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Intravenous sufentanil‐midazolam versus sevoflurane anaesthesia in medetomidine pre‐medicated Himalayan rabbits undergoing ovariohysterectomy

Identifieur interne : 000619 ( Istex/Corpus ); précédent : 000618; suivant : 000620

Intravenous sufentanil‐midazolam versus sevoflurane anaesthesia in medetomidine pre‐medicated Himalayan rabbits undergoing ovariohysterectomy

Auteurs : Patricia Hedenqvist ; Marianne Jensen-Waern ; Sa Fahlman ; Ragnvi Hagman ; Anna Edner

Source :

RBID : ISTEX:65AC75EC93306C32B1968635BD4BB3C1F45C745D

Abstract

Objective: To compare physiological effects of sufentanil‐midazolam with sevoflurane for surgical anaesthesia in medetomidine premedicated rabbits. Study design: Prospective, randomized controlled experimental study. Animals: Eighteen female Himalayan rabbits, weight 2.1 ± 0.1 kg. Methods: Premedication with 0.1 mg kg−1 medetomidine and 5 mg kg−1 carprofen subcutaneously, was followed by intravenous anaesthetic induction with sufentanil (2.3 μg mL−1) and midazolam (0.45 mg mL−1). After endotracheal intubation, anaesthesia was maintained with sufentanil‐midazolam (n = 9) or sevoflurane (n = 9). Ovariohysterectomy was performed. Intermittent positive pressure ventilation was performed as required. Physiological variables were studied perioperatively. Group means of physiologic data were generated for different anaesthetic periods. Data were compared for changes from sedation, and between groups by anova. Post‐operatively, 0.05 mg kg−1 buprenorphine was administered once and 5 mg kg−1 carprofen once daily for 2–3 days. Rabbits were examined and weighed daily until one week after surgery. Results: Smooth induction of anaesthesia was achieved within 5 minutes. Sufentanil and midazolam doses were 0.5 μg kg−1 and 0.1 mg kg−1, during induction and 3.9 μg kg−1 hour−1 and 0.8 mg kg−1 hour−1 during surgery, respectively. End‐tidal sevoflurane concentration was 2.1% during surgery. Assisted ventilation was required in nine rabbits receiving sufentanil‐midazolam and four receiving sevoflurane. There were no differences between groups in physiologic data other than arterial carbon dioxide. In rabbits receiving sevoflurane, mean arterial pressure decreased pre‐surgical intervention, heart rate increased 25% during and after surgery and body weight decreased 4% post‐operatively. Post‐operative problems sometimes resulted from catheterization of the ear artery. Conclusion: Sevoflurane and sufentanil‐midazolam provided surgical anaesthesia of similar quality. Arterial blood pressure was sustained during sufentanil‐midazolam anaesthesia and rabbits receiving sevoflurane lost body weight following ovariohysterectomy. Mechanical ventilation was required with both anaesthetic regimens. Clinical relevance: Anaesthesia with sufentanil‐midazolam in medetomidine premedicated healthy rabbits is useful in the clinical and the research setting, as an alternative to sevoflurane.

Url:
DOI: 10.1111/vaa.12207

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ISTEX:65AC75EC93306C32B1968635BD4BB3C1F45C745D

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<head>Abstract</head>
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<p>To compare physiological effects of sufentanil‐midazolam with sevoflurane for surgical anaesthesia in medetomidine premedicated rabbits.</p>
<head>Study design</head>
<p>Prospective, randomized controlled experimental study.</p>
<head>Animals</head>
<p>Eighteen female Himalayan rabbits, weight 2.1 ± 0.1 kg.</p>
<head>Methods</head>
<p>Premedication with 0.1 mg kg
<hi rend="superscript">−1</hi>
medetomidine and 5 mg kg
<hi rend="superscript">−1</hi>
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<hi rend="superscript">−1</hi>
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<hi rend="superscript">−1</hi>
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<hi rend="italic">n</hi>
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<hi rend="italic">n</hi>
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<hi rend="smallCaps">anova</hi>
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<hi rend="superscript">−1</hi>
buprenorphine was administered once and 5 mg kg
<hi rend="superscript">−1</hi>
carprofen once daily for 2–3 days. Rabbits were examined and weighed daily until one week after surgery.</p>
<head>Results</head>
<p>Smooth induction of anaesthesia was achieved within 5 minutes. Sufentanil and midazolam doses were 0.5 μg kg
<hi rend="superscript">−1</hi>
and 0.1 mg kg
<hi rend="superscript">−1</hi>
, during induction and 3.9 μg kg
<hi rend="superscript">−1</hi>
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<hi rend="superscript">−1</hi>
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<hi rend="superscript">−1</hi>
 hour
<hi rend="superscript">−1</hi>
during surgery, respectively. End‐tidal sevoflurane concentration was 2.1% during surgery. Assisted ventilation was required in nine rabbits receiving sufentanil‐midazolam and four receiving sevoflurane. There were no differences between groups in physiologic data other than arterial carbon dioxide. In rabbits receiving sevoflurane, mean arterial pressure decreased pre‐surgical intervention, heart rate increased 25% during and after surgery and body weight decreased 4% post‐operatively. Post‐operative problems sometimes resulted from catheterization of the ear artery.</p>
<head>Conclusion</head>
<p>Sevoflurane and sufentanil‐midazolam provided surgical anaesthesia of similar quality. Arterial blood pressure was sustained during sufentanil‐midazolam anaesthesia and rabbits receiving sevoflurane lost body weight following ovariohysterectomy. Mechanical ventilation was required with both anaesthetic regimens.</p>
<head>Clinical relevance</head>
<p>Anaesthesia with sufentanil‐midazolam in medetomidine premedicated healthy rabbits is useful in the clinical and the research setting, as an alternative to sevoflurane.</p>
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<b>Correspondence:</b>
Patricia Hedenqvist, Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Science, Swedish University of Agricultural Sciences, P.O. Box 7054, SE‐750 07, Uppsala, Sweden. E‐mail:
<email>patricia.hedenqvist@slu.se</email>
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<title type="shortAuthors">P Hedenqvist et al.</title>
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<title type="main">Objective</title>
<p>To compare physiological effects of sufentanil‐midazolam with sevoflurane for surgical anaesthesia in medetomidine premedicated rabbits.</p>
</section>
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<title type="main">Study design</title>
<p>Prospective, randomized controlled experimental study.</p>
</section>
<section xml:id="vaa12207-sec-0003">
<title type="main">Animals</title>
<p>Eighteen female Himalayan rabbits, weight 2.1 ± 0.1 kg.</p>
</section>
<section xml:id="vaa12207-sec-0004">
<title type="main">Methods</title>
<p>Premedication with 0.1 mg kg
<sup>−1</sup>
medetomidine and 5 mg kg
<sup>−1</sup>
carprofen subcutaneously, was followed by intravenous anaesthetic induction with sufentanil (2.3 μg mL
<sup>−1</sup>
) and midazolam (0.45 mg mL
<sup>−1</sup>
). After endotracheal intubation, anaesthesia was maintained with sufentanil‐midazolam (
<i>n</i>
 = 9) or sevoflurane (
<i>n</i>
 = 9). Ovariohysterectomy was performed. Intermittent positive pressure ventilation was performed as required. Physiological variables were studied perioperatively. Group means of physiologic data were generated for different anaesthetic periods. Data were compared for changes from sedation, and between groups by
<sc>anova</sc>
. Post‐operatively, 0.05 mg kg
<sup>−1</sup>
buprenorphine was administered once and 5 mg kg
<sup>−1</sup>
carprofen once daily for 2–3 days. Rabbits were examined and weighed daily until one week after surgery.</p>
</section>
<section xml:id="vaa12207-sec-0005">
<title type="main">Results</title>
<p>Smooth induction of anaesthesia was achieved within 5 minutes. Sufentanil and midazolam doses were 0.5 μg kg
<sup>−1</sup>
and 0.1 mg kg
<sup>−1</sup>
, during induction and 3.9 μg kg
<sup>−1</sup>
 hour
<sup>−1</sup>
and 0.8 mg kg
<sup>−1</sup>
 hour
<sup>−1</sup>
during surgery, respectively. End‐tidal sevoflurane concentration was 2.1% during surgery. Assisted ventilation was required in nine rabbits receiving sufentanil‐midazolam and four receiving sevoflurane. There were no differences between groups in physiologic data other than arterial carbon dioxide. In rabbits receiving sevoflurane, mean arterial pressure decreased pre‐surgical intervention, heart rate increased 25% during and after surgery and body weight decreased 4% post‐operatively. Post‐operative problems sometimes resulted from catheterization of the ear artery.</p>
</section>
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<title type="main">Conclusion</title>
<p>Sevoflurane and sufentanil‐midazolam provided surgical anaesthesia of similar quality. Arterial blood pressure was sustained during sufentanil‐midazolam anaesthesia and rabbits receiving sevoflurane lost body weight following ovariohysterectomy. Mechanical ventilation was required with both anaesthetic regimens.</p>
</section>
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<title type="main">Clinical relevance</title>
<p>Anaesthesia with sufentanil‐midazolam in medetomidine premedicated healthy rabbits is useful in the clinical and the research setting, as an alternative to sevoflurane.</p>
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<abstract>Objective: To compare physiological effects of sufentanil‐midazolam with sevoflurane for surgical anaesthesia in medetomidine premedicated rabbits. Study design: Prospective, randomized controlled experimental study. Animals: Eighteen female Himalayan rabbits, weight 2.1 ± 0.1 kg. Methods: Premedication with 0.1 mg kg−1 medetomidine and 5 mg kg−1 carprofen subcutaneously, was followed by intravenous anaesthetic induction with sufentanil (2.3 μg mL−1) and midazolam (0.45 mg mL−1). After endotracheal intubation, anaesthesia was maintained with sufentanil‐midazolam (n = 9) or sevoflurane (n = 9). Ovariohysterectomy was performed. Intermittent positive pressure ventilation was performed as required. Physiological variables were studied perioperatively. Group means of physiologic data were generated for different anaesthetic periods. Data were compared for changes from sedation, and between groups by anova. Post‐operatively, 0.05 mg kg−1 buprenorphine was administered once and 5 mg kg−1 carprofen once daily for 2–3 days. Rabbits were examined and weighed daily until one week after surgery. Results: Smooth induction of anaesthesia was achieved within 5 minutes. Sufentanil and midazolam doses were 0.5 μg kg−1 and 0.1 mg kg−1, during induction and 3.9 μg kg−1 hour−1 and 0.8 mg kg−1 hour−1 during surgery, respectively. End‐tidal sevoflurane concentration was 2.1% during surgery. Assisted ventilation was required in nine rabbits receiving sufentanil‐midazolam and four receiving sevoflurane. There were no differences between groups in physiologic data other than arterial carbon dioxide. In rabbits receiving sevoflurane, mean arterial pressure decreased pre‐surgical intervention, heart rate increased 25% during and after surgery and body weight decreased 4% post‐operatively. Post‐operative problems sometimes resulted from catheterization of the ear artery. Conclusion: Sevoflurane and sufentanil‐midazolam provided surgical anaesthesia of similar quality. Arterial blood pressure was sustained during sufentanil‐midazolam anaesthesia and rabbits receiving sevoflurane lost body weight following ovariohysterectomy. Mechanical ventilation was required with both anaesthetic regimens. Clinical relevance: Anaesthesia with sufentanil‐midazolam in medetomidine premedicated healthy rabbits is useful in the clinical and the research setting, as an alternative to sevoflurane.</abstract>
<note type="funding">Agria Pet Insurance</note>
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