Comparison of sevoflurane and isoflurane in dogs anaesthetised for clinical surgical or diagnostic procedures
To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. One hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0·03 mg/kg...
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Published in: | Journal of small animal practice Vol. 49; no. 8; pp. 392 - 397 |
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01-08-2008
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Abstract | To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. One hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0·03 mg/kg of acepromazine and 0·01 mg/kg of buprenorphine or 0·3 mg/kg of methadone before induction of anaesthesia with 2 to 4 mg/kg of propofol and 0·5 mg/kg of diazepam. They were randomly assigned to receive either sevoflurane (group S, n=50) or isoflurane (group I, n=58) in oxygen and nitrous oxide for maintenance of anaesthesia. Heart rate, respiratory rate, indirect arterial blood pressure, haemoglobin saturation, vaporiser settings, end-tidal carbon dioxide and anaesthetic concentration and oesophageal temperature were measured. Recovery was timed. Data were analysed using analysis of variance and non-parametric tests. Heart rate (85 to 140/minute), respiratory rate (six to 27/minute) and systolic arterial blood pressure (80 to 150 mmHg) were similar in the two groups. End-tidal carbon dioxide between 30 and 60 minutes (group S 6·4 to 6·6 and group I 5·8 to 5·9 per cent) and vaporiser settings throughout (group S 2·1 to 2·9 and group I 1·5 to 1·5 per cent) were higher in group S. There was no difference in time to head lift (18±16 minutes), sternal recumbency (28±22 minutes) or standing (48±32 minutes). No adverse events occurred. Sevoflurane appeared to be a suitable volatile anaesthetic for maintenance of routine clinical anaesthesia in dogs. |
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AbstractList | Objectives: To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane.
Methods: One hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0·03 mg/kg of acepromazine and 0·01 mg/kg of buprenorphine or 0·3 mg/kg of methadone before induction of anaesthesia with 2 to 4 mg/kg of propofol and 0·5 mg/kg of diazepam. They were randomly assigned to receive either sevoflurane (group S, n=50) or isoflurane (group I, n=58) in oxygen and nitrous oxide for maintenance of anaesthesia. Heart rate, respiratory rate, indirect arterial blood pressure, haemoglobin saturation, vaporiser settings, end‐tidal carbon dioxide and anaesthetic concentration and oesophageal temperature were measured. Recovery was timed. Data were analysed using analysis of variance and non‐parametric tests.
Results: Heart rate (85 to 140/minute), respiratory rate (six to 27/minute) and systolic arterial blood pressure (80 to 150 mmHg) were similar in the two groups. End‐tidal carbon dioxide between 30 and 60 minutes (group S 6·4 to 6·6 and group I 5·8 to 5·9 per cent) and vaporiser settings throughout (group S 2·1 to 2·9 and group I 1·5 to 1·5 per cent) were higher in group S. There was no difference in time to head lift (18±16 minutes), sternal recumbency (28±22 minutes) or standing (48±32 minutes). No adverse events occurred.
Clinical Significance: Sevoflurane appeared to be a suitable volatile anaesthetic for maintenance of routine clinical anaesthesia in dogs. To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. One hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0.03 mg/kg of acepromazine and 0.01 mg/kg of buprenorphine or 0.3 mg/kg of methadone before induction of anaesthesia with 2 to 4 mg/kg of propofol and 0.5 mg/kg of diazepam. They were randomly assigned to receive either sevoflurane (group S, n=50) or isoflurane (group I, n=58) in oxygen and nitrous oxide for maintenance of anaesthesia. Heart rate, respiratory rate, indirect arterial blood pressure, haemoglobin saturation, vaporiser settings, end-tidal carbon dioxide and anaesthetic concentration and oesophageal temperature were measured. Recovery was timed. Data were analysed using analysis of variance and non-parametric tests. Heart rate (85 to 140/minute), respiratory rate (six to 27/minute) and systolic arterial blood pressure (80 to 150 mmHg) were similar in the two groups. End-tidal carbon dioxide between 30 and 60 minutes (group S 6.4 to 6.6 and group I 5.8 to 5.9 per cent) and vaporiser settings throughout (group S 2.1 to 2.9 and group I 1.5 to 1.5 per cent) were higher in group S. There was no difference in time to head lift (18+/-16 minutes), sternal recumbency (28+/-22 minutes) or standing (48+/-32 minutes). No adverse events occurred. Sevoflurane appeared to be a suitable volatile anaesthetic for maintenance of routine clinical anaesthesia in dogs. O bjectives : To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. M ethods : One hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0·03 mg/kg of acepromazine and 0·01 mg/kg of buprenorphine or 0·3 mg/kg of methadone before induction of anaesthesia with 2 to 4 mg/kg of propofol and 0·5 mg/kg of diazepam. They were randomly assigned to receive either sevoflurane (group S, n=50) or isoflurane (group I, n=58) in oxygen and nitrous oxide for maintenance of anaesthesia. Heart rate, respiratory rate, indirect arterial blood pressure, haemoglobin saturation, vaporiser settings, end‐tidal carbon dioxide and anaesthetic concentration and oesophageal temperature were measured. Recovery was timed. Data were analysed using analysis of variance and non‐parametric tests. R esults : Heart rate (85 to 140/minute), respiratory rate (six to 27/minute) and systolic arterial blood pressure (80 to 150 mmHg) were similar in the two groups. End‐tidal carbon dioxide between 30 and 60 minutes (group S 6·4 to 6·6 and group I 5·8 to 5·9 per cent) and vaporiser settings throughout (group S 2·1 to 2·9 and group I 1·5 to 1·5 per cent) were higher in group S. There was no difference in time to head lift (18±16 minutes), sternal recumbency (28±22 minutes) or standing (48±32 minutes). No adverse events occurred. C linical S ignificance : Sevoflurane appeared to be a suitable volatile anaesthetic for maintenance of routine clinical anaesthesia in dogs. To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. One hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0·03 mg/kg of acepromazine and 0·01 mg/kg of buprenorphine or 0·3 mg/kg of methadone before induction of anaesthesia with 2 to 4 mg/kg of propofol and 0·5 mg/kg of diazepam. They were randomly assigned to receive either sevoflurane (group S, n=50) or isoflurane (group I, n=58) in oxygen and nitrous oxide for maintenance of anaesthesia. Heart rate, respiratory rate, indirect arterial blood pressure, haemoglobin saturation, vaporiser settings, end-tidal carbon dioxide and anaesthetic concentration and oesophageal temperature were measured. Recovery was timed. Data were analysed using analysis of variance and non-parametric tests. Heart rate (85 to 140/minute), respiratory rate (six to 27/minute) and systolic arterial blood pressure (80 to 150 mmHg) were similar in the two groups. End-tidal carbon dioxide between 30 and 60 minutes (group S 6·4 to 6·6 and group I 5·8 to 5·9 per cent) and vaporiser settings throughout (group S 2·1 to 2·9 and group I 1·5 to 1·5 per cent) were higher in group S. There was no difference in time to head lift (18±16 minutes), sternal recumbency (28±22 minutes) or standing (48±32 minutes). No adverse events occurred. Sevoflurane appeared to be a suitable volatile anaesthetic for maintenance of routine clinical anaesthesia in dogs. OBJECTIVESTo assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane.METHODSOne hundred and eight dogs requiring anaesthesia for elective surgery or diagnostic procedures were studied. The majority was premedicated with 0.03 mg/kg of acepromazine and 0.01 mg/kg of buprenorphine or 0.3 mg/kg of methadone before induction of anaesthesia with 2 to 4 mg/kg of propofol and 0.5 mg/kg of diazepam. They were randomly assigned to receive either sevoflurane (group S, n=50) or isoflurane (group I, n=58) in oxygen and nitrous oxide for maintenance of anaesthesia. Heart rate, respiratory rate, indirect arterial blood pressure, haemoglobin saturation, vaporiser settings, end-tidal carbon dioxide and anaesthetic concentration and oesophageal temperature were measured. Recovery was timed. Data were analysed using analysis of variance and non-parametric tests.RESULTSHeart rate (85 to 140/minute), respiratory rate (six to 27/minute) and systolic arterial blood pressure (80 to 150 mmHg) were similar in the two groups. End-tidal carbon dioxide between 30 and 60 minutes (group S 6.4 to 6.6 and group I 5.8 to 5.9 per cent) and vaporiser settings throughout (group S 2.1 to 2.9 and group I 1.5 to 1.5 per cent) were higher in group S. There was no difference in time to head lift (18+/-16 minutes), sternal recumbency (28+/-22 minutes) or standing (48+/-32 minutes). No adverse events occurred.CLINICAL SIGNIFICANCESevoflurane appeared to be a suitable volatile anaesthetic for maintenance of routine clinical anaesthesia in dogs. |
Author | Fancy, S. P. J. Taylor, P. M. Bennett, R. C. Walsh, C. M. Brown, A. J. |
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Cites_doi | 10.1111/j.1467-2995.2005.00274.x 10.1097/00000542-198803000-00020 10.5326/15473317-37-5-420 10.1097/00000542-199404000-00024 10.1111/j.1751-0813.2001.tb12008.x 10.2460/ajvr.67.11.1821 10.2460/ajvr.1997.58.08.885 10.2460/ajvr.2004.65.1128 10.1213/00000539-198710000-00010 10.1111/j.1532-950X.1996.tb01407.x 10.2460/ajvr.1998.59.04.478 |
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References_xml | – volume: 25 start-page: 234 year: 1996 end-page: 243 article-title: Comparisons of sevoflurane, isoflurane and halothane anesthesia in spontaneously breathing cats publication-title: Veterinary Surgery – volume: 68 start-page: 435 year: 1988 end-page: 437 article-title: Comparison of MAC and the rate of rise of alveolar concentration of sevoflurane with halothane and isoflurane in the dog publication-title: Anesthesiology – volume: 58 start-page: 885 year: 1997 end-page: 890 article-title: Cardiopulmonary effects of sevoflurane, compared with halothane, enflurane, and isoflurane in dogs publication-title: American Journal of Veterinary Research – volume: 37 start-page: 420 year: 2001 end-page: 432 article-title: A multisite case report on the clinical use of sevoflurane in dogs publication-title: Journal of the American Animal Hospital Association – volume: 33 start-page: 343 year: 2006 end-page: 350 article-title: The effect of nitrous oxide on halothane, isoflurane and sevoflurane requirements in ventilated dogs undergoing ovariohysterectomy publication-title: Veterinary Anaesthesia and Analgesia – volume: 59 start-page: 478 year: 1998 end-page: 481 article-title: Comparison of isoflurane with sevoflurane for anaesthesia induction and recovery in adult dogs publication-title: American Journal of Veterinary Research – volume: 38 start-page: 1833 year: 1977 end-page: 1836 article-title: Isoflurane potency in the dog and cat publication-title: American Journal Veterinary Research – volume: 66 start-page: 977 year: 1987 end-page: 982 article-title: Rates of awakening from anesthesia with I‐653, halothane, isoflurane and sevoflurane: a test of the effect of anesthetic concentration and duration in rats publication-title: Anesthesia and Analgesia – volume: 65 start-page: 1128 year: 2004 end-page: 1135 article-title: Relationships between a proprietary index, bispectral index, and hemodynamic variables as a means for evaluating depth of anesthesia in dogs anesthetized with sevoflurane publication-title: American Journal Veterinary Research – volume: 79 start-page: 339 year: 2001 end-page: 341 article-title: Clinical experience with sevoflurane in dogs publication-title: Australian Veterinary Journal – volume: 67 start-page: 1821 year: 2006 end-page: 1825 article-title: Influence of halothane, isoflurane, and sevoflurane on gastroesophageal reflux during anesthesia in dogs publication-title: American Journal Veterinary Research – volume: 80 start-page: 906 year: 1994 end-page: 922 article-title: New inhaled anesthetics publication-title: Anesthesiology – ident: e_1_2_6_4_1 doi: 10.1111/j.1467-2995.2005.00274.x – ident: e_1_2_6_10_1 doi: 10.1097/00000542-198803000-00020 – volume: 38 start-page: 1833 year: 1977 ident: e_1_2_6_12_1 article-title: Isoflurane potency in the dog and cat publication-title: American Journal Veterinary Research contributor: fullname: Steffey E. P. – ident: e_1_2_6_2_1 doi: 10.5326/15473317-37-5-420 – ident: e_1_2_6_5_1 doi: 10.1097/00000542-199404000-00024 – ident: e_1_2_6_7_1 doi: 10.1111/j.1751-0813.2001.tb12008.x – ident: e_1_2_6_13_1 doi: 10.2460/ajvr.67.11.1821 – volume: 58 start-page: 885 year: 1997 ident: e_1_2_6_11_1 article-title: Cardiopulmonary effects of sevoflurane, compared with halothane, enflurane, and isoflurane in dogs publication-title: American Journal of Veterinary Research doi: 10.2460/ajvr.1997.58.08.885 contributor: fullname: Mutoh T. – ident: e_1_2_6_3_1 doi: 10.2460/ajvr.2004.65.1128 – ident: e_1_2_6_6_1 doi: 10.1213/00000539-198710000-00010 – ident: e_1_2_6_8_1 doi: 10.1111/j.1532-950X.1996.tb01407.x – volume: 59 start-page: 478 year: 1998 ident: e_1_2_6_9_1 article-title: Comparison of isoflurane with sevoflurane for anaesthesia induction and recovery in adult dogs publication-title: American Journal of Veterinary Research doi: 10.2460/ajvr.1998.59.04.478 contributor: fullname: Johnson R. A. |
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Snippet | To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. One hundred... Objectives: To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane.... To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane. One hundred... O bjectives : To assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic isoflurane.... OBJECTIVESTo assess attributes of sevoflurane for routine clinical anaesthesia in dogs by comparison with the established volatile anaesthetic... |
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SubjectTerms | adverse effects anesthesia Anesthesia Recovery Period Anesthetics, Inhalation Animals blood pressure Blood Pressure - drug effects body temperature breathing Carbon Dioxide - blood cardiovascular system depth of anesthesia dogs Dogs - physiology drug evaluation England general anesthetics heart rate Heart Rate - drug effects hemoglobin Isoflurane Methyl Ethers Monitoring, Physiologic - veterinary pharmacokinetics Preanesthetic Medication - veterinary Respiration - drug effects respiratory gases risk assessment sevoflurane surgery Treatment Outcome veterinary drugs |
Title | Comparison of sevoflurane and isoflurane in dogs anaesthetised for clinical surgical or diagnostic procedures |
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