Propofol ou sevofluorano sobre variáveis hemodinâmicas em cães submetidos à administração subaracnóidea de iohexol
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Data
2005-12-01
Autores
Nishimori, Celina Tie [UNESP]
Nunes, Newton [UNESP]
Leite, Alessandra Valeiro [UNESP]
Paula, Danielli Parrilha de [UNESP]
Rezende, Márlis Langenegger de
Souza, Almir Pereira de
Santos, Paulo Sérgio Patto dos [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Santa Maria (UFSM)
Resumo
Avaliaram-se os efeitos do propofol ou sevofluorano sobre variáveis hemodinâmicas, em cães submetidos à mielografia. Para tanto, utilizaram-se trinta animais distribuídos em dois grupos de igual número, denominados GP e GS. Os animais do GP receberam propofol (10mg kg-1) por via intravenosa para intubação orotraqueal, e imediatamente após, administrou-se continuamente, por meio de bomba de infusão, propofol (0,55 ± 0,15mg kg-1 min-1). Decorridos 30 minutos, foi colhido liquor na cisterna magna e o meio de contraste iohexol foi injetado. No GS empregou-se a mesma metodologia adotada para o GP, utilizando indução anestésica pela administração de sevofluorano a 2,5 CAM, com o uso de máscara naso-oral vedada e manutenção com 1,5 CAM. As variáveis estudadas foram freqüência cardíaca (FC), pressões arteriais sistólica, diastólica e média (PAS, PAD e PAM, respectivamente), débito cardíaco (DC), volume sistólico (VS), pressão venosa central (PVC), freqüência respiratória (f), concentração de dióxido de carbono ao final da expiração (ETCO2) e saturação de oxihemoglobina (SpO2). As mensurações das variáveis foram realizadas imediatamente após a colheita do liquor (M1), logo após a aplicação de iohexol (M2), seguida das demais em intervalos de 10 minutos, durante uma hora. Utilizazou-se a Análise de Variância (ANOVA) seguida pelo teste F como métodos estatísticos, considerando p<0,05. Houve redução da pressão arterial em ambos os grupos, sendo menos intensa no grupo que recebeu propofol. No GS, observou-se redução da FC e aumento do DC e do VS. Referente a ETCO2 as médias do GP foram superiores às do GS. Os resultados obtidos permitiram concluir que tanto o propofol como o sevofluorano não promovem alterações hemodinâmicas que comprometam a técnica de mielografia.
The effects of propofol or sevoflurane upon hemodynamics variables were studied in dogs submitted to myelography. For this purpose, thirty dogs were randomly divided into two equal groups, denominated GP and GS. The animals of GP were induced with propofol (10mg kg-1) intravenously, intubated and after that, propofol was administrated continuously through an infusion pump (0.55±0.15mg kg-1 min-1). After thirty minutes the liquor was collected on the magna cistern and the contrast (iohexol) was injected. To the animals of GS, the same methodology was adopted, but sevoflurane at 2.5 MAC was used as the anesthetic induction by facial mask, and the maintenance was done with 1.5 MAC. The variables studied were heart rate (HR), systolic, diastolic and mean arterial pressures (SAP, DAP, and MAP, respectively), cardiac output (CO), stroke volume (SV), central venous pressure (CVP), respiratory rate (RR), end tidal carbon dioxide (ETCO2) and oxyhemoglobin saturation (SpO2). The measurements were realized immediately after liquor collection (M1), after iohexol administration (M2), and at each 10 minutes after M2, during one hour. The numerical data were submitted to Analysis of Variance (ANOVA) followed by F test considering p<0.05. There was reduction in blood pressure at both groups, and this effect was less intense at the group that received propofol. In GS it was observed reduction in HR and increase in CO and SV. Regarding to ETCO2 the averages of GP were greater than the GS. The results allow to conclude that both propofol and sevoflurane do not promote hemodynamics alterations that compromise the myelography technique.
The effects of propofol or sevoflurane upon hemodynamics variables were studied in dogs submitted to myelography. For this purpose, thirty dogs were randomly divided into two equal groups, denominated GP and GS. The animals of GP were induced with propofol (10mg kg-1) intravenously, intubated and after that, propofol was administrated continuously through an infusion pump (0.55±0.15mg kg-1 min-1). After thirty minutes the liquor was collected on the magna cistern and the contrast (iohexol) was injected. To the animals of GS, the same methodology was adopted, but sevoflurane at 2.5 MAC was used as the anesthetic induction by facial mask, and the maintenance was done with 1.5 MAC. The variables studied were heart rate (HR), systolic, diastolic and mean arterial pressures (SAP, DAP, and MAP, respectively), cardiac output (CO), stroke volume (SV), central venous pressure (CVP), respiratory rate (RR), end tidal carbon dioxide (ETCO2) and oxyhemoglobin saturation (SpO2). The measurements were realized immediately after liquor collection (M1), after iohexol administration (M2), and at each 10 minutes after M2, during one hour. The numerical data were submitted to Analysis of Variance (ANOVA) followed by F test considering p<0.05. There was reduction in blood pressure at both groups, and this effect was less intense at the group that received propofol. In GS it was observed reduction in HR and increase in CO and SV. Regarding to ETCO2 the averages of GP were greater than the GS. The results allow to conclude that both propofol and sevoflurane do not promote hemodynamics alterations that compromise the myelography technique.
Descrição
Palavras-chave
Anesthesia, Canine, Hemodynamic, Myelography, Anestesia, caninos, Hemodinâmica, Mielografia
Como citar
Ciência Rural. Universidade Federal de Santa Maria (UFSM), v. 35, n. 6, p. 1345-1350, 2005.