Onset and duration of action of escalating doses of atracurium in anesthetized healthy goats

Copyright © 2023 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved..

OBJECTIVE: The aim of this study was to describe the onset and duration of action of escalating doses of atracurium in healthy, anesthetized goats.

STUDY DESIGN: Randomized, blinded, triple crossover study. Animals A total of eight (five males and three females) healthy goats weighing 42.7-123.5 kg and aged from 11 months to 8 years.

METHODS: Goats were anesthetized three times with propofol and anesthesia was maintained with isoflurane. One of three doses of atracurium was administered intravenously 30 minutes after induction: 0.25 mg kg-1 (AT25), 0.5 mg kg-1 (AT50) or 0.75 mg kg-1 (AT75). Acceleromyographic train-of-four ratio (TOFR) followed by train-of-four counts (TOFC) were recorded at 30 second intervals after atracurium administration to determine blockade onset (TOFC = 0). The TOFR followed by TOFC were recorded at 5 minute intervals until return to pre-atracurium baseline (TOFR = 1.0). Normally distributed data were analyzed with repeated measures anova and a Tukey multiple comparison test. Data not normally distributed were analyzed with a Friedman test and a Dunn's multiple comparison test.

RESULTS: For AT50 and AT75, 100% of goats achieved TOFC = 0 after atracurium administration. For AT25, however, 87.5% of goats achieved TOFC = 0 after atracurium administration. The onset time was shorter for AT75 [1.5 (0.5-1.5) minutes; median (range)] than for AT25 [2 (1-4) minutes] (p = 0.048). The duration of action [from onset time to complete reversal (TOFR = 1.0)] was significantly shorter for AT25 (52 ± 12 minutes, mean ± SD) than for AT50 (77 ± 18 minutes) (p < 0.001) and AT75 (85 ± 16 minutes) (p < 0.001). There was no significant difference in duration between AT50 and AT75 (p = 0.238).

CONCLUSIONS AND CLINICAL RELEVANCE: Doses of 0.5 and 0.75 mg kg-1 atracurium may produce complete neuromuscular blockade in healthy, anesthetized goats.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:51

Enthalten in:

Veterinary anaesthesia and analgesia - 51(2024), 2 vom: 20. März, Seite 160-167

Sprache:

Englisch

Beteiligte Personen:

Ishihara, Toshitsugu [VerfasserIn]
Clark-Price, Stuart C [VerfasserIn]
Lin, Hui-Chu [VerfasserIn]
Bayne, Jenna E [VerfasserIn]
Martin-Flores, Manuel [VerfasserIn]

Links:

Volltext

Themen:

2GQ1IRY63P
Atracurium
Goats
Journal Article
Neuromuscular blockade
Randomized Controlled Trial, Veterinary
Train-of-four

Anmerkungen:

Date Completed 23.02.2024

Date Revised 06.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.vaa.2023.12.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367332507