Comparison of subarachnoid administration of low-dose bupivacaine and lidocaine in healthy goats.

IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES American journal of veterinary research Pub Date : 2024-05-18 Print Date: 2024-07-01 DOI:10.2460/ajvr.24.02.0030
Bethany M Fackler, Luisito S Pablo, Ludovica Chiavaccini, Jorge A Hernandez, Martha F Mallicote
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Abstract

Objective: This study aimed to compare the effects of low-dose subarachnoid injections of 2% lidocaine (LIDO) and 0.5% bupivacaine (BUPI) in goats.

Animals: 6 healthy, privately owned female goats.

Methods: In this randomized blind crossover clinical trial, each goat received 0.05 mL/kg-1 of LIDO, BUPI, or sterile saline solution into the lumbosacral subarachnoid space, with a seven-day washout. Cardiorespiratory variables, rectal temperature, and somatosensory (pinprick) and motor (ataxia) functions were recorded at baseline (time 0) and 2, 5, 10, 15, and 30 minutes after injection, then every 20 minutes until the goat was standing and able to walk. Time to regain somatosensory and motor functions was compared between treatments using Kaplan-Meier survival curves and the Cox proportional hazards model. Linear mixed-effects models were used to compare cardiorespiratory variables between treatments and over time. A P value ≤ .05 was considered significant.

Results: Somatosensory recovery was longer with BUPI, though not statistically significant. The median time to stand was 50 (50, 67) minutes after LIDO injection and 104 (101, 156) minutes after BUPI injection (P = .031). The median time to walk was 72 (54, 85) minutes after LIDO versus 225 (220, 245) minutes after BUPI injection (P = .031). Cardiovascular and respiratory variables showed no significant differences between treatments.

Clinical relevance: Despite prolonged ataxia with BUPI, pinprick sensation recovery did not differ. At reduced doses, both LIDO and BUPI are deemed acceptable for short procedures of the flank, pelvic limb, or tail in healthy goats.

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健康山羊蛛网膜下腔注射低剂量布比卡因和利多卡因的比较。
研究目的本研究旨在比较在山羊蛛网膜下腔注射2%利多卡因(LIDO)和0.5%布比卡因(BUPI)的低剂量效果:在这项随机盲法交叉临床试验中,每只山羊的腰骶部蛛网膜下腔接受 0.05 mL/kg-1 的利多卡因、布比卡因或无菌生理盐水注射,并进行为期七天的冲洗。在基线(0 时)、注射后 2、5、10、15 和 30 分钟记录心肺变量、直肠温度、体感(针刺)和运动(共济失调)功能,然后每隔 20 分钟记录一次,直到山羊站立并能行走为止。使用 Kaplan-Meier 生存曲线和 Cox 比例危险模型对不同治疗方法恢复体感和运动功能的时间进行比较。线性混合效应模型用于比较不同治疗方法和不同时间段的心肺变量。P值≤0.05为显著:结果:BUPI 的躯体感觉恢复时间更长,但无统计学意义。注射 LIDO 后,站立的中位时间为 50(50,67)分钟;注射 BUPI 后,站立的中位时间为 104(101,156)分钟(P = 0.031)。LIDO 注射后步行的中位时间为 72(54,85)分钟,而 BUPI 注射后为 225(220,245)分钟(P = 0.031)。不同治疗方法的心血管和呼吸变量无显著差异:临床相关性:尽管注射 BUPI 后共济失调时间延长,但针刺感的恢复并无差异。在减少剂量的情况下,LIDO和BUPI均可用于健康山羊的侧腹、骨盆肢体或尾部的短期手术。
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来源期刊
CiteScore
1.70
自引率
10.00%
发文量
186
审稿时长
3 months
期刊介绍: The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.
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