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91.
Influence of ketamine or xylazine supplementation on isoflurane anaesthetized horses‐ a controlled clinical trial
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Nina Pöppel Klaus Hopster Florian Geburek Sabine Kästner 《Veterinary anaesthesia and analgesia》2015,42(1):30-38
ObjectivesTo determine the influence of ketamine or xylazine constant rate infusions on isoflurane requirements, cardiovascular parameters and quality of anaesthesia in horses undergoing elective surgery.Study designProspective, matched paired clinical trial.AnimalsFifty four adult Warmblood horses.MethodsAfter premedication with acepromazine, xylazine and butorphanol, anaesthesia was induced with ketamine-midazolam and maintained with isoflurane alone (I), isoflurane with either 1 mg kg−1 hour−1 ketamine (IK) or same dose of xylazine (IX). End tidal concentration of isoflurane (Fe’Iso) was adjusted by the same anaesthetist in all horses according to a scoring system. Dobutamine was infused to maintain mean arterial pressure (MAP) =70 mmHg. Arterial blood gases, heart rate (HR), respiratory rate, MAP and cardiac output (lithium dilution) were measured. Groups I and IK received xylazine before recovery. Recovery quality was scored.ResultsMean ± SD averaged Fe’Iso (volume%) was significantly lower in IX (0.95 ± 0.07) and IK (0.97 ± 0.08) than in I (1.16 ± 0.13). In group IX, HR was significantly lower and averaged MAP (90 ± 13 mmHg) significantly higher than in groups I (71 ± 7 mmHg) and IK (76 ± 7 mm Hg). Differences in other cardiopulmonary variables did not reach statistical significance. All horses recovered well with best score in group IX.ConclusionsBoth CRIs of xylazine and of ketamine resulted in pronounced reduction of isoflurane requirements and blood pressure support based on routinely monitored parameters. Cardiac output appeared well maintained in all three protocols, but lithium dilution induced errors mean the results are untrustworthy. The work requires repetition with another mode of measurement of cardiac output.Clinical relevanceAll three protocols provided good clinical anaesthesia with clinically acceptable cardiovascular effects. 相似文献
92.
Nicola J Grint Helen R Whay Thierry Beths Kathy Yvorchuk Joanna C Murrell 《Veterinary anaesthesia and analgesia》2015,42(2):205-214
ObjectiveTo evaluate a thermal nociceptive threshold (TNT) testing device in the donkey, and the influence of potential confounding factors on TNTs.AnimalsTwo groups (Group 1 and Group 2) of eight castrated male donkeys aged 4–9 years, weighing 105–170 kg.MethodsTNTs were measured by heating a thermal probe on skin until an end-point behaviour (threshold temperature) or a cut-out temperature (51 °C) was reached. The withers and the dorsal aspect of the distal limb were used as sites for TNT testing. The effects on TNT of different confounding factors: the limb tested; rate of heating; and ambient temperature were evaluated. Data were analyzed using general linear models, and Mann-Whitney tests, p < 0.05 was considered significant.ResultsEnd-point behaviours (skin twitch or donkey looking at test device) when the thermal probe heated the withers were observed in approximately half of tests. TNT was (mean ± SD) 46.8 ± 2.85 °C. Subsequently the limb was evaluated as the test site in Group 1 followed by Group 2 donkeys; end-point behaviour being a foot-lift. In Group 1, 72% of tests ended in an end-point behaviour but the response rate was lower in Group 2 (20%), although TNTs were similar [(47.6 ± 3.3) and (47.3 ± 3.0) °C respectively] for responding animals. Rate of heating, ambient temperature and laterality (right or left) did not affect thresholds, but mean TNT was significantly higher in the forelimb (48.5 ± 2.8 °C) than the hind limb (47.4 ± 2.8 °C) (p = 0.012).ConclusionsWhen a thermal probe cut-out temperature of 51 °C was used in TNT testing in the donkey a high proportion of tests did not produce an identifiable end point behaviour. Higher cut-out temperatures damaged the skin. Under these conditions, thermal nociceptive threshold testing appears not be an appropriate analgesiometry technique in the donkey.Clinical relevanceTNT testing under these conditions is not suitable form of analgesiometry for donkeys. 相似文献
93.
Agreement of high definition oscillometry with direct arterial blood pressure measurement at different blood pressure ranges in horses under general anaesthesia
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ObjectiveTo determine the agreement of high definition oscillometry (HDO) with direct arterial blood pressure measurements in normotensive, hypotensive and hypertensive horses during general anaesthesia.Study designExperimental study.AnimalsSeven healthy warmblood horses, aged 3–11 years, weighing 470–565 kg.MethodsMeasurements from a HDO device with the cuff placed around the base of the tail were compared with pressures measured invasively from the facial artery. High blood pressures were induced by intravenous (IV) administration of dobutamine (5 μg kg−1 minute−1) over ten minutes followed by norepinephrine (0.1 mg kg−1 IV) and low pressures by increasing the inspired fraction of isoflurane and administration of nitroglycerine (0.05 mg kg−1 IV). For analysis three pressure levels were determined: high (MAP>110 mmHg), normal (60 mmHg
94.
V. M. Dato E. R. Campagnolo D. U. Shah M. J. Bellush C. E. Rupprecht 《Zoonoses and public health》2015,62(3):222-227
Adverse events can occur after rabies post‐exposure prophylaxis (PEP), and linkage to causality is often difficult to determine. We report a case of recurrent temporary paralysis that began immediately after the initiation of rabies PEP in a man exposed to a bat. The recurrent temporary paralysis first occurred in the patient after his initial dose and then again after day 3 of his rabies PEP. The PEP was terminated prior to a serologic response. The patient continued to experience numerous discrete episodes of temporary paralysis for over two years. 相似文献
95.
为寻求准确的鸡舍氨气浓度预测方法,构建基于双阶段注意力机制和长短时记忆神经网络(Long shortterm memory,LSTM)的鸡舍氨气浓度预测模型,将该模型应用于山东省商河县某蛋鸡养殖场,采集二氧化碳(CO_2)、氧气(O_2)和氨气(NH_3)的体积分数,细颗粒物(PM_(2.5))质量浓度,温度,相对湿度时间序列数据对模型进行验证,并与支持向量回归(Support vector regression,SVR)、人工神经网络(Artificial neural network,ANN)模型和无注意力机制的LSTM模型对比研究。结果表明:1)不同时间窗口T下NH_3体积分数预测精度不同。T∈{2,3,4,8}时,均方根误差(Root mean square error,RMSE)分别为0.433 4,0.394 8,0.379 9和0.405 1μL/L,平均绝对误差(Mean absolute error,MAE)分别为0.267 4,0.262 9,0.228 9和0.272 4μL/L;2)基于双阶段注意力机制和LSTM的鸡舍NH_3浓度预测模型在RMSE和MAE评价指标框架下优于SVR、ANN和无注意力机制的LSTM模型。基于双阶段注意机制和LSTM的模型能较好地对鸡舍氨气浓度进行预测,可为鸡舍氨气浓度预测及调控提供技术支持。 相似文献
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The objective of this study was to examine laryngeal function at rest and during ridden exercise and to further analyse the impact of different head and neck positions on the laryngeal function in ridden sport horses. Fifty‐eight Warmblood horses were examined endoscopically during ridden exercise as well as during quiet breathing at rest before and after sedation. Four different head‐neck positions (unrestrained, reference, elevation and hyperflexion) were assessed during the exercise test. Laryngeal function was graded at rest and for every combination of gait and head and neck position during exercise. There was a significant correlation between the grade of laryngeal function during exercise and at rest both before (correlation coefficient = 0.794) and after (correlation coefficient = 0.741) sedation (P<0.01). No significant association was found between the grade of laryngeal function during exercise and the different head and neck positions. 相似文献