Scientific Journal

Scientific Journal of the Hellenic Companion Animal Veterinary Society (HCAVS)

 

The effect of combination of dexmedetomidine, butorphanol and ketamine to the respiratory function of tomcats undergoing orchiectomy


Zouloumis V. DVM, MSc student, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Papageorgiou V. DVM, PhD student, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Ververidis C. DVM, PhD, Assistant Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Kazakos G. DVM, PhD, Associate Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

Introduction

A commonly used anesthetic protocol for large population spay programs is the combination of dexmedetomidine, butorphanol and ketamine. However, there are limited evidence about the effect of this drug combination on the respiratory function of the cats in dorsal recumbency with the hind legs pulled rostrally.

Materials and methods

Twenty-five male stray cats, admitted for elective orchiectomy were included. All cats received a combination of dexmedetomidine (25 μg/kg) and butorphanol (0.1 mg/kg) and LR’s (3 ml/kg/h) were administered and an arterial blood sample for gas analysis was collected. Then, ketamine (10 mg/kg) was administered intramuscularly.

  Orchiectomy was performed when anesthetic depth was adequate. Then, approximately 20 minutes after ketamine administration, a second arterial sample was collected. Both arterial blood samples were collected in room air conditions.

Results

A significant decrease in arterial oxygen partial tension (PO2) was noted 20 minutes after ketamine administration. More specifically, mean PO2 was 93 mmHg and 75 mmHg, in the first and in the second arterial sample, respectively. In addition, an increase in carbon dioxide partial pressure, glucose and lactate was also noted.

Conclusions

Supplemental oxygen is suggested when the combination of these anesthetic drugs is used in cats positioned as described above.

References

  • Elizabeth A Rozanski, Daniela Bedenice, Jennifer Lofgren, et al. The effect of body position, sedation, and thoracic bandaging on functional residual capacity in healthy deep-chested dogs.
  • Francesco Staffieri, Valentina De Monte, Carmelinda De Marzo et al. Effects of two fractions of inspired oxygen on lung aeration and gas exchange in cats under inhalant anaesthesia.
  • Cladue Guerin, Richard K. Albert, Jeremy Beitler et al. Prone position in ARDS patients: why, when, how and for whom.
  • Lai YL, Rodarte JR, Hyatt RE (1979) Respiratory mechanics in recumbent dogs anesthetized with thiopental sodium. J Appl Physiol Respirat, Environ Exercise Physiol 46, 716–720.
  • Hall LW (1984) Cardiovascular and pulmonary effects of recumbency in two conscious ponies. Equine Vet J 16, 89–92.

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