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Clinical investigation of remifentanil and propofol for the total intravenous anaesthesia of dogs.

机译:瑞芬太尼和丙泊酚用于犬全静脉麻醉的临床研究。

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摘要

Fifteen adult dogs underwent elective ovariectomy. They were premedicated with 0.5 mg/kg methadone and 0.05 mg/kg-1 atropine administered intramuscularly, and anaesthesia was induced with propofol and maintained with intravenous infusions of remifentanil at 0.6 micro g/kg/minute and propofol; the mean (sd) rate of infusion of propofol throughout the period of anaesthesia was 0.33 (0.03) mg/kg/minute. The dogs were ventilated continuously with oxygen while they were anaesthetised. Their haemodynamic parameters were clinically acceptable during the period of anaesthesia. Two dogs received additional atropine to correct bradycardias of less than 60 bpm and several dogs received additional boluses of remifentanil or propofol to maintain an adequate depth of anaesthesia, as determined by a clinical assessment. The mean (range) time to the return of spontaneous respiration after stopping the remifentanil infusion was 11.1 (6.0 to 17.0) minutes, and the mean (range) time to the dogs standing was 38.0 (20.0 to 80.0) minutes. The quality of recovery was good in 12 of the dogs, two showed mild excitation in the immediate postoperative period and the other dog required additional analgesia with methadone.
机译:十五只成年犬接受了选择性卵巢切除术。预先给他们肌内注射0.5 mg / kg美沙酮和0.05 mg / kg-1阿托品,并用异丙酚诱导麻醉,并以0.6 micro g / kg / min的瑞芬太尼和丙泊酚静脉输注维持麻醉;在整个麻醉期间,异丙酚的平均输注速率(sd)为0.33(0.03)mg / kg /分钟。在麻醉的同时,给狗连续通氧。在麻醉期间,他们的血液动力学参数在临床上是可以接受的。根据临床评估,两只狗接受了额外的阿托品来纠正小于60 bpm的心动过缓,几只狗接受了另外的雷米芬太尼或丙泊酚大剂量推注以维持足够的麻醉深度。停止瑞芬太尼输注后恢复自发呼吸的平均(范围)时间为11.1(6.0至17.0)分钟,站立的狗的平均(范围)时间为38.0(20.0至80.0)分钟。 12只犬的恢复质量良好,其中两只在术后立即表现出轻度兴奋,另一只犬需要使用美沙酮进行额外镇痛。

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