磁共振成像诊断麻醉犬直肠和皮肤温度变化的评价

A. Degan, R. Tudor, R. Costea, D. Bîrțoiu, Mihai Săvescu, A. Șonea
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引用次数: 0

摘要

全身麻醉产生不同程度的中枢神经抑制和外周循环的改变,从而影响患者的体温调节机制。此外,缺乏适当的、专门设计的磁共振成像(MRI)环境监测设备对麻醉师来说是一个挑战。为了评估麻醉前后狗直肠和远端温度的变化,我们研究了不同麻醉方案下狗全身麻醉的温度变化。这项研究是在布加勒斯特兽医学院进行的,研究对象是21只狗,根据使用的麻醉方案分为三组。第一组(B组)给予布托啡诺(0.2 mg/kg,静脉滴注),第二组(BK组)给予布托啡诺(0.2 mg/kg)和低剂量氯胺酮(2 mg/kg)静脉滴注,第三组(BM组)给予布托啡诺(0.2 mg/kg)和咪达唑仑(0.2 mg/kg)静脉滴注。所有患者均予异丙酚(3.24±0.68)静脉诱导,气管插管,异氟醚和氧气维持。我们用数字体温计测量了麻醉前后的直肠温度,用智能手机上的热成像相机测量了远端肢体温度。三组患者麻醉前后直肠温度差异无统计学意义。BK组患者麻醉结束时四肢皮肤温度变化显著(分别从310℃至29.8℃,p=0.008,从310℃至29.70℃,p=0.009)。麻醉前和麻醉结束时的温度变化,在所有组,特别是在皮肤水平。这项研究表明,移动热成像代表了一种非侵入性技术,有助于评估全身麻醉患者的实时温度变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Rectal and Skin Temperature Variations of Anesthetised Dogs Undergoing Magnetic Resonance Imaging Diagnosis
General anesthesia produces different degrees of central nervous depression and changes in the peripheral circulation, therefore affecting the patient’s thermoregulatory mechanism. Moreover, the lack of proper, specially designed equipment for magnetic resonance imaging (MRI) environment monitoring can represent a challenge for the anesthetist. We examined the temperature variations correlated with different anesthetic protocols in dogs that underwent general anesthesia in order to evaluate changes in rectal and distal extremities temperature, before and after anesthesia. This study was conducted at the Faculty of Veterinary Medicine in Bucharest, on 21 dogs that were divided in 3 groups depending on the anesthetic protocol used. First group (B) received butorphanol (0.2 mg/kg, intravenously IV), second group (BK) had butorphanol (0.2 mg/kg) and a low dose of ketamine (2 mg/kg) IV, and group 3 (BM) was premedicated with butorphanol (0.2 mg/kg) and midazolam (0.2 mg/kg) IV. All patients were induced with propofol i.v. (3.24±0.68), intubated and maintained with isoflurane and oxygen. We determined rectal temperature before and right after the end of anesthesia with a digital thermometer and distal extremities temperature with the use of a thermal imaging camera attached to a smartphone. There was no significant difference between the rectal temperature before and after anesthesia within the 3 groups. Patients in group BK had a significant change in skin temperature at the end of anesthesia in all limbs (from 310C to 29.8 0C, p=0.008 and from 31 0C to 29.70C, p=0.009), respectively). Temperature variations were presented before and at the end of anesthesia, for all the groups especially at skin level. This study revealed that mobile thermal imaging represents a non-invasive technique that is helpful in assessing real time temperature changes in patients undergoing general anesthesia.
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