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Morphometry of the mandibular foramen applied to the local anesthetic block to inferior alveolar nerve in boars (Sus scrofa scrofa Linnaeus, 1758)
2020
Caroline Bures de Paulo | Henrique Inhauser Riceti Magalhães | Ygor Henrique de Paula | Jeferson Borges Barcelos | Fabiano Braz Romão | Tânia Ribeiro Junqueira Borges | Frederico Ozanam Carneiro e Silva | Lucas de Assis Ribeiro
Boars kept on commercial farms use their canine teeth as a mechanism of defense and attack in order to express their natural instincts, which could result in fractures of the teeth and jaws. Thus, utilizing local desensitization of the inferior alveolar nerve is crucial for executing therapeutic procedures in the oral cavities of those animals. Then, the goal is to carry out the morphometry of the mandibular foramen of that species, correlating it with the mandibular structures, while doing so in the safest manner for the animals. For that purpose, six hemimandibles of young-aged Sus scrofa scrofa were used, from which the proposed measurements were taken. On average, the lateral margin of the condylar process stood 142.43 mm away from the root of the lower medial incisive tooth. The longitudinal axis of the body of the mandible measured 22.3 mm at the level of the diastema that exists between the fourth lower premolar tooth and the first lower molar tooth. The mandibular foramen, from the caudal limit of the ventral margin, would be positioned at26.6 mm from the ventral margin of the angle of the mandible in that level, 34.92 mm away from the medial margin of the condylar process, and 38.63 mm away from the dorsal limit from the caudal margin of the coronoid process. The lack of statistically significant differences, and observing that the osseous accident under scrutiny had been positioned in the ramus of the mandible, indicated that the proposed procedure should be performed from the introduction of the needle in an oblique and rostrodorsal direction for 2.0 cm, and angulated at 60º with the anatomic reference created by the medial demarcation obtained via the support of the thumb on the lateral margin of the ramus of the mandible, ventrally to the zygomatic arch, all while preserving neighboring structures and establishing an unheard-of anesthetic methodology for boars.
Mostrar más [+] Menos [-]Therapeutic effects of revascularisation on the healing of free bone grafts in dogs
2020
Zheng, Jia-San | Ruan, Hong-Ri | Shuang-Qiu, | Jing-Nie, | Hou, Kai-Wen | Rui-Wu,
The therapeutic effect of subcutaneous embedding and revascularisation on the repair of canine bone defects caused by open fracture was examined. A total of 12 adult beagle dogs were randomly split into a control group (group C) and a test group (group T). A section of the radius was removed from each dog under general anaesthesia and the deficit supported by an orthopaedic implant. Group T had the section surgically implanted next to the blood vessel–rich saphenous vein and Group C had it cryopreserved at −80°C. After eight weeks, the bone was surgically implanted back into the matching radial deficit. Bone healing was evaluated by gross morphological and X-ray examinations, post-mortem histology, and successive blood measurements of key bone biochemical markers. At 12 weeks, the bone healing boundary was disappearing more quickly in group T dogs than in their group C counterparts. X-ray and histological examinations showed that the cortical repair of group T subjects was complete and the bony plate arrangement was more regular than that in group C. The levels of bone biochemical markers also proved that the healing state of group T was better. The results showed that the degree of healing, osteoclast activity, and bone formation status of group T were better than those of group C, proving that the vascularised bone graft had a significantly shorter healing time than the cryopreserved bone graft.
Mostrar más [+] Menos [-]Respiratory and hemodynamic effects of 2 protocols of low-dose infusion of dexmedetomidine in dogs under isoflurane anesthesia
2020
Di Bella, Caterina | Skouopoulou, Despoina | Staffieri, Francesco | Muresan, Cosmin | Grasso, Salvatore | Lacitignola, Luca
The aim of this study was to evaluate the respiratory and hemodynamic effects of a low-dose dexmedetomidine infusion [1mg/kg body weight (BW) per hour], with or without a loading dose (1 mg/kg BW), in dogs under isoflurane anesthesia. Thirty dogs were premedicated with methadone [0.3 mg/kg BW intramuscular (IM)], induced with propofol intravenous (IV) and maintained with isoflurane (1.3% to 1.4%) under mechanical ventilation. Animals were randomly assigned to 3 intravenous (IV) treatments (n = 10): 1 mg/kg BW dexmedetomidine, followed by 1 mg/kg BW per hour (group BI); or saline solution bolus, followed by either an infusion of 1 mg/kg BW per hour dexmedetomidine (group I) or saline solution (group C). The infusions were interrupted after 30 minutes. Respiratory system static compliance (Cstat) and respiratory system resistance (Rrs), partial pressure of oxygen/fractional inspired oxygen ratio (PaO(2)/FIO(2)), intrapulmonary shunt (Fshunt), and cardiac output (CO) were determined 5 minutes before the bolus (BASELINE), at the end of the bolus (BOLUS), and at 15 (T15), 30 (T3(0)), and 45 minutes (T45) intervals. In group BI, Cstat and PaO(2)/FiO(2) were higher at T15 and T3(0) than at BASELINE in the same group and than group C at the same times. In group I, the same parameters at T30 were higher than at BASELINE and than group C at the same time. In group BI, Rrs and Fshunt were lower than at BASELINE and than group C at the same time. In group I, the same parameters at T30 were lower than at BASELINE and those of group C at the same time. Cardiac output (CO) at T30 was higher in groups BI and I than in group C. The results of this study showed that low-dose dexmedetomidine infusion improves oxygenation and respiratory system mechanics and has a stabilizing hemodynamic effect in dogs anesthetized with isoflurane and mechanically ventilated.
Mostrar más [+] Menos [-]Efficacy and duration of effect for liposomal bupivacaine when administered perineurally to the palmar digital nerves of horses
2020
McCracken, Megan J. | Schumacher, James | Doherty, Thomas J. | Sun, Xiaocun | Nichols, Cailey L. | Olivarez, Jeffrey
OBJECTIVE To determine the efficacy and duration of effect for liposomal bupivacaine following perineural administration to the medial and lateral palmar digital nerves of horses. ANIMALS 9 nonlame mares. PROCEDURES For each horse, 2 mL of liposomal bupivacaine (13.3 mg/mL; total dose, 53.2 mg or approx 0.11 mg/kg) or sterile saline (0.9% NaCl) solution was injected adjacent to the medial and lateral palmar digital nerves at the level of the distal aspect of the proximal sesamoid bones of a randomly selected forelimb. Twenty-one days later, the opposite treatment was administered in the contralateral forelimb. A digital algometer was used to measure the mechanical nociceptive threshold (MNT) immediately before and at predetermined times for 48 hours after injection of each treatment. The mean MNT was compared between the 2 treatments at each measurement time. RESULTS The mean MNT for the liposomal bupivacaine-treated limbs was significantly greater (ie, the limb was less sensitive) than that for the saline-treated limbs between 30 minutes and 4 hours after treatment injection. Following liposomal bupivacaine administration, 1 horse developed mild swelling at the injection sites that resolved without treatment within 24 hours. No other adverse effects were observed. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that liposomal bupivacaine is another option for perineural anesthesia in horses. Further research is necessary to determine the optimal dose and better elucidate the duration of effect for the drug when used for palmar digital nerve blocks in horses.
Mostrar más [+] Menos [-]Analgesic efficacy of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy
2020
Hartnack, Amanda K. | Neihaus, Andrew J. | Lakritz, Jeffrey | Coetzee, Johann F. | Kleinhenz, Michael D.
OBJECTIVE: To assess the analgesic efficacy of an IV constant rate infusion (CRI) of a morphine-lidocaine-ketamine (MLK) combination in calves undergoing umbilical herniorrhaphy. ANIMALS: 20 weaned Holstein calves with umbilical hernias. PROCEDURES: Calves were randomly assigned to receive a CRI of an MLK solution (0.11 mL/kg/h; morphine, 4.8 μg/kg/h; lidocaine, 2.1 mg/kg/h; and ketamine, 0.42 mg/kg/h) for 24 hours (MLK group) or 2 doses of flunixin meglumine (1.1 mg/kg, IV, q 24 h) and a CRI of saline (0.9% NaCl) solution (0.11 mL/kg/h) for 24 hours (control group). The assigned CRI was begun after anesthesia induction. A pain-scoring system and incisional algometry were used to assess pain, and blood samples were obtained to measure serum cortisol concentration at predetermined times for 120 hours after CRI initiation. RESULTS: Mean pain scores did not differ significantly between the MLK and control groups at any time. Mean algometry score for the MLK group was significantly greater (calves were less responsive to pressure) than that for the control group at 4 hours after CRI initiation. Mean cortisol concentration decreased over time for both groups and was significantly greater for the MLK group than the control group at 1, 4, and 18 hours after CRI initiation. CONCLUSIONS AND CLINICAL RELEVANCE: A CRI of MLK provided adequate postoperative analgesia to calves that underwent umbilical herniorrhaphy. However, the technical support required for CRI administration limits its use to hospital settings. Kinetic analyses of MLK infusions in cattle are necessary to establish optimal dosing protocols and withdrawal intervals.
Mostrar más [+] Menos [-]Changes in CO-oximetry values and pulse oximetry in isoflurane-anesthetized dogs with and without nitrous oxide
2020
Jones, Teela | Feng, Cindy | Duke-Novakovski, Tanya
Concentrations of 64% to 70% nitrous oxide (N(2)O) provide intra-operative analgesia. Clinically, pulse oximeter estimation (SpO(2)) of oxygen (O(2)) hemoglobin saturation (SaO(2)) was observed to decrease with N2O. Absorption atelectasis from breathing O2 was thought to decrease arterial partial pressure of O2 (PaO(2)) below 70 mmHg and reduce SaO(2) and SpO(2) when N(2)O was used. Administering N(2)O from the beginning of the anesthesia might prevent atelectasis development and low PaO(2).The study was done in 2 parts (P, 0.05). In Part 1, isoflurane-anesthetized dogs undergoing ovariohysterectomy (n = 15 each group) breathed N(2)O from anesthesia start (N(2)O early) or 1 hour later (N2Olate). SpO(2), CO-oximetry values, and PaO(2) were compared to dogs breathing O(2) throughout anesthesia (control). Timing of N(2)O introduction did not affect PaO(2) (lowest = 94 mmHg), SaO(2), or SpO(2). With N(2)O, the lowest SpO(2) value was 91% and corresponded to a PaO2 of 151 mmHg. Carboxyhemoglobin increased (highest = 2.7%) and SaO(2) decreased with N2O (lowest = 96.7%). In Part 2, to replicate findings, 10 isoflurane-anesthetized dogs breathed N(2)O, then O(2). With N2O, SaO2 did not decrease, but carboxyhemoglobin increased and returned to baseline once N2O was discontinued. The dog with the highest carboxyhemoglobin (2%) had an SaO(2) of 96.8% (PaO(2) = 93 mmHg). Carboxyhemoglobin and SaO(2) changes were not clinically significant. Pulse oximetry did not reliably estimate SaO(2) but N(2)O was not always a factor.
Mostrar más [+] Menos [-]The effect of inspired oxygen concentration on oxidative stress biomarkers in dogs under inhalation anesthesia
2020
Chongphaibulpatana, Patarakit | Kumagai, Yuu | Fukui, Daisuke | Katayama, Masaaki | Uzuka, Yuji
This study investigated oxidative stress biomarkers at 3 different oxygen concentrations in dogs under general anesthesia to determine whether high-concentration oxygen increases oxidative stress. Six healthy beagles were randomly assigned to receive 3 anesthesia protocols (inhalation of 40%, 60%, and 100% oxygen) during 3 hours of general anesthesia with sevoflurane, with at least one week in between each protocol. For each experiment, blood samples were collected at 0, 3, 6, and 24 hours after inhalation of oxygen. Derivatives of reactive oxygen metabolites, biochemical antioxidant potential, superoxide dismutase, and 8-hydroxydeoxyguanosine in the blood did not significantly differ among the 3 groups at any time point. This study is the first comparing high concentrations of oxygen with low concentrations of oxygen for anesthesia in dogs. According to our findings, 100% oxygen may not alter the oxidative stress level in dogs during general anesthesia with sevoflurane for 3 hours.
Mostrar más [+] Menos [-]Evaluation of jejunal microvasculature of healthy anesthetized dogs with sidestream dark field video microscopy
2020
OBJECTIVE To determine the feasibility of sidestream dark field (SDF) video microscopy for the evaluation of the jejunal microvasculature of healthy dogs. ANIMALS 30 healthy sexually intact female shelter dogs anesthetized for ovariohysterectomy. PROCEDURES Preoperative physical and clinicopathologic assessments were performed to confirm health status. Then healthy dogs were anesthetized, and the abdomen was incised at the ventral midline for ovariohysterectomy and jejunal microvasculature evaluation. An SDF video microscope imaged the microvasculature of 2 sites of a portion of the jejunum, and recorded videos were analyzed with software capable of quantitating parameters of microvascular health. Macrovascular parameters (heart rate, respiratory rate, and hemoglobin oxygen saturation) were also recorded during anesthesia. RESULTS Quantified jejunal microvascular parameters included valid microvascular density (mean ± SD, 251.72 ± 97.10 μm/mm), RBC-filling percentage (66.96 ± 8.00%), RBC column width (7.11 ± 0.72 μm), and perfused boundary region (2.17 ± 0.42 μm). The perfused boundary region and RBC-filling percentage had a significant negative correlation. Strong to weak positive correlations were noted among the perfused boundary regions of small-, medium-, and large-sized microvessels. No significant correlations were identified between microvascular parameters and age, body weight, preoperative clinicopathologic results, or macrovascular parameters. CONCLUSIONS AND CLINICAL RELEVANCE Interrogation of the jejunal microvasculature of healthy dogs with SDF video microscopy was feasible. Results of this study indicated that SDF video microscopy is worth additional investigation, including interrogation of diseased small intestine in dogs.
Mostrar más [+] Menos [-]Comparison of analgesic efficacy and fetal effects between transdermal administration of fentanyl and intramuscular administration of buprenorphine in pregnant sheep
2020
Padgett, Ashley L. | Lepiz, Mauricio L. | Mackay, Evelyn E. | Driskill, Austin J. | Ivanov, Ivan V. | Fajt, Virginia R. | Konarik, Megan M. | Mays, Travis P. | Washburn, Shannon E.
OBJECTIVE To compare analgesic efficacy and fetal effects between transdermal administration of fentanyl and IM administration of buprenorphine in pregnant sheep. ANIMALS 12 healthy pregnant ewes. PROCEDURES Before study initiation, each ewe was confirmed pregnant with a single fetus between 113 and 117 days of gestation. Ewes were randomly assigned to receive buprenorphine (0.01 mg/kg, IM, q 8 h for 48 hours beginning 1 hour before anesthesia induction; n = 6) or fentanyl (a combination of transdermal fentanyl patches sufficient to deliver a dose of 2 μg of fentanyl/kg/h applied between the dorsal borders of the scapulae 24 hours before anesthesia induction; 6). Ewes were anesthetized and underwent a surgical procedure to instrument the fetus with an arterial catheter and place a catheter in utero for collection of amniotic fluid samples. Physiologic variables and behavioral changes indicative of pain were assessed, and amniotic fluid and blood samples from ewes and fetuses were collected for determination of drug concentrations at predetermined times. RESULTS Both protocols provided acceptable postoperative analgesia with no adverse effects observed in the ewes or fetuses. Compared with the buprenorphine protocol, the fentanyl protocol induced more profound analgesia, decreased the requirement for isoflurane during surgery, and was associated with a shorter anesthesia recovery time. Fetal indices did not differ significantly between the 2 analgesic protocols. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that both protocols provided acceptable analgesia. However, the fentanyl protocol was superior in regard to the extent of analgesia induced, inhalant-sparing effects, and anesthesia recovery time.
Mostrar más [+] Menos [-]Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy
2020
Hartnack, Amanda K. | Niehaus, Andrew J. | Lakritz, Jeffrey | Coetzee, Johann F. | Kleinhenz, Michael D.
OBJECTIVE To describe the pharmacokinetics of morphine, lidocaine, and ketamine associated with IV administration of a constant rate infusion (CRI) of a morphine-lidocaine-ketamine (MLK) combination to calves undergoing umbilical herniorrhaphy. ANIMALS 20 weaned Holstein calves with umbilical hernias. PROCEDURES Calves were randomly assigned to receive a CRI of an MLK solution (0.11 mL/kg/h; morphine, 4.8 μg/kg/h; lidocaine, 2.1 mg/kg/h; and ketamine, 0.42 mg/kg/h) for 24 hours (MLK group) or 2 doses of flunixin meglumine (1.1 mg/kg, IV, q 24 h) and a CRI of saline (0.9% NaCl) solution (0.11 mL/kg/h) for 24 hours (control group). For all calves, the CRI was begun after anesthesia induction. Blood samples were obtained immediately before and at predetermined times for 120 hours after initiation of the assigned treatment. Noncompartmental analysis was used to estimate pharmacokinetic parameters for the MLK group. RESULTS During the CRI, steady-state serum concentrations were achieved for lidocaine and ketamine, but not morphine. Mean terminal half-life was 4.1, 0.98, and 1.55 hours and area under the concentration-time curve was 41, 14,494, and 7,426 h•μg/mL for morphine, lidocaine, and ketamine, respectively. After the CRI, the mean serum drug concentration at steady state was 6.3, 616.7, and 328 ng/mL for morphine, lidocaine, and ketamine, respectively. CONCLUSIONS AND CLINICAL RELEVANCE During the CRI of the MLK solution, steady-state serum concentrations were achieved for lidocaine and ketamine, but not morphine, likely owing to the fairly long half-life of morphine. Kinetic analyses of MLK infusions in cattle are necessary to establish optimal dosing protocols.
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