The influence of atipamezole on the cardiovascular effects of detomidine in horses

M. Raekallio , O. Vainio , J. Karjalainen
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引用次数: 27

Abstract

The reversal of the cardiovascular effects of the α2-adrenoceptor agonist detomidine by the α2-antagonist atipamezole was studied. Nine horses were given detomidine 20 μg/kg iv. On a separate occasion they were given atipamezole 100 μg/kg iv 15 mins after the detomidine injection. Blood gas tensions were measured and clinical signs of sedation were also observed.

Bradycardia and the frequency of heart blocks induced by detomidine were reduced after atipamezole and blood pressure decreased. These reversal effects of atipamezole were of short duration (a few minutes) at the dose level tested. Two of the nine horses exhibited premature depolarisations after administration of detomidine, but not after atipamezole injection.

PaO2 decreased and PaCO2 increased slightly after detomidine injection, but the arterial pH was within reference values or slightly elevated. Administration of atipamezole did not alter these values. Base excess rose after detomidine, and it decreased more quickly towards the baseline level, when the horses were given detomidine alone. No clinical adverse effects were seen from the administration of atipamezole.

Atipamezole may be beneficial, if detomidine-induced bradycardia needs to be reversed in horses.

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阿替帕唑对马托咪定心血管作用的影响
研究了α2拮抗剂阿替帕唑逆转α2肾上腺素受体激动剂托咪定的心血管作用。9匹马给予托托咪定20 μg/kg静脉注射。另一次给予阿替帕唑100 μg/kg静脉注射后15分钟。测量血气张力,并观察镇静的临床症状。阿替帕唑治疗后,德托咪定引起的心动过缓和心脏传导阻滞次数减少,血压下降。在测试的剂量水平下,阿替帕唑的这些逆转作用持续时间很短(几分钟)。九匹马中有两匹在给予托咪定后出现过早去极化,而在阿替帕唑注射后没有。注射托咪定后PaO2略有降低,PaCO2略有升高,但动脉pH值在参考值范围内或略有升高。阿替帕唑的使用没有改变这些值。在给马服用托咪定后,基础过量增加,当马只服用托咪定时,它向基线水平下降得更快。未见阿替帕唑的临床不良反应。如果需要逆转托咪定引起的马的心动过缓,阿替帕唑可能是有益的。
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Documents Twenty-first-century perspectives Correspondence A mathematical model to describe the oxygen-haemoglobin equilibrium curve of the Thoroughbred horse Evaluation of combinations of nalbuphine with acepromazine or detomidine for sedation in ponies
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