Echocardiographic and Biochemical Assessments Following combinations of Acepromazine-Ketamine and Xylazine-Ketamine Anesthesia in Dogs

M. Nawar, Mohamed El-sherif, A. Sobhy, Hazem Shaheen, M. Kassem
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Abstract

The present study investigated echocardiographic and biochemical changes following ketamine anesthesia induction in dogs sedated with acepromazine (0.2 mg/kg) or xylazine (3 mg/kg). Seven dogs of both sexes were assigned to this experiment with a mean weight of 20 ± 4.8 kg. Fifteen minutes after administering the acepromazine as preanesthetic medication, ketamine (3 mg/kg) was administered to 7 dogs in the group: Acepromazine -ketamine (AK). Systolic blood pressure (SBP) was measured, and echocardiography was performed immediately before application of the sedative protocol (M0), 15 minutes after the sedation (M1), and immediately after anesthesia induction (M2). The second anesthetic protocol was performed one month later with the same seven dogs; group: xylazine-ketamine (XK). Non-significant differences were observed in SBP and hemodynamic variables such as cardiac index, shortening fraction, and ejection fraction, between groups at all time points evaluated (M0, M1, and M2). The SBP was significantly reduced after anesthetic induction in dogs in the AK group. It can be concluded that; both AK and XK protocols similarly reduce the SBP in dogs subjected to anesthetic induction. All anesthetic induction protocols maintained a stable CI in all pre-medicated dogs. None of the two anesthetic protocols which were evaluated promoted significant echocardiographic changes. Furthermore, ketamine and xylazine combination hurt myocardial function. On the other hand, due to their cardiac depressant effects, acepromazine and xylazine anesthetic integration should be applied with attention in ill cases.
acepromazine -氯胺酮和xylazine -氯胺酮联合麻醉犬的超声心动图和生化评价
本研究研究了用乙酰丙嗪(0.2 mg/kg)或噻嗪(3 mg/kg)麻醉的狗在氯胺酮麻醉诱导后的超声心动图和生化变化。试验犬雌雄各7只,平均体重为20±4.8 kg。麻醉前给药乙酰丙嗪15分钟后,给予氯胺酮(3 mg/kg):乙酰丙嗪-氯胺酮(AK)组7只。测量收缩压(SBP),并在镇静方案应用前(M0)、镇静后15分钟(M1)和麻醉诱导后立即(M2)进行超声心动图检查。第二个麻醉方案在一个月后对同样的7只狗进行;组:噻嗪-氯胺酮(XK)。在所有评估时间点(M0、M1和M2),两组之间的收缩压和血流动力学变量(如心脏指数、缩短分数和射血分数)均无显著差异。AK组犬麻醉诱导后收缩压明显降低。可以得出结论:AK和XK方案同样降低了麻醉诱导犬的收缩压。所有麻醉诱导方案在所有预用药犬中保持稳定的CI。评估的两种麻醉方案均未促进显著的超声心动图改变。此外,氯胺酮与噻嗪合用会损害心肌功能。另一方面,由于其抑制心脏的作用,在病人中应注意乙酰丙嗪和噻嗪的麻醉结合应用。
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