A pharmacodynamic study of propofol or propofol and ketamine infusions in ponies undergoing surgery.
Abstract: The pharmacodynamics of infusions of propofol alone (group 1) were compared with the pharmacodynamics of infusions of propofol and ketamine together (group 2) in eight ponies undergoing castration. Anaesthesia was induced with detomidine, 20 micrograms kg-1, followed by ketamine, 2.2 mg kg-1. Subsequently, a bolus dose of propofol, 0.5 mg kg-1, was administered intravenously to both groups, and an infusion of propofol was given for an average of 74 minutes to group 1, and an infusion of propofol and ketamine was given for 60 minutes to group 2. The mean (SD) infusion rates of propofol were 0.330 (0.050) mg kg-1 min-1 in group 1, and 0.124 (0.009) mg kg-1 in group 2, and the ketamine infusion rate was maintained constant at 40 micrograms kg-1 min-1. Arterial hypotension and marked respiratory depression were evident in some of the ponies receiving propofol alone, whereas in the ponies anaesthetised with propofol and ketamine, respiratory and cardiovascular parameters were well maintained. All the ponies in both groups recovered quickly from anaesthesia, with mean times to sternal recumbency and standing of 19.8 (8.0) minutes and 27.2 (7.4) minutes respectively for group 1 and 8.4 (3.2) min and 14.9 (10.1) minutes for group 2.
Publication Date: 1997-03-01 PubMed ID: 9243720DOI: 10.1016/s0034-5288(97)90143-0Google Scholar: Lookup
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- Comparative Study
- Journal Article
Summary
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This research investigates the effects of applying separate versus combined infusions of the drugs propofol and ketamine to ponies during surgery, with the main findings suggesting the combined administration results in superior maintenance of respiratory and cardiovascular functions and quicker post-anaesthesia recovery times.
Research Context and Objective
- The research was conducted in a veterinary surgical scenario, focusing on ponies undergoing castration surgery.
- The researchers’ goal was to compare the effect of infusions of the anaesthetic drugs propofol alone versus those of propofol combined with ketamine.
Experimental Approach
- The experimental sample was comprised of eight ponies, divided into two groups. Group 1 received infusions of propofol only during surgery, while Group 2 received combined infusions of propofol and ketamine.
- Regardless of their group allocation, all ponies were first put under anaesthesia using detomidine and a ketamine shot, with a propofol bolus dose following.
- The researchers administered the propofol infusion to Group 1 for an average of 74 minutes, and to Group 2 for an average of 60 minutes.
Results and Conclusions
- The infusion rates and types varied between groups: Group 1 received a mean propofol rate of 0.330 mg per kg per minute, whereas Group 2 had a mean propofol rate of 0.124 mg per kg and a consistent ketamine rate of 40 micrograms per kg per minute.
- Some ponies receiving propofol alone (Group 1) exhibited arterial hypotension and significant respiratory depression during surgery. In contrast, ponies given combined propofol and ketamine (Group 2) maintained their respiratory and cardiovascular functions better.
- The recovery post-anaesthesia was faster in Group 2, with average times to sternal recumbency and standing in minutes considerably shorter compared to Group 1.
- Overall, the study’s findings suggest that the combined administration of propofol and ketamine during pony surgery may be more beneficial in terms of anaesthetic control and recovery times compared to the use of propofol alone.
Cite This Article
APA
Flaherty D, Reid J, Welsh E, Monteiro AM, Lerche P, Nolan A.
(1997).
A pharmacodynamic study of propofol or propofol and ketamine infusions in ponies undergoing surgery.
Res Vet Sci, 62(2), 179-184.
https://doi.org/10.1016/s0034-5288(97)90143-0 Publication
Researcher Affiliations
- Department of Veterinary Clinical Studies, University of Glasgow.
MeSH Terms
- Analgesics / pharmacology
- Anesthesia, Intravenous / methods
- Anesthesia, Intravenous / veterinary
- Anesthetics, Dissociative / blood
- Anesthetics, Dissociative / pharmacokinetics
- Anesthetics, Dissociative / pharmacology
- Anesthetics, Intravenous / blood
- Anesthetics, Intravenous / pharmacokinetics
- Anesthetics, Intravenous / pharmacology
- Animals
- Blood Gas Analysis / veterinary
- Blood Pressure / drug effects
- Blood Pressure / physiology
- Cardiovascular Physiological Phenomena / drug effects
- Castration / methods
- Castration / veterinary
- Drug Combinations
- Heart Rate / drug effects
- Heart Rate / physiology
- Horses / blood
- Horses / physiology
- Horses / surgery
- Imidazoles / pharmacology
- Infusions, Intravenous / veterinary
- Ketamine / blood
- Ketamine / pharmacokinetics
- Ketamine / pharmacology
- Posture / physiology
- Propofol / blood
- Propofol / pharmacokinetics
- Propofol / pharmacology
- Respiration / drug effects
- Respiration / physiology
- Time Factors
Citations
This article has been cited 2 times.- Aoki M, Wakuno A, Kushiro A, Mae N, Kakizaki M, Nagata SI, Ohta M. Evaluation of total intravenous anesthesia with propofol-guaifenesin-medetomidine and alfaxalone-guaifenesin-medetomidine in Thoroughbred horses undergoing castration.. J Vet Med Sci 2017 Dec 22;79(12):2011-2018.
- Umar MA, Fukui S, Kawase K, Itami T, Yamashita K. Cardiovascular effects of total intravenous anesthesia using ketamine-medetomidine-propofol (KMP-TIVA) in horses undergoing surgery.. J Vet Med Sci 2015 Mar;77(3):281-8.
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