0.1%ケタミン微量持続点滴麻酔法

義久 山根, 和義 松田, 茂樹 仲庭, 延子 藤江, 典子 佐藤, 久典 橋本, 義弘 岸上, 章宏 春名, 毅始 南, 耕志 野並, 静夫 山形, 孝男 広瀬, 雄博 宇野, 文男 柴崎, 浩海 山県, 哲也 下田, 〓晴 野一色
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Abstract

This study evaluated a new method to use 0.1% Ketamine Hydrochloride solution as an ideal approach to anesthesia for small animals. The Ketamine HCL was used primarily as an analgesic rather than as an anesthetic agent. In this report we present the data from both our experimental study of 22 cases and clinical study of 1455 patients anesthetized with 0.1% Ketamine HCL by intravenous“Micro-Mini”drip administration technique. For the experimental study, 20 dogs and 2 cats were used. They were examined the general clinical symptoms and hemo-dynamics during the anesthesia.Among the 1455 patients of clinical study, the 1051 were dogs and the 404 were cats. Of the dogs, 491 were males and 560 were females. The average body weight was 9.59 kg. AS for the cats, the 144 were males and 260 were females. The average body weight was 3.28 kg. All of them were also anesthetized with the same method as the experimental study. The general symptoms, duration of anesthetic time and the dose of Ketamine HCL were carefully observed. This anesthetic method was applied to various surgical procedures. Both the experimental and the clinical studies showed an eminently desirable results. In case of the clinical application of 1051 dogs, the anesthetic average time was 64 minutes. The average does of ketamine HCL was 6.01 mg per kg (SD±4.638), 6.07 mg per kg per hour (SD±4.76) .In clinical case of 404 cats, the anesthetic average time was 55 minutes. The average dose of Katamine HCL was 9.21 mg per kg (SD±5.05), 11.16 mg per kg per hour (SD±6.19) . The total dose of Ketamine HCL was extremely less compared with the former Ketamine intramuscular administration method, especially for the high risked patients. In case of the patients applied with the combination use of Ketamine HCL and relaxant, the total dose of Ketamine could be reduced remarkably.
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0.1%氯胺酮微量持续点滴麻醉法
本研究评价了0.1%盐酸氯胺酮溶液作为小动物理想麻醉方法的新方法。盐酸氯胺酮主要用作止痛药而不是麻醉剂。在这篇报告中,我们介绍了22例实验研究和1455例经静脉“Micro-Mini”滴注技术麻醉的0.1%氯胺酮HCL患者的临床研究数据。在实验研究中,使用了20只狗和2只猫。观察麻醉期间患者的一般临床症状和血流动力学。临床研究的1455例患者中,狗1051例,猫404例。在这些狗中,有491只公狗和560只母狗。平均体重为9.59 kg。其中144只为公猫,260只为母猫。平均体重3.28 kg。所有患者均采用与实验研究相同的麻醉方法。观察患者一般症状、麻醉时间及氯胺酮剂量。这种麻醉方法应用于各种外科手术。实验和临床研究均取得了令人满意的结果。临床应用1051只犬,平均麻醉时间为64分钟。氯胺酮HCL的平均剂量为6.01 mg / kg (SD±4.638),6.07 mg / kg / h (SD±4.76),404只猫的临床病例平均麻醉时间为55 min。盐酸卡他命平均剂量为9.21 mg / kg (SD±5.05),11.16 mg / kg / h (SD±6.19)。氯胺酮HCL的总剂量极低于原氯胺酮肌注给药方法,尤其是高危患者。盐酸氯胺酮与松弛剂联合使用可显著减少氯胺酮总剂量。
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