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Observations of idazoxan and xylazine on the myometrial response of the normal, cycling virgin rat in vitro /Richey, Meghan, January 1992 (has links)
Thesis (M.S.)--Virginia Polytechnic Institute and State University, 1992. / Vita. Abstract. Includes bibliographical references (leaves 43-54). Also available via the Internet.
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Avaliação hemodinâmica e respiratória em ovinos submetidos à sedação com xilazina ou dexmedetomidina antagonizada com atipamezole / Hemodynamic and respiratory evaluation in sheep submitted to sedation with xylazine or dexmedetomidine antagonized with atipamezolAlonso, Douglas do Carmo 09 August 2016 (has links)
Os agonistas alfa 2 adrenérgicos são sedativos empregados na rotina clínica de ruminantes, e têm, entre outras, a vantagem de possuir antagonistas específicos, que aumentam a segurança no uso destes medicamentos. Tendo em vista a escassez de estudos acerca dos parâmetros hemodinâmicos e respiratórios em ovinos em posição quadrupedal e submetidos à sedação com xilazina ou dexmedetomidina com posterior reversão pelo atipamezole, realizou-se o presente estudo. Para tanto, foram utilizados 12 ovinos, machos, com idade entre um e dois anos, peso médio de 37,7kg, distribuídos em dois grupos de seis animais que foram submetidos a dois tratamentos distintos com média de três semanas de intervalo, em estudo do tipo prospectivo, encoberto e aleatório, sendo designados como Grupo XILA (cloridrato de xilazina 0,2 mg/kg IM) e Grupo DEX (cloridrato de dexmedetomidina 15 µg/kg IM). Para a instalação do cateter de artéria pulmonar os animais foram anestesiados com auxílio de máscara facial com isofluorano em oxigênio, e na sequência foram intubados e mantidos sob anestesia com o mesmo agente até o fim da instrumentação. Após a recuperação anestésica foram avaliados os parâmetros hemodinâmicos, hemogasométricos e respiratórios durante os primeiros 60 minutos com os animais em posição quadrupedal, para obtenção dos parâmetros basais. Finalizada esta avaliação, os animais foram submetidos aos protocolos de sedação segundo o seu grupo. Os parâmetros foram verificados e registrados aos cinco (S5), 15 (S15) e 30 minutos (S30) após sedação, e, após a aplicação de 30 µg/kg IM de atipamezole aos cinco (R5) e 15 minutos (R15). Foram avaliados frequência e ritmo cardíaco, pressão arterial sistêmica, parâmetros hemodinâmicos, frequência respiratória, hemogasometria arterial e venosa mista, temperatura central, glicemia e grau de sedação. Os índices ventilatórios e hemodinâmicos foram calculados. O período de latência em XILA e DEX foram 3,9 e 5,2 minutos. A xilazina promoveu sedação mais intensa, com diferença significativa entre os grupos aos 5 e 15min após sedação (momentos S5 e S15). Após a sedação, observou-se redução significativa da frequência cardíaca nos dois grupos, que refletiu no débito cardíaco, índice cardíaco e pressão arterial média. Houve elevação não significativa da resistência vascular sistêmica em ambos os grupos, mas que após o atipamezole ficou significativamente mais baixa no grupo XILA. A xilazina causou taquipneia, que foi inibida após o atipamezole. Não houve alterações clinicamente importantes nos valores de PaCO2, PaO2, SaO2 e nem nos índices de ventilação, indicando que não ocorreu hipoxemia, hipercapnia ou hipoventilação durante a sedação. A glicemia elevou-se de maneira significativa nos dois grupos mantendo-se elevada mesmo após o antagonista. Após administração do atipamezole os animais levaram 10,0 e 11,7 minutos para ficarem em posição quadrupedal e 19,3 e 30 minutos para reversão dos efeitos da xilazina e da dexmedetomidina, respectivamente. Tanto a xilazina como a dexmedetomidina promoveram sedação segura, com poucos efeitos hemodinâmicos e cardiorrespiratórios, sugerindo que a administração pela via intramuscular seja adequada para sedação de ovinos com xilazina ou dexmedetomidina / Adrenergic alpha 2 agonists are sedatives used in ruminants clinical routine and have, among others, the advantage of specific antagonists which increase the safety of these drugs. Given the scarcity of studies on the hemodynamic and respiratory parameters in sheep in standing position and undergoing sedation with xylazine or dexmedetomidine with subsequent reversal by atipamezol, this study was performed. For this purpose were used 12 male sheep, aged between one and two years, average weight 37,7kg. Sheep were divided into two groups of six animals that were submitted to two different treatments with a mean interval of three weeks, in a study of prospective hidden and random type, being designated as XILA Group (xylazine hydrochloride 0.2 mg/kg) and DEX Group (dexmedetomidine hydrochloride 15 µg/kg) given by intramuscular route. For the installation of pulmonary artery catheter, the animals were anesthetized with facial mask with isofluorane in oxygen, and were intubated and maintained under anesthesia with the same agent until the end of instrumentation. After recovery of anesthesia, we evaluated the hemodynamic, blood gas and respiratory parameters during the first 60 minutes with animals in standing position, to obtain the baseline parameters. Completed this evaluation, the animals were submitted to sedation protocols according to their group. The parameters were checked and registered to 5 (S5), 15 (S15) and 30 minutes (S30) after sedation, and after application of 30 µg/kg atipamezole by intramuscular route to 5 (R5) and 15 minutes (R15). Frequency and heart rate, systemic blood pressure, hemodynamic parameters, respiratory rate, arterial and mixed venous blood gas analysis, core temperature, blood glucose and degree of sedation were evaluated. Ventilatory and hemodynamic indices were calculated. The onset period in XILA and DEX were 3.9 and 5.2 minutes. Xylazine promoted more intense sedation, with a significant difference between the groups at 5 and 15 minutes after alpha 2 administration (S5 and S15). After sedation, significant decrease in heart rate was observed in both groups, which reflected in cardiac output, cardiac index and mean arterial pressure. There was no significant increase in systemic vascular resistance in both groups, but after atipamezol was significantly lower in the XILA group. Xylazine caused tachypnea, which was inhibited after atipamezol. There were no clinically significant changes in PaCO2, PaO2, SaO2 nor in the ventilation indices, indicating that there was no hypoxemia, hypercapnia or hypoventilation during sedation period. Blood glucose rose significantly in both groups, remained higher even after antagonist. After administration of atipamezol sheep needed 10.0 and 11.7 minutes to remain in standing position and 19.3 and 30 minutes to reverse the effects of dexmedetomidine and xylazine, respectively. Xylazine and dexmedetomidine promoted safe sedation with few hemodynamic and cardiorespiratory effects, suggesting that the intramuscularly route is suitable for sedation of sheep with xylazine or dexmedetomidine
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Efeitos do tramadol isolado ou associado à xilazina em equinosSilva Júnior, José Ribamar da [UNESP] 18 December 2009 (has links) (PDF)
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silvajunior_jr_dr_jabo.pdf: 913369 bytes, checksum: 3bdbada76534ca341602e017a918fbd1 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Os efeitos antinociceptivos, comportamentais (atividade locomotora espontânea - ALE, altura de cabeça - AC) e sobre as variáveis fisiológicas de seis equinos tratados com tramadol, como agente analgésico preventivo, nas doses intravenosas de 2 (TT2), 3 (TT3) e 5 mg/kg (TT5), assim como da associação tramadol (3 mg/kg) e xilazina (0,5 mg/kg) (TTX) ou ainda da xilazina (0,5 mg/kg) isolada (TX) foram avaliados. Para ALE, diferenças (P<0,05) foram observadas entre os grupos TT2, TT3 e TT5, porém estas não foram significativas (P>0,05) entre esses e os grupos TTX e TX. Para a AC os grupos TTX e TX foram semelhantes sendo esses diferentes dos grupos tratados com tramadol isolado (P<0,05). Diferenças não foram observadas (P>0,05) quanto à ação antinociceptiva. No grupo TTX as variações nas frequências cardíaca e respiratória, pressão arterial sistólica e motilidade intestinal foram significativas (P<0,05). Pode-se concluir pelo exposto que, embora o tramadol isoladamente não promova alteração significativa no estado comportamental de equinos, não constitui um fármaco analgésico somático ao menos para o estímulo usado, e que a associação tramadol/xilazina, não constitui uma opção como associação, visando à sedação e à analgesia, principalmente quando for desejado incrementar, nas técnicas de anestesia, a antinocicepção somática preventiva. / Antinociceptive and behavioral effects (spontaneous locomotor activity [SLA] and head height [HH]) and effects on physiological parameters in six horses treated with tramadol as a preventive analgesic agent were assessed. Tramadol was administered at intravenous doses of 2 (TT2), 3 (TT3) and 5 mg/kg (TT5), as well as a combination of tramadol (3 mg/kg) and xylazine (0.5 mg/kg) (TTX) or xylazine alone (0.5 mg/kg) (TX). Differences in SLA (P<0.05) were seen in TT2, TT3, and TT5 groups but they were not statistically significant (P>0.05) between these groups and TTX and TX groups. TTX and TX groups showed similar HHs but there were differences of HH between TTX and TX and those groups treated with tramadol alone (P<0.05). However, no differences (P>0.05) were found regarding antinociceptive action. Significant changes (P<0.05) of heart and respiratory rates, systolic blood pressure, and intestinal motility were seen in TTX group. Although tramadol alone does not have a significant effect on horse behavior, it failed to produce analgesia and it has no somatic analgesic action to the stimulus studied. In conclusion, the combination of tramadol plus xylazine should be carefully prescribed to patients with prior cardiovascular and gastrointestinal conditions but it is not an adequate drug combination for sedation and analgesia, especially when anesthesia is intended to increase preventive somatic antinociception.
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Avaliações cardiovasculares e comportamentais em gatos após a injeção intravenosa de amitraz ou xilazinaEscobar, André [UNESP] 27 July 2007 (has links) (PDF)
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escobar_a_me_jabo.pdf: 469077 bytes, checksum: 4db0fafd9bab3f1993358cf18a557b9d (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Foram avaliados os efeitos cardiovasculares e comportamentais após a administração intravenosa de amitraz ou xilazina em oito gatos. Todos os animais foram submetidos aos três tratamentos, a saber: GXil - 1 mg/kg de xilazina; GAmz - 1 mg/kg de amitraz em diluente lipídico; e GDil - volume de diluente lipídico idêntico ao utilizado nos animais tratados com amitraz, respeitando-se um intervalo mínimo de 15 dias entre eles. Imediatamente antes dos tratamentos, avaliaram-se à pressão arterial sistólica (PAS), temperatura retal (T), freqüência respiratória (f), ritmo, freqüência (FC), índice (IC) e contratilidade cardíaca. Os demais registros foram realizados aos 5, 10, 15, 20, 30, 40, 50 e 60 minutos após os tratamentos. Empregou-se análise de variância (ANOVA) de uma única via e teste de Friedman, ambos seguidos pelo teste de Tukey (p=0,05), respectivamente para os dados paramétricos e não-paramétricos. Tanto o amitraz como a xilazina causaram bloqueios atrioventriculares de 1º grau e redução da FC, frações de ejeção (FE) e de encurtamento (FS), IC, PAS e T. Complexos ventriculares prematuros foram observados após a aplicação de amitraz ou do diluente, e a f aumentou. O amitraz induziu sedação menos intensa do que a xilazina. Conclui-se que ambos induzem bradicardia e BAV de 1º grau, observando-se maior depressão da contratilidade cardíaca para a xilazina. A dose empregada do amitraz produz efeito sedativo em gatos. / To evaluate the cardiovascular and behavioral alterations, eight cats were submitted to amitraz or xylazine intravenous injection: GXil - 1 mg/kg of xylazine; GAmz - 1 mg/kg of amitraz; and GDil - diluent in equal volume used on GAmz. The same cats were used after a 15 day interval. Systolic arterial blood pressure (SAP), temperature (T), respiratory (RR) and heart rates (HR), cardiac index (CI), rhythm and contractility (ejection fraction - EF and shortening fraction - SF) were measured before treatments and 5, 10, 15, 20, 30, 40, 50 and 60 minutes after each treatment. One way analysis of variance (ANOVA) and Friedman test, followed by Tukey test (p=0.05), were used to compare parametric and non-parametric data, respectively. Amitraz and xylazine induced first-degree A-V block, decreased HR, EF, SF, CI, SAP and T. Ventricular premature complexes were noted after amitraz or diluent injection, and RR increased. Amitraz induced a lower sedative effect compared to xylazine. It was concluded that both a2-agonists produce bradycardia and first-degree A-V block, but xylazine causes greater cardiac contractility depression. Additionally, amitraz produces a sedative effect in cats.
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Avaliação hemodinâmica e respiratória em ovinos submetidos à sedação com xilazina ou dexmedetomidina antagonizada com atipamezole / Hemodynamic and respiratory evaluation in sheep submitted to sedation with xylazine or dexmedetomidine antagonized with atipamezolDouglas do Carmo Alonso 09 August 2016 (has links)
Os agonistas alfa 2 adrenérgicos são sedativos empregados na rotina clínica de ruminantes, e têm, entre outras, a vantagem de possuir antagonistas específicos, que aumentam a segurança no uso destes medicamentos. Tendo em vista a escassez de estudos acerca dos parâmetros hemodinâmicos e respiratórios em ovinos em posição quadrupedal e submetidos à sedação com xilazina ou dexmedetomidina com posterior reversão pelo atipamezole, realizou-se o presente estudo. Para tanto, foram utilizados 12 ovinos, machos, com idade entre um e dois anos, peso médio de 37,7kg, distribuídos em dois grupos de seis animais que foram submetidos a dois tratamentos distintos com média de três semanas de intervalo, em estudo do tipo prospectivo, encoberto e aleatório, sendo designados como Grupo XILA (cloridrato de xilazina 0,2 mg/kg IM) e Grupo DEX (cloridrato de dexmedetomidina 15 µg/kg IM). Para a instalação do cateter de artéria pulmonar os animais foram anestesiados com auxílio de máscara facial com isofluorano em oxigênio, e na sequência foram intubados e mantidos sob anestesia com o mesmo agente até o fim da instrumentação. Após a recuperação anestésica foram avaliados os parâmetros hemodinâmicos, hemogasométricos e respiratórios durante os primeiros 60 minutos com os animais em posição quadrupedal, para obtenção dos parâmetros basais. Finalizada esta avaliação, os animais foram submetidos aos protocolos de sedação segundo o seu grupo. Os parâmetros foram verificados e registrados aos cinco (S5), 15 (S15) e 30 minutos (S30) após sedação, e, após a aplicação de 30 µg/kg IM de atipamezole aos cinco (R5) e 15 minutos (R15). Foram avaliados frequência e ritmo cardíaco, pressão arterial sistêmica, parâmetros hemodinâmicos, frequência respiratória, hemogasometria arterial e venosa mista, temperatura central, glicemia e grau de sedação. Os índices ventilatórios e hemodinâmicos foram calculados. O período de latência em XILA e DEX foram 3,9 e 5,2 minutos. A xilazina promoveu sedação mais intensa, com diferença significativa entre os grupos aos 5 e 15min após sedação (momentos S5 e S15). Após a sedação, observou-se redução significativa da frequência cardíaca nos dois grupos, que refletiu no débito cardíaco, índice cardíaco e pressão arterial média. Houve elevação não significativa da resistência vascular sistêmica em ambos os grupos, mas que após o atipamezole ficou significativamente mais baixa no grupo XILA. A xilazina causou taquipneia, que foi inibida após o atipamezole. Não houve alterações clinicamente importantes nos valores de PaCO2, PaO2, SaO2 e nem nos índices de ventilação, indicando que não ocorreu hipoxemia, hipercapnia ou hipoventilação durante a sedação. A glicemia elevou-se de maneira significativa nos dois grupos mantendo-se elevada mesmo após o antagonista. Após administração do atipamezole os animais levaram 10,0 e 11,7 minutos para ficarem em posição quadrupedal e 19,3 e 30 minutos para reversão dos efeitos da xilazina e da dexmedetomidina, respectivamente. Tanto a xilazina como a dexmedetomidina promoveram sedação segura, com poucos efeitos hemodinâmicos e cardiorrespiratórios, sugerindo que a administração pela via intramuscular seja adequada para sedação de ovinos com xilazina ou dexmedetomidina / Adrenergic alpha 2 agonists are sedatives used in ruminants clinical routine and have, among others, the advantage of specific antagonists which increase the safety of these drugs. Given the scarcity of studies on the hemodynamic and respiratory parameters in sheep in standing position and undergoing sedation with xylazine or dexmedetomidine with subsequent reversal by atipamezol, this study was performed. For this purpose were used 12 male sheep, aged between one and two years, average weight 37,7kg. Sheep were divided into two groups of six animals that were submitted to two different treatments with a mean interval of three weeks, in a study of prospective hidden and random type, being designated as XILA Group (xylazine hydrochloride 0.2 mg/kg) and DEX Group (dexmedetomidine hydrochloride 15 µg/kg) given by intramuscular route. For the installation of pulmonary artery catheter, the animals were anesthetized with facial mask with isofluorane in oxygen, and were intubated and maintained under anesthesia with the same agent until the end of instrumentation. After recovery of anesthesia, we evaluated the hemodynamic, blood gas and respiratory parameters during the first 60 minutes with animals in standing position, to obtain the baseline parameters. Completed this evaluation, the animals were submitted to sedation protocols according to their group. The parameters were checked and registered to 5 (S5), 15 (S15) and 30 minutes (S30) after sedation, and after application of 30 µg/kg atipamezole by intramuscular route to 5 (R5) and 15 minutes (R15). Frequency and heart rate, systemic blood pressure, hemodynamic parameters, respiratory rate, arterial and mixed venous blood gas analysis, core temperature, blood glucose and degree of sedation were evaluated. Ventilatory and hemodynamic indices were calculated. The onset period in XILA and DEX were 3.9 and 5.2 minutes. Xylazine promoted more intense sedation, with a significant difference between the groups at 5 and 15 minutes after alpha 2 administration (S5 and S15). After sedation, significant decrease in heart rate was observed in both groups, which reflected in cardiac output, cardiac index and mean arterial pressure. There was no significant increase in systemic vascular resistance in both groups, but after atipamezol was significantly lower in the XILA group. Xylazine caused tachypnea, which was inhibited after atipamezol. There were no clinically significant changes in PaCO2, PaO2, SaO2 nor in the ventilation indices, indicating that there was no hypoxemia, hypercapnia or hypoventilation during sedation period. Blood glucose rose significantly in both groups, remained higher even after antagonist. After administration of atipamezol sheep needed 10.0 and 11.7 minutes to remain in standing position and 19.3 and 30 minutes to reverse the effects of dexmedetomidine and xylazine, respectively. Xylazine and dexmedetomidine promoted safe sedation with few hemodynamic and cardiorespiratory effects, suggesting that the intramuscularly route is suitable for sedation of sheep with xylazine or dexmedetomidine
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Observations of idazoxan and xylazine on the myometrial response of the normal, cycling virgin rat in vitroRichey, Meghan 29 September 2009 (has links)
The aim of this study was to determine the contractile responses of normal virgin rat uterine smooth muscle to the ⍺₂ adrenergic agonist, xylazine HCl, in the presence or absence of the selective ⍺₂ adrenoceptor blocker, idazoxan HCl. Sections of full thickness uterus measuring 5 x 1 x 1 mm taken from mature, virgin Sprague-Dawley rats were used in isolated tissue baths containing 37°C Krebs-bicarbonate solution, and continually aerated with 95% O₂ and 5% CO₂. Following stabilization of spontaneous contractions, the tissues were exposed to either no idazoxan (control), 10⁻⁵ M idazoxan (low), 10⁻⁴ M idazoxan (medium), or 10⁻³ M idazoxan (high). Five minutes later, xylazine was added to all baths in a cumulative manner at quarter log increments from 1 x 10⁻⁵ through 1 x 10⁻³ M. The % response in peak developed tension and effective concentration resulting in a 50% response (EC₅₀) for the four treatment groups were examined. Results indicated that xylazine alone, at a concentrations greater than 1 x 10⁻⁴ M, caused a significant negative inotropic response. Pre-treatment with idazoxan at a concentration greater than 10⁻⁴ M enhanced the negative inotropic effect of xylazine in a dose-dependent manner. The mechanism of this synergism is unknown but is proposed to be a local anesthetic action due to sodium channel blockade. / Master of Science
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Ethical Considerations in Goals of Care for Patients with Polysubstance Use and Medical Complications in the Era of XylazineCarter, Margaret, 0000-0002-2970-5026 05 1900 (has links)
The opioid epidemic in Philadelphia has evolved into a complex polysubstance crisis with the emergence of xylazine alongside fentanyl, reshaping substance use dynamics. Xylazine's rising prevalence introduces unique health risks due to its sedative properties, compounded when combined with fentanyl, leading to heightened potency and toxicity. This combination contributes to severe medical complications, notably injection-related infections driving hospitalizations. Ethical care for individuals with substance use disorder necessitates prioritizing patient autonomy in healthcare decision-making. Critical discussions on care goals with hospitalized drug users are imperative, encompassing pain management, withdrawal mitigation, and medication for opioid use disorder, aligning with patient preferences. Open and transparent communication fosters trust, enabling healthcare providers to effectively support substance use disorder patients and enhance their overall quality of life. / Urban Bioethics
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EXAMINING THE TREATMENT OF THOSE WITH OPIOID USE DISORDER IN THE SETTING OF XYLAZINE EMERGENCE: A BIOETHICAL PERSPECTIVEHarrigan, Quinn Catherine 05 1900 (has links)
It is well known that people who use drugs (PWUD) leave the hospital via patient directed discharge (“PDD”; also known as against medical advice “AMA”) more often than people who do not use drugs. The introduction of xylazine – a veterinary tranquilizer – into the United States (US) synthetic opioid supply has only exacerbated this situation. The following paper reviews the literature on xylazine, hospitalization with opioid use disorder (OUD), and how xylazine has changed the experience of hospitalization with OUD. The research revealed that xylazine causes respiratory depression, sedation, and the formation of necrotic wounds. There is currently no treatment for xylazine dependence, overdose, or withdrawal. The literature further revealed that inadequate management of withdrawal and pain, along with stigma from health professionals, are major reasons why PWUD leave the hospital PDD before completing treatment. The difficulty the health system faces with the management of xylazine withdrawal and the necrotic wounds it produces only exacerbates this problem and necessitates increased attention to this topic. Using opioid agonists to treat withdrawal decreases rates of PDD for PWUD in the hospital. This paper will argue that the treatment of PWUD in the hospital with opioid agonists in order to address withdrawal and pain is ethically necessary; and that the introduction of xylazine into the synthetic opioid supply in the US only further necessitates the collective adoption of this viewpoint. / Urban Bioethics
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Predictive values of neurological examination, otoscopic examination and brainstem auditory evoked response (BAER) in calves with otisis media-internaFinnen, Andrea 04 1900 (has links)
Présentement, le diagnostic d’otite moyenne-interne chez le veau est basé sur la présence de signes cliniques appropriés ainsi que les tests diagnostiques tels que la radiographie et la tomodensitométrie. L’objectif de cette étude prospective était d’évaluer les valeurs prédictives de l’examen neurologique, l’examen otoscopique et le test des potentiels auditifs évoqués (PAE) dans le diagnostic d’otite moyenne-interne chez le veau, en utilisant la tomodensitométrie comme test standard. Le deuxième objectif était de définir les valeurs de référence pour le PAE chez le veau normal et d’en décrire les anomalies chez des veaux atteints d’otite moyenne-interne. Dix-sept veaux de race Holstein entre 5-7 semaines d’âge ont été inclus. Tous les veaux ont eu un examen neurologique, un examen otoscopique et une évaluation des PAEs. Les veaux ont été tranquillisés avec de la xylazine intraveineuse (0,05-0,15mg/kg) pour la tomodensitométrie des bulles tympaniques afin d’évaluer pour la présence d’otite moyenne-interne. Selon les résultats de la tomodensitométrie, 11 des 17 veaux étaient atteints avec otite moyenne, 4 de façon unilatérale et 7 bilatéralement. Cinq ondes ont été identifiées de façon constante sur les tracés des PAEs des 6 veaux normaux. Les valeurs positives prédictives pour le PAE, l’examen neurologique et l’examen otoscopique étaient 94,7%, 91,7% et 66,7% respectivement. D’un point de vue clinique, le test le plus fiable dans le diagnostic d’otite moyenne-interne chez le veau est le PAE. Les anomalies ont été observées au PAE avant le développement des signes neurologiques chez certains veaux. / Currently, the antemortem diagnosis of otitis media-interna is based upon the presence of appropriate clinical signs and adjunctive diagnostic imaging including radiography and computed tomography. The purpose of this prospective study was to evaluate predictive values of neurological examination, otoscopic examination and BAER in calves for the diagnosis of otitis media-interna using computed tomography as the gold standard. The second objective was to define BAER reference values in normal calves and to describe BAER abnormalities in calves affected with otitis media-interna. Seventeen Holstein calves between 5 and 7 weeks of age were included. All calves had a neurological examination, otoscopic examination and BAER. Calves were sedated with intravenous xylazine (0.05-0.15 mg/kg [0.02-0.07 mg/lb]) for computed tomography of the tympanic bullae to evaluate for the presence of otitis media-interna. Based upon computed tomographic results, 11 of 17 calves were affected with otitis media, 4 unilaterally and 7 bilaterally. Five waveforms were consistently identified on BAER traces from 6 normal calves. The positive predictive value of BAER, neurological examination and otoscopic examination were 94.7%, 91.7% and 66.7% respectively. Clinically, the most reliable non-invasive diagnostic test to diagnose otitis media-interna in the calf is the BAER. Abnormalities were observed on BAER before the development of neurological deficits in approximately 40% of calves allowing earlier diagnosis.
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L’effet de l’endotoxémie sur les paramètres pharmacocinétiques et pharmacodynamiques de la kétamine et de la xylazine lors d’anesthésie chez le rat Sprague DawleyVeilleux-Lemieux, Daphnée 01 1900 (has links)
Lorsque l’anesthésie par inhalation ne peut être utilisée chez le rat, la combinaison de kétamine et de xylazine est l’alternative la plus fréquemment utilisée. Les doses administrées peuvent varier selon le protocole expérimental. En présence de fièvre, d’infections ou de processus tumoral accompagné de fièvre, la pharmacocinétique de ces drogues peut être modifiée. Ce projet porte sur l’évaluation des changements physiologiques, hématologiques, biochimiques et pharmacocinétiques chez le rat Sprague Dawley lors d’anesthésie avec le mélange kétamine-xylazine suite à l’administration de trois doses différentes de lipopolysaccharide (LPS).
Après l’administration de LPS, une anesthésie à la kétamine-xylazine fut induite chez des rats Sprague Dawley. Des prélèvements sanguins périodiques ainsi que des mesures des paramètres physiologiques furent effectués afin d’évaluer l’effet du LPS sur la pharmacocinétique des deux drogues ainsi que sur les paramètres biochimiques et hématologiques. Les différentes doses de LPS ont causé certaines modifications notamment en produisant une baisse marquée de la saturation en oxygène et de l’albumine sérique, une augmentation de la durée d’anesthésie ainsi que des lésions hépatiques mineures.
Les paramètres pharmacocinétiques de la kétamine furent peu altérés par l’administration de LPS tandis qu’une diminution de la clairance et une augmentation de l’aire sous la courbe (AUC) furent observées pour la xylazine dans les groupes ayant reçu les doses moyenne et élevée de LPS. Ces résultats montrent que les doses de xylazine doivent être adaptées en présence de LPS pour permettre une anesthésie de courte durée et des changements physiologiques et biochimiques moindres lorsqu’elle est administrée avec de la kétamine. / When inhalation anesthesia cannot be used in laboratory rats, ketamine-xylazine combination is the most frequent alternate regimen. The administrated doses can vary according to the experimental protocol. During fever episodes, infections or tumoral process, the pharmacokinetics of these drugs can be modified. This project focuses on the evaluation of the physiological, hematological, biochemical and pharmacokinetics changes in Sprague Dawley rats during ketamine-xylazine anesthesia, after administration of three different doses of lipopolysaccharide (LPS).
After administration of LPS to Sprague Dawley rats, ketamine-xylazine anesthesia was induced. Periodic blood samplings and monitoring of physiologic parameters were made in order to evaluate the effect of LPS on ketamine-xylazine pharmacokinetics and hematological and biochemical parameters. The different LPS doses caused specific parameter modifications including a marked decrease of oxygen blood saturation and serum albumin, a longer anesthesia duration and minor hepatic lesions.
No significant modifications of pharmacokinetics parameters of ketamine were observed. An increase of area under curve (AUC) and a decrease of xylazine clearance were noted in groups who received medium and large doses of LPS. These results show that that xylazine doses need to be adapted in the presence of LPS, to allow a shorter duration anaesthesia and lesser physiological and biochemical changes when administered with ketamine.
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