乳化异氟醚及异氟醚对犬血清中C反应蛋白及总补体含量的影响

为了研究乳化异氟醚及异氟醚对犬血清中C反应蛋白(CRP)及总补体(CH50)含量的影响,将40只犬随机均分为乳化异氟醚复合制剂麻醉组(RYM组)、异氟醚麻醉组(YM组)、乳化异氟醚复合制剂麻醉+手术(RYMS)及异氟醚麻醉+手术(YMS)四组。RYM、YM两组只进行麻醉不进行手术,RYMS、YMS两组在实施麻醉的同时分别进行肠管吻合术,在麻醉前(T0)、手术完成即刻(T1,而RYM和YM组在麻醉后35~40 min进行采样)、术后24 h(T2)、术后48 h(T3)、术后72 h(T4)等时间点,采血,测定血清中CRP及CH50含量。结果表明,乳化异氟醚复合麻醉及麻醉下手术对犬血清中CRP、CH50含量的影响,与异氟醚相似,两者无明显的差异。     

新型吸入麻醉剂-七氟醚的研究进展II.兽医药效学

新型吸入麻醉剂七氟醚在犬、猫、马、鼠的 MAC分别为 2 .1 0～ 2 .36 ,2 .5 8,2 .31 ,2 .40～ 2 .5 0 Vol%。像异氟醚那样 ,七氟醚可降低脑血管阻力、脑代谢率、脑耗氧量、心肌收缩功能和血压。七氟醚可引起猫惊厥。虽然猪的心跳在七氟醚麻醉下维持稳定 ,但研究表明犬的心率则升高。七氟醚麻醉下引起心律失常的肾上腺素剂量与异氟醚相似 ,但大大高于氟烷或安氟醚。七氟醚对呼吸道的刺激性明显低于其他吸入麻醉剂。尚未见其肝肾毒性。七氟醚已向理想的吸入麻醉剂方向迈出了更进一步     

异氟醚麻醉对兔心肺功能的影响

为了探讨麻醉兔的新方法来满足复杂外科手术需要,采用异氟醚吸入麻醉,研究异氟醚对兔心肺功能的影响以判断其麻醉兔的安全性。结果显示:随着吸入浓度的增加,心率、收缩压、舒张压、平均动脉压、呼吸次数极显著降低(P<0.01);浓度为3.5%(P<0.05)、4.5%(P<0.01)时,血氧饱个度显著或极显著升高;潮气量、每公斤每分钟呼吸量、吸气时间、氧气流量差异不显著(P>0.05)。结果表明:异氟醚麻醉对兔心脏功能有抑制作用,对肺功能影响较小。     

犬七氟醚 氟烷 异氟醚麻醉后的苏醒时间和苏醒特点的临床比较

七氟醚是国际上的一种新型吸入麻醉剂。与氟烷和异氟醚相比较 ,七氟醚更接近人们所期待的理想吸入麻醉剂。它与其他氟化的吸入性麻醉剂的一个显著区别是其具有较低的血 /气分布系数 ( 0 .63) ,低于异氟醚 ( 1 .40 ) ,更远远低于氟烷 ( 2 .35) [1]。这可保证快速诱导麻醉和缩短苏醒时间。七氟醚从 1 990年起正式应用于医学临床 ,但因其价格较昂贵 ,尚未在兽医临床上常规应用。氟烷和异氟醚仍然是目前在兽医麻醉上最常使用的吸入麻醉剂。本文对犬七氟醚麻醉后的苏醒时间和苏醒特点进行初步观察 ,并与氟烷和异氟醚作比较 ,兹报道如下。1　材料…     

猫腹腔镜和开腹卵巢子宫摘除术对动脉血气的影响

通过对比猫腹腔镜卵巢子宫切除术与传统开腹术对血气的影响,为猫腹腔镜卵巢子宫切除术提供理论依据.选取健康母猫12只随机分成两组,分别进行腹腔镜卵巢子宫摘除和开腹卵巢子宫摘除,术前、术中30 min和术后采取股动脉血液2 mL进行血气测定,比较pH、PCO2、PO2值的差异.结果发现,腹腔镜组PCO2在术中30 min时与术前差异显著(P＜0.05),与术后差异极显著(P＜0.01),术后检测PCO2接近正常水平,血氧无明显变化,术前中后无明显差异(P＞0.05),pH值术中略有降低,不造成显著差异;开腹组各项数据均无显著性差异.结论为吸入麻醉条件下,CO2气腹会造成术中的PCO2升高,术后整体可恢复到正常水平,而血氧值一直保持稳定,不会对机体造成不良影响,整体效果较为理想.     

气相色谱平衡法测定山羊血及呼吸气中安氟醚的浓度

本文应用气相色谱平衡法测定了山羊安氟醚吸入麻醉期间血药浓度及呼吸气浓度。结果表明:药物浓度同色谱峰面积高度相关。其中气样色谱峰面积同浓度关系为:y=1.57x-0.1 r=0.9998(P<0.001)回收率98.3％。血样色谱峰面积同浓度关系为:y=0.0903x 0.0560 r=0.9982(P<0.001)回收率94.2％。麻醉期间山羊血药浓度时间规律经药代动力学方法推导为C=12.48329(e~(-0.034964t)-e~(-0.03262423t))。本研究的方法与结果,在安氟醚和其他挥发性吸入麻醉剂的理论研究和临床应用上均具有先进、新颖、快速、准确、可靠等独到之处和重要意义。     

丙泊酚静脉麻醉与安氟醚吸入麻醉在巴马小型猪体外循环中的比较研究

为探讨丙泊酚静脉麻醉与安氟醚吸入麻醉在巴马小型猪体外循环(CPB)中的麻醉效果,本研究选用巴马小型猪10头,平均分成2组,分别进行丙泊酚静脉麻醉和安氟醚吸入麻醉;开胸后进行全血肝素化处理,分别于升主动脉、上腔静脉和下腔静脉插管,连接体外循环机进行CPB;观察并记录麻醉诱导前(T0)、麻醉诱导后(T1)、CPB前即刻(T2)、降温至30 ℃(T3)、阻断主动脉前即刻(T4)、阻断主动脉后4 min(T5)、开始复温即刻(T6)、停CPB即刻(T7)、关胸后即刻(T8)及手术结束拔管后10 min(T9)10个时间点各组试验猪的生命体征、鼻温(NT)、心率(HR)、平均动脉压(MAP)、pH及血氧饱和度(SPO₂)指标。结果2组试验猪于CPB实施前后的基本情况如体重、手术时间和麻醉时间等指标均无显著性差异(P＞0.05);安氟醚组恢复自主呼吸的时间显著短于丙泊酚组(P＜0.05);与T0和T1相比,各组试验猪在CPB进行时其NT、HR和MAP值均显著降低(P＜0.05);但各组间及组内SPO₂和pH差异不显著(P＞0.05)。由此可见,丙泊酚静脉麻醉与安氟醚吸入麻醉均可用于巴马小型猪CPB中的麻醉。选用丙泊酚时,应根据手术过程中试验动物的反应情况适当调整用量;而安氟醚麻醉过程相对平稳,麻醉效果好,术后苏醒快,适合情况复杂且时间较长的手术。     

奶山羊实验性过食黄豆的血液学研究

20只装置永久性瘤胃瘘管的假定健康奶山羊进行了过食黄豆对其血液理化性质影响的研究。结果表明,一次给予40、00、80g/kgwt黄豆,分别可导致发病,明显临床症状和死亡;过食黄豆是一个由酸中毒转入以氨中毒为主的代谢性碱中毒的全过程,血氨浓度与黄豆的给予量呈正相关;血液pH值先下降(7.13±0.22,P<0.01)而后上升(7.86±0.25,P<0.01),血浆CO_2CP先降低(12.03±2.73mmol/L,P<0.05)而后升高(22.76±0.76mmol/L,P<0.01),血乳酸先升高(2.07±0.22,P<0.01)后降低(1.23±0.05mmol/L,P<0.01);血氨、血pH值及血浆CO_2CP的升高,是过食黄豆在血液理化性质方面的特征。     

PGF2αeCG及hCG 3种生殖激素联用对母犬发情、卵泡发育及胚胎着床的影响

给休情期性成熟母犬肌注 PGF2α(0 .5 m g/ kg) ,2 4 h后肌注 e CG(5 0 IU/ kg) ,再经 12 0 h后肌注 h CG(2 0 U/ kg) ,诱导其发情。将诱导发情的母犬与公犬交配 ,于交配后 16 d,摘取卵巢、子宫 ,观察其卵泡发育和胚胎着床情况。结果表明 ,药物处理可明显促使母犬提前结束休情期而进入发情期 (9/ 10 ) ,促进卵巢内卵泡发育 (P<0 .0 1) ,并使更多的胚胎着床 ,每只母犬子宫胚胎着床点为 (17.4± 2 .2 )个 ,提示 3种生殖激素联合应用可提高母犬繁殖率     

异丙酚诱导下犬异氟醚吸入麻醉的临床效果观察

异氟醚(Iso)是一种含卤素的新型吸人麻醉药,由Terrell于1965年合成,1978年后开始大量应用于临床.异氟醚的物理性状和药理作用与安氟醚相同,但在药代学方面,体内蓄积较少,毒性更低.本文拟探讨以异丙酚(Prop)为诱导麻醉剂,辅助吸人笑气(N2O)对犬进行复合吸入麻醉,并观察其临床效果以及对犬肝、肾功能的影响.     

Partial pressures of oxygen and carbon dioxide, pH, and concentrations of bicarbonate, lactate, and glucose in pleural fluid from horses

Samples of pleural fluid from 20 horses with effusive pleural diseases of various causes were evaluated; samples from 19 horses were used for the study. There were differences for pH (P = 0.001) and partial pressure of oxygen (PO2) between arterial blood and nonseptic pleural fluid (P = 0.0491), but there were no differences for pH, PO2, partial pressure of carbon dioxide (PCO2), and concentrations of bicarbonate (HCO3-), lactate, and glucose between venous blood and nonseptic pleural fluid. Paired comparisons of venous blood and nonseptic pleural fluid from the same horse indicated no differences. There were differences (P = 0.0001, each) for pH, PO2, PCO2, and concentrations of HCO3- between arterial blood and septic pleural fluid. Differences also existed for pH (P = 0.0001), PCO2 (P = 0.0003), and concentrations of HCO3- (P = 0.0001), lactate (P = 0.0051), and glucose (P = 0.0001) between venous blood and septic pleural fluid. Difference was not found for values of PO2 between venous blood and septic pleural fluid, although 4 samples of septic pleural fluid contained virtually no oxygen. Paired comparisons of venous blood and septic pleural fluid from the same horse revealed differences (P less than 0.05) for all values, except those for PO2. These alterations suggested functional and physical compartmentalization that separated septic and healthy tissue. Compartmentalization and microenvironmental factors at the site of infection should be considered when developing therapeutic strategies for horses with septic pleural disease.     

Evaluation of Toenail Blood Samples for Blood Gas Analysis in the Dog

Blood gas values were compared in blood collected from cut toenails and femoral arteries in 50 healthy crossbred dogs that were sedated and allowed to breathe room air spontaneously. Blood samples from cut toenails were collected by microcapillary technique with Natelson tubes. Femoral artery samples were collected by arterial puncture. Blood values for PO2, PCO2, pH, and HCO3 were compared. There was good correlation for pH, PCO2, and bicarbonate, but not for PO2. Microcapillary samples should be collected in 10 seconds or less for the most accurate results. A metal mixing "flea" was unnecessary. When properly handled, the Natelson tube technique provides an alternative method for collection of blood gas samples.     

Accuracy of a portable blood gas analyzer incorporating optodes for canine blood

The accuracy of a portable blood gas analyzer (OPTI 1) was evaluated using canine blood and aqueous control solutions. Sixty-four arterial blood samples were collected from 11 anesthetized dogs and were analyzed for pH, partial pressure of carbon dioxide (PCO2) partial pressure of oxygen (PO2), and bicarbonate concentration ([HCO3-]) values by the OPTI 1 and a conventional blood gas analyzer (GASTAT 3). The conventional analyzer was considered as a standard against which the OPTI 1 was evaluated. Comparison of OPTI 1 results with those of GASTAT 3 by linear regression analysis revealed a high degree of correlation with the GASTAT 3 (r = .90-.91). The mean +/- SD of the differences between OPTI 1 and GASTAT 3 values was -0.008 +/- 0.017 for pH, -0.88 +/- 3.33 mm Hg for PCO2, 3.71 +/- 6.98 mm Hg for PO2, and -0.34 +/- 1.45 mEq/L for [HCO3-]. No statistically significant difference was found between the OPTI 1 and the GASTAT 3. Agreement between these 2 methods is within clinically acceptable ranges for pH, PCO2, PO2, and [HCO3-]. The coefficients of variation for measured pH, PCO2, and PO2 values of 3 aqueous control solutions (acidic, normal, and alkalotic) analyzed by the OPTI 1 ranged from 0.047 to 0.072% for pH, 0.78 to 1.81% for PCO2, and 0.73 to 2.77% for PO2. The OPTI 1 is concluded to provide canine blood gas analysis with an accuracy that is comparable with that of conventional benchtop blood gas analyzers.     

Effects of Halothane, Enflurane, and Isoflurane on Supraventricular and Ventricular Rate in Dogs With Complete Atrioventricular Block

Complete atrioventricular (AV) block was produced in 32 chloralose-anesthetized autonomically intact dogs to determine the effects of halothane, enflurane, and isoflurane on supraventricular and ventricular rate. Halothane (n = 17), enflurane (n = 6), and isoflurane (n = 9) were administered in three separate experiments in sequential minimum alveolar concentration (MAC) multiples of 0.5, 1.0, 1.5, 2.0, 1.5, and 1.0. Supraventricular rate, ventricular rate, and mean arterial blood pressure (MAP) were measured and recorded at baseline and after a 20-minute equilibration period of each inhalation anesthetic at each MAC multiple. Increasing concentrations of enflurane and isoflurane significantly decreased supraventricular rate ( P < .05). Ventricular rate was not significantly changed by sequential MAC multiples of halothane, enflurane, and isoflurane. Increasing concentrations of halothane, enflurane, and isoflurane significantly decreased MAP with enflurane producing the most significant decrease ( P < .05). Ventricular arrhythmias occurred in 5 of 17 dogs anesthetized with halothane and 1 of 9 dogs anesthetized with isoflurane. Inhalation anesthesia can significantly decrease supraventricular rate and MAP, does not alter ventricular rate, and can produce ventricular arrhythmias in dogs with complete AV block.     

Metabolic response of horses to a high soluble carbohydrate diet: effects of low-intensity submaximal exercise and sodium bicarbonate supplementation.

Four mares fed a low fiber, high soluble carbohydrate diet were used in a crossover design to evaluate the effects of dietary sodium bicarbonate (NaHCO3) supplementation during daily low-intensity submaximal working conditions. Mares were fed the diet at 1.7 times the maintenance energy requirement for mature horses at work. The horses tolerated the diet well and had no clinical abnormalities. Resting venous blood bicarbonate (HCO3), standard HCO3, and base excess (BE) concentrations significantly (P less than 0.05) increased with NaHCO3 supplementation, but no significant changes in resting venous blood pH or carbon dioxide tension (PCO2) were recorded. Venous blood HCO3, standard HCO3, BE, hemoglobin, and heart rate were significantly (P less than 0.05) increased and plasma lactate concentration was significantly (P less than 0.05) decreased in the control horses and in the horses given the NaHCO3 supplement during low-intensity submaximal exercise. There were no significant changes in venous blood pH, PCO2, or plasma protein concentration with exercise. Venous blood HCO3, standard HCO3, and BE concentrations were significantly (P less than 0.05) greater during submaximal exercise in horses given the NaHCO3 supplement. There were no significant differences in plasma lactate or total protein concentrations, blood pH, PCO2, or hemoglobin concentration between the 2 groups during exercise.     

Cardiorespiratory effects of a combination of medetomidine, midazolam, and butorphanol in dogs.

OBJECTIVE: To characterize cardiorespiratory effects for a combination of medetomidine, butorphanol, and midazolam and to compare magnitude of cardiorespiratory depression with that induced by a commonly used inhalation anesthetic regimen (acepromazine-butorphanol-thiopental-halothane). ANIMALS: 10 clinically normal dogs (2 groups of 5). PROCEDURE: In treated dogs, medetomidine was administered (time, 0 minutes); midazolam and butorphanol were administered when effects of medetomidine were maximal (time, 20), and atipamezole was administered subsequently (time 60). In control dogs, drugs were administered after allowing effects of each agent to be achieved: acepromazine was given at time 0, butorphanol and thiopental were administered at time 35, and halothane was administered from time 45 until 110. Various cardiorespiratory and hematologic variables were measured or calculated. RESULTS: Respiratory rate, arterial and venous pH, venous oxygen content, oxygen consumption, and oxygen delivery decreased significantly below baseline values for treated dogs; end-tidal CO2, arterial and venous P(CO)2, and O2 extraction increased significantly above baseline values. Compared with data obtained after anesthesia, arterial HCO3- concentration, venous P(O2) and S(O2), cardiac output, oxygen extraction, and oxygen delivery appeared more modified in treated dogs. Oxygen consumption and physiologic shunt fraction were less modified in treated dogs than control dogs. CONCLUSIONS AND CLINICAL RELEVANCE: Medetomidine-butorphanol-midazolam combination induced respiratory depression, comparable in magnitude to that induced by a widely used inhalation anesthetic regimen. Respiratory variables remained within acceptable limits during anesthesia; however, those associated with cardiovascular function were more severely affected.     

Blood gas and acid-base values in calves, sampled from the brachial and coccygeal arteries

Blood samples were taken from the brachial and coccygeal arteries of young calves and blood gas and acid-base values determined. There was no significant difference in pH, PO2, PCO2 or HCO3- between sites as demonstrated by a paired t-test (P greater than 0.05). Significant correlations between sites existed for individual values of PO2 (P less than 0.001), HCO3- (P less than 0.05) and pH (P less than 0.02), but not for PCO2.     

Comparison of cardiopulmonary effects of isoflurane and halothane after atropine-guaifenesin-thiamylal anesthesia for rumenotomy in steers

Cardiopulmonary effects were assessed in 12 yearling steers anesthetized with guaifenesin and thiamylal sodium, intubated, and allowed to breathe isoflurane or halothane in oxygen spontaneously. Light surgical anesthesia, determined using eye position as a clinical indication of anesthetic depth, was maintained during surgical placement of a rumen cannula. Heart rate and respiratory rate were measured while the steers were standing quietly (baseline). Atropine (0.06 mg/kg of body weight, IM) was given after baseline measurements were taken. Heart rate, respiratory rate, arterial blood pressures, pHa, PaCO2, PaO2, arterial [HCO3-], esophageal temperature, and end-tidal anesthetic concentration were measured every 15 minutes for 90 minutes after induction of anesthesia. Mean heart rate increased significantly (P less than 0.05) above baseline in the isoflurane group at 15 and 30 minutes. Mean respiratory rate increased significantly (P less than 0.05) above baseline in the halothane group at 45 minutes. At 45 minutes, mean respiratory rate was lower (P less than 0.05) in the isoflurane group, compared with that in the halothane group. Mean values for arterial blood pressures and arterial gases were similar for both agents at comparable times. Mean end-tidal isoflurane concentrations were less than mean end-tidal halothane concentrations at each comparable time during maintenance of similar anesthetic depth. Maintenance of anesthesia with isoflurane resulted in higher heart rates and lower respiratory rates, compared with maintenance of anesthesia with halothane in these steers.     

Comparative efficacy of tricaine methanesulfonate and clove oil for use as anesthetics in red pacu (Piaractus brachypomus)

OBJECTIVE: To compare the anesthetic efficacy and physiologic changes associated with exposure to tricaine methanesulfonate and clove oil (100% eugenol). ANIMALS: 15 adult cultured red pacu (Piaractus brachypomus). PROCEDURE: Fish were exposed to each of 6 anesthetic concentrations in a within-subjects complete crossover design. Stages of anesthesia and recovery were measured, and physiologic data were collected before and during anesthesia. RESULTS: Interval to induction was more rapid and recovery more prolonged in fish exposed to eugenol, compared with those exposed to tricaine methanesulfonate. The margin of safety for eugenol was narrow, because at the highest concentration, most fish required resuscitation. Mixed venous-arterial PO2 consistently decreased with anesthesia, while PCO2 consistently increased with anesthesia in all fish regardless of anesthetic agent. The increase in PCO2 was accompanied by a decrease in pH, presumably secondary to respiratory acidosis. Anesthesia was associated with increased blood glucose, potassium, and sodium concentrations as well as Hct and hemoglobin. Fish anesthetized with eugenol were more likely to react to a hypodermic needle puncture than fish anesthetized with tricaine methanesulfonate. CONCLUSIONS AND CLINICAL RELEVANCE: Anesthesia induced with tricaine methanesulfonate or eugenol contributes to hypoxemia, hypercapnia, respiratory acidosis, and hyperglycemia in red pacu. Similar to tricaine methanesulfonate, eugenol appears to be an effective immobilization compound, but eugenol is characterized by more rapid induction, prolonged recovery, and a narrow margin of safety. Care must be taken when using high concentrations of eugenol for induction, because ventilatory failure may occur rapidly. In addition, analgesic properties of eugenol are unknown.     

Comparison of arterial pressure waveform analysis with the lithium dilution technique to monitor cardiac output in anesthetized dogs

OBJECTIVE: To assess agreement between arterial pressure waveform-derived cardiac output (PCO) and lithium dilution cardiac output (LiDCO) systems in measurements of various levels of cardiac output (CO) induced by changes in anesthetic depth and administration of inotropic drugs in dogs. ANIMALS: 6 healthy dogs. PROCEDURE: Dogs were anesthetized on 2 occasions separated by at least 5 days. Inotropic drug administration (dopamine or dobutamine) was randomly assigned in a crossover manner. Following initial calibration of PCO measurements with a LiDCO measurement, 4 randomly assigned treatments were administered to vary CO; subsequently, concurrent pairs of PCO and LiDCO measurements were obtained. Treatments included a light plane of anesthesia, deep plane of anesthesia, continuous infusion of an inotropic drug (rate adjusted to achieve a mean arterial pressure of 65 to 80 mm Hg), and continuous infusion of an inotropic drug (7 microg/kg/min). RESULTS: Significant differences in PCO and LiDCO measurements were found during deep planes of anesthesia and with dopamine infusions but not during the light plane of anesthesia or with dobutamine infusions. The PCO system provided higher CO measurements than the LiDCO system during deep planes of anesthesia but lower CO measurements during dopamine infusions. CONCLUSIONS AND CLINICAL RELEVANCE: The PCO system tracked changes in CO in a similar direction as the LiDCO system. The PCO system provided better agreement with LiDCO measurements over time when hemodynamic conditions were similar to those during initial calibration. Recalibration of the PCO system is recommended when hemodynamic conditions or pressure waveforms are altered appreciably.