Continuous infusion of two doses of fentanyl associated with lidocaine and ketamine for female dogs anesthetized with sevoflurane and undergoing elective ovaryohysterectomy

Authors

  • Samuel Monzem Universidade Federal de Mato Grosso - Faculdade de Medicina Veterinária
  • Lianna Ghisi Gomes Universidade Federal de Mato Grosso - Faculdade de Medicina Veterinária
  • Andresa de Cássia Martini, Dr Universidade Federal de Mato Grosso - Faculdade de Medicina Veterinária
  • Dábila Araújo Sonegô Universidade Federal de Mato Grosso - Faculdade de Medicina Veterinária
  • Daiana Cristina Winter Universidade Federal de Mato Grosso - Faculdade de Medicina Veterinária
  • Paulo Roberto Spiller Complexo Veterinário da Universidade Federal de Roraima (CVET-UFRR)
  • Luciana Dambrósio Guimarães Universidade Federal de Mato Grosso - Faculdade de Medicina Veterinária

DOI:

https://doi.org/10.35172/rvz.2019.v26.191

Keywords:

antagonist NMDA, dog, local anesthesic, opioide.

Abstract

The aim of this study was to evaluate the cardiorespiratory effects of two doses of fentanyl associated with lidocaine and ketamine in canine females anesthetized with sevoflurane and submitted to elective ovariohysterectomy. 18 animals were randomly assigned to two groups. Group A (GA) animals received a loading dose intravenously of fentanyl 0.0018 mg/kg and those of group B (GB) 0.0036 mg/kg, both associated with lidocaine 3 mg/kg and ketamine 0, 6 mg/kg. Immediately after the loading dose, induction with propofol was realized followed by continuous infusion (CI) of fentanyl at the dose of 0.0018 mg/kg/h for GA and 0.0036 mg/kg/h for GB, both associated to 3 and 0.6 mg/kg/h of lidocaine and ketamine. The anesthesia was maintained with sevoflurane diluted in 100% oxygen at 1.5% by a calibrated vaporizer that was adjusted for the maintenance of the surgical anesthetic plane. The animals were placed in dorsal decubitus position and remained under spontaneous ventilation. Was evaluated the baseline values ​​(T0), after induction (T1) and 5 (T5), 20 (T20) and 35 (T35) minutes of following parameters: heart rate (HR), respiratory rate (f), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean blood pressure (MAP), oxygen saturation in hemoglobin (SatO2), partial carbon dioxide (EtCO2) pressure and expired sevoflurane (EtSevo). Statistical analysis was performed through analysis of variance followed by the Scott-knott test. Differences were considered significant when P < 0.05. HR decreased after 20 minutes of CI and f, SBP, DBP and MAP decreased after anesthetic induction. These differences were not clinically relevant and the values ​​remained within the physiological limit. It can be concluded that the two doses of continuous infusion of fentanyl produced cardiovascular and respiratory stability, besides allowing the reduction of the sevoflurane requirement for elective ovariohysterectomy.

 

References

1. Murphy MR, Hug JC. The anesthetic potency of fentanyl in terms of its reduction of enflurane MAC. Anesthesiology. 1982;57(6):485-8. https://www.ncbi.nlm.nih.gov/pubmed/7149305
2. Lamont LA. Multimodal pain management in veterinary medicine: the physiologic basis of pharmacologic therapies. Veterinary Clinics of North America: Small Animal Practice. 2008;38(6):1173-86. doi: 10.1016/j.cvsm.2008.06.005.
3. Matsubara LM, Oliva VN, Gabas DT, Oliveira GC, Cassetari ML. Effect of lidocaine on the minimum alveolar concentration of sevoflurane in dogs. Veterinary anaesthesia and analgesia. 2009;36(5):407-13. doi: 10.1111/j.1467-2995.2009.00471.x.
4. Love L, Egger C, Rohrbach B, Cox S, Hobbs M, Doherty T. The effect of ketamine on the MACBAR of sevoflurane in dogs. Veterinary anaesthesia and analgesia. 2011;38(4):292-300. doi: 10.1111/j.1467-2995.2011.00616.x.
5. Reilly S, Seddighi R, Egger CM, Rohrbach BW, Doherty TJ, Qu W, et al. The effect of fentanyl on the end-tidal sevoflurane concentration needed to prevent motor movement in dogs. Veterinary anaesthesia and analgesia. 2013;40(3):290-6. doi: 10.1111/vaa.12013.
6. Aguado D, Benito J, de Segura IAG. Reduction of the minimum alveolar concentration of isoflurane in dogs using a constant rate of infusion of lidocaine–ketamine in combination with either morphine or fentanyl. The Veterinary Journal. 2011;189(1):63-6. doi: 10.1016/j.tvjl.2010.05.029.
7. Belmonte EA, Nunes N, Thiesen R, Lopes PCF, Costa PF, Barbosa VF, et al. Infusão contínua de morfina ou fentanil, associados à lidocaína e cetamina, em cães anestesiados com isofluorano. Arquivo Brasileiro de Medicina Veterinaria e Zootecnia 2013;65(4):1075-83. http://www.scielo.br/pdf/abmvz/v65n4/19.pdf
8. Yaksh TL, Noueihed RY, Durant P. Studies of the pharmacology and pathology of intrathecally administered 4-anilinopiperidine analogues and morphine in the rat and cat. Anesthesiology. 1986;64(1):54-66. https://www.ncbi.nlm.nih.gov/pubmed/2867722
9. Schmid RL, Sandler AN, Katz J. Use and efficacy of low-dose ketamine in the management of acute postoperative pain: a review of current techniques and outcomes. Pain. 1999;82(2):111-25. doi: 10.1016/S0304-3959(99)00044-5
10. Lauretti GR. Mecanismos envolvidos na analgesia da lidocaína por via venosa. Rev Bras Anestesiol. 2008;58(3):280-6. http://dx.doi.org/10.1590/S0034-70942008000300011.
11. Docquier M-A, Lavand’homme P, Ledermann C, Collet V, De Kock M. Can determining the minimum alveolar anesthetic concentration of volatile anesthetic be used as an objective tool to assess antinociception in animals? Anesthesia & Analgesia. 2003;97(4):1033-9. https://insights.ovid.com/pubmed?pmid=14500153
12. Kukanich B WA. Opiods. In: Grimm KA LL, Tranquilli WJ, Greene SA, Robertson SAA. , editor. Veterinary anesthesia and analgesia The fifth edition of Lumb and Jones. 5 ed: Wiley Blackwell; 2015. p. 207-26.
13. SC H. Monitoring anesthetized patients. In: Grimm KA LL, Tranquilli WJ, Greene SA, Robertson SAA, editor. Veterinary anesthesia and analgesia The fifth edition of Lumb and Jones. 5 ed: Wiley Blackwell. ; 2015. p. 83-113.

Published

2019-11-25

How to Cite

1.
Monzem S, Gomes LG, Martini A de C, Sonegô DA, Winter DC, Spiller PR, Guimarães LD. Continuous infusion of two doses of fentanyl associated with lidocaine and ketamine for female dogs anesthetized with sevoflurane and undergoing elective ovaryohysterectomy. RVZ [Internet]. 2019 Nov. 25 [cited 2024 Jul. 22];26:1-7. Available from: https://rvz.emnuvens.com.br/rvz/article/view/191

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