Znieczulenie zrównoważone u koni

• Autorzy: Ratajczak K. , Szmigielska M. , Henklewski R. , Biazik A.

Warianty tytułu

EN

Balanced anesthesia in horses

• Języki publikacji: PL

Abstrakty

EN

The phrase “balanced anesthesia” refers to the coadministration of several different drugs to produce an “ideal” anesthetic state, which implies adequate hypnosis, analgesia, muscle relaxation, and relief from stress. This technique of general anesthesia is based on the idea that the administration of a mixture of small amounts of several drugs makes it possible to combine their advantages while avoiding their disadvantages. Such a mixture usually consists of inhalant and injectable drugs. Balanced anesthetic techniques for horses aim mainly at maintaining good intraoperative cardiopulmonary function followed by calm and coordinated recovery. This can be achieved only by supplementing inhalational anesthesia with injectable agents so as to reduce the dose of anesthetic gases needed, improve cardiorespiratory functions and facilitate the recovery phase. The following article gives an overview of anesthesia techniques in horses involving inhalation anesthesia in combination with infusion agents.

Słowa kluczowe

PL

konie; znieczulenie ogolne; znieczulenie zrownowazone; agonisci receptorow alfa2-adrenergicznych; ksylazyna; medetomidyna; ketamina; lidokaina; propofol; guaifenezyna; benzodiazepiny; opioidy

• Wydawca: -
• Czasopismo: Medycyna Weterynaryjna
• Rocznik: 2011
• Tom: 67
• Numer: 09
• Opis fizyczny: s.604-608,bibliogr.

Twórcy

autor

Ratajczak K.

• Katedra i Klinika Chirurgii, Wydział Medycyny Weterynaryjnej, Uniwersytet Przyrodniczy we Wrocławiu, pl.Grunwaldzki 51, 50-366 Wrocław

autor

Szmigielska M.

autor

Henklewski R.

autor

Biazik A.

Bibliografia

• 1.Aantaa R., Jaakola M. L., Kallio A., Kanto J.: Reduction of the minimum alveolar concentration of isoflurane by dexmedetomidine. Anesthesiology 1997, 86, 1055-1060.
• 2.Bettschart-Wolfensberger R., Larenza M. P.: Balanced Anesthesia in the Equine. Clin. Tech. Equine. Pract. 2007, 6, 104-110.
• 3.Bidwell L. A., Bramlage L. R., Rood W. A.: Equine perioperative fatalities associated with general anaesthesia at a private practice - a retrospective case series. Vet. Anaest. Analg. 2007, 34, 23-30.
• 4.Brock N., Hildebrand S. V.: A comparison of xylazine-diazepam-ketamine and xylazine-guaifenesin-ketamine in equine anesthesia. Vet. Surg. 1990, 19, 468-474.
• 5.Correll G. E., Maleki J., Gracely E. J., Muir J. J., Harbut R. E.: Subanesthetic ketamine infusion therapy: a retrospective analysis of a novel therapeutic approach to complex regional pain syndrome. Pain Med. 2004, 5, 263-275.
• 6.Doherty T. J., Frazier D. L.: Effect of intravenous lidocaine on halothane minimum alveolar concentration in ponies. Equine Vet. J. 1998, 30, 300-303.
• 7.Doherty T., Valverde A.: Manual of Equine Anesthesia and Analgesia. Blackwell Publishing Ltd, Ames, IA 2006.
• 8.Donaldson L. L., Dunlop G. S., Cooper W. L.: A comparison of propofol with ketamine after xylazine and butorphanol as field anesthesia for young foals. Proc. Annual Meeting. Am. Coll. Vet. Anest. 1998, s. 11.
• 9. Dunlop C. I., Daunt D. A., Chapman P. L.: The anesthetic potency of 3 steady-state plasma levels of detomidine in halothane anesthetized horses. Proc. the 4th ICVA, Utrecht 1991, s. 7.
• 10.Dyson D. H., Maxie M. G., Schnurr D.: Morbidity and mortality associated with anaesthetic management in small animal veterinary practice in Ontario. J. Am. Anim. Hosp. Assoc. 1998, 34, 325-335.
• 11.Enderle A. K., Levionnois O. L., Kuhn M., Schatzmann U.: Clinical evaluation of ketamine and lidocaine intravenous infusions to reduce isoflurane requirements in horses under general anaesthesia. Vet. Anaest. Analg. 2008, 35, 297-305.
• 12.Hofmeister E. H., Mackey E. B., Trim C. M.: Effect of butorphanol administration on cardiovascular parameters in isoflurane-anesthetized horses - a retrospective clinical evaluation. Vet. Anaest. Analg. 2008, 35, 38-44.
• 13.Ilkiw J. E.: Balanced anesthetic techniques in dogs and cats. Clin. Tech. Small. Anim. Pract. 1999, 14, 27-37.
• 14.Johnston G. M., Eastman J. K., Wood J. L. N., Taylor P. M.: The confidential enquiry into perioperative equine fatalities (CEPEF): mortality results in phases 1 and 2. Vet. Anaest. Analg. 2002, 29, 159-170.
• 15.Kulesza O.: Ocena wpływu ciągłej infuzji ketaminy i propofolu na redukcję ilości izofluranu potrzebnej do podtrzymania znieczulenia ogólnego u koni. Praca dokt., Wydz. Medycyny Weterynaryjnej SGGW, Warszawa 2008.
• 16.Kushiro T., Yamashita K., Umar M. A., Maehara S., Wakaiki S., Abe R., Seno T., Tsuzuki K., Izumisawa Y., Muir W. W.: Anesthetic and cardiovascular effects of balanced anesthesia using constant rate infusion of midazolam-ketamine-medetomidine with inhalation of oxygen-sevoflurane (MKM-OS anesthesia) in horses. J. Vet. Med. Sci. 2005, 67, 379-384.
• 17.Lagasse R. S.: Anesthesia safety: model or myth? Anesthesiology 2002, 97, 1609-1617.
• 18.Mama K. R.: Anesthetic Management of the Horse: Intravenous Anesthesia. International Veterinary Information Service (www.ivis.org.) 2000, Document No. A0604.1000.
• 19.Mama K. R., Steffey E. P., Pascoe P. J.: Evaluation of propofol as a general anesthetic for horses. Vet. Surg. 1995, 24, 188-194.
• 20.McEwan A. I., Smith C., Dyar O., Goodman D., Smith L. R., Glass P. S.: Isoflurane minimum alveolar concentration reduction by fentanyl. Anesthesiology 1993, 78, 864-869.
• 21.Moon P. F., Scarlett J. M., Ludders J. W., Conway T. A., Lamb S. V.: Effect of fentanyl on the minimum alveolar concentration of isoflurane in swine. Anesthesiology 1995, 83, 535-542.
• 22.Mudge M. C.: Review of the analgesic, prokinetic, and anti-inflammatory uses of iv lidocaine. AAEP Proc. Orlando 2007, s. 53.
• 23.Neges K., Bettschart-Wolfensberger R., Müller J., Fürst A., Kästner S.: The isoflurane sparing effect of a medetomidine constant rate infusion in horses. Vet. Anaest. Analg. 2003, 30, 92.
• 24.Robertson S. A., Sanchez L. C., Merritt A. M., Doherty T. J.: Effect of systemic lidocaine on visceral and somatic nociception in conscious horses. Equine Vet. J. 2005, 37, 122-127.
• 25.Spadavecchia C., Stucki F., Moens Y., Schatzmann U.: Anaesthesia in horses using halothane and intravenous ketamine-guaiphenesin: a clinical study. Vet. Anaest. Analg. 2002, 29, 1-20.
• 26.Steffey E. P., Howland D. Jr.: Comparison of circulatory and respiratory effects of isoflurane and halothane anesthesia in horses. Am. J. Vet. Res. 1980, 41, 821-825.
• 27.Steffey E. P., Pascoe P. J., Woliner M. J., Berryman E. R.: Effects of xylazine hydrochloride during isoflurane-induced anesthesia in horses. Am. J. Vet. Res. 2000, 61, 1225-1231.
• 28.Thomasy S. M., Steffey E. P., Mama K. R., Solano A., Stanley S. D.: The effects of i.v. fentanyl administration on the minimum alveolar concentration of isoflurane in horses. Br. J. Anaest. 2006, 97, 232-237.
• 29.Trim C. M.: Anesthesia for the colic patient. AEEP - Focus Meeting, Quebec 2005.