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KANDA T, AKASHI N, KAWAMURA N, NEKI Y, OSUMI M, SUGINO R, IWASAKI H, KADOWAKI Y, ITOI T. Effect of fentanyl constant-rate infusions with or without medetomidine on the minimum infusion rate of propofol required to prevent motor movement in dogs. J Vet Med Sci 2024; 86:266-271. [PMID: 38267038 PMCID: PMC10963098 DOI: 10.1292/jvms.23-0466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 01/13/2024] [Indexed: 01/26/2024] Open
Abstract
Propofol is a potential injectable anesthetic agent used in total intravenous anesthesia. However, the sparing effect of fentanyl and medetomidine on the required propofol dose in dogs remains unclear. We aimed to investigate the effect of fentanyl constant-rate infusion (CRI) with or without medetomidine on the minimum infusion rate of propofol required to prevent motor movement (MIRNM) in dogs. Six healthy purpose-bred dogs were anesthetized on three occasions with propofol alone (loading dose [LD], 8 mg/kg to effect; initial infusion rate [IR], 0.70 mg/kg/min); propofol (LD, 6 mg/kg to effect; IR, 0.35 mg/kg/min) and fentanyl (LD, 2 µg/kg; IR, 0.10 µg/kg/min); or propofol (LD, 4 mg/kg to effect; IR, 0.25 mg/kg/min), fentanyl (LD, 2 µg/kg; IR, 0.10 µg/kg/min), and medetomidine (LD, 2 µg/kg; IR, 0.5 µg/kg/hr) under controlled ventilation. The MIRNM was determined by observing the response to a noxious electrical stimulus. Heart rate, blood pressure, and blood gas analyses were performed at 1, 2, 3, and 4 hr after initiating CRI. The MIRNM (mean [range]) was significantly lower in the propofol-fentanyl-medetomidine group (0.16 [0.10-0.27] mg/kg/min) than that in the propofol-alone group (0.63 [0.47-0.82] mg/kg/min) (P=0.0004). Fentanyl combined with medetomidine did not significantly decrease the mean arterial pressure in dogs receiving propofol CRI 1-3 hr after initiating CRI compared with propofol CRI alone (P>0.9999, P=0.1536, and P=0.0596, respectively), despite inducing a significantly lower heart rate.
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Affiliation(s)
- Teppei KANDA
- Faculty of Veterinary Medicine, Okayama University of Science, Ehime, Japan
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Natsuki AKASHI
- Faculty of Veterinary Medicine, Okayama University of Science, Ehime, Japan
| | - Nanako KAWAMURA
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Yuna NEKI
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Miho OSUMI
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Reina SUGINO
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Hana IWASAKI
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Yumi KADOWAKI
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
| | - Takamasa ITOI
- Faculty of Veterinary Medicine, Okayama University of Science, Ehime, Japan
- Department of Comparative Animal Science, College of Life Science, Kurashiki University of Science and the Arts, Okayama, Japan
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YAMASHITA K, AKASHI N, KATAYAMA Y, UCHIDA Y, UMAR MA, ITAMI T, INOUE H, SAMS RA, MUIR WW. Evaluation of bispectral index (BIS) as an indicator of central nervous system depression in horses anesthetized with propofol. J Vet Med Sci 2010; 71:1465-71. [PMID: 19959897 DOI: 10.1292/jvms.001465] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The bispectral index (BIS) was evaluated as an indicator of central nervous system (CNS) depression in horses anesthetized with propofol. Five non-premedicated horses were anesthetized with 7 mg/kg, IV propofol and the minimum infusion rate (MIR) of propofol required to maintain anesthesia was determined during intermittent positive pressure ventilation in each horse. The BIS was determined 20 min later and after stabilization at 2.0 MIR, 1.5 MIR, and 1.0 MIR. The BIS was also recorded after the cessation of propofol infusion when the horses regained spontaneous breathing and swallowing reflex. The MIR and plasma concentration (Cp) of propofol were 0.20 +/- 0.03 mg/kg/min and 17.5 +/- 4.0 microg/ml, respectively. The BIS value and Cp were 59 +/- 13 and 26.7 +/- 8.6 microg/ml at 2.0 MIR, 63 +/- 9 and 22.9 +/- 9.7 microg/ml at 1.5 MIR, 64 +/- 13 and 20.1 +/- 5.9 microg/ml at 1.0 MIR, 64 +/- 24 and 13.0 +/- 2.8 microg/ml at return of spontaneous breathing, and 91 +/- 4 and 11.0 +/- 3.4 microg/ml when the swallowing reflex returned, respectively. The BIS value was significantly less in anesthetized horses compared to horses once swallowing returned (p=0.025). The BIS value was significantly correlated with the propofol Cp (r=-0.625, p=0.001). There was not a significant difference in the BIS values during the MIR multiples of propofol. The BIS was a useful indicator of awakening but did not indicate the degree of CNS depression during propofol-anesthesia in horses.
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Affiliation(s)
- Kazuto YAMASHITA
- Department of Small Animal Clinical Sciences, School of Veterinary Medicine, Faculty of Environment Systems, Rakuno Gakuen University, Ebetsu, Hokkaido, Japan
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