Uso de N-butilbromuro de hioscina en premedicación anestésica en un equino con un bloqueo atrioventricular Mobitz tipo II

Q2 Veterinary

Revue De Medecine Veterinaire Pub Date : 2016-11-30 DOI:10.19052/MV.4058

Leonardo A. Parra M., M. A. Flórez, Santiago Lenis, L. Arango, Juliana Marín, S. Ruiz, Daniel Rojas, V. Calle

引用次数: 0

Abstract

Second-degree Mobitz II atrioventricular (AV) block, unlike the Mobitz I block, is characterized by presenting a normal PR interval before a non-conducted P wave and after this. Some blocks occur for physiological, metabolic, and structural causes, and due to the administration of α2-adrenergic medication. It has been recorded that most of the blocks and bradycardias are responsive to atropine or glycopyrrolate. This case report presents a five-year-old, male, quarter-mile race horse, referred to the Center for Veterinary and Animal Science at the Universidad CES for arthroscopy of his left carpus. After administering xylazine, diazepam, and ketamine to the patient in order to initiate the surgical procedure, the patient presents marked bradycardia (10 beats per minute). Therefore, it was decided to postpone the surgery. After his recovery from anesthesia, he is diagnosed with seconddegree Mobitz II AV block, which only responds to hyoscine N-butylbromide as treatment.

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正丁基溴化海辛在Mobitz II型房室阻滞马麻醉前用药中的应用

二度Mobitz II型房室传导阻滞不同于Mobitz I型房室传导阻滞，其特征是在非传导P波之前和之后呈现正常的PR间期。一些阻滞的发生是由于生理、代谢和结构原因，以及α2-肾上腺素能药物的使用。据记载，大多数阻滞和心动过缓对阿托品或甘罗酸盐有反应。本病例报告介绍了一只五岁的雄性四分之一英里赛马，被转介到cesad大学兽医和动物科学中心进行左腕骨关节镜检查。在给予患者噻嗪、地西泮和氯胺酮以启动手术后，患者出现明显的心动过缓(每分钟10次)。因此，决定推迟手术。麻醉恢复后，患者被诊断为二级Mobitz II型AV阻滞，仅对海莨菪碱n -丁基溴治疗有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revue De Medecine Veterinaire 农林科学-兽医学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

18-36 weeks

期刊介绍： The Revue de Médecine Vétérinaire publishes four kinds of text: 1) Scientific reviews on subjects related to veterinary and comparative medicine. Suggested length: 10 to 30 typed pages. 2) Original reports on fundamental or applied research. Suggested length: 10 to 15 typed pages. 3) Continuous education articles, that should be easily understandable by non-specialists. Suggested length: 10 to 15 typed pages. 4) Clinical reports. Suggested length: 5 to 15 typed pages. The publication can be done in French language or English language. For an article written in English by not english native speakers authors, the manuscript must be subjected by attesting that it was read again by an anglophone scientist or a scientific translator. The authors must certify that the manuscript was not published or subjected for publication to another review. The manuscript must be accompanied by a sheet signed by all the joint authors indicating their agreement for the tender of the manuscript. The publication is free but a financial participation could be required for the photographs color. An estimate will be sent to collect the agreement of the authors.