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Journal of Veterinary Anaesthesia最新文献

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Educational Trust 教育信托
Pub Date : 1997-12-01 DOI: 10.1111/j.1467-2995.1997.tb00159.x
Jean Stonebridge
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引用次数: 0
ECVA - Past, present and future ECVA-过去、现在和未来
Pub Date : 1997-12-01 DOI: 10.1111/j.1467-2995.1997.tb00147.x
U. Schatzmann
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引用次数: 1
A comparison of methods for evaluation of pain and distress after orthopaedic surgery in horses 马整形外科手术后疼痛和痛苦评估方法的比较
Pub Date : 1997-12-01 DOI: 10.1111/j.1467-2995.1997.tb00150.x
M. Raekallio , P.M. Taylor , M. Bloomfield

Post operative pain was evaluated in 13 horses subjectively and by measuring pre-defined behavioural and physiological variables. Twelve of the horses had undergone painful orthopaedic surgery and one had developed post anaesthetic myopathy and nerve damage after radiological examination under general anaesthesia. Venous blood samples were collected for catecholamine, ß-endorphin and cortisol assays before premedication and up to 72 h after surgery.

No differences were seen in head position, ground pawing or use of the operated leg between the pre-and post anaesthetic periods. The subjective pain score was higher at 4 h after anaesthesia than the pre-operative score. Mean plasma ß-endorphin concentration increased above pre-operative values at 6 and 12 h after anaesthesia. Anaesthesia and surgery did not change mean plasma cortisol concentration, but it was lower in samples collected at 48 and 72 h. There was considerable individual variation in plasma catecholamine concentrations. At some time points the plasma concentration of catecholamines was higher than before premedication, but the maximal concentrations for adrenaline, noradrenaline and dopamine did not occur simultaneously. Heart rate was increased at 2 and 4 h, and abdominal sounds were decreased at 2 h. Packed cell volume was decreased in samples taken 2 to 12 h after anaesthesia.

There was poor correlation between all the parameters measured in the study The subjective pain score and the plasma ß-endorphin concentration correlated with each other at several time points, but not during the immediate post operative period.

通过测量预先定义的行为和生理变量,对13匹马的术后疼痛进行了主观评估。其中12匹马接受了痛苦的整形外科手术,其中一匹马在全身麻醉下进行放射学检查后出现了麻醉后肌病和神经损伤。术前和术后72小时采集静脉血样进行儿茶酚胺、ß-内啡肽和皮质醇测定。麻醉前后,头部位置、抓地或手术腿的使用没有差异。麻醉后4小时的主观疼痛评分高于术前评分。麻醉后6小时和12小时,平均血浆ß-内啡肽浓度高于术前值。麻醉和手术没有改变平均血浆皮质醇浓度,但在48和72小时采集的样本中较低。血浆儿茶酚胺浓度存在相当大的个体差异。在某些时间点,儿茶酚胺的血浆浓度高于用药前,但肾上腺素、去甲肾上腺素和多巴胺的最大浓度并没有同时出现。心率在2小时和4小时增加,腹部声音在2小时减少。麻醉后2至12小时采集的样本中,压缩细胞体积减少。研究中测量的所有参数之间的相关性很差。主观疼痛评分和血浆ß-内啡肽浓度在几个时间点相互关联,但在术后不久没有。
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引用次数: 39
Isoflurane potentiates metocurine via peripheral not central nervous system action 异氟醚通过外周神经系统而非中枢神经系统作用增强甲曲碱
Pub Date : 1997-07-01 DOI: 10.1111/J.1467-2995.1997.TB00260.X
J. Antognini
SUMMARY Inhalational anaesthetics potentiate neuromuscular blocking drugs. The exact sites are not known, but may include the central nervous system, the neuromuscular junction or muscle. Anaesthetic action in the brain could potentiate neuromuscular block directly, or indirectly by altering plasma catecholamine concentrations. In 5 goats anaesthetised with fentanyl and pentobarbitone, an experimental preparation was used in which isoflurane (end-tidal/exhaust 1.2–1.3%) was selectively delivered to either the torso (via the lungs) or brain (via an oxygenator/roller pump) during a stable ≅60% metocurine blockade (≅= 4–8 μg/min). Bilateral evoked gastrocnemius muscle twitch was accomplished with electrical stimulation (0.1 Hz) of the sciatic nerves, one of which was cut proximal to the stimulation site; output from the force transducer was digitised and stored on a computer. Blood samples were taken for metocurine, noradrenaline and adrenaline analysis. When isoflurane was added to the brain, % depression of the muscle twitch was unchanged at 64 ± 13% on the uncut side; the cut side was also unchanged. When isoflurane was added to the torso, % depression increased from 68 ± 14% to 82 ± 12% (P These data suggest that the periphery (neuromuscular junction or muscle) is the important site where isoflurane potentiates metocurine-induced neuromuscular blockade.
吸入麻醉剂可增强神经肌肉阻断药物。确切的位置尚不清楚,但可能包括中枢神经系统,神经肌肉连接处或肌肉。大脑中的麻醉作用可以直接或间接地通过改变血浆儿茶酚胺浓度来增强神经肌肉阻滞。在5只被芬太尼和戊巴比酮麻醉的山羊中,使用了一种实验制剂,在稳定的(= 4-8 μg/min) 60%的甲托库林阻断期间,异氟醚(尾流/排气1.2-1.3%)选择性地递送到躯干(通过肺部)或大脑(通过氧合器/roller pump)。通过电刺激(0.1 Hz)坐骨神经来完成双侧腓肠肌抽搐,其中一条在刺激部位近端切断;力传感器的输出被数字化并存储在计算机上。采集血样进行甲曲碱、去甲肾上腺素和肾上腺素分析。脑内加入异氟醚后,未切侧肌痉挛抑制率为64±13%;切割面也没有变化。当向躯干添加异氟醚时,%抑郁从68±14%增加到82±12% (P)。这些数据表明,外周(神经肌肉接点或肌肉)是异氟醚增强甲托库林诱导的神经肌肉阻断的重要部位。
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引用次数: 0
Association of Veterinary Anaesthetists: An Introduction to the Association 兽医麻醉师协会简介
Pub Date : 1997-07-01 DOI: 10.1111/j.1467-2995.1997.tb00269.x
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引用次数: 0
Report from the Recipient of the 1996 Pharmacia and Upjohn Travel Award 1996年Pharmacia和Upjohn旅游奖获得者的报告
Pub Date : 1997-07-01 DOI: 10.1111/j.1467-2995.1997.tb00271.x
Derek Flaherty
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引用次数: 0
The future of sharing information 共享信息的未来
Pub Date : 1997-07-01 DOI: 10.1111/j.1467-2995.1997.tb00259.x
P.J. PASCOE
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引用次数: 0
Disposition of propofol after medetomidine premedication in beagle dogs 比格犬美托咪定预用药后异丙酚的处理
Pub Date : 1997-07-01 DOI: 10.1111/J.1467-2995.1997.TB00264.X
L. Hall, E. Lagerweij, A. Nolan, J. Sear
SUMMARY Propofol by infusion was administered to 6 adult beagle dogs on 2 separate occasions. The dogs received either no premedication or 20 μg/kg im medetomidine 15 min before induction of anaesthesia, with propofol given at 7 mg/kg/min to permit tracheal intubation. After tracheal intubation the infusion rate was maintained for 120 min at 0.4 mg/kg/min in the non-premedicated, and 0.2 mg/kg/min in the premedicated dogs. The latter group received atipamezole 50 μg/kg im immediately at the end of the infusion. After induction of anaesthesia, a 7F balloon catheter designed for thermal dilution measurement of cardiac output was inserted via the right jugular vein. Blood propofol concentrations were measured by HPLC with fluorescence detection and kinetic variables calculated using non-compartmental moment analysis. The induction dose of propofol was 7.00 (sem 0.55) mg/kg in non-premedicated compared with 3.09 (0.25) mg/kg in premedicated dogs. There were differences in systemic clearance and mean residence time (MRTiv); 47.5 (6.2) ml/kg/min vs 29.0 (4.4) ml/kg/min (non-premedicated vs premedicated) and 132.3 (5.2) min vs 152.4 (3.1) min (P
对6只成年beagle犬进行了2次异丙酚输注。麻醉前15分钟不给药或给予20 μg/kg的美托咪定,同时给予7 mg/kg/min的异丙酚,允许气管插管。气管插管后,未预用药犬保持0.4 mg/kg/min的输注速率,预用药犬保持0.2 mg/kg/min的输注速率120 min。后者组在输注结束后立即给予阿替帕唑50 μg/kg im。麻醉诱导后,经右颈静脉插入用于心输出量热稀释测量的7F球囊导管。采用高效液相色谱法测定血丙泊酚浓度,采用非室室矩分析计算动力学变量。未预用药异丙酚诱导剂量为7.00 (0.55)mg/kg,预用药犬为3.09 (0.25)mg/kg。系统清除率和平均停留时间(MRTiv)存在差异;47.5 (6.2) ml/kg/min vs 29.0 (4.4) ml/kg/min(未预用药vs预用药)和132.3 (5.2)min vs 152.4 (3.1) min (P
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引用次数: 11
Cardiovascular effects of doxacurium chloride in isoflurane-anaesthetised dogs 异氟醚麻醉犬用氯化多沙脲对心血管的影响
Pub Date : 1997-07-01 DOI: 10.1111/J.1467-2995.1997.TB00261.X
E. Martinez, A. Wooldridge, D. Mercer, M. Slater, S. M. Hartsfield
SUMMARY The cardiovascular effects of doxacurium were studied in 6 isoflurane-anaesthetised dogs. Each dog was anaesthetised twice, receiving doxacurium (0.008 mg/kg bwt) or placebo iv. Dogs were ventilated to normocapnia. Heart rate, cardiac index, systolic, diastolic, and mean arterial blood pressures, stroke volume, pulmonary vascular resistance, pulmonary artery wedge pressure, systemic vascular resistance, and pulmonary arterial pressure were determined. Neuromuscular blockade was assessed using the train-of-four technique. After recording baseline values, dogs randomly received either doxacurium or placebo iv, and data were recorded at 5, 10, 15, 30, 45, 60, 75, 90, 105 and 120 min. At 120 min, dogs treated with doxacurium received edrophonium (0.5 mg/kg bwt iv) to antagonise neuromuscular blockade; dogs treated with placebos received saline iv. No statistically significant differences were detected after doxacurium compared to placebo. In both the doxacurium and placebo groups, significant increases in systolic arterial blood pressure, cardiac index, and stroke volume and a significant decrease in systemic vascular resistance occurred with time. Doxacurium depressed twitch tension 100% in all dogs (time to maximal twitch depression, 11 ± 7 min). First twitch tension was less than 10% of baseline values in all dogs at the time (120 min) of edrophonium administration. Additional edrophonium (1.0 ± 0.4 mg/kg iv) was required to obtain a fourth twitch to first twitch ratio of greater than 0.70. In conclusion, doxacurium is a long-acting neuromuscular blocking agent with no significant cardiovascular effects in isoflurane-anesthetised dogs. In dogs, doxacurium is indicated primarily for long surgical procedures requiring neuromuscular blockade and cardiovascular stability.
本文对6只异氟醚麻醉犬进行了多沙库铵对心血管的影响研究。每只狗麻醉两次,分别给予多沙库尔铵(0.008 mg/kg bwt)或安慰剂iv。测定心率、心脏指数、收缩压、舒张压和平均动脉压、脑卒中容积、肺血管阻力、肺动脉楔压、全身血管阻力和肺动脉压。采用四列技术评估神经肌肉阻滞。在记录基线值后,狗随机接受多沙库仑或安慰剂iv,并在5、10、15、30、45、60、75、90、105和120分钟记录数据。在120分钟,接受多沙库仑治疗的狗接受伊洛峰铵(0.5 mg/kg bwt iv)拮抗神经肌肉阻断;用安慰剂治疗的狗接受生理盐水iv。与安慰剂相比,服用多沙库铵后没有发现统计学上的显著差异。在doxacurium组和安慰剂组中,随着时间的推移,收缩压、心脏指数和卒中容量显著增加,全身血管阻力显著降低。Doxacurium使所有犬的抽搐张力降低100%(达到最大抽搐抑制时间,11±7分钟)。在给药时(120分钟),所有狗的第一次抽搐张力小于基线值的10%。要使第4次抽动与第1次抽动之比大于0.70,则需要额外使用埃洛芬铵(1.0±0.4 mg/kg iv)。综上所述,doxacurium是一种长效神经肌肉阻滞剂,对异氟醚麻醉犬的心血管无明显影响。在犬类中,多沙库铵主要用于需要神经肌肉阻滞和心血管稳定的长时间外科手术。
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引用次数: 1
Educational Trust 教育信托
Pub Date : 1997-07-01 DOI: 10.1111/j.1467-2995.1997.tb00272.x
Jean Stonebridge
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引用次数: 0
期刊
Journal of Veterinary Anaesthesia
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