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Dexmedetomidine combined with etomidate or emulsified isoflurane for induction reduced cardiopulmonary response in dogs

机译:右美托咪定联合依托咪酯或乳化异氟醚诱导降低狗的心肺反应

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摘要

To investigate the effects of etomidate, emulsified isoflurane, and their combination with dexmedetomidine on physiological parameters, electrocardiogram (ECG) results, and the quality of induction and recovery during isoflurane maintenance anaesthesia. 5 mixed-breed dogs received each of four treatments: etomidate (E group); emulsified isoflurane (EI group); both dexmedetomidine and etomidate (DE group); or both dexmedetomidine and emulsified isoflurane (DEI group). All drugs were IV injection administered for induction, followed by 1.5 MAC (minimal alveolar concentration) of isoflurane to maintain anaesthesia. Rectal temperature (RT), respiratory rate (RR), heart rate (HR), mean arterial pressure (MAP), and ECG were measured at baseline, 0, 5, 10, 20, 40, and 60 minutes after intubation. The quality of induction and recovery was evaluated for all dogs. All the anaesthetic procedures provided good conditions for induction of anaesthesia. The quality of induction and recovery in the E group was worse than other groups. The decrease of RR in the E and DE groups was stronger than that in the EI and DEI groups. The dogs in the E group had the most significant prolongation of the Q-T interval and changes in the S-T segment. Deviation and extension of the S-T segment were noted in the El group. The dogs in the DE and DEI groups had fewer changes in the ECG results than those in the E and EI groups. The addition of dexmedetomidine caused less effect on cardiopulmonary parameters and the ECG results than either etomidate or emulsified isoflurane alone. Thus, etomidate or emulsified isoflurane in combination with dexmedetomidine may be useful clinically for the induction of anaesthesia.
机译:研究依托咪酯,乳化异氟醚及其与右美托咪定的组合对生理参数,心电图(ECG)结果以及异氟醚维持麻醉期间诱导和恢复质量的影响。 5只混种狗接受以下四种治疗:依托咪酯(E组);乳化异氟烷(EI集团);右美托咪定和依托咪酯(DE组);或右美托咪定和乳化异氟烷(DEI组)。静脉注射所有药物以诱导诱导,然后异氟醚1.5 MAC(最小肺泡浓度)维持麻醉。在插管后0、5、10、20、40和60分钟的基线测量直肠温度(RT),呼吸频率(RR),心率(HR),平均动脉压(MAP)和ECG。对所有犬评估诱导和恢复的质量。所有的麻醉程序为诱导麻醉提供了良好的条件。 E组的诱导和恢复质量较其他组差。 E和DE组的RR下降幅度比EI和DEI组的RR下降幅度更大。 E组中的狗的Q-T间隔延长和S-T节段变化最明显。 El组注意到S-T段的偏离和延伸。与E和EI组相比,DE和DEI组的狗的ECG结果变化较少。与单独使用依托咪酯或乳化异氟醚相比,右美托咪定的添加对心肺参数和心电图结果的影响较小。因此,依托咪酯或乳化异氟烷与右美托咪定联用可能在临床上可用于诱导麻醉。

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  • 期刊名称 other
  • 作者单位
  • 年(卷),期 -1(13),12
  • 年度 -1
  • 页码 e0208625
  • 总页数 10
  • 原文格式 PDF
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