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Evaluation of clinical and paraclinical effects of intraosseous vs intravenous administration of propofol on general anesthesia in rabbits

机译:骨内或静脉内异丙酚对家兔全身麻醉的临床和临床意义的评估

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摘要

This prospective study aimed to compare the intraosseous (IO) and intravenous (IV) effects of propofol on selected blood parameters and physiological variables during general anesthesia in rabbits. Thirty New Zealand White rabbits were studied. Six rabbits received IV propofol (group 1) and another 6 rabbits, were injected propofol intraosseously (Group 2) for 30 minutes (experimental groups). Rabbits of the third and fourth groups received IV and IO normal saline at the same volume given to the experimental groups, respectively. In the fifth group IO cannulation was performed but neither propofol nor normal saline were administered. Blood profiles were assayed before induction and after recovery of anesthesia. Heart and respiratory rates, rectal temperature, saturation of peripheral oxygen and mean arterial blood pressure were recorded. Heart rate increased significantly 1 to 5 minutes after induction of anesthesia in experimental groups (P < 0.05). Although mean arterial blood pressure decreased significantly from baseline, values remained above 60 mm Hg (P < 0.05). Respiratory rate decreased significantly in experimental groups, but remained higher in group 2 (P < 0.05). The lymphocyte count decreased significantly in group 1 (P < 0.05). The concentration of alkaline phosphatase in all rabbits, aspartate aminotransferase and gamma-glutamyl transferase in the first group and gamma-glutamyl transferase in the third group increased significantly (P < 0.05). Total bilirubin decreased significantly in group 2 (P < 0.05). All measured values remained within normal limits. Based on the least significant physiological, hematological and biochemical effects, the IO injection of propofol appears to be safe and suitable method of anesthesia in rabbits with limited vascular access.
机译:这项前瞻性研究旨在比较异丙酚对兔全麻期间所选血液参数和生理变量的骨内(IO)和静脉内(IV)影响。研究了三十只新西兰白兔。 6只兔子接受了静脉注射异丙酚(第1组),另外6只兔子经骨内注射了异丙酚(第2组)30分钟(实验组)。第三和第四组的兔子分别以与实验组相同的体积接受IV和IO生理盐水。在第五组中,进行了IO插管,但未给予丙泊酚和生理盐水。在诱导之前和麻醉恢复之后测定血液分布。记录心脏和呼吸频率,直肠温度,外周血氧饱和度和平均动脉血压。实验组诱导麻醉后1至5分钟心率显着增加(P <0.05)。尽管平均动脉血压较基线明显降低,但其值仍高于60 mm Hg(P <0.05)。实验组的呼吸频率显着下降,但第二组仍较高(P <0.05)。第1组淋巴细胞计数显着下降(P <0.05)。所有兔的碱性磷酸酶浓度,第一组的天冬氨酸转氨酶和γ-谷氨酰转移酶的浓度以及第三组的γ-谷氨酰转移酶的浓度均显着增加(P <0.05)。第2组总胆红素显着下降(P <0.05)。所有测量值均保持在正常范围内。基于最不重要的生理,血液和生化作用,IO注射异丙酚似乎是血管通路受限的兔子的安全且合适的麻醉方法。

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