Document Detail


Chronotropic effect of propofol or alfaxalone following fentanyl administration in healthy dogs.
MedLine Citation:
PMID:  24735086     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To compare the effect of alfaxalone and propofol on heart rate (HR) and blood pressure (BP) after fentanyl administration in healthy dogs.
STUDY DESIGN: Prospective, randomised clinical study.
ANIMALS: Fifty healthy client owned dogs (ASA I/II) requiring general anaesthesia for elective magnetic resonance imaging for neurological conditions.
METHODS: All dogs received fentanyl 7 μg kg(-1) IV and were allocated randomly to receive either alfaxalone (n = 25) or propofol (n = 25) to effect until endotracheal (ET) intubation was possible. Heart rate and oscillometric BP were measured before fentanyl (baseline), after fentanyl (Time F) and after ET intubation (Time GA). Post-induction apnoea were recorded. Data were analysed using Fisher's exact test, Mann Whitney U test and one-way anova for repeated measures as appropriate; p value <0.05 was considered significant.
RESULTS: Dogs receiving propofol showed a greater decrease in HR (-14 beat minute(-1) , range -47 to 10) compared to alfaxalone (1 beat minute(-1) , range -33 to 26) (p = 0.0116). Blood pressure decreased over the three time periods with no difference between groups. Incidence of post-induction apnoea was not different between groups.
CONCLUSION: Following fentanyl administration, anaesthetic induction with propofol resulted in a greater negative chronotropic effect while alfaxalone preserved or increased HR.
CLINICAL RELEVANCE: Following fentanyl administration, HR decreases more frequently when propofol rather than alfaxalone is used as induction agent. However, given the high individual variability and the small change in predicted HR (-7.7 beats per minute after propofol), the clinical impact arising from choosing propofol or alfaxalone is likely to be small in healthy animals. Further studies in dogs with myocardial disease and altered haemodynamics are warranted.
Authors:
Sayaka Okushima; Enzo Vettorato; Federico Corletto
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-4-16
Journal Detail:
Title:  Veterinary anaesthesia and analgesia     Volume:  -     ISSN:  1467-2995     ISO Abbreviation:  Vet Anaesth Analg     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-4-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100956422     Medline TA:  Vet Anaesth Analg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2014 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia.
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