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1.
Vet J ; 305: 106137, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38759724

RESUMO

Arterial blood pressure (ABP) is often measured with oscillometry during anaesthesia. Changing the height of the measuring cuff with respect to the level of the heart is known to affect oscillometry accuracy in some species; however, this effect has not been investigated in cats. The objective of this study was to determine the effects of raising and lowering the measuring cuff from standard position (level of the heart) on ABP, measured with PetMAP, in anaesthetised cats. ABP readings were obtained from 29 cats with the cuff at standard position (baseline), and 5 cm above and below the heart. The end-tidal isoflurane concentrations were maintained constant during data acquisition. There were no differences between baseline values and those measured below the heart, while ABP measured above the heart was consistently lower than baseline for both the thoracic and pelvic limbs (P < 0.001), with absolute differences of 8.2 (2.5 - 14) mmHg and 6.5 (3.0 - 15.0) mmHg, respectively. Systolic ABP readings at the pelvic limb were consistently higher than those at the thoracic limb at standard position (112 ± 26 versus 103 ± 21 mmHg, p = 0.010), above (106 ± 22 versus 95 ± 20 mmHg, p = 0.003), and below the heart (116 ± 26 versus 107 ± 22 mmHg, p = 0.011). This study shows that raising the cuff by 5 cm above the heart, which may become necessary during procedural positioning, results in clinically significant underestimation of ABP measured with PetMAP.


Assuntos
Determinação da Pressão Arterial , Oscilometria , Animais , Gatos/fisiologia , Determinação da Pressão Arterial/veterinária , Determinação da Pressão Arterial/métodos , Determinação da Pressão Arterial/instrumentação , Oscilometria/veterinária , Oscilometria/instrumentação , Masculino , Feminino , Pressão Arterial , Anestesia/veterinária , Extremidades , Pressão Sanguínea
2.
J Small Anim Pract ; 65(5): 329-337, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38413137

RESUMO

OBJECTIVES: To observe the occurrence of postanaesthetic respiratory complications and to determine their prevalence and risk factors in dogs undergoing brachycephalic obstructive airway syndrome surgery. MATERIALS AND METHODS: Data from 199 clinical records were retrospectively analysed. Univariable logistic regression followed by multivariable logistic regression was used to identify associations between the dependent variables (set as the postoperative respiratory complications observed in the study dogs) and various independent covariates. The quality of model-fit was assessed using the likelihood ratio test. P≤0.05 was considered statistically significant. RESULTS: Four postoperative respiratory complications were observed: hypoxaemia (n=10/199; 5%), dyspnoea requiring tracheal re-intubation (n=13/199, 7%), dyspnoea requiring tracheostomy (n=10/199, 5%) and aspiration pneumonia (n=12/199, 6%). Univariable logistic regression showed an association between postoperative aspiration pneumonia and increasing body condition score and American Society of Anaesthesiology classification; however, when these covariates were evaluated in the multivariable model significance was not maintained. Risk factors for tracheostomy were preoperative and postoperative aspiration pneumonia (odds ratio: 9.52, 95% confidence interval: 1.56 to 57.93) and increasing brachycephalic obstructive airway syndrome grade (odds ratio: 4.65, 95% confidence interval: 0.79 to 27.50). CLINICAL SIGNIFICANCE: High brachycephalic obstructive airway syndrome grade and aspiration pneumonia, either developing peri-operatively or as pre-existing condition, may represent risk factors for postoperative tracheostomy. Preoperative diagnosis of aspiration pneumonia may further increase the risk of postoperative complications.


Assuntos
Craniossinostoses , Doenças do Cão , Complicações Pós-Operatórias , Animais , Cães , Estudos Retrospectivos , Complicações Pós-Operatórias/veterinária , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Fatores de Risco , Doenças do Cão/cirurgia , Doenças do Cão/epidemiologia , Doenças do Cão/etiologia , Masculino , Feminino , Craniossinostoses/veterinária , Craniossinostoses/cirurgia , Estudos de Coortes , Pneumonia Aspirativa/veterinária , Pneumonia Aspirativa/epidemiologia , Pneumonia Aspirativa/etiologia , Obstrução das Vias Respiratórias/veterinária , Obstrução das Vias Respiratórias/cirurgia , Obstrução das Vias Respiratórias/etiologia , Obstrução das Vias Respiratórias/epidemiologia , Traqueostomia/veterinária , Traqueostomia/efeitos adversos
3.
Med Oral Patol Oral Cir Bucal ; 27(2): e125-e134, 2022 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-34564681

RESUMO

BACKGROUND: To investigate the true accuracy of the surgical guide in the planning of orthognathic surgeries, which are performed worldwide. MATERIAL AND METHODS: A systematic search was conducted in the PubMed database, Web of science, Scopus and Embase, covering August 2020 to January 2021. Studies that included patients with dentofacial deformity including anteroposterior, vertical and asymmetry problems who were undergoing an orthognathic surgery procedure were included; QUADAS-2 was used to determine the risk of bias by analyzing the quality of the studies. A PRISMA (flowchart) was created to show the study selection, keywords, nomination processes, and inclusion and exclusion criteria. RESULTS: Eleven studies were selected for qualitative and quantitative synthesis. All studies evaluated described high precision of the surgical guide, where the lowest error values were represented by the CAD/CAM technique. CONCLUSIONS: The planning and printing errors related to the guide were all less than 2 mm, and the absolute averages of the errors related to virtual planning in the analysis of the different plans were less than 1 mm. Finally, the measurement of the ANB angle obtained equivalent results between the virtual planning and the traditional.


Assuntos
Cirurgia Ortognática , Procedimentos Cirúrgicos Ortognáticos , Cirurgia Assistida por Computador , Desenho Assistido por Computador , Humanos , Imageamento Tridimensional , Procedimentos Cirúrgicos Ortognáticos/métodos , Impressão Tridimensional , Cirurgia Assistida por Computador/métodos
4.
Schweiz Arch Tierheilkd ; 163(6): 431-436, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34097637

RESUMO

INTRODUCTION: A mixed breed dog was anesthetized for diagnostic myelography to investigate acute onset neck pain. Instead of contrast medium, 444 µg/kg medetomidine were inadvertently injected into the cerebromedullaris cisterna owing to a human error. Severe bradycardia, undetectable peripheral pulse, respiratory arrest and loss of pupillary, palpebral and corneal reflexes were observed immediately after injection. Profound hypothermia developed and esophageal temperature, measured 20 minutes after medetomidine injection, was 33 °C. Atipamezole at 1 mg/kg im was administered, followed by a second dose of 0,5 mg/kg iv 20 minutes thereafter. In the meantime, cardiorespiratory parameters and body temperature were monitored, and supportive care that included manually assisted pulmonary ventilation, active warming, and administration of 5 µg/kg/min dopamine was initiated. The dog's clinical condition improved within one hour from the beginning of supportive care, at which time ocular reflexes and swallowing returned, spontaneous ventilation was deemed as adequate and the trachea could be extubated. The dog was discharged in good clinical conditions five days later. Human error and distraction led to a potentially life-threatening complication in the dog of this report and could have possibly been prevented with the use of checklists and with a clearer definition of roles and responsibilities of the personnel involved prior to commencing the clinical procedure. Profound cardiovascular, respiratory, and thermoregulatory depression caused by intracisternal injection of medetomidine responded to parenteral administration of its antagonist and supportive care.


INTRODUCTION: Un chien croisé a été anesthésié pour une myélographie diagnostique afin d'étudier une douleur aiguë au niveau du cou. Au lieu du produit de contraste, 444 µg/kg de médétomidine ont été injectés par inadvertance dans la citerne cérébello-médullaire en raison d'une erreur humaine. Une bradycardie sévère, un pouls périphérique indétectable, un arrêt respiratoire et une perte des réflexes pupillaire, palpébral et cornéen ont été observés immédiatement après l'injection. Une hypothermie profonde s'est développée et la température oesophagienne, mesurée 20 minutes après l'injection de médétomidine, était de 33 °C. De l'atipamézole à 1 mg/kg im a été administré, suivi d'une seconde dose de 0,5 mg / kg iv 20 minutes après. Dans l'intervalle, les paramètres cardiorespiratoires et la température corporelle ont été surveillés et des soins de soutien comprenant une ventilation assistée manuellement, un réchauffement actif et l'administration de 5 µg/kg/min de dopamine ont été initiés. L'état clinique du chien s'est amélioré dans l'heure qui a suivi le début des soins, moment où les réflexes oculaires et la déglutition sont réapparus, la ventilation spontanée a été jugée adéquate et où on a pu procéder à l'extubation. Le chien est sorti dans de bonnes conditions cliniques cinq jours plus tard. Une erreur humaine et de la distraction ont conduit à une complication potentiellement mortelle chez le chien décrit dans ce rapport et auraient pu être évitées grâce à l'utilisation de listes de contrôle et avec une définition plus claire des rôles et des responsabilités du personnel impliqué avant le début de la procédure clinique. Une profonde dépression cardiovasculaire, respiratoire et de la thermorégulation causée par l'injection intracisternale de médétomidine a répondu à l'administration parentérale de son antagoniste et à des soins de soutien.


Assuntos
Imidazóis/administração & dosagem , Medetomidina/administração & dosagem , Medetomidina/efeitos adversos , Erros Médicos/veterinária , Mielografia/veterinária , Antagonistas de Receptores Adrenérgicos alfa 2/administração & dosagem , Animais , Cães , Hipnóticos e Sedativos/administração & dosagem , Resultado do Tratamento
5.
Aust Vet J ; 99(1-2): 15-19, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33073350

RESUMO

The authors report the occurrence of pulsus alternans, a condition characterised by the alternance of pulses of higher and lower amplitude, in two dogs and one cat under general anaesthesia. The presence of an underlying cardiac disease was confirmed in the cat but not in either dog, which - based on history and clinical findings - had presumably normal cardiovascular function before the anaesthetic. Possible mechanisms, including negative inotropy and haemodynamic and Frank-Starling effects, as well as the role of general anaesthesia as the potential triggering factor, are discussed in this report. Ephedrine resulted in the successful treatment of pulsus alternans, as demonstrated by the return of normal pulse and synchronisation of heart and pulse rates in the cat and in one dog. In the other dog, pulse pattern and frequency returned to normal once the guidewire for central line placement was withdrawn.


Assuntos
Anestesia , Pulso Arterial , Anestesia/efeitos adversos , Anestesia/veterinária , Animais , Gatos , Cães , Frequência Cardíaca , Hemodinâmica
6.
Vet J ; 264: 105536, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33012443

RESUMO

The aim of this study was to investigate the analgesic efficacy of a preoperative acupuncture treatment in 24 client-owned dogs undergoing thoracolumbar hemilaminectomy. Dogs were randomly assigned to either group A (Acupuncture) or group C (Control). Before skin incision, group A was treated with acupuncture, performed under general anaesthesia for 30 min. Rescue intraoperative fentanyl was administered following a 20% increase in cardiovascular parameters compared to baseline values, measured before incision. An observer masked to the treatment assessed pain, pre- and postoperatively, with the Glasgow (GCPS), the Colorado (CPS) pain scales and a Visual Analogue Scale (VAS); additionally, the mechanical thresholds (MT) were measured with the Electronic von Frey Anaesthesiometer (EVF) at four points located near the herniated disc. The groups were compared with respect to intraoperative cardiovascular and respiratory variables, rescue fentanyl administered in total and at different surgical events (first incision [FI], drilling [DR], disc removal [RE] and skin suturing [ST]), and pre- and postoperative pain scores and MT. Group A received less fentanyl than group C (P = 0.014); this difference was significant at FI P = 0.035) and RE (P = 0.004). The improvement in postoperative CPS score (P = 0.013), VAS score (P = 0.003) and MT (P = 0.001) compared to preoperative values was greater for group A than for group C, whereas the treatment assignment had no effect on postoperative changes in GCPS compared to baseline. Pre-operative acupuncture may help improving perioperative analgesia in dogs with intervertebral disc herniation undergoing thoracolumbar hemilaminectomy.


Assuntos
Terapia por Acupuntura/veterinária , Analgesia/veterinária , Doenças do Cão/cirurgia , Deslocamento do Disco Intervertebral/veterinária , Laminectomia/veterinária , Dor/veterinária , Analgesia/métodos , Analgésicos Opioides/administração & dosagem , Animais , Cães , Fentanila/administração & dosagem , Deslocamento do Disco Intervertebral/fisiopatologia , Deslocamento do Disco Intervertebral/cirurgia , Laminectomia/métodos , Vértebras Lombares/cirurgia , Dor/fisiopatologia , Dor/prevenção & controle , Medição da Dor/veterinária , Dor Pós-Operatória/prevenção & controle , Dor Pós-Operatória/veterinária , Vértebras Torácicas/cirurgia
7.
Schweiz Arch Tierheilkd ; 159(12): 657-662, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29208583

RESUMO

INTRODUCTION: Four captive reindeer underwent anaesthesia to allow dehorning or drainage of lymph nodes abscessation. Premedication was based on xylazine (dose range: 0.075- 0.5 mg/kg, IM or IV), with or without ketamine (dose range: 1-2 mg/kg, IM or IV), all of which failed to produce effective sedation without side effects. During anaesthesia, 2 reindeer experienced severe hypoxaemia and hypoventilation. Recovery was smooth in 3 out 4 animals, but delayed in one reindeer sedated with 0.5 mg/kg of xylazine IV; this patient required repeated atipamezole administrations (0.01 mg/kg IM given 3 times) to regain normal locomotion. Anaesthesia of reindeer is challenging and useful dose ranges for safe and effective anaesthesia are mostly unknown.


INTRODUCTION: Quatre rennes détenus en captivité ont été anesthésiés pour procéder à un écornage et pour le drainage d'un ganglion lymphatique abcédé. Une prémédication à base de xylazine (dosage allant de 0.075 à 0.5 mg/kg, IM ou IV), seule ou en combinaison avec de la kétamine (dosage de 1 à 2 mg/kg, IM ou IV), n'a pas conduit, dans différents dosages et voies d'application, à une sédation satisfaisante et indemne d'effets secondaires. L'induction de la narcose avec de la kétamine par voie intraveineuse suivie d'une intubation endotrachéale s'est faite sans problème. Durant la narcose, deux animaux ont montré une grave hypoxémie et une hypoventilation. Trois des quatre rennes ont présenté une phase de réveil satisfaisante et calme. Chez le quatrième animal, qui avait été prémédiqué avec de la xylazine par voie intraveineuse (0.5 mg/kg), la phase de réveil a été prolongé et une application répétée d'atipamezol (trois fois 0.01mg/kg IM) a été nécessaire jusqu'à ce qu'il puisse de nouveau marcher normalement. La narcose des rennes représente un défi particulier car le dosage sûr et efficace des anesthésiques et trop peu connu.


Assuntos
Anestesia/veterinária , Rena , Anestesia/efeitos adversos , Anestesia/métodos , Anestésicos/administração & dosagem , Anestésicos/efeitos adversos , Animais , Cornos/cirurgia , Ketamina/administração & dosagem , Ketamina/efeitos adversos , Masculino , Xilazina/administração & dosagem , Xilazina/efeitos adversos
8.
Vet J ; 209: 163-8, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26831174

RESUMO

The aim of this blinded, randomised, prospective clinical trial was to determine whether the addition of magnesium sulphate to spinally-administered ropivacaine would improve peri-operative analgesia without impairing motor function in dogs undergoing orthopaedic surgery. Twenty client-owned dogs undergoing tibial plateau levelling osteotomy were randomly assigned to one of two treatment groups: group C (control, receiving hyperbaric ropivacaine by the spinal route) or group M (magnesium, receiving a hyperbaric combination of magnesium sulphate and ropivacaine by the spinal route). During surgery, changes in physiological variables above baseline were used to evaluate nociception. Arterial blood was collected before and after spinal injection, at four time points, to monitor plasma magnesium concentrations. Post-operatively, pain was assessed with a modified Sammarco pain score, a Glasgow pain scale and a visual analogue scale, while motor function was evaluated with a modified Tarlov scale. Assessments were performed at recovery and 1, 2 and 3 h thereafter. Fentanyl and buprenorphine were administered as rescue analgesics in the intra- and post-operative periods, respectively. Plasma magnesium concentrations did not increase after spinal injection compared to baseline. Group M required less intra-operative fentanyl, had lower Glasgow pain scores and experienced analgesia of longer duration than group C (527.0 ± 341.0 min vs. 176.0 ± 109.0 min). However, in group M the motor block was significantly longer, which limits the usefulness of magnesium for spinal analgesia at the investigated dose. Further research is needed to determine a clinically effective dose with shorter duration of motor block for magnesium used as an additive to spinal analgesic agents.


Assuntos
Analgesia/veterinária , Analgésicos/administração & dosagem , Cães/cirurgia , Sulfato de Magnésio/administração & dosagem , Osteotomia/veterinária , Amidas/administração & dosagem , Analgésicos Opioides/administração & dosagem , Anestésicos Locais/administração & dosagem , Animais , Buprenorfina/administração & dosagem , Fentanila/administração & dosagem , Medição da Dor/veterinária , Dor Pós-Operatória/veterinária , Estudos Prospectivos , Ropivacaina
9.
Lab Anim ; 49(4): 319-26, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25673664

RESUMO

The objective of the present study was to evaluate the efficacy and the safety of etomidate anaesthesia by immersion technique in Bombina orientalis. The study comprised two phases. The first phase was carried out to identify the etomidate concentration capable of producing anaesthetic induction, as well as surgical anaesthesia, in the toads. The second phase was aimed at testing that concentration in eight additional animals. Etomidate administered via immersion at a concentration of 37.5 mg/L produced effective anaesthesia in oriental fire-bellied toads. The average duration of surgical anaesthesia was 20 min. All the toads enrolled in the study survived the anaesthesia and long-term complications did not occur. However, undesired side-effects, namely itching, myoclonus and prolonged recovery, were noticed during the perianaesthetic period. The authors concluded that etomidate anaesthesia by immersion, at a concentration of 37.5 mg/L, is suitable in oriental fire-bellied toads and produces anaesthesia of a depth and duration that is sufficient to allow the completion of various experimental procedures, without resulting in lethal complications. However, the occurrence of undesired side-effects opens a debate on the safety of this anaesthetic technique, and imposes the need for further investigation prior to proposing the latter for routine laboratory practice.


Assuntos
Anestesia/métodos , Anuros/fisiologia , Etomidato/administração & dosagem , Imersão , Anestésicos/administração & dosagem , Animais , Relação Dose-Resposta a Droga , Imersão/efeitos adversos
10.
Schweiz Arch Tierheilkd ; 155(10): 569-72, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24091232

RESUMO

Two healthy dogs were anaesthetized to undergo elective orthopaedic procedures. After premedication with methadone and acepromazine, general anaesthesia was induced with midazolam and S-ketamine. Immediately after anaesthetic induction, seizures occurred in both dogs. In the first dog the syndrome was characterized by tonic and clonic motor activity, muscular hypertone, hypersalivation, urination, defecation and hyperthermia. In the second dog muscular twitches of the temporal and masseter regions were observed, followed by increased skeletal muscles tone, hypersalivation, spontaneous urination and increase in body temperature. Recoveries from anaesthesia were uneventful and no seizures were observed. Considering the temporal association between anaesthetic induction and occurrence of seizures, and the fact that other causative factors could not be identified, it is hypothesized that S-ketamine played a role in determining the convulsive phenomena observed in these patients. S-ketamine might carry the potential for inducing seizures in otherwise healthy dogs, despite the concomitant use of GABA-ergic drugs.


Assuntos
Anestésicos Dissociativos/efeitos adversos , Doenças do Cão/induzido quimicamente , Ketamina/efeitos adversos , Convulsões/veterinária , Acepromazina , Analgésicos Opioides , Anestesia Geral/veterinária , Animais , Anticonvulsivantes/administração & dosagem , Diazepam/administração & dosagem , Doenças do Cão/tratamento farmacológico , Cães , Feminino , Moduladores GABAérgicos , Hipnóticos e Sedativos , Metadona , Midazolam , Procedimentos Ortopédicos/veterinária , Medicação Pré-Anestésica/veterinária , Convulsões/induzido quimicamente , Convulsões/tratamento farmacológico
11.
Schweiz Arch Tierheilkd ; 155(8): 471-6, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23919974

RESUMO

In 8 captive adult chimpanzees of various ages premedicated with oral zuclopenthixol anaesthesia was induced intramuscularly with a combination of medetomidine and ketamine (40 or 50 µg/kg and 5 mg/kg, IM, respectively), with and without midazolam (0.05 mg/kg), and maintained with isoflurane in oxygen. At the end of the procedure, sedation was reversed with atipamezole (0.25 mg/kg, IM) and sarmazenil (0.005 mg/kg, IM) when midazolam had been administered. Oral zuclopenthixol resulted in tranquillization of the whole group and only one animal required a second dart injection to achieve adequately deep anaesthesia. Effective and reliable anaesthesia was achieved in all apes; the depth of hypnosis was stable and sudden arousal did not occur. Physiological parameters remained within normal ranges in the majority of the animals; however, manageable anaesthesia-related complications, namely apnoea after darting, hypotension, hypoventilation, hypoxemia and prolonged recovery, occurred in 6 out of 8 animals. The use of monitoring devices was essential to guarantee adequate management of these complications.


Huit chimpanzés adultes d'un zoo, d'âges différents, ont été anesthésiés, après prémédication orale au zuclopenthixol, avec une combinaison de médétomidine (40 ou 50 µg/kg, IM) et de kétamine (5 mg/kg, IM), avec ou sans ajout de midazolam. La narcose a ensuite été poursuivie par administration d'isoflurane/oxygène. A la fin de l'anesthésie, la sédation a été antagonisée avec de l'atipamézol (0.25 mg/kg, IM) et, lorsqu'on avait utilisé du midazolam, avec en outre du sarmazenil (0.005 mg/kg, IM). L'administration orale de zuclopenthixol amenait une tranquillisation du groupe entier et seul un animal a nécessité une seconde injection par sarbacane pour atteindre une profondeur de narcose suffisante. La profondeur de narcose était constante et on a constaté aucun réveil soudain. La majorité des animaux présentaient des paramètres physiologiques dans les normes mais il s'est produit diverses complications d'anesthésie, comme arrêt respiratoire peu après la télé-injection, hypotension, hypoventilation, hypoxie et réveil retardé chez 6 des 8 animaux. Les outils de surveillance utilisés s'avèrent essentiels pour une gestion adaptée des complications qui peuvent se produire.


Assuntos
Anestesia/veterinária , Anestésicos Combinados , Pan troglodytes/fisiologia , Medicação Pré-Anestésica/veterinária , Período de Recuperação da Anestesia , Anestésicos Dissociativos , Anestésicos Inalatórios , Anestésicos Intravenosos , Animais , Antipsicóticos , Gasometria/veterinária , Clopentixol , Hipnóticos e Sedativos , Isoflurano , Ketamina , Medetomidina , Midazolam
12.
Vet Rec ; 171(8): 196, 2012 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-22865114

RESUMO

Twenty great apes (six orangutans, eight chimpanzees and six gorillas) were anaesthetised prior to being transported for undergoing diagnostic and interventional procedures. Anaesthesia was induced with a combination of medetomidine and ketamine administered intramuscularly through a dart syringe. The onset of anaesthesia varied among apes: the mean (±sd) time from darting to recumbency was 12.13 (±1.9), 18.5 (±8.7) and 22.2 (±9.2) minutes in chimpanzees, orangutans and gorillas, respectively. The depth of anaesthesia was sufficient to allow safe removal of the animals from the enclosure, intravenous catheter placement and manipulation; however, the anaesthetic effect was short-acting (20 (±7) minutes in orangutans, 16 (±14) in gorillas, and 10 (±4) minutes in chimpanzees, respectively) and isoflurane administration was necessary in the majority of the apes to prolong the duration of anaesthesia, especially when lengthier procedures were performed. The sedative effect of medetomidine was reversed at the end of each procedure with atipamezole, and recovery was smooth and uneventful for all animals.


Assuntos
Anestesia/veterinária , Hominidae/fisiologia , Ketamina/administração & dosagem , Medetomidina/administração & dosagem , Anestesia/métodos , Período de Recuperação da Anestesia , Anestésicos Inalatórios/administração & dosagem , Animais , Feminino , Gorilla gorilla/fisiologia , Injeções Intramusculares/veterinária , Isoflurano/administração & dosagem , Masculino , Pan troglodytes/fisiologia , Pongo/fisiologia , Fatores de Tempo
13.
Vet J ; 194(2): 229-34, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22658249

RESUMO

The purpose of this study was to compare four epidural protocols for peri-operative analgesia in dogs undergoing tibial plateau levelling osteotomy. Forty client-owned dogs were randomly assigned to one of four treatments - groups R0.5 and R1 received 0.5mg/kg and 1mg/kg ropivacaine, respectively. Group SR0.5 received 1 µg/kg sufentanil plus 0.5mg/kg ropivacaine, and group SER0.5 received 1 µg/kg sufentanil, 0.5mg/kg ropivacaine plus 6 µg/kg epinephrine. Dilution, when required, was performed with saline, so that the injected volume was always 0.2 mL/kg. Intra-operatively, nociception assessment was based on the evaluation of changes in heart rate, respiratory rate and mean arterial pressure. Post-operative pain assessment was performed using the Glasgow visual analogue pain scale, and an ad hoc multifactorial pain score. Motor block was evaluated using a modified Bromage score. Intra-operatively, none of the animals was hypotensive. All groups except SER0.5 required rescue intra-operative fentanyl (40%, 30% and 40% of the animals in groups R0.5, R1 and SR0.5, respectively). Group SER0.5 showed lower post-operative pain scores, and group R1 significantly greater motor block, compared to the other treatment groups. None of the dogs had urinary retention. Epidural sufentanil-epinephrine-ropivacaine provided superior peri-operative analgesia compared to the other treatments, without producing clinically relevant side effects.


Assuntos
Amidas/administração & dosagem , Analgesia Epidural/veterinária , Epinefrina/administração & dosagem , Osteotomia/veterinária , Sufentanil/administração & dosagem , Tíbia/cirurgia , Analgesia Epidural/efeitos adversos , Analgesia Epidural/métodos , Anestesia/veterinária , Animais , Cães , Cuidados Intraoperatórios/veterinária , Isoflurano , Medição da Dor , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/veterinária , Ropivacaina
14.
Schweiz Arch Tierheilkd ; 154(3): 105-11, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22378051

RESUMO

Eighteen client-owned dogs undergoing Tibial Plateau Leveling Osteotomy (TPLO) were included in this blinded clinical study and randomly assigned to one of two treatment groups. Group C (carprofen) received intravenous (IV) carprofen, 4 mg/kg, prior to anesthesia, whereas group P (placebo) received IV saline. General anesthesia was maintained with isoflurane in oxygen and a constant rate infusion (CRI) of sufentanyl IV. Intra-operatively, assessment of nociception was based on changes in physiological parameters and on the analgesics requirement, whereas in the post-operative period evaluation of pain was performed by using a Hellyer and Gaynor pain score and by comparing the doses of rescue buprenorphine required by the two treatment groups. Although no statistically significant differences in intra-operative sufentanyl doses were found between treatment groups, group C had superior cardiovascular stability, and lower post-operative pain scores and rescue buprenorphine doses than group P. Our results indicate that administration of carprofen prior to surgery was effective in improving peri-operative analgesia in dogs undergoing TPLO.


Assuntos
Analgesia/veterinária , Anti-Inflamatórios não Esteroides/administração & dosagem , Carbazóis/administração & dosagem , Cães/fisiologia , Cães/cirurgia , Osteotomia/veterinária , Analgesia/métodos , Animais , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior , Pressão Sanguínea/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Osteotomia/métodos , Dor Pós-Operatória/prevenção & controle , Dor Pós-Operatória/veterinária , Assistência Perioperatória/veterinária , Ruptura/cirurgia , Ruptura/veterinária , Tíbia/cirurgia
15.
J Helminthol ; 86(4): 440-5, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22114910

RESUMO

The objectives of this study were to evaluate the contamination by eggs of Toxocara in sandy areas or grass lawns of outdoor recreation areas that are used by children, and the frequency of seroprevalence in children, from three cities of fewer than 45,000 inhabitants in Paraná, Brazil. From May 2005 to December 2007, five samples were taken from each of 13 sandy sites and 18 grass lawns, all from plazas and public schools. Blood samples from children aged 0-12 years were analysed by immunoassay for anti-Toxocara IgG. The soil samples were processed by floatation and sedimentation. Eggs of Toxocara spp. were present in 44.7% (38/85) of the samples from grassed areas and in 21.4% (15/70) of the sand samples. The lawns were 2.16 times more contaminated than the sand (P = 0.0009). However, the epidemiological variables showed no statistically significant difference between seropositive (36.8%; 130/353), and seronegative children. The rate of seropositivity was higher in children aged 0-5 years (P = 0.03), who were 1.94 times more likely to develop persistent wheezing (P = 0.02).


Assuntos
Anticorpos Anti-Helmínticos/sangue , Solo/parasitologia , Toxascaríase/epidemiologia , Toxocara/imunologia , Toxocara/isolamento & purificação , Animais , Brasil/epidemiologia , Criança , Pré-Escolar , Humanos , Imunoglobulina G/sangue , Lactente , Recém-Nascido , Masculino , Estudos Soroepidemiológicos , População Urbana
16.
Schweiz Arch Tierheilkd ; 153(2): 86-8, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21274835

RESUMO

A goat was scheduled for experimental surgery under general anesthesia. The first attempt of performing endotracheal intubation failed and provoked laryngeal spasm. After repeated succesful intubation of inhalation anesthesia was delivered in high concentrations of sevoflurane. Suddenly hypertension and tachycardia were observed, followed by foamy airway secretion and then severe airway hemorrhage. The authors hypothesize that laryngeal spasm provoked respiratory distress and pulmonary edema. The delivered high concentrations of sevoflurane probably enhanced a hyperadrenergic response, predisposing to the development of airway hemorrhage.


Assuntos
Máscaras Laríngeas , Edema Pulmonar , Anestesia por Inalação , Anestésicos Inalatórios , Animais , Cabras , Intubação Intratraqueal
17.
Nature ; 451(7178): 541-4, 2008 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-18235494

RESUMO

Observations of distant supernovae indicate that the Universe is now in a phase of accelerated expansion the physical cause of which is a mystery. Formally, this requires the inclusion of a term acting as a negative pressure in the equations of cosmic expansion, accounting for about 75 per cent of the total energy density in the Universe. The simplest option for this 'dark energy' corresponds to a 'cosmological constant', perhaps related to the quantum vacuum energy. Physically viable alternatives invoke either the presence of a scalar field with an evolving equation of state, or extensions of general relativity involving higher-order curvature terms or extra dimensions. Although they produce similar expansion rates, different models predict measurable differences in the growth rate of large-scale structure with cosmic time. A fingerprint of this growth is provided by coherent galaxy motions, which introduce a radial anisotropy in the clustering pattern reconstructed by galaxy redshift surveys. Here we report a measurement of this effect at a redshift of 0.8. Using a new survey of more than 10,000 faint galaxies, we measure the anisotropy parameter beta = 0.70 +/- 0.26, which corresponds to a growth rate of structure at that time of f = 0.91 +/- 0.36. This is consistent with the standard cosmological-constant model with low matter density and flat geometry, although the error bars are still too large to distinguish among alternative origins for the accelerated expansion. The correct origin could be determined with a further factor-of-ten increase in the sampled volume at similar redshift.

20.
Radiat Prot Dosimetry ; 124(1): 31-4, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17595209

RESUMO

For two different in vivo exposure setups body-mounted antenna systems have been designed. The first setup is designed for investigation of volunteers during simulated mobile phone usage. The setup consists of a dual-band antenna for GSM/WCDMA with enhanced carrying properties, which enables exposure for at least 8 h a day. The 10 g averaged localised SAR--normalised to an antenna input power of 1 W--measured in the flat phantom area of the SAM phantom amounts to 7.82 mW g(-1) (900 MHz) and 10.98 mW g(-1) (1966 MHz). The second exposure setup is used for a laboratory behavioural study on rats. The design goal was a localised, well-defined SAR distribution inside the animals' heads at 900 MHz. To fulfil the biological requirements, a loop antenna was developed. For tissues around the ears, a localised SAR value of 50.12 W kg(-1) averaged over a mass of 2.2 g for an antenna input power of 1 W is obtained.


Assuntos
Telefone Celular , Cabeça/efeitos da radiação , Modelos Biológicos , Radiometria/métodos , Animais , Carga Corporal (Radioterapia) , Simulação por Computador , Imagens de Fantasmas , Doses de Radiação , Radiometria/instrumentação , Ratos , Voluntários
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