芬太尼和布托啡醇在甲基磺酸三卡因(MS222)麻醉下对非洲爪蟾镇痛作用的比较

C. Baumgartner, S. Strobel, A. Hagedorn, S. Ott, H. Kempf, B. Waschulzik, M. Gröger, Sandra Kress, P. Radermacher, H. Potschka
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摘要

在这项由两部分组成的研究中,评估了两种止痛药对非洲爪蛙(ACFs)伤害感受的效力。首先,对三种不同的疼痛刺激(PS)在蛙体内进行了评估。使用初步研究中最有效的PS,在MS222麻醉下检查了三种不同剂量的芬太尼和布托啡醇对青蛙的镇痛效果。比较三种不同的PS(5%乙酸到皮肤上、用夹子捏脚趾和拉动卵巢),青蛙的连续血压(BP)和心率(HR)记录表明,这两个参数对乙酸的反应都有急剧且可重复的增加。这一结果清楚地表明在MS222麻醉期间伤害感受增加。因此,单独的MS222不能为ACFs的疼痛干预提供足够的镇痛作用。在所有测试的镇痛组中,只有5mg/kg布托啡醇表现出短暂的BP和HR反应降低。相反,无论是低剂量的布托啡醇还是芬太尼,通常都不会降低对PS的BP和HR反应,只会对血液动力学系统产生相当大的副作用。这些发现反对在ACFs中使用芬太尼作为止痛药。布托啡醇显著降低了高剂量组的伤害感受。然而,考虑到其作用时间有限和潜在的不良反应,在ACFs中使用MS222麻醉时,应评估进一步的止痛药(如氯胺酮和安乃近),以改善术中镇痛。
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A Comparison Of The Analgesic Effects Of Fentanyl And Butorphanol In African Clawed Frogs (Xenopus laevis) Under Tricaine Methanesulfonate (MS222) Anaesthesia
In this two-part study, the potency of two analgesics on nociception was assessed in African Clawed Frogs (ACFs). First, three different Pain Stimuli (PSs) were evaluated in the frogs during Tricaine Methanesulfonate (MS222) anaesthesia. Using the most effective PS from the preliminary study, the analgesic effects of three different doses of fentanyl and butorphanol were examined in frogs under MS222 anaesthesia. Comparing the three different PSs (5% acetic acid onto skin, toe pinch by a clamp and pull on the ovaries), continuous Blood Pressure (BP) and Heart Rate (HR) recordings of the frogs indicated a sharp and reproducible increase in both parameters in response to acetic acid. That result clearly indicated an increased nociception during MS222 anaesthesia. Therefore, MS222 alone does not provide sufficient analgesia for painful interventions in ACFs. From all tested analgesic groups only 5 mg/kg butorphanol showed a short lasting decreased BP and HR response. In contrast, neither lower dosed butorphanol nor fentanyl in general reduced BP and HR response to a PS, only producing considerable side effects on the haemodynamic system. These findings argue against using fentanyl as an analgesic in ACFs. Butorphanol significantly reduced the nociception in the high dose group. However, considering its limited duration of action and potential adverse effects, further analgesics (e.g., ketamine and metamizole) should be evaluated to improve intraoperative analgesia when using MS222 anaesthesia in ACFs.
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