在romifidine和isoflurane麻醉期间在马匹中使用dobutamine
Patricia Ruíz-López1, Stijn Schauvliege1, Frank Gasthuys1
1Department of Large Animal Surgery, Anaesthesia and Orthopaedics, Faculty of Veterinary Medicine, University of Ghent, Salisburylaan 133, 9820 Merelbeke, Belgium.
Research in veterinary science
|December 28, 2023
概括
低血压是常见的马在isoflurane和romifidine麻醉下. 多布他胺有效地恢复了平均动脉压 (MAP),背部倒卧是影响其需求的关键因素.
科学领域:
- 兽医麻醉学 兽医麻醉学
- 马类手术 马类手术
- 心血管生理学心血管生理学
背景情况:
- 低血压是马麻醉期间的潜在并发症.
- 异氨酸和罗米菲丁是马中常用的麻醉剂.
- 多布胺是一种用于管理低血压的血管压缩剂.
研究的目的:
- 为了确定低血压的发生率,需要在用异氨酸和罗米菲丁麻醉的马中给予多布他.
- 评估需要恢复平均动脉压 (MAP) 至≥70mmHg的dobutamine的时间和剂量.
- 为了确定患者和麻醉相关的因素影响 dobutamine 补充的需要.
主要方法:
- 对118匹接受选择性手术的马进行了回顾性研究.
- 收集的数据包括患者的体重,前期治疗,身体位置,麻醉时间和多布他胺的使用细节.
- 统计分析包括单变量和多变量逻辑回归来评估影响因素.
主要成果:
- 在麻醉诱导后大约30分钟内,多布他胺给了54.2%的马.
- 低剂量的多布胺 (0.55±0.18μg/kg/min) 在12分钟内恢复了MAP≥70 mmHg.
- 背部倒卧显著增加了需要多布他胺的可能性 (OR=7.70,p<0.001).
结论:
- 多布他胺在马的异黄素-罗米菲丁麻醉期间有效控制低血压.
- 低剂量和短时间的服用通常是足够的.
- 背部倒立是低血压的重要危险因素,需要多布他胺补充剂.
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