解离麻醉及布比卡因腹腔浸润对猫疼痛的控制

IF 0.1 Q4 VETERINARY SCIENCES
Amanda Luiza Oliveira do Nascimento, G. B. Morais, P. Braga, M. P. Vieira, J. Silveira, Lúcio Flávio Marinho Bouty, J. Evangelista
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引用次数: 0

摘要

:四只未婚猫(Felis silvestris catus)被跟踪并带到位于校园的兽医学院兽医医院。女性接受游离麻醉方案,包括氯胺酮(15mg/kg)、乙酰丙嗪(0.03mg/kg)、哌替啶(3mg/kg)和咪达唑仑(0.4mg/kg)。腹肌缝合前,腹腔内灌注局麻药布比卡因(2mg /kg)。术中分别在麻醉前时刻(m0)、连接多参数监护仪后时刻(m1)、术中时刻(m2)、术中结束时刻(m3)和术中结束后4h (m2)测量心率、呼吸频率、血管多普勒无创血压、直肠温度等参数。经证实,收缩压值在卵巢蒂夹紧(m2)时增加到150 mmHg以上,这是手术中疼痛的标志,其值由(m2)中的规模获得。结果表明,该手术引起猫轻度至中度疼痛,并在4(4)只猫中使用曲马多(4mg/kg)进行了镇痛救援。结论:游离麻醉与麻醉前用药在同一注射器、同一时刻同时给药并不能预防氯胺酮不良反应,布比卡因腹腔内给药也不能达到理想的镇痛效果,疼痛评价不能有效地评价和治疗疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dissociative Anesthesia and Intraperitoneal Infiltration of Bupivacaine in Control of Pain in Cats
: Four unmarried cats (Felis silvestris catus) were followed and taken to the Veterinary Hospital of the Faculty of Veterinary Medicine, located on the campus. Females were submitted to a dissociative anesthetic protocol consisting of ketamine (15mg/kg), acepromazine (0.03mg/kg), pethidine (3mg/kg) and midazolam (0.4mg/kg). Before abdominal muscle suturing, the local anesthetic bupivacaine at the dose of (2 mg/kg) was instilled into the intraperitoneal cavity. In the trans-operative period, the parameters of heart rate, respiratory rate, non-invasive blood pressure by vascular Doppler and rectal temperature were measured in the pre-anesthetic moments (M 0 ), after connection to the multiparameter monitor (M 1 ), at the moment of (M 2 ), end of surgery (M 3 ) and 4 hours after the end of surgery (M 4 ). It was verified that the values of systolic blood pressure increased above 150 mmHg at the moment of the ovarian pedicle clamping (M 2 ), being a sign of pain in the transsurgical and the values of the sums were obtained by the scale in (M 4 ) it was demonstrated that the procedure caused mild to moderate pain in the cats and the analgesic rescue with tramadol (4mg/kg) in 4 (four) cats was performed. It was concluded that the administration of the dissociative anesthetic together with the pre-anesthetic medication in the same syringe and at the same moment did not prevent the undesirable reactions of ketamine, the intraperitoneal administration of bupivacaine was not enough to give ideal analgesia and the evaluation of the pain allowed to evaluate and treat pain efficiently.
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