Microcirculation assessment of dexmedetomidine constant rate infusion during anesthesia of dogs with sepsis from pyometra: a randomized clinical study

ObjectiveTo compare dexmedetomidine and fentanyl constant rate infusions in anesthetic protocols for septic dogs with pyometra, using microcirculatory, hemodynamic and metabolic variables.Study designRandomized clinical study.AnimalsA total of 33 dogs with pyometra with two or more systemic inflammatory response syndrome variables undergoing ovariohysterectomy.MethodsDogs were randomized into two groups: group DG, dexmedetomidine (3 μg kg^–1 hour^–1; 17 dogs) and group FG, fentanyl (5 μg kg^–1 hour^–1; 16 dogs) infused during isoflurane anesthesia and mechanical ventilation. Microcirculation flow index (MFI), total vessel density and De Backer score were assessed using orthogonal polarization spectral imaging at the sublingual site. Heart rate, invasive blood pressure, temperature, arterial blood gas analysis and lactate concentration were obtained at various time points. Variables were recorded at baseline (BL), immediately before (T0), 30 (T30) and 60 (T60) minutes after infusion, and 60 minutes after surgery. Data were analyzed using the Shapiro-Wilk test. To compare variables between groups, the unpaired Student t test was used. Comparison between evaluation time points was performed with two-way anova for repeated measures. Where statistical significance was detected, the Bonferroni post hoc test was used.ResultsMFI was significantly higher in group FG at T30. Mean arterial pressure at T30 was higher in group DG (89 ± 15 mmHg) than in group FG (72 ± 13 mmHg). Lactate concentrations were not significantly different between groups at each time point. Both groups had similar clinical outcomes (mortality, extubation time and occurrence of hypotension and bradyarrhythmias).Conclusions and clinical relevanceDexmedetomidine (3 μg kg^–1 hour^–1) without a loading dose can be included in the maintenance of anesthesia in dogs with pyometra and sepsis without compromising microcirculation and hemodynamic values when compared with fentanyl (5 μg kg^–1 hour^–1).     

褪黑素对LPS致大鼠海马炎性损伤的保护作用

本研究旨在探究褪黑素（MT）对脂多糖（LPS）致大鼠海马炎性损伤的保护作用。选取40只4周龄健康雄性SD大鼠,随机分为4组：空白组（CON组）、模型组（LPS组）、褪黑素干预组（LPS+MT组）及褪黑素组（MT组）。通过腹腔注射的方式给予大鼠10 mg·kg^-1MT和/或10 mg·kg^-1LPS,4 h后,采用旷场试验对各组大鼠进行行为学测试;试验结束称大鼠体重,解剖取海马称重并计算海马体系数;苏木精-伊红（HE）染色观察脑切片中海马区域病理变化;RT-PCR技术检测海马中小胶质细胞激活标记物Iba-1和CD11b mRNA表达;Western blot法检测海马中炎性因子IL-1β、TNF-α、IL-6、IL-10及TGF-β蛋白表达。结果表明,与CON组相比,LPS组大鼠自主探索行为减少、运动能力下降,海马组织神经细胞排列松散、细胞间隙增大、胞质固缩深染、胶质细胞浸润,小胶质细胞激活标志物Iba-1和CD11b mRNA表达极显著升高（P<0.01）,促炎因子IL-1β、TNF-α及IL-6蛋白表达极显著升高（P<0.01）,抗炎因子IL-10和TGF-β蛋白表达极显著降低（P<0.01）。而与LPS组相比,LPS+MT组大鼠自主探索行为增加、运动能力增强,海马组织神经细胞排列紧密,未见明显病变,小胶质细胞激活标记物Iba-1和CD11b mRNA表达极显著降低（P<0.01）,促炎因子IL-1β、TNF-α及IL-6蛋白表达极显著降低（P<0.01）,抗炎因子IL-10和TGF-β蛋白表达极显著增加（P<0.01）。此外,MT组与CON组相比,所有指标差异均不显著（P>0.05）。结果提示,MT可抑制小胶质细胞激活,减轻海马炎症反应,从而改善LPS造成的大鼠海马炎性损伤。     

Fusobacterium necrophorum septic arthritis of the temporomandibular joint in an Australian Stockhorse mare

Septic osteomyelitis of the temporomandibular joint (TMJ) is rarely seen in equine medicine with few reported cases, and none reported involving Fusobacterium necrophorum. This report describes the diagnosis and successful treatment of septic osteomyelitis of the temporomandibular joint (TMJ) in an 11-year-old Australian Stockhorse mare in Queensland, Australia.     

牛出血性败血症的诊治与体会

2011年3月某牧户家40多头牦牛中有7头发病,5头死亡.死亡的牛中母牛4头,公牛1头.进行诊治后有如下体会:病初无典型病症,后期哮喘较重,呼吸次数增加.体温升高,反刍次数减少,剖检见肺脏黑色坏死灶为典型病症,后倒地不起,3~4 d死亡.早期用磺胺嘧啶钠等治疗无效后,进行对症治疗效果较好.