Propofol and fentanyl infusions in dogs of various breeds undergoing surgery

ObjectiveTo report the cardiovascular variables, anaesthetic effects and recovery quality of an anaesthesia technique using variable rate infusion propofol combined with constant rate infusion fentanyl in dogs undergoing elective surgery.Study designProspective clinical trial.AnimalsA total of 27 dogs, aged 2.7 ± 2.65 years and weighing 24 ± 11 kg.MethodsFollowing intramuscular acepromazine (0.03 or 0.05 mg kg^?1) and subcutaneous carprofen (4 mg kg^?1) pre-medication, anaesthesia was induced with propofol (4.0 ± 0.5 mg kg^?1) intravenously (IV). All dogs were ventilated with 100% oxygen to maintain normocapnia. Propofol was infused at 0.4 mg kg^?1 minute^?1 for 20 minutes and then at 0.3 mg kg^?1minute^?1. If mean arterial blood pressure (MAP) decreased below 70 mmHg, propofol infusion was reduced by 0.1 mg kg^?1 minute^?1. Five minutes after induction of anaesthesia, fentanyl was administered (2 μg kg^?1) IV followed by the infusion at 0.5 μg kg^?1 minute^?1 and atropine (40 μg kg^?1) IV. Heart rate, MAP, respiratory rate, tidal volume, end-tidal carbon dioxide, presence of reflexes, movements and recovery times and quality were recorded.ResultsMean anaesthetic duration was 131 ± 38.5 minutes. Mean heart rate peaked 10 minutes after atropine injection and gradually declined, reaching pre-anaesthetic values at 55 minutes. MAP easily was maintained above 70 mmHg. Mean times to return of spontaneous ventilation, extubation, head lift and sternal recumbency were 21 ± 10.1, 33 ± 14.6, 43 ± 19.7 and 65 ± 23.4 minutes, respectively. Recovery was smooth and quiet. The time to sternal recumbency was significantly correlated with the duration of anaesthesia and total dose of propofol; time to extubation was correlated to total dose of propofol.Conclusion and clinical relevancePropofol and fentanyl infusions provided stable cardiovascular function and satisfactory conditions for surgery. Some modifications of infusion rates are required to improve the long-recovery times.     

Effect of endogenous progesterone and oestradiol-17β on the incidence of gastro-oesophageal reflux and on the barrier pressure during general anaesthesia in the female dog

Objective To investigate the potential effect of increased blood progesterone (P₄) and oestradiol‐17β (E₂) concentrations on the barrier pressure (BrP) and the incidence of gastro‐oesophageal reflux (GOR) in female dogs under general anaesthesia. Study design Prospective, blinded experimental trial. Animals Seven female, adult, healthy dogs weighing 14–21 kg and aged 1–7 years. Methods Each of the animals was studied under the influence of high blood E₂ and basal P₄ (study O), basal E₂ and high P₄ (study P) and basal E₂ and P₄ (study C) concentrations. Animals were premedicated with acepromazine and anaesthesia was induced with thiopental and maintained with halothane. Lower oesophageal pH was monitored continuously for 1 hour after induction. GOR was defined as oesophageal pH >7.5 or <4. Manometry of the posterior oesophageal sphincter (POS) was then performed using the slow pull‐through technique. Results Acid GOR was detected in only one animal of study O. The three studies did not differ significantly in GOR. Mean BrP was 11.2 (study O), 9.1 (study P) and 11.6 mmHg (study C). No significant differences were detected with respect to mean BrP, intra‐gastric pressure and POS pressure. Conclusions It is unlikely that the increased concentrations of E₂ or P₄ during the normal ovarian cycle influence the functional efficiency of the POS as a major barrier to GOR in healthy, female dogs under general anaesthesia. Clinical relevance The fact that female dogs undergoing obstetrical surgery represented a substantial sub‐group of the animals which developed postoperative benign oesophageal stricture, should probably not be attributed to the effects of increased concentrations of female sex steroid hormones.     

Isoflurane Anesthesia for Equine Colic Surgery Comparison with Halothane Anesthesia

Isoflurane was compared with halothane as an anesthetic agent for emergency colic surgery in a series of 38 juvenile and adult horses. After presurgical stabilization with fluids and supportive medications, anesthesia was induced by intravenous xylazine and/or diazepam followed by ketamine. Anesthesia was maintained with isoflurane or halothane in oxygen with controlled ventilation. Heart rates (HR), arterial blood gases, mean arterial pressures (MAP), rate pressure products (RPP), requirements for cardiovascular support medications, and recovery times to standing were compared using nonparametric methods. Cardiopulmonary responses to isoflurane and halothane anesthesia were generally comparable although some temporal differences were observed. Higher HR (p less than 0.02) and lower PaCO2 levels (p less than 0.01) were identified during the course of isoflurane anesthesia. Recovery times to standing were significantly shorter (0.02 less than p less than 0.05) after isoflurane than halothane anesthesia.     

The Effects of Anesthesia on Laryngeal Function and Laryngeal/Pharyngeal Trauma in the Horse

Laryngeal paralysis in horses has been reported after inhalational anesthesia and can result in significant morbidity/mortality. The cause of the condition is unclear. The objective of this study was to examine the effects of a standardized anesthetic protocol on laryngeal function and laryngeal/pharyngeal trauma in the peri-anesthetic period in a prospective study. A 30- to 60-second digitalized video clip of laryngeal movement from a standardized endoscopic view was recorded at five time points: before sedation, post-sedation, post-induction, immediately after recovery to standing, and at 24 hours after recovery. A standardized anesthetic regimen was used in all cases. Video clips were randomized and evaluated by two blinded assessors. Each assessor scored each clip for laryngeal function and trauma using previously validated scoring systems. Agreement between assessors was calculated using the mean of the five time-specific weighted kappa statistics. Post-anesthesia laryngeal function and trauma scores were compared with initial scores using the Wilcoxon signed rank test with Bonferroni adjustment. Spearman's rank coefficient was used to assess correlation between trauma and function scores and between anesthetic duration and laryngeal function and trauma scores.There was no significant effect of anesthesia on laryngeal function. Trauma scores were not significantly higher after tracheal intubation. The trauma scoring system requires further validation. There was no correlation between higher trauma scores and laryngeal function or duration and laryngeal function or trauma.Further work is required to evaluate other variables that may affect laryngeal function after anesthesia, using a larger number of horses with varying degrees of laryngeal dysfunction.     

Antinociceptive effects of intrathecal 5-HT agonists in sheep

Objectives To examine the role of spinal 5‐hydroxytryptamine (5‐HT) binding sites in nociceptive processing in conscious sheep and to study the role of 5‐HT agonists in mediating analgesia. Study design Prospective controlled study. Animals Nine adult healthy female sheep (Swaledale, Swaledale‐cross or Clun Forest) weighing 45–65 kg. Methods Intrathecal (IT) catheters were implanted at the cervical (n = 5) or lumbar (n = 4) level of the spinal cord under general anaesthesia. At least 1 week later, and at 1 week intervals thereafter, the effects of intrathecal Ringer's solution (control), xylazine (100 µg), 5‐HT creatinine sulphate (200, 400 and 800 µg), RU24969 (200 µg), α‐Methyl‐5‐HT and 1‐(3‐Chlorophenyl)‐biguanide (CPBG) on the mechanical nociceptive threshold (MT) were studied. Results were plotted as mean variable versus time curves. Areas under portions of the curves (0–30 and 0–60 minutes) were measured and expressed as mean ± standard error. Differences between values for control and drug trials were examined using the two‐tailed Student's t‐test. Results Baseline values of MT were lower on the hind limbs than on the forelimbs. Intrathecal Ringer's solution did not alter MT in the cervical or lumbar region. Xylazine (100 µg) produced a characteristic elevation in MT between 5 and 60 + minutes. Lumbar IT injection of 5‐HT (800 µg) raised the MT more than cervical injection, while cervical injection of RU24969 (200 µg) raised the MT more than lumbar administration. Cervical IT injection of α‐Me‐5‐HT (500 µg) produced a marked and significant increase in MT while lumbar application had no effect. CPBG (500 µg) injection caused no significant effect on MT with either cervical or lumbar applications. Conclusions The activation of 5‐HT₁ and 5‐HT₂ receptors particularly at the cervical level appears to be involved in spinal nociceptive processing in the sheep. Clinical relevance These effects, which lasted about 60 minutes, may have an implication in the development of new analgesic strategies for animals.     

Candida albicans peritonitis in a dog

Objective – To describe the clinical management of a case of Candida albicans peritonitis in a dog and discuss the pathogenicity of Candida peritonitis along with treatment using the fungistatic agent, fluconazole.
Case Summary – A 15-week-old Papillon developed peritonitis secondary to enterectomy site dehiscence. A pure growth of Candida albicans was obtained from the abdominal fluid. Surgical repair of the dehiscence was performed and antifungal therapy instituted with fluconazole postoperatively. A marked exudative process was noted postoperatively with production of large volumes of fluid from the abdominal drain. Fresh frozen plasma and pentastarch were provided for oncotic support. Recovery was complicated by megaesophagus, however, the patient gradually improved and was discharged 11 days after surgery.
New or Unique Information Provided – To our knowledge, this is the first case report of successful treatment of Candida albicans peritonitis in a dog. A marked exudative process was noted during therapy requiring significant oncotic support. Resolution of the disease process was achieved with surgical intervention and antifungal therapy.