CARDIORESPIRATORY EFFECTS OF DEXMEDETOMIDINE ALONE AND ASSOCIATED TO MORPHINE AS PREMEDICANTS IN HEALTHY BITCHES UNDERGOING OVARIOHISTERECTOMY

Authors

  • Aline Bossa Perotto Discentes do Programa de Pós-Graduação em Residência Veterinária, Universidade Federal de Mato Grosso (UFMT), Campus Cuiabá, Mato Grosso, Brasil.
  • Fernanda Silva Pereira Discentes do Programa de Pós-Graduação em Residência Veterinária, Universidade Federal de Mato Grosso (UFMT), Campus Cuiabá, Mato Grosso, Brasil.
  • Fábio Dumit Pizzinatto Discentes do Programa de Pós-Graduação em Ciências Veterinárias, UFMT, Campus Cuiabá, Mato Grosso, Brasil. https://orcid.org/0000-0002-8234-8590
  • Dábila Araújo Sônego Discentes do Programa de Pós-Graduação em Ciências Veterinárias, UFMT, Campus Cuiabá, Mato Grosso, Brasil. https://orcid.org/0000-0003-4207-8853
  • Andresa de Cássia Martini Professora Doutora, Centro Universitário de Mineiros (UNIFIMES), Campus Mineiros – Mineiros/GO. https://orcid.org/0000-0002-2553-3685
  • Lianna Ghisi Gomes Docentes da Faculdade de Medicina Veterinária (FAVET), UFMT, Campus Cuiabá, Mato Grosso, Brasil. https://orcid.org/0000-0003-0909-2426
  • Alexandre Pinto Ribeiro Docentes da Faculdade de Medicina Veterinária (FAVET), UFMT, Campus Cuiabá, Mato Grosso, Brasil. https://orcid.org/0000-0002-8922-2886
  • Luciana Dambrósio Guimarães Docentes da Faculdade de Medicina Veterinária (FAVET), UFMT, Campus Cuiabá, Mato Grosso, Brasil. https://orcid.org/0000-0001-6447-2718

DOI:

https://doi.org/10.35172/rvz.2022.v29.632

Keywords:

dogs, α-2-agonist, opioids, analgesia

Abstract

This study aimed to evaluate the cardiorespiratory effects of dexmedetomidine alone and associated with morphine. Twenty healthy dogs were selected from physical and laboratory exams. The animals were randomly distributed into two groups: 10 µg/Kg dexmedetomidine (DG) and 10 µg/Kg dexmedetomidine group associated with 0.3 mg/Kg morphine (GDM), administered intramuscularly (IM). The patients were induced with propofol (to effect) and maintained with isoflurane diluted in 100% oxygen and administered through a calibrated vaporizer. Physiological parameters were measured: heart rate (HR), respiratory rate (f), body temperature (T°C), systolic arterial pressure (SAP), diastolic arterial pressure (DAP) and mean arterial pressure (MAP), oxygen saturation of hemoglobin (SpO2), end-tidal carbon dioxide partial pressure (ETCO2) and end-tidal isoflurane concentration (ETISO). Arterial blood gas analysis was used to analyze hydrogen potential (pH), bicarbonate (HCO3-) and partial pressure of carbon dioxide (PaCO2). The surgical procedure lasted up to 45 minutes. The parameters showed a statistical difference between the times and groups evaluated, according to the Tukey and Bonferroni tests (p<0.05). Bradycardia was observed 30 minutes after the application of pre-anesthesic medication and acidemia in the trans-anesthetic period. Despite this, both dexmedetomidine alone and associated, provided good hemodynamic and respiratory stability, despite the bradycardia and acidemia observed.

References

Malm C, Savassi-Rocha RP, Gheller AV, Oliveira PH, Lamounie RA, Foltynek V. Ovariohisterectomia: estudo experimental comparativo entre as abordagens laparoscópica e aberta na espécie canina – III. Estresse pela análise do cortisol plasmático [Ovariohysterectomy: experimental and comparative study between laparoscopic and conventional approaches- III. Stress by plasmatic cortisol analysis]. Arquivo Brasileiro de Medicina e Zootecnia [Internet]. 2005 Oct. [cited 2021 Apr 28];57(5):584-590. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352005000500003. Portuguese. DOI: https://doi.org/10.1590/S0102-09352005000500003

Mathews KA. Pain assessment and general approach to management. Veterinary Clinics North America: Small Animal Practice [Internet]. 2000 July. [cited 2021 Apr 28];30(4):729-755. Available from: https://doi.org/10.1016/S0195-5616(08)70004-4. DOI: https://doi.org/10.1016/S0195-5616(08)70004-4

Blanco EG, Mora JMV, Camarillo JAI, Arceo CHS, González MEB, Arcique CMA, Cano GM, Steagall PV. Postoperative analgesic effects of either a constant rate infusion of fentanyl, lidocaine, ketamine, dexmedetomidine, or the combination lidocaine-ketamine-dexmedetomidine after ovariohysterectomy in dogs. Veterinary Anaesthesia and Analgesia [Internet]. 2015 May. [cited 2021 Apr 29];42:(3)309-318. Available from: https://doi.org/10.1111/vaa.12215. DOI: https://doi.org/10.1111/vaa.12215

Heidrich JE, Kent G. Use of analgesia after surgery in animals. Journal of American Veterinary Medical Association. 1985 [cited 2021 Apr 29];187(5):513-514.

Lascelles D, Waterman A. Analgesia in cats. In Practice. [Internet]. 1997 Apr. [cited 2021 Apr 29];19(4):203-213. Available from: https://doi.org/10.1136/inpract.19.4.203. DOI: https://doi.org/10.1136/inpract.19.4.203

Gorniak SL Hipnoanalgésicos e neuroleptoanalgesia. In: Spinosa V, Gorniak SL, Bernardi MM (Eds). Farmacologia aplicada à Medicina Veterinária. 4th ed. Rio de janeiro: Guanabara Koogan; 1996. p. 142-143. Portuguese.

Kukanich B, Wiese AJ. Opioides. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA. (Eds). Lumb & Jones - Anestesiologia e Analgesia em Veterinária. 5th ed. Rio de Janeiro: Rocca; 2017. p. 205-209. Portuguese.

Troncy E, Junot S, Keroack S, Sammut V, Genevois JP, Cuvelliez S. Results of preemptive epidural administration of morphine with or whithout bupivacaine in dogs and cats undergoing surgery: 265 cases (1997-1999). Journal of the American Veterinay Medical Association [Internet]. 2002 Sep. [cited 2021 Apr 28];221(8):1149. Available from: https://doi.org/10.2460/javma.2002.221.666. DOI: https://doi.org/10.2460/javma.2002.221.666

Wagner AE, Dunlop CI, Turner AS. Experiences with morphine injected into the subarachnoid space in sheep. Veterinary Anesthesia [Internet]. 1996 May-Jun. [cited 2021 Apr 28]25(3):256-260. Available from: https://doi.org/10.1111/j.1532-950X.1996.tb01410.x. DOI: https://doi.org/10.1111/j.1532-950X.1996.tb01410.x

Haskins SC. Monitoramento de Pacientes Anestesiados. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA. (Eds). Lumb & Jones - Anestesiologia e Analgesia em Veterinária. 5th ed. Rio de Janeiro: Rocca; 2017. p. 82-104. Portuguese.

Kamibayashi T, Maze M. Uses of a α-2-adrenegic agonists. Anesthesiology [Internet]. 2000 Nov. [cited 2021 Apr 28];93(5):1345-1349. Available from: https://doi.org/10.1097/00000542-200011000-00030. DOI: https://doi.org/10.1097/00000542-200011000-00030

Yuen VMY. Dexmedetomidine: peri operative applications in children. Pediatric Anesthesia [Internet]. 2010 Feb. [cited 2021 Apr 28];20(3):256-264. Available from: https://doi.org/10.1111/j.1460-9592.2009.03207.x. DOI: https://doi.org/10.1111/j.1460-9592.2009.03207.x

Spaulaling TC, Fielding S, Venafra JJ, Lal H. Antinociceptive activity of clonidine and its potention of morfine analgesia. European Journal of Pharmacology [Internet]. 1979 Sep. [cited 2021 Apr 27];58(1):19-25. Available from: https://doi.org/10.1016/0014-2999(79)90335-2. DOI: https://doi.org/10.1016/0014-2999(79)90335-2

Cardoso CG, Marques DRC, Silva THM, Mattos-Junior E. Cardiorespiratory, sedative and antinociceptive effects of dexmedetomidine alone or in combination with methadone, morphine or tramadol in dogs. Veterinary Anaesthesia and Analgesia [Internet]. 2014 Nov. [cited 2021 Apr 28];41(6): 636-643. Available from: https://doi.org/10.1111/vaa.12172. DOI: https://doi.org/10.1111/vaa.12172

Costa TAF, Mascarenhas LC, Filho WCA, Sônego DA, Campos GMD, Flores FN, Guimarães DL. Avaliação dos efeitos cardiorrespiratórios da dexmedetomidia isolada e associada à morfina em cadelas submetidas à ovariossalpingohisterectomia eletiva sob anestesia geral inalatória [Evaluation of Cardiorespiratory Effects of Dexmedetomidine Isolated and Associated With Morphine in Bitches Submitted to Elective Ovariossalpingohisterectomy under General Inhalation Anesthesia]. Acta Scientinae Veterinarie [Internet]. 2018 Mar. [cited 2021 Apr 28];46:1585. Available from: . Portuguese. DOI: https://doi.org/10.22456/1679-9216.84207

Rankin DC. Sedativos e Tranquilizantes In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA. (Eds). Lumb & Jones - Anestesiologia e Analgesia em Veterinária. 5th ed. Rio de Janeiro: Rocca; 2017. p. 191-195. Portuguese.

Aantaa R, Kallio A, Vitanen R. Dexmedetomidine, a novel α-2-adrenergic agonist. A review of its pharmacodynamic charecteristics. Drugs of the Future. 1993 [cited 2021 Apr 29]; 18(1):49-56. DOI: https://doi.org/10.1358/dof.1993.018.01.198548

Hoka S, Yamaura K, Takenaka T, Takahashi S. Propofol induced increase in vascula capacitance is due to inhibition of sympathetic vasoconstrictive activity. The Journal of the American Society of Anesthesiologist. [Internet] 1998 Dec. [cited 2021 Apr 28];89:1495-1500. Available from: https://doi.org/10.1097/00000542-199812000-00028. DOI: https://doi.org/10.1097/00000542-199812000-00028

Kallio A, Scheinnin M, Koulo M, Ponkilain R, Ruskoaho H, Viinamaki O, Scheinin H. Effects of dexmedetomidine, a selective a alfa-2-adrenoreceptor agonist: on hemodynamic control mechanisms. Clinical Pharmacology & Therapeutics. [Internet] 1989 Jul. [cited 2021 Apr 28];46(1):33-42. Available from: https://doi.org/10.1038/clpt.1989.103. DOI: https://doi.org/10.1038/clpt.1989.103

Groeben H, Mitzner W, Brown RH. Effects of the alpha-2 adrenoceptor agonist dexmedetomidine on bronchoconstriction dogs. Anesthesiology. [Internet] 2004 Feb. [cited 2021 Apr 29];100:359-363. Available from: https://doi.org/10.1097/00000542-200402000-00026. DOI: https://doi.org/10.1097/00000542-200402000-00026

Jezler S, Holanda MA, José A, Franca S. Ventilação mecânica na doença pulmonar obstrutiva crônica (DPOC) descompensada. Journal Brasileiro de Pneumologia. [Internet] 2007 Jul. [cited 2021 Apr 29];33(2):111-118. Available from: https://doi.org/10.1590/S1806-37132007000800006. Portuguese. DOI: https://doi.org/10.1590/S1806-37132007000800006

Grimm KA. Termorregulação Peroperatória e Equilibrio Térmico. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA. (Eds). Lumb & Jones - Anestesiologia e Analgesia em Veterinária. 5th ed. Rio de Janeiro: Rocca; 2017. p. 367. Portuguese.

Fantoni D, Garofalo NA. Fármacos analgésicos opioides. In: Tratamento da dor na clínica de pequenos animais. Rio de Janeiro: Elsevier; 2012. p. 538. Portuguese.

Published

2022-06-28

How to Cite

1.
Bossa Perotto A, Silva Pereira F, Dumit Pizzinatto F, Araújo Sônego D, de Cássia Martini A, Gomes LG, Pinto Ribeiro A, Dambrósio Guimarães L. CARDIORESPIRATORY EFFECTS OF DEXMEDETOMIDINE ALONE AND ASSOCIATED TO MORPHINE AS PREMEDICANTS IN HEALTHY BITCHES UNDERGOING OVARIOHISTERECTOMY. RVZ [Internet]. 2022 Jun. 28 [cited 2024 Jul. 3];29:1-10. Available from: https://rvz.emnuvens.com.br/rvz/article/view/632

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