Effects of hypertonic saline infusion on the adrenocortical response to thiopental-halothane anesthesia in sheep after premedication with acepromazine

OBJECTIVE: To investigate whether hypertonic saline infusion would prevent hypotension and pituitary-adrenocortical axis activation during halothane anesthesia after acepromazine premedication and thiopental induction in sheep. STUDY DESIGN: Randomized crossover study. ANIMALS: Six Welsh Mountain ewes weighing 40+/-2 kg and aged 2 to 3 years. METHODS: The sheep were studied on two occasions with 2 weeks between anesthetics. After acepromazine premedication, anesthesia was induced with thiopental and maintained for 120 minutes with halothane. During the first 15 minutes of anesthesia, 7.5% saline (4 mL/kg) was infused intravenously (HS group), but no infusion was given in the control (CONT) group. Sequential blood samples were taken for blood gas, cortisol, adenocorticotropic hormone (ACTH), glucose, and lactate assay. RESULTS: Hypotension developed in both treatments; blood pressure decreased to a nadir of 58+/-5 mm Hg in the HS group and to 63+/-4 mm Hg in the CONT group (P>.05). Plasma cortisol increased significantly in both groups, reaching a peak of 420+/-130 nmol/L in HS and 483+/-157 nmol/L in CONT (P>.05). ACTH increased similarly in both groups, reaching 128+/-64 pmol/L in HS and 134+/-55 pmol/L in CONT (P>.05). pH was slightly higher in CONT, but no other differences were detected between the two groups. CONCLUSIONS: Hypertonic saline did not ameliorate the adrenocortical response during anesthesia; this may be a result of its failure to prevent the hypotension.     

Effects of interferents on the kinetic Jaffé reaction and an enzymatic colorimetric test for serum creatinine concentration determination in cats, cows, dogs and horses.

The effects of acetoacetic acid, acetone, bilirubin, beta-carotene, three cephalospoprin antibiotics, glucose, hemoglobin and lipid on the kinetic Jaffé reaction and an enzymatic reaction for the determination of creatinine concentration were studied in bovine, canine, feline and equine serum. There were no obvious species' differences. The kinetic Jaffé reaction was unaffected by the addition of beta-carotene and hemoglobin. Acetone, cefazolin, cefoxitin, ceftiofur and glucose caused a positive bias while acetoacetic acid, bilirubin, and lipid caused a negative bias when added to the kinetic Jaffé reaction. The enzymatic reaction was unaffected by the addition of acetoacetic acid, acetone, beta-carotene, cefazolin, cefoxitin, glucose and hemoglobin while added lipid, bilirubin and ceftiofur caused a negative bias in the test results. Over all species and interferents, there was no difference in the precision of the two assay methods. In a series of sera from hospitalized patients, the two methods were highly correlated in a linear fashion. The enzymatic creatinine assay deals effectively with most interferents but has a greater cost and shorter shelf-life compared with the kinetic Jaffé reaction.