비글견에서 medetomidine-midazolam-ketamine 마취에 대한 atipamezole과 yohimbine의 길항효과

Antagonistic Effects of Atipamezole and Yohimbine on Medetomidine-Midazolam-Ketamine Anesthesia in Beagle Dogs

  • Hwang, Hag-Kyun (Research Institute of Veterinary Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Jae-Yeon (Research Institute of Veterinary Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong-Mok (Research Institute of Veterinary Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Kim, Myung-Cbeol (Research Institute of Veterinary Medicine, College of Veterinary Medicine, Chungnam National University)
  • 심사 : 2011.04.04
  • 발행 : 2011.04.30

초록

개에서 많은 주사용 마취제가 있고 그 부작용을 줄이기 위해 다양한 약물들을 혼합하여 사용한다. 개에서 medetomidine-midazolam-ketamine (MMK) 합제에 대한 마취효과를 알아보고, 이 합제에 대한 atipamezole과 yohimbine의 길항효과를 비교하였다. 18마리 수컷 비글견을 사용하였고, 모든 개에서 medetomidine (0.04 mg/kg), midazolam (0.2 mg/kg) 및 ketamine (5 mg/kg)을 근육주사하고, 20분 후 atipamezole (0.24 mg/kg, MMKA), yohimbine (0.2 mg/kg, MMKY) 또는 생리식염수(0.1 ml/kg, MMK)를 정맥주사하였다. 유도 및 회복시간, 진정 및 진통점수, 심박수, 혈압, 직장온도, 호흡수, 동맥혈액가스를 측정하였다. 평균마취, 흉와, 기립 및 보행시간은 MMKA와 MMKY군에서 MMK군보다 유의성있게 짧았다. 그러나 MMKA군과 MMKY군 간의 유의적인 차이는 없었다. 모든 군에서 MMK 투여는 개에서 만족스런 진정 및 진통을 일으켰다. 그러나 atipamezole이나 yohimbine 투여 후 자세점수 및 유해자극반응은 MMK군에 비해 MMKA나 MMKY군에서 유의성있게 감소하였다. 본 실험 결과 MMK는 양호한 진정 및 마취효과를 나타냈고, atipamezole과 yohimbine은 개에서 MMK 마취를 길항하는 데 안전하고 효과적으로 사용될 수 있을 것으로 사료된다.

The aims of this study were to investigate the anesthetic effects of medetomidine-midazolam-ketamine (MMK) combination and to compare antagonistic effects of atipamezole and yohimbine in dogs anesthetized with MMK. Eighteen adult male healthy beagles were used in this study. All dogs were anesthetized with intramuscular (IM) administration of medetomidine (0.04 mg/kg), midazolam (0.2 mg/kg) and ketamine (5 mg/kg) in one syringe. Intravenous (IV) administration of atipamezole (0.24 mg/kg, MMKA), yohimbine (0.2 mg/kg, MMKY) or saline solution (0.1 ml/kg, MMK) was administered 20 minutes after MMK combination anesthesia. Induction and recovery times, scores of sedation and analgesia, heart rate, blood pressure, rectal temperature, respiratory rate and blood gases were determined and recorded for each dog. Mean anesthesia times, sternal recumbency times, standing times and walking times in the MMKA and MMKY groups were significantly shorter than those in the MMK group. But there were not significantly different between MMKA and MMKY groups. In all groups, MMK administration produced a satisfactory sedation and analgesia for all dogs. However, after administration of atipamezole or yohimbine the scores for posture and response to noxious stimuli were significantly lower in the MMKA or MMKY group than those in the MMK group. MMK produced good sedation and anesthesia effects, and atipamezole or yohimbine can be used as a safe and effective agent for antagonizing the MMK anesthesia in dogs.

키워드

참고문헌

  1. Andrejak M, Ward M, Schmitt H. Cardiovascular effects of yohimbine in anaesthetized dogs. Eur J Pharmacol 1983; 94 219-228. https://doi.org/10.1016/0014-2999(83)90411-9
  2. Cullen LK. Medetomidine sedation in dogs and cats:a review of its pharmacology, antagonism and dose. Br Vet J 1996; 152: 519-535. https://doi.org/10.1016/S0007-1935(96)80005-4
  3. Curro TG, Okeson D, Zimmerman D, Armstrong DL. Simmons LG. Xylazine-midazolam-ketamine versus medetomidine-midazolam-ketamine anesthesia in captive Siberian tigers (Panthera tigris altaica). J Zoo WiIdl Med 2004; 35: 320-327. https://doi.org/10.1638/03-049
  4. Ebner J, Wehr U, Baumgartner C, Erhardt W, Henke J. Partial antagonization of midazolam-medetomidine-ketamine in cats-atipamezole versus combined atipamezole and flumazenil. J Vet Med A Physiol Pathol Clin Med 2007; 54: 518-521. https://doi.org/10.1111/j.1439-0442.2007.00971.x
  5. Ebner J, Wehr U, Busch R, Erhardt W, Henke J. A comparative clinical study of three different dosages of intramuscular midazolam- medetomidine-ketamine immobilization in cats. J Vet Med A Physiol Pathol Clin Med 2007; 54: 418-423 https://doi.org/10.1111/j.1439-0442.2007.00943.x
  6. Hellyer PW, Freeman LC, Hubbell JA. Induction of anesthesia with diazepam-ketamine and midazolam-ketamine in greyhounds. Vet Surg 1991; 20: 143-147. https://doi.org/10.1111/j.1532-950X.1991.tb00324.x
  7. Jalanka H, Skutnabb K, Damsten Y. Preliminary results on the use of medetomidine-ketamine combinations in the dog. Acta Vet Scand Suppl 1989; 85: 125-127.
  8. Ko JC, Fox SM, Mandsager RE. Sedative and cardiorespiratory eflects of medetomidine, medetomidine-butorphanol, and medetomidine-ketamine in dogs. J Am Vet Med Assoc 2000; 216: 1578-1583 https://doi.org/10.2460/javma.2000.216.1578
  9. Kwon YS, .Joo EJ, Jang KH. The clinical effectiveness of atipamezole as a medetomidine-tiletamine/zolazepam antagonist in dogs. J Vet Clin 2003; 20: 286-293.
  10. Lee JY, Jee HC, Jeong SM, Park CS, Kim, MC. Comparison of anaesthetic and cardiorespiratory effects xylazine or medetomidine in combination with tiletamine/zolazepam in pigs. Vet Rec 2010; 167: 245-249 https://doi.org/10.1136/vr.c3611
  11. Tranquilli WJ, Benson GJ. Advantages and guidelines for using alpha-2 agonists as anesthetic adjuvants. Vet Clin North Am Small Anim Pract 1992; 22: 289-293.
  12. Ueoka N, Hikasa Y. Antagonistic effects of atipamezole, flumazenil and 4-aminopyridine against anaesthesia with medetomidine, midazolam and ketamine combination in cats. J Feline Med Surg 2008; 10: 47-54. https://doi.org/10.1016/j.jfms.2007.06.013
  13. Verstegen J, Fargetton X, Donnay I, Ectors F. An evaluation of medetomidine/ketamine and other drug combinations for anaesthesia in cats. Vet Rec 1991; 128: 32-35. https://doi.org/10.1136/vr.128.2.32
  14. Verstegen J, Fargetton X, Zanker S, Donnay I, Ectors F. Antagonistic activities of atipamezole, 4-aminopyridine and yohimbine against medetomidine/ketamine-induced anaesthesia in cats. Vet Rec 1991; 128: 57-60. https://doi.org/10.1136/vr.128.3.57
  15. Verstegen J, Petcho A. Medetomidine-butorphanol-midazolam for anaesthesia in dogs and its reversal by atipamezole. Vet Rec 1993; 132: 353-357. https://doi.org/10.1136/vr.132.14.353