Other new and potentially useful inhalational anesthetics.

Sevoflurane and desflurane are volatile inhaled anesthetics that are currently being investigated as possible improvements for the anesthetic management of human patients. Information to date suggests these agents have several advantages over existing clinical agents. For example, the blood/gas partition coefficient for both agents is lower than that of other halogenated anesthetics. Consistent with this physical characteristic is a more rapid induction of and emergence from anesthesia. Both cause a dose-related depression of cardiopulmonary function, which is comparable to isoflurane. Results of studies to date favor desflurane over sevoflurane because it is less soluble in blood, is stable in soda lime, is biodegraded the least of any volatile anesthetic, and is not toxic.     

The pharmacology of local anesthetics.

Understanding of the pharmacology of local anesthesia is important for selection of a local anesthetic for use in equine standing surgery. In general, the action potential is inhibited by local anesthetics by preventing the influx of sodium ions across the axonal membrane. The physicochemical properties of each local anesthetic determine the onset of action, potency, and duration of action. Procaine, chlorprocaine, lidocaine, and mepivacaine are the local anesthetics still used clinically in horses; lidocaine is the most widely used. The future of equine local anesthesia may see the introduction of longer acting, more potent drugs currently used clinically in humans and dogs as well as drugs not classified as local anesthetics--alpha-2 agonists and opioids--for use in epidural anesthesia.     

Open-drop anesthesia for small laboratory animals

This study examined the effect of temperature on volatile concentrations of 2 inhalant anesthetics, isoflurane (ISO) and sevoflurane (SEVO), delivered via open-drop technique, as well as the characteristics of induction and recovery using the open-drop method in mice. Testing revealed that temperature had no effect on the volatile concentration of either ISO or SEVO. However, it was determined that open-drop delivery of ISO or SEVO is a viable means of anesthetizing mice under certain conditions. The volatile concentration required to induce anesthesia in mice following the application of 0.5 mL of anesthetic in an induction chamber of 725 mL volume at 87.6 kPa and 20°C was measured with a precision gas analyzer. For ISO, anesthesia was induced at concentrations of 6.80 ± 0.57% [mean ± standard deviation (s)] after 35.70 ± 6.95 s (n = 10), while SEVO induction took significantly longer (45.50 ± 9.96 s) and required higher volatile concentrations [7.41 ± 0.57% (n = 10)]. The animals recovered rapidly from both ISO and SEVO-based induction.     

Effects of volatile anesthetics on the activity of laryngeal 'drive' receptors in anesthetized dogs.

Effects of halothane, isoflurane and sevoflurane on laryngeal drive receptor activity were studied in the afferent activity of the superior laryngeal nerve in anesthetized spontaneously breathing dogs. Of 40 single units recorded, most of them (65%) responded to the volatile anesthetics applied to the isolated larynx at a concentration of 5%. The exposure to the anesthetics resulted in either an inspiratory increase (15%), both inspiratory and expiratory decrease (54%), or both inspiratory increase and expiratory decrease (31%) responses. The average discharge frequency of the receptors tended to be decreased on inhalation of the anesthetics, where significant decreases were observed in both respiratory phases for halothane and at expiration for isoflurane, but in neither respiratory phase for sevoflurane. These results support an advantage of sevoflurane over halothane and isoflurane for induction of anesthesia to minimize the influence of the activity of laryngeal drive receptors on the breathing pattern and airway stability.     

Comparisons of Sevoflurane, Isoflurane, and Halothane Anesthesia in Spontaneously Breathing Cats

The clinical effects of sevoflurane, isoflurane, and halothane anesthesia with or without nitrous oxide, were compared in healthy, premedicated cats breathing spontaneously during 90 minutes of anesthesia. The effect of nitrous oxide in accelerating the induction of and recovery from anesthesia was more evident for halothane than for sevoflurane or isoflurane. The cats recovered more rapidly from sevoflurane-oxygen than from either halothane- or isoflurane-oxygen. Heart rates did not significantly change during anesthesia with any of the anesthetics. Arterial blood pressures during sevoflurane-oxygen anesthesia were somewhat higher than those with either isoflurane- or halothane-oxygen. There were no significant differences in arterial blood pressures among sevoflurane, isoflurane, and halothane anesthesia when combined with nitrous oxide. The respiration rate during sevoflurane-oxygen was similar to that during halothane-oxygen. There were no significant differences in respiration rate among sevoflurane, isoflurane, and halothane anesthesia when combined with nitrous oxide. The degree of hypercapnia and acidosis during sevoflurane anesthesia was similar to that observed during isoflurane anesthesia and less than during halothane anesthesia. The three anesthetic regimens, with or without nitrous oxide, induced a similar degree of hyperglycemia and hemodilution during anesthesia. Serum biochemical examination did not reveal any hepatic or renal injuries after each anesthesia.     

Evaluation of 25%, 50%, and 67% Nitrous Oxide with Halothane-Oxygen for General Anesthesia in Horses

Twenty-five percent, 50%, and 67% nitrous oxide was administered to 12 horses anesthetized with halothane and oxygen. Compared to halothane-oxygen alone, there was no significant difference in heart rate, systolic, diastolic, or mean blood pressure values, arterial pH, PaCO2, or plasma bicarbonate values when nitrous oxide was included. A significant linear reduction in PaO2 values could be correlated with N2O:O2 concentrations. The halothane level required to maintain surgical anesthesia was reduced when nitrous oxide was administered, but it was not affected by changing the nitrous oxide concentrations. Nitrous oxide concentrations greater than 25% provide no additional reduction in halothane requirement and may be accompanied by PaO2 values that pose risk to the horse.     

Nitrous oxide by itself is insufficient to relieve pain due to castration in piglets

Surgical castration is performed on most male piglets in the United States. However, castration is painful and analgesics have been considered to relieve pain. Inhalant gases with analgesic properties allow for a fast induction, have short-term and reversible effects, and are a needle-free option. Nitrous oxide (N(2)O; "laughing gas") has been widely used in human surgery and dental offices as an analgesic, sedative, and anxiolytic drug, yet N(2)O has not been thoroughly investigated for use in farm animals. We hypothesized that the analgesic effect of N(2)O could reduce the pain experienced by piglets during or immediately after castration. Twenty-four male piglets, from 12 litters, were castrated at 3 d of age. One piglet received N(2)O and a littermate received air as a control. After 150 s of exposure to the gas, castration was performed while the piglet remained exposed to the gas. Agitation scores and total vocalization length were recorded during castration. Behavioral observations were continued for 3 d postcastration by using a 5-min scan-sampling method for 4 h the first morning and for 2-h periods in the morning and afternoon of each day thereafter. Body weight gain was measured on the day before castration, at 3 d postcastration, and at weaning. Data were analyzed using a mixed model in SAS (Cary, NC). Nitrous oxide successfully induced anesthesia in all N(2)O piglets, as validated by a skin pinch test and the loss of the palpebral reflex. Total vocalization length was shorter in piglets receiving N(2)O during the induction phase (P = 0.003) but was not different during castration itself because piglets receiving N(2)O awoke and vocalized as much as control piglets (P = 0.87). Agitation scores during the whole procedure were reduced in piglets receiving N(2)O in both frequency (P = 0.005) and intensity (P = 0.026). For 2 h after castration, piglets receiving N(2)O displayed less huddling behavior than did control piglets (P = 0.01). Over the 3 d, piglets receiving N(2)O performed more tail wagging (P = 0.02) and tended to show fewer sleep spasms (P = 0.06) than did control piglets. Piglets given N(2)O tended to have a reduced growth rate compared with control piglets at 3 d postcastration and at weaning (P = 0.05 and P = 0.06, respectively). Nitrous oxide was effective in inducing anesthesia in neonatal piglets during handling. Nonetheless, its analgesic effects appeared insufficient in preventing castration-induced pain.     

Cardiopulmonary and acid-base effects of desflurane and sevoflurane in spontaneously breathing cats

The cardiopulmonary effects of desflurane and sevoflurane anesthesia were compared in cats breathing spontaneously. Heart (HR) and respiratory (RR) rates; systolic (SAP), diastolic (DAP) and mean arterial (MAP) pressures; partial pressure of end tidal carbon dioxide (PETCO2), arterial blood pH (pH), arterial partial pressure of oxygen (PaO2) and carbon dioxide (PaCO2); base deficit (BD), arterial oxygen saturation (SaO2) and bicarbonate ion concentration (HCO3) were measured. Anesthesia was induced with propofol (8+/-2.3mg/kg IV) and maintained with desflurane (GD) or sevoflurane (GS), both at 1.3 MAC. Data were analyzed by analysis of variance (ANOVA), followed by the Tukey test (P<0.05). Both anesthetics showed similar effects. HR and RR decreased when compared to the basal values, but remained constant during inhalant anesthesia and PETCO2 increased with time. Both anesthetics caused acidemia and hypercapnia, but BD stayed within normal limits. Therefore, despite reducing HR and SAP (GD) when compared to the basal values, desflurane and sevoflurane provide good stability of the cardiovascular parameters during a short period of inhalant anesthesia (T20-T60). However, both volatile anesthetics cause acute respiratory acidosis in cats breathing spontaneously.     

The case for maintenance of general anesthesia with an inhalational agent.

Control of anesthetic depth is the primary advantage of general anesthesia with inhalational anesthetics as opposed to injectable agents. In addition, inhalational anesthetics provide good intraoperative stress reduction, adequate muscle relaxation, and an elimination pathway (lungs) independent of liver and kidney function. There is little postoperative respiratory depression and no rebound effect, which is sometimes seen with injectable anesthetics. The incidence of anesthetic-related toxicity is rare and is not considered a problem.     

动物全身麻醉方法及用药研究进展

动物麻醉是动物诊疗及手术过程顺利进行的先决条件,动物全身麻醉一般分为吸入性麻醉和非吸入麻醉两类。本文综述了动物全身麻醉的方法及常用麻醉剂的研究进展。     

大熊猫医疗管理培训

大熊猫的医疗管理培训是培训大熊猫完成一些配合医疗行为的动作,以减少大熊猫的紧张感、降低大熊猫的麻醉风险、增加人员与动物的安全以及增进饲养员与大熊猫之间的感情,并依照大熊猫的特殊习性和能力设计的课程。大熊猫医疗管理培训是以大熊猫医学检查为目的,选择响板作为确认信号,以正面奖赏的方式进行确认训练,抓住培训时机,培训大熊猫在非麻醉状态下进行采血、徒手肌肉注射、腹部超声波等医学检查,做到及时性和累积性奖赏,确保人和大熊猫的安全,该培训在中国保护大熊猫研究中心取得了良好的效果。     

Comparison of several combinations for anesthesia in rabbits.

Few safe and effective anesthesia regimens have been described for use in rabbits, partially because of the susceptibility of this species to sometimes fatal respiratory depression. Although inhalant anesthetics are generally safer than injectable anesthetics, their use may be limited by lack of equipment or facilities. This study was conducted to compare effects of several injectable anesthetics in rabbits on response to noxious stimuli, heart rate, respiratory rate, and rectal temperature. Six injectable anesthetic combinations were administered to rabbits: xylazine-ethyl-(1-methyl-propyl) malonyl-thio-urea salt (EMTU), ketamine-EMTU, xylazine-pentobarbital, xylazine-acepromazine-ketamine (XAK), ketamine-chloral hydrate, and ketamine-xylazine. All combinations induced a depression of respiratory rate. Although rectal temperature values were reduced to some degree in each group, the most profound hypothermia was induced by XAK. The combination that induced the longest duration of anesthesia was XAK. It was concluded that XAK was preferable for longer periods of anesthesia (60 to 120 minutes), although it induces severe hypothermia. For short periods of anesthesia, xylazine-pentobarbital, xylazine-EMTU, or ketamine-xylazine were deemed adequate; however, xylazine-EMTU induced the best survivability and consistency.     

Bispectral analysis of the electroencephalogram: a review of its development and use in anesthesia

OBJECTIVE: To evaluate the different methodologies used to monitor anesthetic depth and to review the principles and potential applications of bispectral index (BIS) monitoring in veterinary anesthesia. DATABASES USED: Medline (1966 to present); Pubmed (mid-1960s to present); personal files. CONCLUSIONS: Current anesthetic monitoring techniques rely on indirect measures of corticocerebral arousal after a noxious stimulus. Some anesthetics and pre-anesthetics suppress responses that are used to gauge adequate hypnosis and analgesia. The BIS is a direct measure of corticocerebral activation and is inversely related to the degree of hypnosis. Dynamic changes in the BIS after a noxious stimulus may signify early nociceptive activation of the cerebral cortex and may be a useful marker of inadequate analgesia. However, application of this technique during the use of various drug combinations (i.e. clinical anesthesia) will require further research and understanding.     

Anesthetic Considerations for Amphibians

The popularity of amphibians in research, zoological exhibits, and as pets is on the rise. With this increased popularity comes a need for veterinarians to develop methods for managing these animals for various diagnostic and surgical procedures. For many of these procedures, the provision of anesthesia is a must. Fortunately, there are a number of different anesthetics available to the veterinary clinician for anesthetizing amphibians, including tricaine methanesulfonate, clove oil, propofol, isoflurane, and ketamine. In addition to the variety of anesthetics at our disposal, there is also a wider range of methods for delivering the anesthetics than are generally available for higher vertebrates, including immersion, topical, and intracoelomic routes of delivery. The purpose of this article is to review the different methods that can be used to successfully manage an amphibian patient through an anesthetic event.     

Effect of preoperative administration of tepoxalin on induction dose of injectable anesthetics in dogs

Medications given preoperatively have the potential to affect the induction dose of injectable anesthetics, which could result in an anesthetic overdose. Tepoxalin is an NSAID approved for the treatment of arthritis in dogs in the United States and hence could be administered in patients requiring anesthesia. In this study, administration of a single dose or a 10-day course of tepoxalin did not affect the induction dose (dose that allowed intubation) of propofol, thiopental, or ketamine-diazepam and also did not affect the time required for dogs to recover from anesthesia.     

The effects of different anesthetics on blood steroid concentrations in domestic tom-cats

Testosterone and androstenedione were measured in the plasma of mature tom-cats before, during and after anesthesia with thiopentone, ketamine, xylazine and alphaxolone/alphadolone. Samples were collected via an indwelling jugular catheter at 30 min intervals before anesthesia (5 samples) and during the recovery phase (8 samples), and at intervals of 15 min during anesthesia (7 samples). Thiopentone and ketamine anesthesia significantly depressed testosterone and androstenedione concentrations during and after anesthesia. Xylazine significantly increased testosterone concentrations during anesthesia but they returned to pre-anesthetic concentrations during recovery. Androstenedione concentrations were significantly depressed during the recovery phase from xylazine anesthesia. Alphaxolone/alphadolone anesthesia had no significant effect of testosterone concentrations but significantly increased and androstenedione concentrations during anesthesia and recovery. Testosterone and androstenedione concentrations in cats were significantly altered by these 4 commonly used anesthetics and this must be taken into account if hormone concentrations are measured while cats are anesthetised.     

The immune response to anesthesia: Part 1

ObjectiveTo review the immune response to anesthesia including mechanical ventilation, inhaled anesthetic gases, and injectable anesthetics and sedatives.Study designReview.Methods and databasesMultiple literature searches were performed using PubMed and Google Scholar from spring 2012 through fall 2013. Relevant anesthetic and immune terms were used to search databases without year published or species constraints. The online database for Veterinary Anaesthesia and Analgesia and the Journal of Veterinary Emergency and Critical Care were searched by issue starting in 2000 for relevant articles.ConclusionRecent research data indicate that commonly used volatile anesthetic agents, such as isoflurane and sevoflurane, may have a protective effect on vital organs. With the lung as the target organ, protection using an appropriate anesthetic protocol may be possible during direct pulmonary insults, including mechanical ventilation, and during systemic disease processes, such as endotoxemia, generalized sepsis, and ischemia-reperfusion injury.     

Evaluating the Clinical and Cardiopulmonary Effects of Clove Oil and Propofol in Tiger Salamanders (Ambystoma tigrinum)

Our understanding of clinical anesthesia for amphibians is limited. This study represents the first attempt to evaluate the effectiveness of clove oil and propofol as anesthetic agents for tiger salamanders (Ambystoma tigrinum). Twelve apparently healthy adult tiger salamanders were anesthetized in a water bath containing clove oil (450 mg/L of water). After a 2-week wash-out period, 11 of the salamanders were used to evaluate the effectiveness of propofol as an anesthetic agent. Propofol was administered intracoelomically at a dose of 25 mg/kg (n = 5) or 35 mg/kg (n = 6). Heart and respiratory rates were monitored at 5-, 10-, 15-, 20-, 30-, 40-, 50-, 60-, 70-, 80-, 90-, 100-, 120-, 150-, and 180-minute intervals after exposure to the anesthetics. Righting, escape, corneal, superficial pain, and deep pain reflexes were also monitored at these time intervals and ranked as (1) normal, (2) slow, or (3) absent. Surgical anesthesia was determined to be when all of the reflexes were lost. Clove oil produced a surgical level of anesthesia in 67% (8/12) of the salamanders. Propofol administered at 25 mg/kg produced surgical anesthesia in 40% (2/5) of the salamanders, whereas propofol at 35 mg/kg produced surgical anesthesia in 83% (5/6) of the animals. Clove oil did not significantly (P > 0.05) affect respiratory rate at any time, but did decrease heart rate significantly (P < 0.05) after 30 minutes. Propofol produced a significant (P < 0.05) reduction in the respiratory rate at both doses. Heart rate was also found to decrease significantly (P < 0.05) for propofol at 25 mg/kg after 90 minutes and for propofol at 35 mg/kg at 60 minutes and after 80 minutes. Both clove oil and propofol were found to provide a surgical plane of anesthesia for tiger salamanders. However, clove oil provided more rapid onset of the desired level of anesthesia with a longer duration. Although the intracoelomic route for propofol was effective, the time to surgical anesthesia was prolonged. These anesthetics show promise and may prove useful to veterinarians or field biologists working with urodelans.     

Protocols for anesthesia of cattle.

The article explores the choices and considerations pertinent to the selection of an anesthetic protocol for use in cattle. When the veterinarian is presented with the opportunity to provide anesthesia for surgical or diagnostic procedures, the options include use of local anesthetics, sedative-tranquilizer and analgesic combinations, or general anesthetic techniques. Informed decisions regarding selection of an anesthetic technique or protocol are made possible with understanding of the perianesthetic considerations commonly recognized for cattle.     

Actions of isoflurane and halothane in pregnant mares.

Eighteen healthy, pregnant mares scheduled for laparotomy and uterine manipulation were randomly allotted to 2 equal groups. After IV administration of xylazine hydrochloride and thiamylal sodium, general anesthesia was maintained with halothane (HALO) or isoflurane (ISO) in oxygen. Results of cardiovascular measurements were similar with both inhalant anesthetics; mean arterial blood pressure was 79 and 82 mm of Hg with HALO and ISO, respectively. Respiratory rate decreased most with ISO (mean frequency was 4 and 9 breaths/min with ISO and HALO, respectively). Partial pressure of arterial CO2 was increased similarly with HALO and ISO. Partial pressure of arterial O2 varied greatly among mares and decreased with duration of use of both anesthetics. Recovery time from anesthesia was significantly (P < 0.05) shorter after use of ISO vs HALO. Minor superficial injuries were associated with recovery from both anesthetics (in 5 mares with ISO and in 1 mare with HALO). Physical signs of postanesthetic myopathy or vital-organ dysfunction were not associated with either agent.