麻醉前使用可乐定对健康犬的自主神经和血流动力学影响。

João Paulo da Exaltação Pascon, Fernanda Melo de Oliveira, Marilia Avila Valandro, Diane Jaqueline Waschburger, Roberto Thiesen
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摘要

本研究的目的是评估麻醉前使用可乐定对健康麻醉犬的时域心率变异性(HRV)和动脉血压的影响。6只健康成年杂交犬在麻醉前分别给予可乐定(可乐定组,CLG)和安慰剂(对照组,CG),外加异丙酚、异氟醚和曲马多,此后持续输注。在曲马多给药时间(T4)、曲马多持续输注时间(T8)和气管拔管时间(T10)等HRV变量中,CL组HRV meanannn、SDNN、SDANN、SDNNI和rMSSD的总时间平均值较高。然而,在曲马多注射时间(T4),两只狗出现二度房室传导阻滞(Mobitz II),动脉血压无显著差异。这些结果使我们得出结论,可乐定麻醉方案导致交感神经流出阻滞和副交感神经张力增加,对血压没有显著影响。值得注意的是,CL组有两只狗出现心电障碍。虽然应该考虑在有恐惧行为问题的狗麻醉前使用可乐定,但由于存在心血管风险,应避免与曲马多联用或谨慎使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Autonomic and hemodynamic effects of pre-anesthetic use of clonidine in healthy dogs.

The aim of this study was to evaluate the effects of pre-anesthetic use of clonidine on time-domain heart rate variability (HRV) and arterial blood pressure in healthy anesthetized dogs. Six healthy adult mixed-breed dogs were administered a clonidine (clonidine group, CLG) and 30 days later, a placebo (control group, CG) preanesthetic protocol, in addition to propofol, isoflurane, and an bolus of tramadol and the continuous infusion thereafter. The total time mean values of HRV meanNN, SDNN, SDANN, SDNNI, and rMSSD were higher in the CL group, as observed in some HRV variables on tramadol bolus time (T4), tramadol continuous infusion (T8), and tracheal extubation time (T10). No significant differences in arterial blood pressure were observed, however, two dogs had a second-degree atrioventricular block (Mobitz II) at the tramadol bolus time (T4). These results led us to conclude that the clonidine anesthetic protocol resulted in sympathetic outflow block and an increase in parasympathetic tone, without significant effects on blood pressure. Notably, cardiac electrical disturbance in two dogs in the CL group. Although the pre-anesthetic use of clonidine in dogs with fear-based behavioral problems should be considered, its association with tramadol should be avoided or carried out with caution owing to the existing cardiovascular risk.

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