2 560 ± 190 kg · ha−1 on clay loam soils of upland sites (P = 0.001). A linear decline of 14 ± 2.5 kg · ha−1 in herbaceous biomass occurred for each percent increase in mesquite cover (P = 0.001). The slope of this decline was similar between soils (P = 0.135). Herbaceous biomass with increasing mesquite cover varied between years (P = 0.001) as did the slope of decline (P = 0.001). Warm-season herbaceous biomass decreased linearly with increasing mesquite cover averaging a 73 ± 15% reduction at 100% mesquite cover (P = 0.001) compared to 0% mesquite cover. Cool-season herbaceous biomass was similar between soils with no mesquite, 1 070 ± 144 kg · ha−1 for silt loam vs. 930 ± 140 kg · ha−1 for clay loam soils, but averaged 340 ± 174 kg · ha−1 more on silt loam than on clay loam soils at 100% mesquite cover (P = 0.004). Multiple regression analysis indicated that each centimeter of precipitation received from the previous October through the current September produced herbaceous biomass of 51 kg · ha−1 on silt loam and 41 kg · ha−1 on clay loam soils. Herbaceous biomass decreased proportionally with increasing mesquite cover up to 29 kg · ha−1 at 100% mesquite cover for each centimeter of precipitation received from January through September. Increasing mesquite cover reduces livestock forage productivity and intensifies drought effects by increasing annual herbaceous biomass variability. From a forage production perspective there is little advantage to having mesquite present. 相似文献
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Rachel C. Hector Marlis L. Rezende Khursheed R. Mama Eugene P. Steffey Heather K. Knych Ann M. Hess Juhana M. Honkavaara Marja R. Raekallio Outi M. Vainio 《Veterinary anaesthesia and analgesia》2017,44(4):755-765
Objective
To determine the effects of low and high dose infusions of dexmedetomidine and a peripheral α2-adrenoceptor antagonist, MK-467, on sevoflurane minimum alveolar concentration (MAC) in dogs.Study design
Crossover experimental study.Animals
Six healthy, adult Beagle dogs weighing 12.6 ± 0.9 kg (mean ± standard deviation).Methods
Dogs were anesthetized with sevoflurane in oxygen. After a 60-minute instrumentation and equilibration period, the MAC of sevoflurane was determined in triplicate using the tail clamp technique. PaCO2 and temperature were maintained at 40 ± 5 mmHg (5.3 ± 0.7 kPa) and 38 ± 0.5 ºC, respectively. After baseline MAC determination, dogs were administered two incremental loading and infusion doses of either dexmedetomidine (1.5 μg kg?1 then 1.5 μg kg?1 hour?1 and 4.5 μg kg?1 then 4.5 μg kg?1 hour?1) or MK-467 (90 μg kg?1 then 90 μg kg?1 hour?1 and 180 μg kg?1 then 180 μg kg?1 hour?1); loading doses were administered over 10 minutes. MAC was redetermined in duplicate starting 30 minutes after the start of drug administration at each dose. End-tidal sevoflurane concentrations were corrected for calibration and adjusted to sea level. A repeated-measures analysis was performed and comparisons between doses were conducted using Tukey's method. Statistical significance was considered at p < 0.05.Results
Sevoflurane MAC decreased significantly from 1.86 ± 0.3% to 1.04 ± 0.1% and 0.57 ± 0.1% with incremental doses of dexmedetomidine. Sevoflurane MAC significantly increased with high dose MK-467, from 1.93 ± 0.3% to 2.29 ± 0.5%.Conclusions and clinical relevance
Dexmedetomidine caused a dose-dependent decrease in sevoflurane MAC, whereas MK-467 caused an increase in MAC at the higher infusion dose. Further studies evaluating the combined effects of dexmedetomidine and MK-467 on MAC and cardiovascular function may elucidate potential benefits of the addition of a peripheral α2-adrenergic antagonist to inhalation anesthesia in dogs. 相似文献8.
Jonathon M. Congdon Pedro Boscan Clara S.S. Goh Marlis Rezende 《Veterinary anaesthesia and analgesia》2017,44(4):915-924
Objective
To assess the efficacy of psoas compartment and sacral plexus block for pelvic limb amputation in dogs.Study design
Prospective clinical study.Animals
A total of 16 dogs aged 8 ± 3 years and weighing 35 ± 14 kg (mean ± standard deviation).Methods
Dogs were administered morphine (0.5 mg kg?1) and atropine (0.02 mg kg?1); anesthesia was induced with propofol and maintained with isoflurane. Regional blocks were performed before surgery in eight dogs with bupivacaine (2.2 mg kg?1) and eight dogs were administered an equivalent volume of saline. The lumbar plexus within the psoas compartment was identified using electrolocation lateral to the lumbar vertebrae at the fourth–fifth, fifth–sixth and sixth–seventh vertebral interspaces. The sacral plexus, ventrolateral to the sacrum, was identified using electrolocation. Anesthesia was monitored using heart rate (HR), invasive blood pressure, electrocardiography, expired gases, respiratory frequency and esophageal temperature by an investigator unaware of the group allocation. Pelvic limb amputation by coxofemoral disarticulation was performed. Dogs that responded to surgical stimulation (>10% increase in HR or arterial pressure) were administered fentanyl (2 μg kg?1) intravenously for rescue analgesia. Postoperative pain was assessed at extubation; 30, 60 and 120 minutes; and the morning after surgery using a visual analog scale (VAS).Results
The number of intraoperative fentanyl doses was fewer in the bupivacaine group (2.7 ± 1.1 versus 6.0 ± 2.2; p < 0.01). Differences in physiologic variables were not clinically significant. VAS scores were lower in bupivacaine dogs at extubation (0.8 ± 1.9 versus 3.8 ± 2.5) and at 30 minutes (1.0 ± 1.4 versus 4.3 ± 2.1; p < 0.05).Conclusions and clinical relevance
Psoas compartment (lumbar plexus) and sacral plexus block provided analgesia during pelvic limb amputation in dogs. 相似文献9.
Objective
To compare the duration of action of atracurium in diabetic and nondiabetic dogs.Study design
Prospective, blinded, clinical study.Animals
A total of 26 diabetic and 29 nondiabetic dogs.Methods
Following preanaesthetic medication and intravenous (IV) propofol induction, anaesthesia was maintained with isoflurane in oxygen. Atracurium 0.2 mg kg?1 IV was administered to provide neuromuscular blockade (NMB) and the responses (twitches; T) to train-of-four nerve stimulation were recorded by palpation and electromyography (EMG). Time to onset of NMB (from atracurium administration to loss of T4 by EMG), duration of NMB (to return of T1 by EMG) and also times to loss and return of T2–T4 were recorded. Heart rate (HR), mean arterial pressure, end-tidal isoflurane (Fe′Iso), end-tidal CO2 concentrations and oesophageal temperature were recorded at onset of NMB and when T1EMG returned. Groups were compared using t tests and Mann–Whitney U tests (p < 0.05).Results
Diabetic dogs were older (9.9 ± 0.3 compared with 6.8 ± 0.7 years, p = 0.0003). Group parameters were similar at onset and offset of NMB apart from HR at offset, which was higher for diabetics compared to nondiabetics (114 ± 4 compared with 100 ± 3 beats minute?1, respectively, p = 0.004), Fe′Iso was higher in the diabetic group at onset (1.3 ± 0.03% compared with 1.2 ± 0.04%, p = 0.026) and offset (1.4 ± 0.03% compared with 1.3 ± 0.03%, p = 0.007), and temperature was higher for diabetics at onset (37.5 ± 0.1 °C compared with 37.0 ± 0.2 °C, p = 0.012) and offset (37.5 ± 0.1 °C compared with 36.9 ± 0.2 °C, p = 0.004). The duration of action of atracurium(tactile) and atracurium(EMG) were similar for both groups.Conclusions and clinical relevance
The duration of action of atracurium was similar in diabetic and nondiabetic dogs as indicated by tactile and EMG monitoring. 相似文献10.
11.
Sandra Wenger Désirée Müllhaupt Stefanie Ohlerth Sarah Prasse Karina Klein Bianca da Silva Valente Martina Mosing 《Veterinary anaesthesia and analgesia》2017,44(3):529-537
Objective
To compare airway management during induction of anaesthesia, spontaneous ventilation (SV) and controlled mechanical ventilation (CMV), using an endotracheal tube (ETT), laryngeal mask (LM), rabbit-specific supraglottic airway device (v-gel) or facemask (FM).Study design
Prospective randomized crossover experiment.Animals
Ten New Zealand White rabbits.Methods
After premedication, rabbits were randomly allocated to four groups: 1) ETT; 2) LM; 3) v-gel or 4) FM. The required dose of propofol, duration and number of attempts to place an airway device and leakage during SV and CMV at different peak inspiratory pressures (6, 10, 12, 14 and 16 cmH2O) were recorded. Computed tomography (CT) of the head, neck and abdomen were performed before and after CMV.Results
Significantly less propofol and time [2.0 ± 0.5 mg kg?1, 82 ± 34 seconds, p < 0.001] were needed to place the FM compared to the three other groups [v-gel 5.1 ± 2.1 mg kg?1, 302 ± 124 seconds; LM 4.8 ± 1.2 mg kg?1, 275 ± 89 seconds; ETT 5.5 ± 1.4 mg kg?1, 315 ± 147 seconds]. A leak > 25% of the tidal volume occurred at the lowest pressure in FM [median (range), 6 (6–8) cmH2O], which was significantly lower than with v-gel [16 (6–no leak at 16) cmH2O], LM [>16 (6–no leak at 16)] or ETT [>16 (no leak at 16) cmH2O] (p < 0.001). On CT images, the height and width of the larynx were significantly smaller with v-gel in comparison to FM and LM (p = 0.004). A significant increase in the amount of gas in the stomach (p = 0.007), but not gastric volume, was detected in FM and LM.Conclusions and clinical relevance
The v-gel is a practical alternative to LM and ETT for airway management and CMV, but can compress the larynx. The FM is easily placed, but significant leakage occurs during CMV. 相似文献12.
MC Niimura del Barrio Rachel C. Bennett J.M. Lynne Hughes 《Veterinary anaesthesia and analgesia》2017,44(3):473-482
Objective
Influence of detomidine or romifidine constant rate infusion (CRI) on plasma lactate concentration and isoflurane requirements in horses undergoing elective surgery.Study design
Prospective, randomised, blinded, clinical trial.Animals
A total of 24 adult healthy horses.Methods
All horses were administered intramuscular acepromazine (0.02 mg kg?1) and either intravenous detomidine (0.02 mg kg?1) (group D), romifidine (0.08 mg kg?1) (group R) or xylazine (1.0 mg kg?1) (group C) prior to anaesthesia. Group D was administered detomidine CRI (10 μg kg?1 hour?1) in lactated Ringer's solution (LRS), group R romifidine CRI (40 μg kg?1 hour?1) in LRS and group C an equivalent amount of LRS intraoperatively. Anaesthesia was induced with ketamine and diazepam and maintained with isoflurane in oxygen. Plasma lactate samples were taken prior to anaesthesia (baseline), intraoperatively (three samples at 30 minute intervals) and in recovery (at 10 minutes, once standing and 3 hours after end of anaesthesia). End-tidal isoflurane percentage (Fe′Iso) was analysed by allocating values into three periods: Prep (15 minutes after the start anaesthesia–start surgery); Surgery 1 (start surgery–30 minutes later); and Surgery 2 (end Surgery 1–end anaesthesia). A linear mixed model was used to analyse the data. A value of p < 0.05 was considered significant.Results
There was a difference in plasma lactate between ‘baseline’ and ‘once standing’ in all three groups (p < 0.01); values did not differ significantly between groups. In groups D and R, Fe′Iso decreased significantly by 18% (to 1.03%) and by 15% (to 1.07%), respectively, during Surgery 2 compared with group C (1.26%); p < 0.006, p < 0.02, respectively.Conclusions and clinical relevance
Intraoperative detomidine or romifidine CRI in horses did not result in a clinically significant increase in plasma lactate compared with control group. Detomidine and romifidine infusions decreased isoflurane requirements during surgery. 相似文献13.
Daniel M. Sakai Manuel Martin-Flores Marta Romano Chia T. Tseng Luis Campoy Robin D. Gleed Jonathan Cheetham 《Veterinary anaesthesia and analgesia》2017,44(2):246-253
Objective
To determine if neuromuscular monitoring at the pelvic limb accurately reflects neuromuscular function in the larynx after administration of rocuronium in anesthetized dogs.Study design
Prospective experimental study.Animals
Six healthy Beagle dogs.Methods
Anesthesia was maintained in dogs with isoflurane and a continuous infusion of dexmedetomidine. Rocuronium (0.6 mg kg?1) was administered intravenously to induce neuromuscular block. Train-of-four (TOF) impulses were applied to the left recurrent laryngeal nerve (RLn) and the peroneal nerve (Pn). The evoked TOF ratio (TOFR; T4:T1) was measured with electromyography (EMG) simultaneously at the larynx and at the pelvic limb. Spontaneous recoveries of T1 to 25% (T125%) and 75% (T175%) of twitch height, and to TOFR of 0.70 and 0.90 (TOFR0.90) at each EMG site were compared.Results
Data from five dogs were analyzed. Times to T125% were similar at the pelvic limb and larynx when measured by EMG; time to T175% was slower at the larynx by 6 ± 4 minutes (p = 0.012). The larynx had a slower recovery to TOFR0.70 (41 ± 13 minutes) and TOFR0.90 (45 ± 13 minutes) than did the pelvic limb [29 ± 8 minutes (p = 0.011) and 33 ± 9 minutes (p = 0.003), respectively]. When the pelvic limb EMG returned to TOFR0.70 and TOFR0.90, the larynx EMG TOFR0.70 and TOFR0.90 values were 0.32 ± 0.12 (p = 0.001) and 0.38 ± 0.13 (p = 0.001), respectively.Conclusions and clinical relevance
After administration of rocuronium, neuromuscular function assessed by EMG recovered approximately 36% slower at the larynx than at the pelvic limb. The results in these dogs suggest that quantitative neuromuscular monitoring instrumented at a pelvic limb may be unable to exclude residual block at the larynx in anesthetized dogs. 相似文献14.
Johannes PAM. van Loon Janny C. de Grauw Hugo van Oostrom 《Veterinary anaesthesia and analgesia》2018,45(5):640-647
Objective
The aim of this study was to compare different methods to determine venous admixture () in anaesthetized horses. The first objective was to estimate using jugular venous blood oxygen content (), and a fixed value for the oxygen extraction (F-shunt). The second objective was to assess the influence of blood pressure and positioning on oxygen extraction. The third objective was to perform regression analysis between jugular and mixed venous blood oxygen tensions.Study design
Prospective, experimental trial.Animals
The study was performed with seven warmblood horses that were anaesthetized with detomidine, butorphanol, ketamine, diazepam and isoflurane in oxygen.Methods
Multiple simultaneous arterial, jugular venous and pulmonary arterial blood samples were taken under normotensive and hypotensive conditions in lateral and dorsal recumbency. Arterial, mixed venous, and end-capillary oxygen content were calculated.Results
A significant correlation between and was found [intraclass correlation coefficient (ICC) = 0.68, p < 0.001], and Bland–Altman analysis showed a bias of –11.5% and wide limits of agreement (–27.7% to 4.6%). F-shunt significantly correlated with (ICC = 0.88, p < 0.001), and Bland–Altman analysis showed a lower bias (–1.97) and narrower limits of agreement (–13.8% to 9.9%). Positioning and blood pressure significantly influenced oxygen extraction. The regression formula was Y = 0.80X + 2.61 (where Y is the calculated mixed venous oxygen tension and X is the jugular venous oxygen tension) when outliers were excluded (ICC=0.82, p < 0.001).Conclusions and clinical relevance
This study shows that F-shunt provides reasonable estimates of but can possibly be improved by using simple algorithms without the need for pulmonary arterial catheterization. These algorithms use blood pressure- and positioning-dependent oxygen extraction and regression analysis between jugular venous and pulmonary arterial oxygen tension. Although promising, the validity of these algorithms needs to be determined in future studies. 相似文献15.
Maja Wiklund Izabella Granswed Görel Nyman 《Veterinary anaesthesia and analgesia》2017,44(5):1139-1148
Objective
To evaluate the effect of pulsed inhaled nitric oxide (INO) on arterial oxygenation in horses during abdominal surgery.Study design
Prospective, randomized, clinical trial.Animals
Thirty horses that underwent abdominal surgery at the University Animal Hospital in Uppsala, Sweden.Methods
Anaesthesia was induced according to a standard protocol – romifidine, butorphanol, diazepam and ketamine and maintained with isoflurane in oxygen. Fifteen horses were administered pulsed INO and 15 served as controls. After baseline data collection, pulsed INO delivery commenced. Arterial and venous blood were collected and analysed. Cardiorespiratory parameters were measured, and oxygen content and F-shunt were calculated.Results
Arterial oxygen tension (PaO2) and arterial oxygen saturation (SaO2) increased from 10.9 ± 5.7 kPa (82 ± 43 mmHg) and 93 ± 6% to 17.3 ± 6.9 kPa (134 ± 52 mmHg) (p < 0.0001) and 98 ± 2% (p < 0.0001), respectively, in horses administered pulsed INO. In the control group, PaO2 and SaO2 decreased from 13.9 ± 9.1 kPa (104 ± 68 mmHg) and 93 ± 7% to 12.1 ± 8.6 kPa (91 ± 65 mmHg) (p = 0.0413) and 91 ± 8% (p = 0.0256), respectively. At the end of anaesthesia, the oxygen content was significantly higher in horses administered pulsed INO compared to controls (p = 0.0126). The calculated F-shunt decreased from 39 ± 10% to 27 ± 6% (p < 0.0001) in horses administered pulsed INO, and remained unchanged in controls, 40 ± 12% to 44 ± 12%. Blood lactate concentration decreased (–17 ± 21%) in horses administered pulsed INO (p = 0.0119), whereas no difference was measured in controls (2 ± 31%).Conclusions and clinical relevance
The present study showed that it is possible to effectively reduce the F-shunt and improve arterial oxygenation in horses during abdominal surgery by continuous delivery of pulsed INO. 相似文献16.
Seline Bumbacher Johannes P. Schramel Martina Mosing 《Veterinary anaesthesia and analgesia》2017,44(4):775-784
Objective
To evaluate three routinely used tidal volumes (VT; 10, 12 and 15 mL kg?1) for controlled mechanical ventilation (CMV) in lung-healthy anaesthetized dogs by assessing alveolar ventilation (VTalv) and dead space (DS).Study design
Prospective, randomized clinical trial.Animals
A total of 36 client-owned dogs.Methods
Dogs were randomly allocated to a VT of 10 (G10), 12 (G12) or 15 (G15) mL kg?1. After induction CMV was started. End-tidal carbon dioxide tension was maintained at 4.7–5.3 kPa by changing the respiratory frequency (fR; 6 < fR < 30 breaths minute?1). After 29 minutes, cardiovascular and respiratory variables were recorded for 3 minutes using a multiparameter monitor, volumetric capnography (VCap) and a blood gas analyser. The ratios of VTalv to body weight (VTalv kg?1) and airway DS to VT (VDaw/VT), Bohr's DS (VDBohr), Enghoff's DS (VDBE) and the volume of expired carbon dioxide per breath (VTCO2,br) were calculated. Mean airway pressure (MawP), fR and peak inspiratory pressure (PIP) were recorded. Data were analysed using one-way anova and Student–Newman–Keuls tests with a statistical significance set at p < 0.05.Results
No differences were observed for demographic data and cardiovascular variables between groups. A total of three dogs were excluded because of technical difficulties and one because of fR > 30. VTalv kg?1 (p = 0.001) increased and VDBohr (p = 0.002) decreased with greater VT. VTCO2,br (p = 0.017) increased and VDaw/VT (p = 0.006), VDBE (p = 0.008) and fR (p = 0.002) decreased between G10 and G15. PIP (p = 0.013) was significantly higher in G15 compared with that in G10 and G12. No changes were observed in MawP.Conclusions and clinical relevance
A VT of 15 mL kg?1 is most appropriate for CMV in lung-healthy dogs (as evaluated by respiratory mechanics and VCap) and does not impair cardiovascular variables. 相似文献17.
Aleksandr Semjonov Vladimir Andrianov Jacobus P. Raath Toomas Orro Derik Venter Liesel Laubscher Silke Pfitzer 《Veterinary anaesthesia and analgesia》2017,44(4):883-889
Objective
The combination of butorphanol, azaperone and medetomidine (BAM) with subsequent antagonism by naltrexone–yohimbine or naltrexone–atipamezole was evaluated for reversible immobilization of captive African lions (Panthea leo).Study design
Prospective, clinical trial.Animals
Twenty lions, 11 males and nine females, weighing 38–284 kg were immobilized in South Africa.Methods
The BAM volume dose rate administered was 0.005–0.008 mL kg?1 (0.6 mL 100 kg?1). Physiologic variables were recorded every 5 minutes. Four arterial blood samples were collected from all animals at 20, 30, 40 and 50 minutes after immobilization for analysis of blood-gases and acid-base status.Results
The actual doses administered were as follows: butorphanol, 0.18 ± 0.03 mg kg?1; azaperone, 0.07 ± 0.01 mg kg?1; and medetomidine, 0.07 ± 0.01 mg kg?1. The inductions were calm and smooth, and induction time ranged from 4 to 10 minutes (7 ± 2 minutes). The amount of time needed to work with each lion was 70 minutes, and no additional drug doses were needed. Heart rate (40 ± 8 beats minute?1) and respiratory frequency (15 ± 4 breaths minute?1) were stable throughout immobilization. The mean arterial blood pressure of all animals was stable but elevated (142 ± 16 mmHg). The rectal temperature slightly increased over time but remained within acceptable range. The recovery time was significantly shorter when using naltrexone and atipamezole (9 ± 1 minutes) compared to using naltrexone and yohimbine (22 ± 7 minutes).Conclusion and clinical relevance
The BAM combination proved to be reliable for general veterinary anaesthesia in lions. During anaesthesia, minor veterinary procedures such a blood collection, intubation, vaccination and collaring could safely be performed with no additional dosing required. 相似文献18.
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