三种麻醉方案对断奶猪腹腹部皮肤生物工程方法的影响

J. Graham, F. Reid, N. Niemuth, Shawn M. Shumaker, Jack D. Waugh
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引用次数: 5

摘要

背景/目的:为了研究化学战剂硫芥子气致皮肤损伤的愈合,建立了断奶猪模型。该模型采用无创生物工程方法监测创面愈合进展和评价治疗效果。有必要对动物进行麻醉,以便于从腹部伤口部位收集生物工程数据。由于麻醉剂影响许多物种的心输出量和深部血管和皮肤微循环,因此有必要确定一种对基线测量影响最小的麻醉方案。在未暴露的对照动物中,研究了三种麻醉方案对反射比色、经皮失水和激光多普勒灌注成像的影响。方法:对6头约克郡母猪(断奶仔猪,8-11公斤)进行以下试验:反复,单独肌内注射氯胺酮HCl和噻嗪HCl (K/X,分别为20±2 mg/kg和2±0.2 mg/kg),反复静脉注射替乐胺HCl/唑拉西泮HCl/噻嗪HCl组合(T/X,分别为2.2 mg/kg, 2.2 mg/kg和4.4 mg/kg),替乐胺HCl/唑拉西泮HCl/噻嗪HCl组合作为麻醉前和异氟烷吸入维持麻醉(T/X/Iso;替乐胺HCl/唑拉西泮HCl/噻嗪HCl的用量与上表相同,异氟醚在氧中浓度为2.5-3.0%,初始流速为2l /min,维持流速为0.8-1.0 L/min,降至1.0%-1.5%。每个方案在一周内(每隔一天)进行三次迭代,方案之间至少有1周的洗脱期。结果:评价了麻醉方案对腹腹部皮肤生物工程评价的影响。对于反射比色法,方案T/X和K/X在三个测试天内的读数范围比T/X/Iso更窄。T/X或K/X均可,T/X漂白效果较好。T/X或T/X/Iso是首选的经皮失水读数,因为总的来说,它们比K/X更能降低经皮失水率。T/X、T/X/Iso和K/X均影响皮肤血流量,没有明显的偏好。结论:总的来说,T/X产生了最一致的结果,麻醉效果最小。
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Effects of Three Anesthetic Regimens on Bioengineering Methods Conducted on Ventral Abdominal Skin of Weanling Swine
Background/Purpose: A weanling swine model was previously developed to study healing of cutaneous injuries induced by the blistering chemical warfare agent sulfur mustard. Noninvasive bioengineering methods are used in the model to monitor the progress of wound healing and evaluate the efficacy of treatments. It is necessary to anesthetize the animals to facilitate bioengineering data collection from ventral abdominal wound sites. As anesthetic agents affect cardiac output and deep vascular and cutaneous microcirculation in many species, there was a need to identify an anesthetic regimen with minimal effects on baseline measurements. The effects of three anesthetic regimens on reflectance colorimetry, transepidermal water loss, and laser Doppler perfusion imaging were studied in unexposed control animals. Methods: The following regimens were tested on six female Yorkshire swine (weanlings, 8–11 kg): repeated, separate intramuscular (i.m.) injections of ketamine HCl and xylazine HCl (K/X, at 20 ± 2 mg/kg and 2 ± 0.2 mg/kg, respectively), repeated i.m. injections of a tiletamine HCl/zolazepam HCl/xylazine HCl combination (T/X, at 2.2 mg/kg, 2.2 mg/kg, and 4.4 mg/kg, respectively), and the tiletamine HCl/zolazepam HCl/xylazine HCl combination as a preanesthetic and isoflurane inhalation to maintain anesthesia (T/X/Iso; dosage of tiletamine HCl/zolazepam HCl/xylazine HCl was the same as listed above, with 2.5–3.0% isoflurane in oxygen at an initial flow rate of 2 L/min, reduced to 1.0%–1.5% at 0.8–1.0 L/min for maintenance). Each regimen was administered in three iterations within a week (every other day), with a minimum 1‐week washout period between regimens. Results: The effect of the anesthetic regimens on bioengineering assessments of ventral abdominal skin was evaluated. For reflectance colorimetry, regimens T/X and K/X had a narrower range of readings over the three testing days than T/X/Iso. Either T/X or K/X was suitable, with T/X preferred because of a lesser blanching effect. T/X or T/X/Iso were preferred for transepidermal water loss readings, because overall they depressed transepidermal water loss rates less than did K/X. T/X, T/X/Iso, and K/X all affected cutaneous blood flow, with no clear preference. Conclusions: Overall, T/X produced the most consistent results with the fewest anesthetic effects.
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