Abstract
Detomidine is a sedative-analgesic which has a pharmacological profile similar to xylazine. There is evidence that the sedative effects are mediated through alpha-2 adrenoceptors.
Cardiopulmonary responses were determined using detomidine as the principal agent and as a preanesthetic prior to the induction of general anesthesia. Compatibility with guaifenesin, sodium thia-mylal and halothane were determined.
As in the case of xylazine, detomidine produces a slowing of heart rates. This was found to be either sinus bradycardia or heart block. There may be a corresponding increase in systolic blood pressures. The respiratory pattern is altered through the arterial blood gases and pH data supported evidence of adequate ventilation. The heart rate response to detomidine without anticholinergic treatment was transient and related to he duration of drug action.
Atropine sulfate, 0.02 mg/kg i.v. was effective in preventing or treating bradycardia or heart block from detomidine. Heart rates also increased during the administration of guaifenesin and sodium thia-mylal when given 50 min poisit-detomidine.
Keywords: equine anesthesia, cardiac function, ven.tilation, halothane, guaifenesin, sodium thiamylal, analgesia
Sammanfattning
Detomidin är ett sedativt analgetikum med en farmakologisk profil lik xylazinets. De sedativa effekterna medieras uppenbarligen genom alfa-2 adrenoreceptorer.
De kardiopulmonära effekterna av detomidin studerades med detomidin som den principiella faktorn och som ett preanestetikum före induktion av allmän anestesi med guaifenesin, natrium thiamylal och halotan.
I likhet med xylazin förorsakar detomidin bradykardi, vilken befanns vare antingen sinus-bradykardi eller hjärtblock. En motsvarande ökning i systoliskt blodtryck kan inträffa. Respirationen kan vara förändrad även om arteriella blodgaser och pH tyder på adekvat ventilation. Effekten på hjärtfrekvensen av detomidin utan antikolinergisk behandling var tillfällig och berodde på längden av detomidinets verkan.
Intravenös applicering av atropinsulfat, 0,02 mg/kg, förhindrade effektivt den av detomidin förorsakade bradykardin eller hjärtblocket. Hjärtfrekvensen ökade också efter administrering av guaifenesin och natrium thiamylal 30 min efter detomidin.
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References
- Alitalo L, Vainio O, Kaartinen L, Raekallio M. Acta vet. scand. 1986. Cardiac effects of Atropine premedication in horses sedated with Detomidine; pp. 131–136. [PubMed] [Google Scholar]
- Clarke K W, Hall L W. Xylazine–a new sedative for horses and cattle. Vet. Rec. 1969;85:512–517. doi: 10.1136/vr.85.19.512. [DOI] [PubMed] [Google Scholar]
- Clough D P, Hatton R. Hypotensive and sedative effects of α-adrenoceptor agonists: relationshop to α2- and α2-adrenoceptor potency. Brit. J. Pharmacol. 1981;73:595–604. doi: 10.1111/j.1476-5381.1981.tb16793.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Delbarre B, Schmitt H. Sedative effects of sympathomimetic drugs and their antagonism by adrenergic and cholinergic blocking drugs. Eur. J. Pharmacol. 1971;13:356–363. doi: 10.1016/0014-2999(71)90226-3. [DOI] [PubMed] [Google Scholar]
- Delini-Stula A, Baumann P, Buch O. Depression of exploratory activity by clonidine in rats as a model for the detection of relative pre- and postsynaptic central adrenergic receptor selectivity of α-adrenolytic drugs. Naunyn-Schmiedebeirg’s Arch. Pharmacol. 1979;307:115–122. doi: 10.1007/BF00498452. [DOI] [PubMed] [Google Scholar]
- Hsu W S. Xylazine-induced depression anid its antagonism by alpha adrenergic blocking agents. J. Pharmacol, exp. Ther. 1981;218:188–192. [PubMed] [Google Scholar]
- Kalpravidh M, Lumb W V, Wright M, Heath R B. Effects of butorphanol, flunixin, levorphanol, morphine and xylazine in ponies. Amer. J. vet. Res. 1984;45:217–223. [PubMed] [Google Scholar]
- Kalpravidh M, Lumb W V, WrightB. B.^Heath M. Analgesic effects of butorphanol in horses: Dose-response studies. Amer. J. vet. Res. 1984;45:211–216. [PubMed] [Google Scholar]
- Kerr D D, Jones E W, Huggins K, Edwards W C. Sedative and other effects of xylazine given intravenously to horses. Amer. J. vet. Res. 1972;33:525–532. [PubMed] [Google Scholar]
- Klein L V, Baetjer C. Preliminary report: Xylazine and morphine sedation in horses. Vet. Anesth. 1974;1:2–6. [Google Scholar]
- Muir W W, Skarda R T, Sheehan W C. Hemodynamic and respiratory effects of xylazine-morphine sulfate in horses. Amer. J. vet. Res. 1979;40:1417–1420. [PubMed] [Google Scholar]
- Robertson J T, Muir W W, Sams R. Cardiopulmonary effects of butorphanol tartrate in horses. Amer. J. vet. Res. 1981;42:41–44. [PubMed] [Google Scholar]
- Short C E, Matthews N, Harvey R, Tyner C L. Acta vet. scand. 1986. Cardiovascular and pulmonary function studies of a new sedative analgetic (detomidine/Domosedan) for use alone in horses or as a preanesthetic; pp. 139–155. [PubMed] [Google Scholar]
- Vainio O. Detomidine hydrochloride. A novel imidazole-type sedative analgesic. In: Ruckebusch T, Toutain P L, Horitz G D, editors. Veterinary Pharmacology and Toxicology. Lancaster: MTP Press Limited; 1983. pp. 798–799. [Google Scholar]
- van Zwieten P A, Thoolen M J M C, Timmermans P B M W M. The pharmacology of centrally acting antihypertensive drugs. Brit. J. clin. Pharmacol. 1983;15:455S–462S. doi: 10.1111/j.1365-2125.1983.tb00311.x. [DOI] [Google Scholar]
- Virtanen R, Ruskoaho H, Nyman L. Pharmacological evidence for the involvement of alpha-2 adrenoceptors in the sedative effect of detomidine, a novel sedative-analgesic. J. vet. Pharmacol. Ther. 1985;8:30–37. doi: 10.1111/j.1365-2885.1985.tb00921.x. [DOI] [PubMed] [Google Scholar]
