Comparative evaluation of propofol and ketamine total intravenous anaesthesia (TIVA) with dexmedetomidine and butorphanol in goats
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Keywords:
Anaesthesia, Butorphanol, Dexmedetomidine, Goats, Ketamine, Propofol.Abstract
The present study was aimed to compare clinicophysiological, and haemodynamic effects of propofol and ketamine anaesthesia with dexmedetomidine-butorphanol premedication. Prospective, randomized clinical trial, with owner consent was performed on sixteen clinical cases of urolithiasis in goats. After sedation with dexmedetomidine (2.5 μg/kg body wt) and butorphanol (0.05 mg/kg body wt), anaesthesia was induced and maintained with either propofol or ketamine. For maintenance, continuous intravenous infusion (CII) at variable rate was used with respective drug. Infusion rate was adjusted in response to positive reactions to surgical nociceptive stimulation performed during tube cystostomy procedure. Clinicophysiological, and haemodynamic parameters were measured before treatment (baseline), after sedation and during anaesthesia. One way repeated measure analysis was used to compare the mean values at different intervals in each group for non-parametric observations. Mann whitney U test was used to compare median score between groups at corresponding intervals. Compared to baseline, HR (heart rate) improved at 15 min and onwards but remained significantly (P=0.030) lower than the baseline value in both groups. MAP (mean arterial pressure) decreased significantly (P=0.022) up to the end of the observation period in DBP (dexmedetomidine + butorphanol+ propofol); however, in DBK (dexmedetomidine + butorphanol + ketamine) improvement in MAP was observed at 15 min and onwards with significantly (P=0.018) lower values at 15 and 20 min and a non-significantly (P=0.080) lower value at 30 min as compared to the baseline value. Both drug combinations are suitable to induce and maintain anaesthesia for one hour, with good haemodynamic stability and analgesia. However, DBP is related with excellent sedation and muscle relaxation.
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References
Adams H R, Taske R H and Merser H D. 1976. Anaesthetic antibiotic relationships. Journal of American Veterinary Medical Association 168: 409–12.
Adetunji A, Ajadi R A, Adewoye C O and Oyemakinde B O. 2002. Total intravenous anaesthesia with propofol: Repeat bolus versus continuous propofol infusion techniques in xylazine premedicated dogs. Journal of Israel Veterinary Medical Association 57: 139–44.
Ahmad R A, Amarpal, Kinjavdekar P, Aithal H P, Pawde A M and Kumar D. 2011. Effects of midazolam or midazolam-fentanyl on sedation and analgesia produced by intramuscular dexmedetomidine in dogs. Asian Journal of Animal Sciences 5: 302–16. DOI: https://doi.org/10.3923/ajas.2011.302.316
Amarpal, Kinjavdekar P, Aithal H P, Pawde A M and Pratap K. 2002. Analgesic sedative and haemodynamic effects of spinally administered romifidine in female goats. Journal of Veterinary Medicine. A, Physiology Pathology Clinical Medicine 49: 3– 8. DOI: https://doi.org/10.1046/j.1439-0442.2002.00385.x
Gepts E, Camu F and Cockshott I D. 1987. Disposition of propofol administered as constant rate infusion in human. Anaesthesia and Analgesia 66: 1256–63. DOI: https://doi.org/10.1213/00000539-198712000-00010
Goodman N W, Black A M S and Carter J A. 1987. Some ventilatory effects of propofol as sole anaesthetic agent. British Journal of Anaesthesia 59: 1497–1503. DOI: https://doi.org/10.1093/bja/59.12.1497
Hayashi Y, Sumikawa K, Maze M, Yamatodani A, Kamibayashi T, Kuro M and Yoshiya I. 1991. Dexmedetomidine prevents epinephrine induced arrhythmias through stimulation of central alpha-2-adrenoceptors in halothane-anesthetized dogs. Anaesthesiology 75: 113–17. DOI: https://doi.org/10.1097/00000542-199107000-00018
Hofer C K, Zollinger A, Büchi S, Klaghofer R, Serafino D, BuÈhlmann S, Buddeberg C, Pasch T and Saphn D R. 2003. Patient well-being after general anaesthesia: A prospective randomized controlled multi-centre trial comparing intravenous and inhalation anaesthesia. British Journal of Anaesthesia 91: 631–37. DOI: https://doi.org/10.1093/bja/aeg243
Ilkiw J E, Pascoe P J, Haskins S C and Patz J D. 1992. Cardiovascular and respiratory effects of propofol administration in hypovolemic dogs. American Journal of Veterinary Research 53: 2323–27.
Khattri S, Kinjavdekar P, Amarpal Aithal H P, Pawde A M, Kumar R and Singh J. 2013. Dexmedetomidine with butorphanol and propofol for total intravenous anaesthesia in uraemic buffalo calves. Advances in Animal and Veterinary Sciences 1: 15– 23.
Kim-Jiwan and Jang-In Ho. 1999. The effects of xylazine premedication on propofol anaesthesia in dogs. Korean Journal of Veterinary Clinical Medicine 16: 86–94.
Kinjavdekar P, Singh G R, Amarpal, Aithal H P and Pawde A M. 2000. Physiologic and biochemical effects of subarachnoidally administered xylazine and medetomidine in goats. Small Ruminant Research 38: 217–28. DOI: https://doi.org/10.1016/S0921-4488(00)00161-9
Kojima K, Nishimura R, Mutoh T, Hong S H, Mochizuki M and Sasaki N. 2002. Effects of medetomidine-midazolam acepromazine-butorphanol and midazolam-butorphanol on induction dose of thiopental and propofol and on cardiopulmonary changes in dogs. American Journal of Veterinary Research 63: 1671–79. DOI: https://doi.org/10.2460/ajvr.2002.63.1671
Kokkonen U M and Eriksson L. 1987. Cardiovascular and allied actions of xylazine and atropine in unanaesthetized goats. Journal of Veterinary Pharmacology and Therapeutics 10: 11– 16. DOI: https://doi.org/10.1111/j.1365-2885.1987.tb00070.x
Kumar R, Kinjavdekar P, Amarpal Aithal H P, Pawde A M, Kumar A, Singh J, Khattri S and Madhu D N. 2014. Clinicophysiological, haematobiochemical and haemodynamic effect of propofol and ketamine with dexmedetomidine in urolithic goats. Veterinary World 7: 566–73. DOI: https://doi.org/10.14202/vetworld.2014.566-573
Kuusela E, Raekallio M, Anttila M, Flack I, Mosla S and Vainio O. 2000. Clinical effects and pharmacokinetics of medetomidine and its enantiomers in dogs. Journal of Veterinary Pharmacology and Therapeutics 23: 15–20. DOI: https://doi.org/10.1046/j.1365-2885.2000.00245.x
Kuusela E, Vainio O, Short C E, Leppaluoto J, Huttunen P, Strom S, Huju V, Valtonen A and Raekallio M. 2003. A comparison of propofol infusion and propofol isoflurane anaesthesia in dexmedetomidine premedicated dogs. Journal of Veterinary Pharmacology and Therapeutics 26: 199–204. DOI: https://doi.org/10.1046/j.1365-2885.2003.00465.x
Larenza M P, Bergadano A, Iff I, Doherr M G and Schatzmann U. 2005. Comparison of the cardiopulmonary effects of anaesthesia maintained by continuous infusion of ketamine and propofol with anaesthesia maintained by inhalation of sevoflurane in goats undergoing magnetic resonance imaging. American Journal of Veterinary Research 66: 2135–41. DOI: https://doi.org/10.2460/ajvr.2005.66.2135
Lin H C, Purohit R C and Powe T A. 1997. Anaesthesia in sheep with propofol or with xylazine –ketamine followed by halothane. Veterinary Surgery 26: 247–52. DOI: https://doi.org/10.1111/j.1532-950X.1997.tb01494.x
MacDonald E, Scheinin H and Schienin M. 1988. Behavioural and neurological effects of medetomidine a novel veterinary sedative. European Journal of Pharmacology 158: 119–27. DOI: https://doi.org/10.1016/0014-2999(88)90260-9
Malik V, Kinjavdekar P, Amarpal, Aithal H P, Pawde A M and Surbhi. 2011. Sedative analgesic cardiopulmonary and haemodynamic effects of medetomidine-butorphanol and midazolam-butorphanol on thiopental-propofol anaesthesia in water buffaloes (Bubalus bubalis). Journal of Applied Animal Research 39: 284–87. DOI: https://doi.org/10.1080/09712119.2011.607715
McKenzi G. 2008. Total intravenous anesthesia – TIVA. Iranian Journal of Veterinary Surgery 2: 108–17.
Monsang S W. 2011. ‘Comparison of medetomidine and dexmedetomidine with and without butorphanol and midazolam as preanaesthetics to propofol anaesthesia in sheep.’ M.V.Sc Dissertation, Indian Veterinary Research Institute, Izatnagar, India.
Ponder S W and Clarke W G. 1980. Prolonged depression of thermoregulation after xylazine administration to cats. Journal of Veterinary Pharmacology and Therapeutics 3: 203–07. DOI: https://doi.org/10.1111/j.1365-2885.1980.tb00483.x
Sabbe M B, Penning J P, Ozaki G T and Yaksh T L. 1994. Spinal and systemic action of the alpha–2 receptor agonist dexmedetomidine in dogs. Anaesthesiology 80: 1057–72. DOI: https://doi.org/10.1097/00000542-199405000-00015
Short C E and Bufalaria A. 1999. Propofol anesthesia. Veterinary Clinics of North America Small Animal Practice 29: 747–78. DOI: https://doi.org/10.1016/S0195-5616(99)50059-4
Siegel S and Castellan JJr. 1988. Non-parametric statistics for behavioural sciences. 2nd edn. McGraw-Hill, Singapore.
Snedecor G W and Cochran W G. 1980. Statistical methods. 9th edn. Iowa State University Press.
Tadmor A and Zukerman I. 1981. The use of ketamine HCL for endotracheal intubation in goats. Australian Veterinary Journal 57: 303–04. DOI: https://doi.org/10.1111/j.1751-0813.1981.tb05827.x
Tranquilli W J, Thurmon J C and Grimm K A. 2007. Veterinary Anaesthesia and Analgesia. 4th edn. Blackwell Publishing Ltd., Iowa, USA.
Waterman A E. 1981. Preliminary observations on the use of a combination of xylazine and ketamine hydrochloride in calves. Veterinary Record 109: 464–67. DOI: https://doi.org/10.1136/vr.109.21.464
Wright M. 1982. Pharmacologic effects of ketamine and its use in veterinary medicine. Journal of American Veterinary Medical Association 180: 1462–69.
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