Cardiopulmonary and Analgesic Effects of Epidural Lidocaine, Alfentanil, and Xylazine in Pigs Anesthetized With Isoflurane (original) (raw)
Abstract
To determine cardiopulmonary and analgesic effects of lidocaine, alfentanil, and xylazine in pigs anesthetized with isoflurane, 18 healthy Landrace-Large White pigs were studied (six for each drug). General anesthesia was induced with isoflurane in O2 and maintained with I% to 1.2% end-tidal ISO, ensuring presence of a pain response before epidural drug administration. Heart rate (HR), arterial blood pressures (AP), cardiac output (CO), pulmonary arterial pressure, pulmonary capillary wedge pressure (PCWP), central venous pressure, respiratory rate (RR), tidal volume (TV), minute volume (MV), arterial blood gas data, core temperature (CT), and analgesic effects (by pricking the lumbar area and the abdominal wall) were determined at various times (2, 5, 15, 30, 45, 60, and 90 minutes) after epidural administration of lidocaine ( 5 mg/kg), alfentanil (5 pg/kg), or xylazine (0.2 mg/kg), all diluted in NaCl 0.9% to 0.5 mL/kg. Statistical analysis included two-way analysis of variance for repeated measures and the least significant difference test for determining differences among means. A probability level of P < .05 was used.
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References (21)
- I. Dohi S, Takeshima R, Naito H: Ventilatory and circulatory responses to carbon dioxide and high level sympathectomy induced by epidural blockade in awake humans. Anesth Analg 65:9-14, 1986
- Chrubasik J. Wust H, Schulte-Monting J, et al: Relative analgesic potency of epidural fentanyl, alfentanil and morphine in treatment of postoperative pain. Anesthe- siology 68:929-33, 1988
- Bovill JG, Sebel PS, Blackburn CL, et al: The pharmaco- kinetics of alfentanil (R39209): A new opioid analgesic. Anesthesiology 57:439-443, 1982
- Yaksh TL: Pharmacology of spinal adrenergic systems which modulate spinal nocioceptive processing. Pharmacol Biochem Behav 22345-858, 1985
- Fleetwood-Walker SM, Mitchell R, Hope PJ, et al: An alpha- 2 receptor mediates the selective inhibition by noradren- aline of nocioceptive responses of identified dorsal horn neurones. Brain Res 334:243-254, 1985
- LeBlanc PH, Caron JP, Patterson JS, et al: Epidural injection of xylazine for perineal analgesia in horses. J Am Vet Med Assoc 193:1405-1408, 1988
- G6mez de Segura IA, Tendillo FJ, Marsico F, el al: Alpha- 2 agonists for regional anaesthesia in the cow. J Vet An- aesth 20:32-33. 1993
- Eisenach JC, Dewan DM, Rose JC, et al: Epidural clonidine produces antinocioception, but not hypotension, in sheep. Anesthesiology 66:496-50 I , 1987
- LeBlanc PH, Eberhart SW: Cardiopulmonary effects ofepi- 10.
- I .
- durally administered xylazine in the horse. Equine Vet J 22:389-391, 1990
- Fikes LW, Lin HC, Thurmon JC: A preliminary compar- ison of lidocaine and xylazine as epidural analgesics in ponies. Vet Surg 18:85-86, 1989
- St. Jean G, Skarda RT, Muir WW, et al: Caudal epidural analgesia induced by xylazine administration in cows. Am J Vet Res 5 1 : 1232-1236, 1990
- Skarda RT: Practical regional anesthesia, in Mansmann RA, McAllister ES, Pratt PW (eds): Equine Medicine and Surgery (ed 3, vol 1). Santa Barbara, CA, American Vet- erinary Publications, 1982, pp 229-238
- Chauvin M: Pharmacologie et mode d'action des mor- phinomimetiques adrninistres par voie peridurale. Cah Anesthesiol 39:87-90, I99 1
- Kobinger W: Central alpha adrenergic systems as targets for hypotensive drugs. Rev Physiol Biochem Pharmacol Van Zwieten PA, Timmermans PB: Pharmacology and characterization of central alpha-adrenoceptors involved in the effect of centrally acting antihypertensive drugs. Chest 83(2 Suppl):340-343, 1983
- Tendillo FJ: Estudio de la acci6n de 10s firmacos agonistas de 10s receptores adrentrgicos a-2 y su antagonista el ati- pamezol en la especie porcina. PhD Thesis. Madrid, Spain, Universidad Complutense de Madrid, 1992
- Drew GM: Effects of alpha-adrenoreceptor agonist and antagonist on pre-and postsynaptically located alpha-ad- renoreceptors. Eur J Pharmacol 36:3 13-320, 1976
- Blass CE, Shires PK. Respiratory paralysis secondary to epidural anesthesia in a dog. J Am Vet Med Assoc 189: Dyer RA, Camden-Smith K, James M F Epidural lidocaine with sufentanil and epinephrine for abdominal hysterec- tomy under general anaesthesia: respiratory depression and postoperative analgesia. Can J Anesth 39:220-225, 1992 Campbell KB, KIabano PA, Richardson P, et al: Hemo- dynamic effects of xylazine in the calf. Am J Vet Res 40: 1777-1780, 1979
- Steffey EP, Baggot JH, Eisele JR, et al: Epidural morphine interaction in dogs, swine and rhesus monkeys. J Vet Pharmacol Ther 17:202-2 10, 1994
- Kehlet H: The modifying effect of anesthetic technique on the metabolic and endocrine responses to anesthesia and surgery. Acta Anaesthesiol Belg 39: 143-146, 1988 81:39-100, 1978 315-316, 1986