Anesthesiology
Siamak Kazemi-Darabadi; Soodeh Tavakoli; Yousef Panahi; Hamid Akbari
Volume 14, Issue 10 , October 2023, , Pages 559-566
Abstract
Lidocaine toxicity is caused by unintended intravascular injection or overdose. Lidocaine is metabolized in the liver by the CYP3A4 isoenzyme. The objective was to investigate if the administration of rifampin could accelerate animal recovery and reduce the symptoms of lidocaine toxicity by induction ...
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Lidocaine toxicity is caused by unintended intravascular injection or overdose. Lidocaine is metabolized in the liver by the CYP3A4 isoenzyme. The objective was to investigate if the administration of rifampin could accelerate animal recovery and reduce the symptoms of lidocaine toxicity by induction of the CYP3A4. Thirty-six male rats were divided into control and treatment groups, each containing three subgroups. The treatment group received oral rifampin suspension daily for 1 week. In all rats, 2.00% lidocaine was injected intravenously. The first subgroup was monitored for neurological symptoms. In the second subgroup, data were recorded after the electrode was placed in the right hippocampus. Electrocardiograms were taken from the third subgroup. CYP3A4 was measured using an ELISA kit. Neurological recovery was seen after 22 and 15 min in the control and treatment groups, respectively. Rifampin also caused a significant reduction in amplitude and number of field action potentials compared to the control group. Numerous cardiac arrhythmias were observed in the control group. The mean level of CYP3A4 in the treatment group was significantly higher than in the control group. In conclusion, oral rifampin could increase the synthesis of CYP3A4, therefore, the animal recovery from lidocaine toxicity was accelerated.
Large Animal Surgery
Hadi Imani Rastabi; Abdolvahed Moarabi; Ahmad Khajeh; Narges Kavosi
Volume 8, Issue 2 , June 2017, , Pages 171-174
Abstract
In the present case report, the comprehensive management of a bilateral mandibular fracture in a single-humped camel including pre-, peri- and post-operative cares is described. A one-year-old camel with the overhanging of the rostral part of the lower jaw which occurred seven days ago was presented. ...
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In the present case report, the comprehensive management of a bilateral mandibular fracture in a single-humped camel including pre-, peri- and post-operative cares is described. A one-year-old camel with the overhanging of the rostral part of the lower jaw which occurred seven days ago was presented. After clinical and radiographic examinations, a bilateral mandibular fracture at the caudal part of canine teeth was diagnosed. It was decided to repair the fracture surgically under general anesthesia. The camel was restrained in sitting position and was remained in this position during anesthesia and surgery period. After premedication with acepromazine (0.10 mg kg-1) and xylazine (0.20 mg kg-1) intramuscularly, anesthesia was induced using ketamine and diazepam intravenously (2.00 and 0.10 mg kg-1, respectively). Maintenance of anesthesia was performed by repeated doses of xylazine and ketamine intravenously (0.10 and 1.00 mg kg-1, respectively) as needed. After preparation of the oral cavity, the fracture was reduced and an interfragmentary wire and an interdental wire (1.00 mm diameter size) were applied on each side of the mandible for the fixation of fracture segments. After two months, the interdental wires were removed while the interfragmentary wires were left intact. Follow up the camel three months after surgery, showed the full ability of prehension and chewing of roughages by the camel.
Large Animal Surgery
Siavash Sharifi; Abbas Raisi Sarteshnizi; Farangis Sharifi; Elham Yousefian
Volume 6, Issue 3 , September 2015, , Pages 205-209
Abstract
In the present study, the effect of tail fat on recovery times in intact sheep and sheep with a ligated median sacral artery following similar anesthetic exposure with isoflurane was investigated. This study was performed using seven healthy fat-tailed Iranian Lori-Bakhtiyari ewe lambs. The lambs were ...
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In the present study, the effect of tail fat on recovery times in intact sheep and sheep with a ligated median sacral artery following similar anesthetic exposure with isoflurane was investigated. This study was performed using seven healthy fat-tailed Iranian Lori-Bakhtiyari ewe lambs. The lambs were anesthetized twice at two week intervals (the experiment was performed in two stages). After mask induction with isoflurane in 100% oxygen, sheep were intubated and anesthesia was maintained for 4 hr using a rebreathing system. Induction and extubation times and time to sternal recumbency and attempts to stand were recorded during anesthetic induction and recovery (Stage 1). Two weeks later, prior to the second anesthesia, the median sacral artery (MSA) was ligated under epidural anesthesia in sheep. All sheep were anesthetized as mentioned above (Stage 2). No significant differences were observed for the induction time between two stages (p > 0.05) but extubation, sternal recumbency and attempts to stand times were significantly longer in intact sheep (Stage 1) after 4 hr anesthesia with isoflurane (p < 0.05). Recovery time was decreased following MSA ligation in fat-tailed sheep, which suggested that body fat had a major role in the recovery time of isoflurane in sheep. We developed an animal model to investigate fat drug solubility of isoflurane gas. Therefore, using less-soluble in fat anesthetics is better than high-soluble anesthetics for prolonged anesthesia to decrease postoperative complication in obese patient.
Ramin Mazaheri-Khameneh; Farshid Sarrafzadeh-Rezaei; Siamak Asri-Rezaei; Bahram Dalir-Naghadeh
Volume 3, Issue 2 , June 2012, , Pages 103-109
Abstract
This prospective study aimed to compare the intraosseous (IO) and intravenous (IV) effects of propofol on selected blood parameters and physiological variables during general anesthesia in rabbits. Thirty New Zealand White rabbits were studied. Six rabbits received IV propofol (group 1) and another 6 ...
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This prospective study aimed to compare the intraosseous (IO) and intravenous (IV) effects of propofol on selected blood parameters and physiological variables during general anesthesia in rabbits. Thirty New Zealand White rabbits were studied. Six rabbits received IV propofol (group 1) and another 6 rabbits, were injected propofol intraosseously (Group 2) for 30 minutes (experimental groups). Rabbits of the third and fourth groups received IV and IO normal saline at the same volume given to the experimental groups, respectively. In the fifth group IO cannulation was performed but neither propofol nor normal saline were administered. Blood profiles were assayed before induction and after recovery of anesthesia. Heart and respiratory rates, rectal temperature, saturation of peripheral oxygen and mean arterial blood pressure were recorded. Heart rate increased significantly 1 to 5 minutes after induction of anesthesia in experimental groups (P < 0.05). Although mean arterial blood pressure decreased significantly from baseline, values remained above 60 mm Hg (P < 0.05). Respiratory rate decreased significantly in experimental groups, but remained higher in group 2 (P < 0.05). The lymphocyte count decreased significantly in group 1 (P < 0.05). The concentration of alkaline phosphatase in all rabbits, aspartate aminotransferase and gamma-glutamyl transferase in the first group and gamma-glutamyl transferase in the third group increased significantly (P < 0.05). Total bilirubin decreased significantly in group 2 (P < 0.05). All measured values remained within normal limits. Based on the least significant physiological, hematological and biochemical effects, the IO injection of propofol appears to be safe and suitable method of anesthesia in rabbits with limited vascular access.