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Anaesthetic and cardiorespiratory effects of a constant rate infusion of fentanyl in isoflurane‐anaesthetized sheep
Authors:Francisco J Funes  María del Mar Granados  Juan Morgaz  Rocío Navarrete  Andrés Fernández‐Sarmiento  Rafael Gómez‐Villamandos  Pilar Muñoz  Setefilla Quirós  José M Carrillo  Ignacio López‐Villalba  Juan M Dominguez
Affiliation:1. Anaesthesia Unit, Department of Animal Medicine and Surgery, Veterinary Faculty, University of Córdoba, Córdoba, Spain;2. Department of Animal Medicine and Surgery, Veterinary Faculty, CEU‐Cardenal Herrera University, Valencia, Spain
Abstract:ObjectiveTo determine the anaesthetic and cardiorespiratory effects of a constant rate infusion of fentanyl in sheep anaesthetized with isoflurane and undergoing orthopaedic surgery.Study designProspective, randomised, ‘blinded’ controlled study.AnimalsTwenty healthy sheep (weight mean 41.1 ± SD 4.5 kg).MethodsSheep were sedated with intravenous (IV) dexmedetomidine (4 μg kg?1) and morphine (0.2 mg kg?1). Anaesthesia was induced with propofol (1 mg kg?1 minute?1 to effect IV) and maintained with isoflurane in oxygen and a continuous rate infusion (CRI) of fentanyl 10 μg kg?1 hour?1 (group F) or saline (group P) for 100 minutes. The anaesthetic induction dose of propofol, isoflurane expiratory fraction (Fe’iso) required for maintenance and cardiorespiratory measurements were recorded and blood gases analyzed at predetermined intervals. The quality of recovery was assessed. Results were compared between groups using t-tests or Mann–Whitney as relevant.ResultsThe propofol induction dose was 4.7 ± 2.4 mg kg?1. Fe’iso was significantly lower (by 22.6%) in group F sheep than group P (p = 0). Cardiac index (mean ± SD mL kg?1 minute?1) was significantly (p = 0.012) lower in group F (90 ± 15) than group P (102 ± 35). Other measured cardiorespiratory parameters did not differ statistically significantly between groups. Recovery times and recovery quality were statistically similar in both groups.Conclusions and clinical relevanceFentanyl reduced isoflurane requirements without clinically affecting the cardiorespiratory stability or post-operative recovery in anaesthetized sheep undergoing orthopaedic surgery.
Keywords:anaesthesia  cardiopulmonary  fentanyl  isoflurane  sheep
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