Midazolam or fentanyl for co-induction of propofol anesthesia in bitches premedicated with acepromazine-morphine

Authors

  • Matheus Fernandes de Souza UFRRJ
  • Anna Julia Rodrigues Peixoto UFRRJ
  • Clarisse Gonring Corrêa UFRRJ
  • Maria Eduarda dos Santos Lopes Fernandes UFRRJ
  • Juliana de Oliveira UFRRJ
  • Viviane Horta Gomes UFRRJ
  • Cassia Maria Mollinaro Coelho UFRRJ
  • Marta Fernanda Albuquerque da Silva UFRRJ

DOI:

https://doi.org/10.31533/pubvet.v16n09a1216.1-7

Keywords:

Anesthesia, benzodiazepine, phenothiazine, opioid, sedation

Abstract

The aim of the present study was to evaluate the ability of midazolam and fentanyl to reduce the induction dose of propofol and the quality of induction of bitches premedicated with acepromazine (0,03 mg/kg) and morphine (0,3 mg/kg). Thirty minutes after premedication administration (T30), heart rate (HR), respiratory rate (RR), systolic arterial pressure (SAP), rectal temperature (RT) was evaluated. Then, the dogs were randomly assigned to receive one of three treatments (n = 8): midazolam-propofol (MP group), fentanyl-propofol (FP group) or saline-propofol (SP group). Immediately after administration of the co-inducing agent, anesthesia was induced with IV propofol (2 mg/kg/minute). The dose of propofol required for orotracheal intubation, the quality of induction and the occurrence of side effects were recorded. At T30, a sedative increase was observed in MP, FP and SP groups compared to baseline (P < 0.05). At T30, a decrease in HR, SAP and TR was observed in relation to baseline (P < 0.05). There was no difference between groups regarding sedation scores, HR, RR, SBP, TR, propofol induction dose and quality of anesthetic induction (P > 0.05). Apnea was observed in four dogs in the MP group and in two dogs in the FP group. One dog in the MP group presented muscle stiffness. At the doses used, midazolam and fentanyl were not able to reduce the propofol induction dose in dogs premedicated with acepromazine-morphine. The quality of anesthetic induction was excellent, with possible occurrence of apnea and muscle stiffness. The acepromazine-morphine combination results in mild to moderate sedation, and a decrease in HR, SAP and RT.

References

Aguilera, R., Sinclair, M., Valverde, A., Bateman, S., & Hanna, B. (2020). Dose and cardiopulmonary effects of propofol alone or with midazolam for induction of anesthesia in critically ill dogs. Veterinary Anaesthesia and Analgesia, 47(4), 472–480. https://doi.org/10.1016/j.vaa.2020.03.006.

Aleixo, G. A. S., Ribeiro, V. M., Maciel Junior, B. S., Sousa, A. A., & Oliveira, C. R. (2004). Uso do analgésico fentanil transdérmico em um cão. Ciência Veterinária Tropical, 7(2/3), 140–144.

Aleixo, G. A. S., & Tudury, E. A. (2007). Utilização de opióides na analgesia de cães e gatos. Veterinária Notícias, 11(2), 31–42.

Amengual, M., Flaherty, D., Auckburally, A., Bell, A. M., Scott, E. M., & Pawson, P. (2013). An evaluation of anaesthetic induction in healthy dogs using rapid intravenous injection of propofol or alfaxalone. Veterinary Anaesthesia and Analgesia, 40(2), 115–123. https://doi.org/10.1111/j.1467-2995.2012.00747.x.

Berry, S. H. (2015). Analgesia in the perioperative period. In L. S. Waddell (Ed.), Veterinary Clinics of North America: Small Animal Practice - Perioperative Care (pp. 1013–1027). https://doi.org/10.1016/j.cvsm.2015.04.007.

Brainard, B. M., & Hofmeister, E. H. (2012). Anesthesia principles and monitoring. Veterinary Surgery: Small Animal, 2, 248–290.

Covey-Crump, G. L., & Murison, P. J. (2008). Fentanyl or midazolam for co-induction of anaesthesia with propofol in dogs. Veterinary Anaesthesia and Analgesia, 35(6), 463–472. https://doi.org/10.1111/j.1467-2995.2008.00408.x.

Duke-Novakovski, T. (2014). Opioids. In C. M. Egger, L. Love, & T. Doherty (Eds.), Pain management in veterinary practice. Wiley-Blackwell, Hoboken, New Jersey, EUA. Willey-Blackwell, Hoboken. https://doi.org/10.1002/9781118999196.ch4

Gomes, V. H., Barcellos, M. C. B., Lima, V. C. T., Moura, R. A., Freitas, J. B., & Silva, M. F. A. (2019). Effect of three doses of nalbuphine on reversal of sedation and cardiopulmonary effects of morphine–acepromazine in healthy dogs. Veterinary Anaesthesia and Analgesia, 46(4), 429–434. https://doi.org/10.1016/j.vaa.2019.03.001.

Gomes, V. H., Monteiro, E. R., Dias, R. S., Oliveira, R. L. S., Silva, M. F. A., & Coelho, K. (2011). Comparison of the sedative effects of morphine, meperidine or fentanyl, in combination with acepromazine, in dogs. Ciência Rural, 41, 1411–1416. https://doi.org/10.1590/S0103-84782011005000102.

Hellyer, P. W., Mama, K. R., Shafford, H. L., Wagner, A. E., & Kollias-Baker, C. (2001). Effects of diazepam and flumazenil on minimum alveolar concentrations for dogs anesthetized with isoflurane or a combination of isoflurane and fentanyl. American Journal of Veterinary Research, 62(4), 555–560. https://doi.org/10.2460/ajvr.2001.62.555.

Hopkins, A., Giuffrida, M., & Larenza, M. P. (2014). Midazolam, as a co-induction agent, has propofol sparing effects but also decreases systolic blood pressure in healthy dogs. Veterinary Anaesthesia and Analgesia, 41(1), 64–72. https://doi.org/10.1111/vaa.12088.

Jones, J. L. (1996). Noninvasive monitoring techniques in anesthetized animals. Veterinary Medicine, 91, 326–336.

KuKanich, B., Lascelles, B. D. X., & Papich, M. G. (2005). Pharmacokinetics of morphine and plasma concentrations of morphine‐6‐glucuronide following morphine administration to dogs. Journal of Veterinary Pharmacology and Therapeutics, 28(4), 371–376. https://doi.org/10.1111/j.1365-2885.2005.00661.x.

Lumb, W. V., & Jones, E. W. (1984). Veterinary anesthesia (Issue Edition 2). Lea & Febiger.

Monteiro, E. R., Rodrigues Júnior, A., Assis, H. M. Q., Campagnol, D., & Quitzan, J. G. (2009). Comparative study on the sedative effects of morphine, methadone, butorphanol or tramadol, in combination with acepromazine, in dogs. Veterinary Anaesthesia and Analgesia, 36(1), 25–33. https://doi.org/10.1111/j.1467-2995.2008.00424.x

Monteiro, E. R., Teixeira Neto, F. J., Castro, V. B., & Campagnol, D. (2007). Effects of acepromazine on the cardiovascular actions of dopamine in anesthetized dogs. Veterinary Anaesthesia and Analgesia, 34(5), 312–321. https://doi.org/10.1111/j.1467-2995.2006.00328.x.

Muir, W. W., Hubbell, J. A. E., Skarda, R. T., & Bednarski, M. R. (1992). Manual de anestesia veterinária. Acribia.

Murison, P. J. (2001). Effect of propofol at two injection rates or thiopentone on post‐intubation apnoea in the dog. Journal of Small Animal Practice, 42(2), 71–74. https://doi.org/10.1111/j.1748-5827.2001.tb01995.x.

Psatha, E., Alibhai, H. I. K., Jimenez-Lozano, A., Armitage-Chan, E., & Brodbelt, D. C. (2011). Clinical efficacy and cardiorespiratory effects of alfaxalone, or diazepam/fentanyl for induction of anaesthesia in dogs that are a poor anaesthetic risk. Veterinary Anaesthesia and Analgesia, 38(1), 24–36. https://doi.org/10.1111/j.1467-2995.2010.00577.x.

Sams, L., Braun, C., Allman, D., & Hofmeister, E. (2008). A comparison of the effects of propofol and etomidate on the induction of anesthesia and on cardiopulmonary parameters in dogs. Veterinary Anaesthesia and Analgesia, 35(6), 488–494. https://doi.org/10.1111/j.1467-2995.2008.00417.x.

Sánchez, A., Belda, E., Escobar, M., Agut, A., Soler, M., & Laredo, F. G. (2013). Effects of altering the sequence of midazolam and propofol during co‐induction of anaesthesia. Veterinary Anaesthesia and Analgesia, 40(4), 359–366. https://doi.org/10.1111/vaa.12038.

Santos, A. L. Q., Oliveira, S. R. P., Kaminishi, A. P. S., Andrade, M. B., Menezes, L. T., Souza, R. R., Ferreira, C. H., Nascimento, L. R., & Moraes, F. M. (2012). Avaliação do uso da combinação de propofol e midazolam na contenção farmacológica e anestesia do cágado-de-barbicha Phynops geoffroanus Schweigger, 1812 (Testudines, Chelidae). PUBVET, 6(12), 1331–1337.

Stegmann, G. F., & Bester, L. (2001). Some clinical effects of midazolam premedication in propofol-induced and isoflurane-maintained anaesthesia in dogs during ovariohysterectomy. Journal of the South African Veterinary Association, 72(4), 214–216. https://doi.org/10.4102/jsava.v72i4.655.

Valadão, C. A. A., Duque, J. C., & Farias, A. (2002). Administração epidural de opióides em cães. Ciência Rural, 32(2), 347–355.

Published

2022-09-02

Issue

Section

Medicina veterinária

How to Cite

Midazolam or fentanyl for co-induction of propofol anesthesia in bitches premedicated with acepromazine-morphine. (2022). Pubvet, 16(09), e1216. https://doi.org/10.31533/pubvet.v16n09a1216.1-7

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