Changes in heart rate, mean arterial pressure, blood biochemistry, plasma glucose, plasma lactate and some plasma enzymes during sufentanil/halothane anaesthesia in horses

P. Dijk, S. K. Nyks
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引用次数: 3

Abstract

SUMMARY Nine horses were each anaesthetised for 40 min using SufentaniVhalothane. No surgery was performed. After premedication (detomidine 5 pgkg bwt iv) induction of anaesthesia was achieved by a combination of guaiphenesinlthiopentone. Anaesthesia was maintained by inhalation of halothane (0.8%) in oxygen. Six horses (Group 1) received 1 pgkg bwt sufentanil followed by a second injection (1 pg/kg bwt) after 20 min. Three horses (Group 2) received 2 pg/kg bwt sufentanil also followed by a second injection (2 pg/kg bwt) after 20 min. Each sufentanil injection produced a slight decrease in mean arterial blood pressure with a gradual return to the initial pressure. Bradycardia was also observed. Sufentanil injection induced apnoea needing artificial ventilation. Arterial blood was sampled for analysis during the anaesthetic procedure. At the end of anaesthesia, 1 h and 24 h after rising, venous blood was sampled to determine concentrations of lactate dehydrogenase (LDH), aspartate aminotransferase (AST) and creatine phosphokinase (CPK). Values obtained were compared with values in blood taken before premedication. Plasma glucose and lactate concentrations just before sufentanil administration, at the end of anaesthesia and 1 h after rising were compared to control values. Plasma glucose concentration increased significantly during anaesthesia but returned to normal values 1 h after rising. All other parameters stayed within physiological ranges. In both groups spontaneous respiration returned 20–25 min after the second sufentanil injection. Recovery was uneventful.
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舒芬太尼/氟烷麻醉期间马心率、平均动脉压、血液生化、血浆葡萄糖、血浆乳酸和一些血浆酶的变化
九匹马分别使用舒芬太尼氟烷麻醉40分钟。未进行手术。用药前(托咪定5 pgkg bwt iv)用愈创苯内酯硫喷妥酮联合诱导麻醉。通过吸入含氧氟烷(0.8%)维持麻醉。6匹马(1组)接受1 pg/kg体重的舒芬太尼治疗,20分钟后再次注射(1 pg/kg体重)。3匹马(2组)接受2 pg/kg体重的舒芬太尼治疗,20分钟后再次注射(2 pg/kg体重)。每次注射舒芬太尼后,平均动脉血压略有下降,并逐渐恢复到初始血压。还观察到心动过缓。舒芬太尼注射诱导呼吸暂停需要人工通气。在麻醉过程中抽取动脉血进行分析。麻醉结束、苏醒后1 h和24 h,取静脉血测定乳酸脱氢酶(LDH)、天冬氨酸转氨酶(AST)和肌酸磷酸激酶(CPK)的浓度。将所得值与用药前采血值进行比较。将舒芬太尼给药前、麻醉结束时和麻醉后1 h的血糖和乳酸浓度与对照组进行比较。血浆葡萄糖浓度在麻醉期间明显升高,但升高1 h后恢复正常。所有其他参数都保持在生理范围内。两组患者第二次注射舒芬太尼后20 ~ 25 min恢复自主呼吸。恢复过程平淡无奇。
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