Combination of continuous intravenous infusion using a mixture of guaifenesin-ketamine-medetomidine and sevoflurane anesthesia in horses

The anesthetic and cardiovascular effects of a combination of continuous intravenous infusion using a mixture of 100 g/L guaifenesin-4 g/L ketamine-5 mg/L medetomidine (0.25 ml/kg/hr) and oxygen-sevoflurane (OS) anesthesia (GKM-OS anesthesia) in horses were evaluated. The right carotid artery of each of 12 horses was raised surgically into a subcutaneous position under GKM-OS anesthesia (n=6) or OS anesthesia (n=6). The end-tidal concentration of sevoflurane (EtSEV) required to maintain surgical anesthesia was around 1.5% in GKM-OS and 3.0% in OS anesthesia. Mean arterial blood pressure (MABP) was maintained at around 80 mmHg under GKM-OS anesthesia, while infusion of dobutamine (0.39+/-0.10 microg/kg/min) was necessary to maintain MABP at 60 mmHg under OS anesthesia. The horses were able to stand at 36+/-26 min after cessation of GKM-OS anesthesia and at 48+/-19 minutes after OS anesthesia. The cardiovascular effects were evaluated in 12 horses anesthetized with GKM-OS anesthesia using 1.5% of EtSEV (n=6) or OS anesthesia using 3.0% of EtSEV (n=6). During GKM-OS anesthesia, cardiac output and peripheral vascular resistance was maintained at about 70% of the baseline value before anesthesia, and MABP was maintained over 70 mmHg. During OS anesthesia, infusion of dobutamine (0.59+/-0.24 microg/kg/min) was necessary to maintain MABP at 70 mmHg. Infusion of dobutamine enabled to maintaine cardiac output at about 80% of the baseline value; however, it induced the development of severe tachycardia in a horse anesthetized with sevoflurane. GKM-OS anesthesia may be useful for prolonged equine surgery because of its minimal cardiovascular effect and good recovery.     

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.     

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 Effect of Epidural and General Anesthesia on the Healing of Colonic Anastomoses

Colonic anastomoses were performed on two groups of 13 dogs each. Epidural anesthesia and general anesthesia were performed in one group and general anesthesia only in the other. Intraoperatively, the epidural-general anesthesia dogs tended to bleed less, making the anastomosis less difficult. Histologic comparisons showed healing to be more advanced in the epidural-general anesthesia dogs compared to the general anesthesia dogs 24 hours and 7 days postoperatively. Differences were not noticed 14 and 28 days postoperatively. Bursting pressures were determined 24 hours after surgery. Differences between the groups were not noticed. Leakage occurred at 72% of the pressure determined to cause leakage in normal colons.     

贵州黑山羊胚胎移植手术不同麻醉方法比较

为了筛选适合于贵州黑山羊胚胎移植手术的麻醉方法,试验以贵州黑山羊为试验动物,比较了速眠新Ⅱ注射液2种麻醉方法（肌肉麻醉和静脉麻醉）对山羊生理指标,麻醉山羊的诱导期、麻醉期、苏醒期,麻醉苏醒后山羊的采食、反刍及精神状况的影响。结果表明：2种麻醉方法下,麻醉效果优、良的山羊数量和生理指标无明显差异;速眠新Ⅱ注射液静脉注射麻醉时,山羊的诱导期、麻醉期和苏醒期均较短,在苏醒后0.5 h,90.0%的山羊可以采食,83.3%的山羊可以反刍,93.3%的山羊精神状况良好;苏醒后1 h基本上全部可以恢复正常;采用静脉注射麻醉山羊进行胚胎移植手术,速眠新Ⅱ注射液用药剂量小,且安全、有效,明显优于肌肉注射。     

Regional anesthesia as an adjunct for eyelid surgery in dogs

Eyelid surgery plays an important role in the management of a variety of ophthalmic diseases. Surgery on the adnexa and eye is routinely performed on an anesthetized patient. Minor procedures, such as conjunctival biopsy, may be performed in an awake patient using only topical anesthesia. Retrobulbar, peribulbar, and local anesthesia are less commonly used in general practice; however, they can provide significant advantages when used appropriately. Advantages to local anesthesia/sedation include being able to perform some ophthalmic procedures without having to place the patient under general anesthesia, ability to maintain the patient under a lighter plane of general anesthesia, improved postoperative comfort, and potentially smoother recoveries from general anesthesia. This article reviews this author's current indications and techniques for regional anesthesia as an adjunct to eyelid surgery in dogs.     

Development of a neurosurgical operating table for adult cattle and changes in intracranial pressure and blood pressure in adult cattle undergoing long-time isoflurane anesthesia

We developed a neurosurgical operating table for restraining adult cattle in the sternal recumbent position during long-time inhalation anesthesia, and examined intracranial pressure (ICP), blood pressure and blood gases during isoflurane anesthesia. We confirmed that the maintenance of inhalation anesthesia, the restraint of cattle in the sternal recumbent position and bringing the cattle out of anesthesia could all be carried out safely using the operating table we produced. For the purposes of the present experiment, the cattle were divided into 2 groups: the SR group, which underwent sternal recumbency for 8 hr under isoflurane anesthesia using the neurosurgical operating table, and the RR group, which underwent right lateral recumbency for 3 hr under isoflurane anesthesia on a standard operating table. The mean ICP was found to be significantly lower in the SR group than in the RR group during anesthesia, and PaO2 was significantly higher in the SR group. In the SR group, no complications such as regurgitation or ruminal tympany occurred for 8 hr after the induction of anesthesia, and recovery from anesthesia was uneventful. In contrast, all RR cattle showed ruminal tympany and regurgitated ruminal fluid at 3 hr after the induction of anesthesia. Thus, the neurosurgical operating table developed in the present study may be useful for long-time anesthesia and neurosurgery of adult cattle.     

Serum growth hormone release in response to a growth hormone-releasing factor analog during and after anesthesia in pigs.

The objective of this study was to evaluate the time course for full recovery of the growth hormone governing system and somatocrinin response after anesthesia. Sixteen Yorkshire gilts aged 32 weeks were divided into three groups: saline (n = 6), anesthesia + saline (n = 5) and anesthesia + somatocrinin (n = 5). Under anesthesia, the area under the growth hormone curve was increased (P less than 0.05) from 1172 +/- 184 to 2807 +/- 1002 ng.min.mL-1, and a more consistent growth hormone response to somatocrinin was observed; all animals responded immediately, while only three out of five did so four hours before anesthesia. Sixteen and 40 hours after anesthesia, basal and stimulated growth hormone levels were comparable to those of unanesthetized controls, suggesting a prompt recovery from the effects of anesthesia. These data indicate that anesthetized pigs release higher quantities of growth hormone and have a more consistent growth hormone response to somatocrinin. A full recovery of basal and somatocrinin-induced growth hormone release was observed as soon as 16 hours after anesthesia.     

Duration of thermal support for preventing hypothermia induced by anesthesia with medetomidine-midazolam-butorphanol in mice

Hypothermia during anesthetic events is a common adverse effect of anesthesia in laboratory animals. In particular, small rodents such as mice is susceptible to hypothermia during anesthetic events. Therefore, the animals will need additional thermal support by external heating devices during and after anesthesia. In general, the time of recovery from anesthesia is typically longer in case of injectable anesthesia rather than inhalant anesthesia. However, the durations of thermal support have been almost limited to 1 hr from administration of anesthesia in general. Our study objectives are two-fold: 1) to compare the levels of hypothermia induced by injectable anesthesia with medetomidine-midazolam-butorphanol (MMB) and inhalant anesthesia with isoflurane (ISO); 2) to find the adequate durations of thermal support for preventing hypothermia induced by their anesthesia in mice. Adult male ICR mice were anesthetized during 40 min without and with the thermal support for 1 (both anesthetic groups), 2, 3, and 5 hr (in MMB group). Without thermal support, the decrease of body temperature in MMB group were more severe than that in ISO group. The durations of thermal support completely prevented hypothermia at 5 hr-support in MMB group and that at 1 hr-support in ISO group. However, the other short durations did not prevent hypothermia at 1, 2 and 3 hr-support in MMB group. These results suggest that the mice should be received thermal support over 5 hr after injection of MMB anesthesia to prevent hypothermia.     

A review of ophthalmic local and regional anesthesia in dogs and cats

Objective

Orbital and globe surgeries are commonly performed in companion animals and are considered to cause moderate to severe pain. Regional anesthesia techniques can provide complete sensory blockade, analgesia for painful procedures and improve surgical conditions. The purpose of this review is to summarize local and regional anesthesia techniques for ophthalmic surgery in dogs and cats with emphasis on veterinary publications in the past 12 years.

Arterial to end-tidal CO2 tension and alveolar dead space in halothane- or isoflurane-anesthetized ponies

The correlation between end-tidal partial pressure of CO2 (PETCO2) and arterial (PaCO2) was determined for spontaneously breathing ponies under halothane or isoflurane anesthesia. The PETCO2 was useful as a trend indicator of PaCO2 during the first 60 minutes of halothane or isoflurane anesthesia when PaCO2 values were less than 60 to 70 mm of Hg. Halothane anesthesia lasting greater than 90 minutes was associated with PaCO2 values in excess of 60 to 70 mm of Hg, a large arterial- to end-tidal PCO2 difference (PaCO2-PETCO2) and a significant increase in alveolar dead space. These effects were not seen during the same period of isoflurane anesthesia. Arterial blood gas analysis is therefore recommended during halothane anesthesia when the PETCO2 is greater than 60 to 70 mm of Hg. A decrease in alveolar capillary perfusion relative to alveolar ventilation is the most likely cause for the increase in alveolar dead space during halothane anesthesia. Based on these findings, isoflurane may be superior to halothane for prolonged anesthesia of spontaneously breathing horses.     

THE EFFECT OF ANESTHESIA ON THE RADIOGRAPHIC APPEARANCE OF THE COXOFEMORAL JOINTS

The effect of anesthesia on the radiographic appearance of the coxofemoral joints was evaluated by taking pelvic radiographs of thirty dogs. Each dog was radiographed twice, once under general anesthesia and once without anesthesia. The radiographs were submitted to the Orthopedic Foundation for Animals independently of one another to be evaluated for signs of hip dysplasia. Results suggest there was no statistical difference between the two groups of dogs. Twenty five dogs received the same reading. Three dogs received readings that were worse by one grade while under anesthesia and two dogs received readings that were one grade better while under anesthesia. This study failed to demonstrate any changes due to anesthesia on the radiographic appearance of the coxofemoral joints. Anesthesia may, however, be beneficial for proper positioning and to decrease unnecessary patient, and personnel exposure to radiation.     

Changes in the concentration of noradrenaline and adrenaline before and after castration of piglets with and without isoflurane anesthesia

Since the amendment of the animal welfare law in Germany in April 2006, castration of piglets without anesthesia is only allowed in the first seven days of life. However, neonates are capable of feeling pain and react more sensitive to pain than adults. Accordingly we expect that castration without anesthesia will be unaccepted in Germany in the future as castration without anesthesia will be forbidden in Switzerland from 2009 on. Denmark and The Netherlands strive for an embargo of the castration without anesthesia and Norway is already asking for an elimination of pain during castration. In Switzerland castration under isoflurane-anesthesia is considered to be a good alternative for the castration without anesthesia. Whether isoflurane-anesthesia is able to reduce stress caused by castration adequately or anesthesia, especially anesthetization that often provokes defensive reaction, is stress for the animal itself was tested in the following investigation. To get an objective statement about the stress of the animals, concentrations of epinephrine and norepinephrine were detected before and immediately after castration/fixation with or without anesthesia. Five day old, healthy animals were divided into four groups. Animals of group A (n = 10) were only fixed without anesthesia, animals of group B (n = 10) were fixed and castrated without anesthesia. In group C (n = 10) the animals were only fixed under anesthesia and the animals of group D (n = 11) were fixed and castrated under anesthesia. Norepinephrine-concentrations and epinephrine-concentrations did rise significantly in all piglets handled without anesthesia (group A and B) independently if castrated or only handled. The values of these animals were significantly higher than the values of the anesthetized animals after fixation/castration (group C and D). In contrast the norepinephrine-concentrations and the epinephrine-concentrations of all anesthetized animals (group C and D) were significantly lower after castration than the concentrations before castration. The catecholamine peak did not differ significantly between the groups of anesthetized animals. The significant increase of the catecholamines of the non-anesthetized animals can be explained by the stress caused by fixation and/or castration without anesthesia. Because of the anesthesia the catecholamine-concentration was reduced considerably during the fixation and/or castration. The results show that fixation and/or castration under anesthesia causes no stress for the piglets.     

Anesthesia of horses with a combination of detomidine, zolazepam, tiletamine, and isoflurane immediately after strenuous treadmill exercise.

OBJECTIVES: To evaluate effects of strenuous exercise in adult horses immediately before anesthesia and to determine whether prior exercise affects anesthesia induction, recovery, or both. ANIMALS: 6 healthy Thoroughbreds in good condition and trained to run on a treadmill, each horse serving as its own control. PROCEDURE: Horses ran on a treadmill until fatigued, then were sedated immediately with detomidine hydrochloride and anesthetized with a zolazepam hydrochloride-tiletamine combination. Anesthesia was maintained with isoflurane in oxygen for another 90 minutes. Blood samples were taken before, during, and after exercise and during anesthesia. RESULTS: During exercise, changes in heart rate, core body temperature, plasma lactate concentration, arterial pH, and PaCO2 were significant. Plasma ionized calcium concentration was lower after exercise, compared with baseline values, and remained lower at 30 minutes of isoflurane anesthesia. Compared with baseline values, plasma chloride concentration decreased significantly during anesthesia after exercise. Cardiac output during anesthesia was significantly lower than that during preexercise, but significant differences between experimental and control periods were not observed. Arterial blood pressure during anesthesia was significantly lower than that during preexercise and initially was maintained better during isoflurane anesthesia after exercise. Cardiac output and blood pressure values were clinically acceptable throughout anesthesia. CONCLUSION: Administration of detomidine hydrochloride followed by zolazepam hydrochloride-tiletamine appeared to be safe and effective for sedation and anesthesia of horses that had just completed strenuous exercise. CLINICAL RELEVANCE: Anesthetic given in accordance with this protocol can be used to anesthetize horses that are injured during athletic competition to assess injuries, facilitate first aid, and possibly allow salvage of injured horses.     

大鼠丘脑氨基酸类神经递质与塞拉嗪麻醉相关性

将32只Wistar大鼠随机分成4组,分别为对照组、麻醉组、恢复I组、恢复Ⅱ组。采用反向高效液相色谱法测定丘脑Glu、Asp、GABA和Gly的含量。结果显示,腹腔注射塞拉嗪40mg／kg后,麻醉组大鼠丘脑内GABA和Gly含量与对照组比较显著升高（P〈0．01）,Glu和Asp含量显著降低（P〈0．05或P〈0．01）;恢复I组丘脑Glu和Asp的含量与对照组比较差异显著（P〈0．05）;恢复Ⅱ组丘脑内GABA和Gly的含量与对照组比较差异显著（P〈0．05）,Glu和Asp的含量恢复显著（P〉0．05）。结果表明,塞拉嗪作用下引起丘脑内GABA、Gly、Glu和Asp含量的变化可能与塞拉嗪引起麻醉作用机制相关。     

Comparison of recoveries from halothane vs isoflurane anesthesia in horses.

Recovery from isoflurane anesthesia was shorter, with no difference in quality, compared with halothane anesthesia in 2 groups of horses. In 1 group, 12 horses scheduled for elective arthroscopy were randomly assigned to receive halothane or isoflurane for maintenance of anesthesia during surgery. In the other group, 6 horses received anesthesia only, on 2 occasions, with halothane on 1 occasion, and isoflurane on the other. Difference in the quality of recovery was not seen between isoflurane and halothane anesthesia in either group. In the group that had surgery, recovery to sternal position was significantly shorter when isoflurane was used. In the group not treated surgically, recovery to sternal and standing positions was significantly shorter with isoflurane.     

The effect of rectal temperature on perianesthetic serum concentrations of transdermally administered fentanyl in cats anesthetized with isoflurane

OBJECTIVES: To determine whether moderate hypothermia during 4 hours of anesthesia with isoflurane substantially affects serum concentrations of transdermally administered fentanyl in the perianesthetic period in cats. ANIMALS: 7 healthy mature cats. PROCEDURE: A fentanyl patch (25 microg/h) was applied to the shaved thorax 24 hours before induction of anesthesia. Anesthesia was induced at time 0. Each cat received 2 treatments in a random order. Treatments were isoflurane anesthesia with normothermia and isoflurane anesthesia with hypothermia. Cats were intubated, connected to a nonrebreathing circuit, and maintained at 1.3X minimum alveolar concentration for 4 hours. Cats in the hypothermia treatment groups were actively cooled to 35 degrees C following the induction of anesthesia. Serum fentanyl analysis was performed at -24, -12, 0, 1, 2, 3, 4, 4.5, 5, 6, 7, 8, 9, 10, 12, and 24 hours. RESULTS: Mean +/- SEM serum fentanyl concentration (SFC) for the hypothermia treatment group (0.598 +/- 0.3048 ng/mL) was significantly lower than the baseline concentration (1.834 +/- 0.6393 ng/mL) at 1 hour. This significant reduction persisted for the duration of anesthesia for the hypothermia treatment group. Serum fentanyl concentrations returned to baseline values within 1 hour of the end of anesthesia, regardless of body temperature. CONCLUSIONS AND CLINICAL RELEVANCE: Hypothermia during inhalant anesthesia induced a significant reduction in SFC obtained with transdermal administration. The impact of this reduction in SFC on the contribution of transdermally administered fentanyl to any reduction in the need for inhalant anesthesia remains to be determined.     

一种用于腹腔手术机器人测试的巴马猪麻醉方案

为满足手术机器人腹腔手术效果和安全性的测试,建立相应的巴马猪麻醉方案.以低剂量舒泰和高剂量多咪静作诱导麻醉剂,异氟烷作维持麻醉剂,布托啡诺作术中镇痛剂,安定醒作苏醒剂.用手术机器人分别进行胆囊切除、左肾摘除、部分肝切除手术,于整个麻醉过程监测巴马猪心率、血氧饱和度、平均动脉压及体温的变化,以评估该方案的麻醉效果.结果显...     

Propofol-ketamine anesthesia for internal fixation of fractures in racehorses

To assess the clinical usability of propofol-ketamine anesthesia for internal fixation of fractures in racehorses, hemodynamics, blood pH and gases, and vital responses to the continuous intravenous anesthesia in 7 surgical cases were analyzed. The quality of induction with propofol was variable for individual horses. The vital signs reflecting circulation, breath, and anesthetic depth were kept good without any troubles throughout the surgery. Mean time from the end of anesthesia to standing up was prolonged, however recovery from anesthesia was calm and smooth in all cases. Propofol-ketamine anesthesia may be a clinically usable technique for internal fixation of fractures in racehorses, however induction with propofol alone is not recommended.     

犬穿透性角膜移植术不同麻醉药物效果的临床研究

目的:探讨非吸入麻醉药物(速眠新与氯胺酮)与吸入麻醉药物(异氟烷)对犬穿透性角膜移植手术的麻醉效果。方法:选择30只杂交犬,随机分为非吸入麻醉组(Ⅰ组,15只)与吸入麻醉组(Ⅱ组,15只),分别通过速眠新与氯胺酮复合麻醉和异氟烷吸入麻醉,进行穿透性角膜移植手术,同时测定麻醉前后眼压,观察并发症、麻醉效果,记录手术时间。结果:非吸入麻醉组:麻醉后眼压明显高于麻醉前(P<0.01);麻醉效果满意的5例,比较满意的9例,前房出血10例,虹膜前粘连8例,晶状体脱位1例;吸入麻醉组:麻醉后眼压明显低于麻醉前(P<0.01);麻醉效果满意的13例,比较满意的仅2例,虹膜前粘连2例。吸入麻醉组手术时间明显低于非吸入麻醉组(P<0.01)。结论:采用异氟烷吸入麻醉对犬进行穿透性角膜移植术比非吸入麻醉效果确实,并发症少,手术时间缩短。