scholarly journals Lung function after total intravenous anaesthesia or balanced anaesthesia with sevoflurane

2011 ◽  
Vol 106 (2) ◽  
pp. 272-276 ◽  
Author(s):  
W Tiefenthaler ◽  
D Pehboeck ◽  
E Hammerle ◽  
P Kavakebi ◽  
A Benzer
Author(s):  
T. Brighton Dzikiti

Intravenous anaesthesia is gradually becoming popular in veterinary practice. Traditionally, general anaesthesia is induced with intravenous drugs and then maintained with inhalation agents. Inhalation anaesthetic agents cause more significant dose-dependent cardiorespiratory depression than intravenous anaesthetic drugs, creating a need to use less of the inhalation anaesthetic agents for maintenance of general anaesthesia by supplementing with intravenous anaesthesia drugs. Better still, if anaesthesia is maintained completely with intravenous anaesthetic drugs, autonomic functions remain more stable intra-operatively. Patient recovery from anaesthesia is smoother and there is less pollution of the working environment than happens with inhalation anaesthetic agents. Recently, a number of drugs with profiles (pharmacokinetic and pharmacodynamic) suitable for prolonged intravenous anaesthesia have been studied, mostly in humans and, to a certain extent, in dogs and horses. There is currently very little scientific information on total intravenous anaesthesia in goats, although, in the past few years, some scholarly scientific articles on drugs suitable for partial intravenous anaesthesia in goats have been published. This review article explored the information available on drugs that have been assessed for partial intravenous anaesthesia in goats, with the aim of promoting incorporation of these drugs into total intravenous anaesthesia protocols in clinical practice. That way, balanced anaesthesia, a technique in which drugs are included in anaesthetic protocols for specific desired effects (hypnosis, analgesia, muscle relaxation, autonomic stabilisation) may be utilised in improving the welfare of goats undergoing general anaesthesia.


Author(s):  
K.E. Joubert ◽  
N. Keller ◽  
C.J. Du Plessis

This article describes the anaesthetic management and use of total intravenous anaesthesia (TIVA) for neurosurgery in 4 dogs. Propofol in conjunction with morphine was used for the maintenance of anaesthesia. Anaesthesia was induced with either thiopentone or propofol. The program Stelpump (a target-controlled infusion program) was run on a laptop and connected to a syringe driver via an RS 232 cable. The program was found to be reliable and safe for the administration of TIVA in dogs. Invasive monitoring was required in order to monitor cardiovascular changes during surgery. Ventilation was controlled to maintain the end-tidal carbon dioxide below 40 mm Hg. The anaesthesia was characterised by haemodynamic stability. The haemodynamic stability was probably the result of the choice of TIVA and balanced anaesthesia. Intracranial pressure and oedema was controlled with dexamethasone, mannitol and ventilatory management either in combination or alone. Three dogs survived to hospital discharge and 1 dog was euthanased 2 weeks later due to tumour metastasis. The development and characterisation of the anaesthetic effects of TIVA needs to be elucidated in order to provide clinicians with rational guidelines for the appropriate use of TIVA in veterinary medicine.


2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Ijaz Sheikh ◽  
Samina Aslam ◽  
Humaira Ahmad ◽  
Muhammad Rauf

Introduction: Porpofol is currently available popular intravenous anaesthetic agent. It is widely used for induction and maintenance of anaesthesia. Its main advantages are rapid induction and recovery, antiemetic and anticonvulsant effects. It has been used successfully for tracheal intubation without muscle relaxant, day surgery and for insertion of laryngeal mask airway. Its main disadvantages are pain on injection, dose dependent hypotension and severe bradycardia after induction. Objectives: The objective of the study was to compare mean hemodynamic changes using propofol as total intravenous anaesthesia with balanced anaesthesia technique (thiopentone-isoflurane-nitrousoxide). Setting: Department of Anaesthesia, Allied Hospital, Faisalabad. Duration: 6 months after approval of synopsis, from 18-7-2014 to 17-1-2015. Study Design: Randomized control trial. Results: In our study, out of 60 cases(30 in each group), 70%(n=21) in Group-A and 63.33%(n=19) in Group-B were between 12-30 years of age while 30%(n=9) in Group-A and 36.67%(n=11) in Group-B were between 31-60 years of age, mean+sd was calculated as 27.90+8.91 and 29.8+8.49 years respectively. 60%(n=18) in Group-A and 53.33%(n=16) in Group-B were male while 40%(n=12) in Group-A and 46.67%(n=14) in Group-B were females. Comparison of mean hemodynamic changes using propofol as total intravenous anaesthesia with balanced anaesthesia technique (thiopentone-isoflurane-nitrous oxide) shows that heart rate after intubation in Group-A was 83.4+2.36 and 90.36+1.95 in Group-B, p value was 0.001 while mean arterial pressure in Group-A was recorded as 78.6+2.25 and in Group-B 89.43+1.73, p value was 0.000. Conclusion: Propofol as total intravenous anaesthesia shows significanly better stability in haemodynamics when comapred with balanced anaesthesia technique (thiopentone-isoflurane-nitrous oxide) in surgical procedures.


2007 ◽  
Vol 99 (4) ◽  
pp. 587-591 ◽  
Author(s):  
M. Hohlrieder ◽  
W. Tiefenthaler ◽  
H. Klaus ◽  
M. Gabl ◽  
P. Kavakebi ◽  
...  

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