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Total Intravenous Anesthesia in Greyhounds: Pharmacokinetics of Propofol and Fentanyl—MA Preliminary Study
Author(s) -
Hughes J.M. Lynne,
Nolan Andrea M.
Publication year - 1999
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.1999.00513.x
Subject(s) - medicine , propofol , fentanyl , anesthesia , acepromazine , heart rate , anesthetic , bolus (digestion) , blood pressure , respiratory rate , surgery , radiology
Objective To evaluate concomitant propofol and fentanyl infusions as an anesthetic regime, in Greyhounds. Animals Eight clinically normal Greyhounds (four male, four female) weighing 25.58 ± 3.38 kg. Design Prospective experimental study. Methods Dogs were premedicated with acepromazine (0.05 mg/kg) by intramuscular (IM) injection. Forty five minutes later anesthesia was induced with a bolus of propofol (4 mg/kg) by intravenous (IV) injection and a propofol infusion was begun ( time = 0 ). Five minutes after induction of anesthesia, fentanyl (2 μg/kg) and atropine (40 μg/kg) were administered IV and a fentanyl infusion begun. Propofol infusion (0.2 to 0.4 mg/kg/min) lasted for 90 minutes and fentanyl infusion (0.1 to 0.5 μg/kg/min) for 70 minutes. Heart rate, blood pressure, respiratory rate, end‐tidal carbon dioxide, body temperature, and depth of anesthesia were recorded. The quality of anesthesia, times to return of spontaneous ventilation, extubation, head lift, and standing were also recorded. Blood samples were collected for propofol and fentanyl analysis at varying times before, during and after anesthesia. Results Mean heart rate of all dogs varied from 52 to 140 beats/min during the infusion. During the same time period, mean blood pressure ranged from 69 to 100 mm Hg. On clinical assessment, all dogs appeared to be in light surgical anesthesia. Mean times (± SEM), after termination of the propofol infusion, to return of spontaneous ventilation, extubation, head lift and standing for all dogs were 26 ± 7, 30 ± 7, 59 ± 12, and 105 ± 13 minutes, respectively. Five out of eight dogs either whined or paddled their forelimbs in recovery. Whole blood concentration of propofol for all eight dogs ranged from 1.21 to 6.77 μg/mL during the infusion period. Mean residence time (MRTinf) for propofol was 104.7 ± 6.0 minutes, mean body clearance (Cl b ) was 53.35 ± 0.005 mL/kg/min, and volume of distribution at steady state (Vdss) was 3.27 ± 0.49 L/kg. Plasma concentration of fentanyl for seven dogs during the infusion varied from 1.22 to 4.54 ng/mL. Spontaneous ventilation returned when plasma fentanyl levels were >0.77 and <1.17 ng/mL. MRTinf for fentanyl was 111.3 ± 5.7 minutes. Mean body clearance was 29.1 ± 2.2 mL/kg/min and Vdss was 2.21 ± 0.19 L/kg. Conclusion and Clinical Relevance In Greyhounds which were not undergoing any surgical stimulation, total intravenous anesthesia maintained with propofol and fentanyl infusions induced satisfactory anesthesia, provided atropine was given to counteract bradycardia. Despite some unsatisfactory recoveries the technique is worth investigating further for clinical cases, in this breed and in mixed breed dogs.