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Anesthetic properties of a propofol microemulsion in dogs
Timothy E Morey1, Jerome H Modell, Dushyant Shekhawat
1Department of Anesthesiology, University of Florida, Gainesville, FL 32610-0254, USA.
Abstract:
Microemulsions of propofol with nanometer droplet diameter are alternatives to soybean macroemulsions for inducing anesthesia, and may have important advantages. We used a propofol (10 mg/mL) microemulsion (particle diameter 24.5 +/- 0.5 nm) and a commercial macroemulsion to induce anesthesia in dogs (n = 10) using a randomized, crossover design separated by a 7-day rest interval. The end points were loss of leg withdrawal after a toe pinch and changes in vital signs. Venous blood samples were acquired at multiple times to measure plasma propofol concentrations and indices of erythrocytes, leukocytes, and coagulation. All dogs were rendered insensitive to pain followed by successful recovery without noticeable complications. Comparing indices between microemulsion and macroemulsion formulations, no differences were noted with respect to dose (10.3 +/- 1.2 and 9.7 +/- 1.6 mg/kg, respectively, P = 0.39), time to induction (1.0 +/- 0.1 and 1.0 +/- 0.2 min, P = 0.39), time to recovery (17.4 +/- 4.6 and 18.2 +/- 3.8 min, P = 0.70), heart rate (P = 0.62), arterial blood pressure (P = 0.81), respiratory rate (P = 0.60), hemogram variables, prothrombin time (P = 0.89), activated partial thromboplastin time (P = 0.76), fibrinogen concentration (P = 0.52), platelet concentration (P = 0.55), or plasma propofol concentrations (P = 0.20). Induction with a propofol microemulsion or macroemulsion did not significantly vary with respect to vital signs, the hemogram, clotting variables, and plasma propofol concentrations.
Insights
Propofol microemulsions offer a safe alternative to macroemulsions for anesthesia induction in dogs. Both formulations demonstrated comparable efficacy and safety profiles, with no significant differences in recovery or vital signs.
Area of Science:
- Veterinary Anesthesiology
- Nanomedicine
- Pharmacology
Background:
- Soybean oil macroemulsions are standard for propofol anesthesia, but microemulsions offer potential advantages.
- Propofol microemulsions with nanometer droplet sizes are being explored as alternatives.
- Investigating the safety and efficacy of propofol microemulsions compared to macroemulsions is crucial.
Purpose of the Study:
- To compare the anesthetic efficacy and safety of a propofol microemulsion versus a commercial macroemulsion in dogs.
- To evaluate vital signs, recovery parameters, and blood indices following anesthesia induction with both formulations.
Main Methods:
- A randomized, crossover study involving 10 dogs was conducted.
- Dogs received anesthesia induction with either propofol microemulsion (24.5 nm) or macroemulsion, separated by a 7-day interval.
- Endpoints included loss of reflexes, vital signs, plasma propofol levels, hemogram, and coagulation parameters.
Main Results:
- Both propofol microemulsion and macroemulsion induced anesthesia effectively, with no significant differences in dose, induction, or recovery times.
- No significant variations were observed in heart rate, blood pressure, respiratory rate, hemogram, or clotting variables between the two groups.
- Plasma propofol concentrations also showed no significant differences between the microemulsion and macroemulsion formulations.
Conclusions:
- Propofol microemulsions are a viable alternative to macroemulsions for anesthesia induction in dogs.
- Both formulations exhibit comparable safety and efficacy, with no adverse effects on vital signs or hematological parameters.
- Further research may explore the clinical advantages of propofol microemulsions in diverse veterinary applications.
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