Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy

Abstract Background The analgesic and cardiorespiratory effects of ketamine, fentanyl, or ketamine-fentanyl constant rate infusion (CRI) in dogs undergoing mastectomy were evaluated. Seventeen female dogs received CRI of ketamine (GK [n = 6]: bolus 0.5 mg/kg; CRI 20 µg/kg/min in intra- and postopera...

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Main Authors: Rauane Sousa de Moura, Isabela Plazza Bittar, Janainne Hilbig Gomes, Yan Victor Rodrigues de Oliveira, Gladsthon Divino de Sousa Filho, Glauco Cézar Fragola de Faria Soares, Eliana Martins Lima, Leandro Guimarães Franco
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Veterinary Research
Subjects:
Online Access:https://doi.org/10.1186/s12917-022-03244-1
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author Rauane Sousa de Moura
Isabela Plazza Bittar
Janainne Hilbig Gomes
Yan Victor Rodrigues de Oliveira
Gladsthon Divino de Sousa Filho
Glauco Cézar Fragola de Faria Soares
Eliana Martins Lima
Leandro Guimarães Franco
author_facet Rauane Sousa de Moura
Isabela Plazza Bittar
Janainne Hilbig Gomes
Yan Victor Rodrigues de Oliveira
Gladsthon Divino de Sousa Filho
Glauco Cézar Fragola de Faria Soares
Eliana Martins Lima
Leandro Guimarães Franco
author_sort Rauane Sousa de Moura
collection DOAJ
description Abstract Background The analgesic and cardiorespiratory effects of ketamine, fentanyl, or ketamine-fentanyl constant rate infusion (CRI) in dogs undergoing mastectomy were evaluated. Seventeen female dogs received CRI of ketamine (GK [n = 6]: bolus 0.5 mg/kg; CRI 20 µg/kg/min in intra- and postoperative periods], fentanyl (GF [n = 5]: bolus 20 µg/kg; intraoperative CRI 5 20 µg/kg/hour and postoperative CRI 2 20 µg/kg/hour), or combination of ketamine-fentanyl (GKF [n = 6]: aforementioned doses) for 8 h. Cardiorespiratory, blood gas analyses, plasma drug concentrations, sedation score (SS), Pain Scores were evaluated. Results The heart rate decreased in the GF and GKF (p < 0.04); the mean arterial pressure was lower in the GKF than in the GK at 35 min (p < 0.001). Maximum plasma concentrations were observed 5 min after bolus in the GK (2847.06 ± 2903.03 ng/mL) and GKF (2811.20 ± 1931.76 ng/mL). Plasma concentration in intraoperative period of ketamine was of > 100 ng/mL in 5/5 and 2/5 animals in the GKF and GK, respectively; and > 1.1 ng/mL of fentanyl in 4/5 and 3/5 in GKF and GF, respectively. Conclusion Ketamine with/without fentanyl provided analgesia without significant cardiorespiratory and guaranteed the minimal plasma levels with analgesic potential during the 8 h.
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spelling doaj.art-33d964ab0da245b0ba1768b7be7cbfd82022-12-22T02:34:11ZengBMCBMC Veterinary Research1746-61482022-06-0118111010.1186/s12917-022-03244-1Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomyRauane Sousa de Moura0Isabela Plazza Bittar1Janainne Hilbig Gomes2Yan Victor Rodrigues de Oliveira3Gladsthon Divino de Sousa Filho4Glauco Cézar Fragola de Faria Soares5Eliana Martins Lima6Leandro Guimarães Franco7Department of Veterinary Medicine, Federal University of GoiásDepartment of Veterinary Medicine, Federal University of GoiásDepartment of Veterinary Medicine, Federal University of GoiásDepartment of Veterinary Medicine, Federal University of GoiásDepartment of Veterinary Medicine, Federal University of GoiásDevelopment and Technological Innovation in Drugs - FarmaTec, Research Center, Universidade Federal de GoiásDevelopment and Technological Innovation in Drugs - FarmaTec, Research Center, Universidade Federal de GoiásDepartment of Veterinary Medicine, Federal University of GoiásAbstract Background The analgesic and cardiorespiratory effects of ketamine, fentanyl, or ketamine-fentanyl constant rate infusion (CRI) in dogs undergoing mastectomy were evaluated. Seventeen female dogs received CRI of ketamine (GK [n = 6]: bolus 0.5 mg/kg; CRI 20 µg/kg/min in intra- and postoperative periods], fentanyl (GF [n = 5]: bolus 20 µg/kg; intraoperative CRI 5 20 µg/kg/hour and postoperative CRI 2 20 µg/kg/hour), or combination of ketamine-fentanyl (GKF [n = 6]: aforementioned doses) for 8 h. Cardiorespiratory, blood gas analyses, plasma drug concentrations, sedation score (SS), Pain Scores were evaluated. Results The heart rate decreased in the GF and GKF (p < 0.04); the mean arterial pressure was lower in the GKF than in the GK at 35 min (p < 0.001). Maximum plasma concentrations were observed 5 min after bolus in the GK (2847.06 ± 2903.03 ng/mL) and GKF (2811.20 ± 1931.76 ng/mL). Plasma concentration in intraoperative period of ketamine was of > 100 ng/mL in 5/5 and 2/5 animals in the GKF and GK, respectively; and > 1.1 ng/mL of fentanyl in 4/5 and 3/5 in GKF and GF, respectively. Conclusion Ketamine with/without fentanyl provided analgesia without significant cardiorespiratory and guaranteed the minimal plasma levels with analgesic potential during the 8 h.https://doi.org/10.1186/s12917-022-03244-1AnalgesiaConstant rate infusionMechanical nociceptive thresholdPharmacokinetics
spellingShingle Rauane Sousa de Moura
Isabela Plazza Bittar
Janainne Hilbig Gomes
Yan Victor Rodrigues de Oliveira
Gladsthon Divino de Sousa Filho
Glauco Cézar Fragola de Faria Soares
Eliana Martins Lima
Leandro Guimarães Franco
Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy
BMC Veterinary Research
Analgesia
Constant rate infusion
Mechanical nociceptive threshold
Pharmacokinetics
title Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy
title_full Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy
title_fullStr Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy
title_full_unstemmed Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy
title_short Plasma concentration, cardiorespiratory and analgesic effects of ketamine-fentanyl infusion in dogs submitted to mastectomy
title_sort plasma concentration cardiorespiratory and analgesic effects of ketamine fentanyl infusion in dogs submitted to mastectomy
topic Analgesia
Constant rate infusion
Mechanical nociceptive threshold
Pharmacokinetics
url https://doi.org/10.1186/s12917-022-03244-1
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