Effect of intravenous lidocaine and ketamine on isoflurane minimum alveolar concentration in goats |
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| Authors: | MA Redua T Doherty P Castro-Queiroz BW Rohrbach |
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| Institution: | University of Tennessee, Knoxville, TN, USA |
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| Abstract: | This study evaluated the effects of IV lidocaine (L) and ketamine (K), alone and in combination (LK), on the isoflurane MAC (ISOMAC) in goats. It was hypothesized that L and K would reduce ISOMAC and that the effect of LK would be additive. Eight adult goats (24–51 kg) were used in the study. Each goat was studied on four occasions, at weekly intervals, using a randomized crossover design. Anesthesia was induced with isoflurane (ISO) in O2 and goats were intubated and ventilated to normocapnia. End‐tidal ISO (ETISO) and CO2 were monitored with a calibrated infrared analyzer. Body temperature was maintained in the normal range using a heating pad. Approximately 45 minutes after intubation, and with the ETISO having been held constant for at least 20 minutes, determination of the baseline MAC (MACB) was initiated. A noxious stimulus, which consisted of clamping a claw between the jaws of a 10‐inch Vulsellum forceps, was administered for 60 seconds or until purposeful movement occurred. If purposeful movement occurred, the ETISO was increased by 0.1 vols% otherwise it was decreased by 0.1 vols% and the stimulus was reapplied following a 20 minute equilibration period. Following MACB determination treatments were administered as a loading dose (Ld) in 10 mL 0.9% NaCl over 3 minutes followed by a constant rate infusion to a final volume of 60 mL hour–1 in 0.9% NaCl, as follows: L (Ld 2.5 mg kg–1 + 100 μg kg–1 minutes–1); K (Ld 1.5 mg kg–1 + 50 μg kg–1minutes); LK or 0.9% NaCl. Post‐treatment MAC (MACT) determination began 45 minutes after the start of the loading dose. MACB and MACT were determined in triplicate and the mean value was used for data analysis. Difference in percent change in MAC was tested using a mixed‐model anova . Means separation among levels of treatment was tested using the Tukey‐Kramer method. The mean MACB for all treatments was 1.13 ± 0.03 vols%. L, K and LK reduced (p < 0.05) MACB by 19%, 49% and 69%, respectively. No change (p > 0.05) occurred with saline. It was concluded that L and K caused clinically significant decreases in ISOMAC; however, the percent MAC reduction with L was less than expected given the MAC reduction reported with L for other species. The combination (LK) caused a profound decrease in ISOMAC and this effect was additive. |
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