Cardiopulmonary and analgesic effects of caudal epidurally administered ropivacaine in cattle.

Autor: Araújo MA; Department of Clinical Surgery and Animal Reproduction, Faculty of Veterinary Medicine, UNESP - São Paulo State University, Araçatuba-SP, Brazil., Albuquerque VB, Deschk M, Santos GG, Rodrigues CA, Oliva VN, Santos PS
Jazyk: angličtina
Zdroj: Veterinary anaesthesia and analgesia [Vet Anaesth Analg] 2012 Jul; Vol. 39 (4), pp. 409-13. Date of Electronic Publication: 2012 May 11.
DOI: 10.1111/j.1467-2995.2012.00726.x
Abstrakt: Objective: To assess cardiopulmonary and analgesic effects after administration of ropivacaine into the caudal epidural space of cattle.
Study Design: Prospective, single-dose trial.
Animals: Eight healthy mixed breed cows aged 8 ± 5 years and weighing 507 ± 112 kg.
Methods: Caudal epidural anesthesia was produced in cows with 0.75% ropivacaine (0.11 mg kg(-1)). Onset time, duration and cranial spread of analgesia were recorded. Heart rate (HR), respiratory rate (f(R)), rectal temperature (RT), and mean arterial blood pressure (MAP) were measured prior to epidural administration (T(0) ) and at 15, 30, 60, 120, 180 and 240 minutes after epidural administration (T(15), T(30), T(60) , T(120) , T(180) and T(240) ). Arterial blood acid-base balance (pH, standard bicarbonate and base excess), gas tension (PaO(2), PaCO(2), SaO(2)) and electrolytes (Na(+), K(+), iCa(2+),Cl(-)) were recorded at T(0), T(30), T(60), T(120), T(180) and T(240). Ataxia was evaluated at T(0), T(30), T(60), T(120), T(180) and T(240) and at 1 hour intervals thereafter until analgesia was no longer present in each animal.
Results: Epidurally administered ropivacaine induced variable analgesia extending bilaterally from the coccyx to S3. Time to onset of analgesia and mean duration in the perineal area were 15 ± 4 and 359 ± 90 minutes, respectively. Respiratory rate and RT increased from T(120) to T(240) when compared to the value at T(0) . Ionized calcium and chloride concentrations increased at T(180) and T(240) when compared to T(0). The other variables were not significantly different from baseline values (p > 0.05). Four animals were mildly ataxic.
Conclusion and Clinical Relevance: Ropivacaine (0.75%, 0.11 mg kg(-1)) can be administered by caudal epidural injection to produce prolonged bilateral perineal analgesia with minimal ataxia and cardiopulmonary changes in standing cattle.
(© 2012 The Authors. Veterinary Anaesthesia and Analgesia. © 2012 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesiologists.)
Databáze: MEDLINE
Externí odkaz: