Subjects = Anesthesiology
Anesthesiology

Curcumin alleviates inflammatory effects of ketamine anesthesia in postnatal rats

Volume 15, Issue 9, September 2024, Pages 473-480

Soroush Afshar Ghahremani, Abbas Raisi, Sohrab Minaei Beirami, Houman Kahroba, Mahnaz Mardani, Omid Dezfoulian, Vahideh Tarhriz

Abstract Curcumin has been employed in traditional medicine for over a millennium to treat various ailments, and its global use is now widespread. Chinese medicine relies heavily on curcumin as a primary element and uses it to cure infectious diseases, skin disorders, depression, and stress. It has cardioprotective, neuroprotective, and anti-diabetic properties, as well as pharmacological effects on disorders like type II diabetes, atherosclerosis, and human immunodeficiency virus replication. The anti-cancer activity of curcumin has been studied extensively with notable improvements in gastrointestinal, melanoma, urogenital, breast, and lung malignancies. We investigated the anti-inflammatory effects of curcumin on expression of tumor necrosis factor (TNF), c-Fos, and interleukin (IL)-6 genes in brain and liver tissue owing to the effects of ketamine anesthesia on postnatal rats. The thalamic and hepatic tissues were collected without anesthesia, immediately after anesthesia, and 4 and 12 hr after anesthesia in control and curcumin treated postnatal rats. The results showed that glucose, triglyceride, high- and low-density lipoprotein levels were lowered with curcumin treatment. We also found that ketamine increased c-Fos and inflammatory cytokines like TNF-α and IL-6, all of which contribute to inflammation. Brain and liver immunohistochemistry studies confirmed the real-time polymerase chain reaction findings. Curcumin injections alone may be effective in decreasing ketamine-induced inflammation in both brain and liver tissues.

Anesthesiology

Clinical and echocardiographic evaluations of sedative and cardiovascular effects of combination of xylazine-acepromazine versus xylazine-pregabalin in horses

Volume 15, Issue 6, June 2024, Pages 291-296

Siamak Shokrollahi, Rahim Mohammadi, Farshid Sarrafzadeh-Rezaei, Ghader Jalilzadeh-Amin, Seyed Mohammad Hashami-Asl

Abstract The aim of this study was to compare the sedative and cardiovascular effects of the combination of xylazine-acepromazine versus xylazine-pregabalin - in horses. Four healthy crossbred horses were included in the study and assigned to two treatments. In treatment I (T1), the animals received xylazine hydrochloride (1.00 mg kg-1) in combination with acepromazine maleate (0.05 mg kg-1) intravenously. In treatment II (T2), the animals received intragastric administration of pregabalin (4.00 mg kg-1) followed by xylazine hydrochloride (1.00 mg kg-1) intravenously after 60 min. Head height above ground (HHAG) and echocardiographic indices were evaluated. In T1, recordings were made 5 minubefore and 5, 15, 30, 60, and 90 minu after drug administration. In T2, recordings were made 5 min before pregabalin, 55 minu after pregabalin administration, and then 5, 15, 30, 60, and 90 min after xylazine hydrochloride acepromazine injection. Analyses of the data showed there were no significant differences regarding HHAG and echocardiographic indices between the two treatments. Intragastric administration of pregabalin prior to xylazine could be considered as an alternative premedication regimen when acepromazine administration is contraindicated or undesirable.

Anesthesiology

An analysis of oxidative stress indices and clinical parameters in budgerigars (Melopsittacus undulatus) treated with medetomidine-ketamine and midazolam-ketamine

Volume 15, Issue 5, May 2024, Pages 237-242

Zahra Amini, Fatemeh Hoseinpour, Ali Ghashghaii, Hadi Cheraghi

Abstract Various companion birds, including budgerigars, are anesthetized with injectable anesthesia. The current study aimed to evaluate oxidative stress indices including malondialdehyde (MDA), total antioxidant capacity (TAC), total oxidant status (TOS), and oxidative stress index (OSI) along with clinical parameters such as the time required to induce, maintain and recover from medetomidine-ketamine anesthesia and midazolam-ketamine anesthesia in budgerigars. Among 20 mature and healthy budgerigars, three groups were assigned as follows: Control (n = 4) to determine baseline oxidative stress indices medetomidine + ketamine (n = 8) anesthetized by intramuscular injections of medetomidine (0.04 mg kg-1) and ketamine (30.00 mg kg-1) in the pectoral muscles, midazolam + ketamine (n = 8) anesthetized by intramuscular injections of midazolam (1.00 mg kg-1) and ketamine (50.00 mg kg-1). Half of birds (n = 4) in the second and third groups were euthanized by cervical dislocation 1 hr after anesthesia induction, blood samples were collected directly from the heart, and sera were extracted. Additionally, the remaining birds were euthanized 24 hr later, and their serum was analyzed for oxidative stress indices. Clinical parameters were recorded during the study. Compared to the medetomidine + ketamine group, the midazolam + ketamine group experienced shorter induction, anesthetic, and recovery times. Administering medetomidine and ketamine elevated TOS levels compared with midazolam + ketamine. No significant difference was found between the test groups for TAC, MDA, or OSI. Therefore, the midazolam + ketamine regimen appears superior to medetomidine + ketamine when performing minor surgeries on budgerigars.

Anesthesiology

Effects of ketamine, propofol and isoflurane on electrocardiographic variables in clinically healthy dogs premedicated with medetomidine and midazolam

Volume 15, Issue 4, April 2024, Pages 187-194

Masoud Khaleghi, Ali Asghar Sarchahi, Hossein Kazemi Mehrjerdi, Mehdi Rasekh, Dariush Saadati

Abstract The purpose of this study was to investigate the effects of three anesthetic agents, with premedication of medetomidine and midazolam, on electrocardiographic variables in dogs. Ten adult mixed breed dogs were used in a crossover design study, where they received ketamine, propofol and isoflurane treatments with a one-week washout period between them. In all three groups, medetomidine was administered first followed by midazolam after 15 min. Then, after 20 min, group 1 received ketamine intravenously (IV), group 2 received propofol (IV), and group 3 received isoflurane (inhalation). In all dogs, electrocardiographs were taken before and after premedication’s, as well as every 15 min during anesthesia. Medetomidine significantly decreased heart rate and P wave amplitude and increased PR interval, R wave amplitude, QT interval, and T wave amplitude. Midazolam increased the amplitude of the R and T waves. Ketamine increased the heart rate and PR interval. Propofol increased the heart rate for up to 15 min, decreased the PR interval for up to 30 min, and the QT interval for up to 45 min. Isoflurane increased the heart rate and decreased the amplitude of R and T waves. The results showed that the drugs used in this study did not have many side effects on electrocardiographic variables and could be used without serious concern. The most important side effects observed were a severe reduction in heart rate and 1st degree atrioventricular (AV) block and, to a lesser extent, 2nd degree AV block caused by medetomidine and midazolam which were masked by the anesthetics.

Anesthesiology

Comparison of the sedative and cardiovascular effects of the combination of acepromazine-clonidine versus acepromazine-xylazine in horses

Volume 15, Issue 1, January 2024, Pages 21-26

Pegah Parhizkar, Rahim Mohammadi, Seyed Mohammad Hashami-Asl, Ghader Jalilzadeh-Amin, Farshid Sarrafzadeh-Rezaei

Abstract The aim of this study was to compare the sedative and cardiovascular effects of the combination of acepromazine-clonidine versus acepromazine-xylazine in horses. Four healthy cross-bred horses were included in the study. They were assigned to two treatments. In treatment I (T1), the animals received xylazine hydrochloride (1.00 mg kg-1) in combination with acepromazine maleate (0.05 mg kg-1) intravenously (IV). In treatment II (T2), the animals received intra-gastric administration of clonidine (0.002 mg kg-1) followed by acepromazine (0.05 mg kg-1; IV) after 60 min. Head height above the ground (HHAG) and echocardiographic indices were evaluated. In T1, recordings were made 5 min before and 5, 15, 30, 60, and 90 min after drug administration. In T2, recordings were made 5 min before clonidine, 55 min after clonidine administration, and then 5, 15, 30, 60, and 90 min after acepromazine injection. Analyses of the data showed there were not significant differences regarding HHAG and echo-cardiographic indices between two treatments. For sedation of healthy horses, it was concluded that intra-gastric administration of clonidine and IV administration of acepromazine showed similar sedative and cardiovascular effects compared to IV acepromazine-xylazine administration.

Anesthesiology

Evaluating the effects of rifampin in the prevention of neurogenic symptoms and cardiac arrhythmias caused by the systemic toxicity of lidocaine in rats

Volume 14, Issue 10, October 2023, Pages 559-566

Siamak Kazemi-Darabadi, Soodeh Tavakoli, Yousef Panahi, Hamid Akbari

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 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.

Anesthesiology

The analgesic interaction of tramadol and morphine in rats: An isobolographic study

Volume 10, Issue 1, Winter 2019, Pages 31-36

Hesam Savadkoohi, Nasser Vesal

Abstract In order to assess possible synergistic antinociceptive interactions, the analgesic effects of intra-peritoneal tramadol and morphine administered either separately or in combination were determined using tail-flick latency test following exposure to radiant heat in rats. Groups of eight male Sprague-Dawley rats received either tramadol (3.90, 7.00, 12.50, and 22.20 mg kg-1) and morphine (1.26, 2.25, 4.00 and 7.10 mg kg-1) or a combination of tramadol and morphine (4 different combinations). The baseline latency was obtained before drug injection for each rat, then at 15, 30, 45, 60 and 75 min after injection. The effective dose (ED)50 for either tramadol or morphine individually was 11.70 mgkg-1 and 2.26 mg kg-1, respectively. Based on isobolographic analysis, the ED50 values obtained by drug combination were significantly less than the calculated additive values; which indicates that the co-administration of tramadol and morphine produces synergistic antinociception in the radiant heat tail-flick assay. Combination of morphine and tramadol administered intra-peritoneally can be used for the control of acute pain in rats.

Anesthesiology

Influence of tramadol on anesthesia times, analgesia and electrocardiogram associated with injection anesthesia in common buzzards (Buteo buteo)

Volume 10, Issue 1, Winter 2019, Pages 51-57

Abbas Raeisi, Hasan Noruzian, Milad Rostami

Abstract A balanced anesthesia protocol is called perfect when it has fast induction, excellent recovery, the least effect on the cardiopulmonary system and sufficient analgesia. Many of anesthetic combinations have an analgesic effect without opioids. However, at the end of anesthesia, analgesia decreases or is incomplete. The purpose of this study was to evaluate anesthesia times, electrocardiogram (ECG) and analgesic effect of tramadol when administrated with ketamine, ketamine-diazepam, ketamine-midazolam, and ketamine-xylazine and selected a balanced anesthesia protocol in buzzards. Ten adult common buzzards (Buteo buteo) received seven different anesthetic protocols (with or without tramadol). In each protocol, anesthesia times, electrocardiograph parameters and analgesic effect were recorded. Excluding ketamine-tramadol, all protocols produced deep anesthesia in all buzzards. Among of all protocols, no significant differences regarding the amplitude and duration of waves (P, QRS and T) was found. By adding tramadol to anesthetic protocols, response duration to thermal sense increased up 3 hr after recovery. Tramadol did not make considerable effects on anesthesia times and ECG and made analgesic effect up to 3 hr when used with ketamine-benzodiazpins or ketamine-xylazine. Therefore, tramadol can be used with injectable anesthetics to make suitably balanced anesthesia in buzzards.

Diagnostic Imaging

Effects of medetomidine on intra-renal arteries resistive and pulsatility indices in clinically normal adult domestic shorthair cats

Volume 9, Issue 2, Spring 2018, Pages 137-143

Farzaneh Azizi, Mohammad Nasrollahzadeh Masouleh, Seeyamak Mashhadi Rafie, Ahmad Asghari, Saied Bokaie

Abstract The aim of this study was to determine the effects of intramuscular injection of medetomidine on intra-renal arteriesresistive and pulsatility indices by duplex Doppler ultrasonographyin clinically normal adult domestic shorthair cats. For this purpose, twenty-six neutered adult healthy domestic shorthair cats (13 females and 13 males) were evaluated. B-mode, color Doppler and pulsed wave Doppler ultrasonography of right and left kidneys were performed to record the resistive index (RI) and pulsatility index (PI) of intra-renal arteries. To minimize statistical errors, the mean RI and PI were determined for each kidney by averaging three waveforms from the intra-renal arteries. Twenty-four hr later, the cats were sedated by 0.04 mg kg-1 intramuscular administration of medetomidine. All the Doppler measurements were repeated 15 min after drug administration. Mean ± standard deviation )SD( of PI and RI of the intra-renal arteries before administration of intramuscular medetomidine were 1.03 ± 0.08 and 0.61 ± 0.02, respectively. Fifteen min after medetomidine administration, the mean ± SD of PI and RI values were 1.04 ± 0.08 and 0.61 ± 0.02, respectively. Significant differences were not detected in mean PI and RI values before and 15 min after drug administration. Our findings showed that intramuscular administration of medetomidine does not cause significant hemodynamic changes in the intra-renal arteries after 15 min.

Anesthesiology

Management of a bilateral mandibular fracture in a single-humped camel

Volume 8, Issue 2, June 2017, Pages 171-174

Hadi Imani Rastabi, Abdolvahed Moarabi, Ahmad Khajeh, Narges Kavosi

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. 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.

Anesthesiology

Evaluation of the anti-nociceptive effects of morphine, tramadol, meloxicam and their combinations using the tail-flick test in rats

Volume 6, Issue 4, December 2015, Pages 313-318

Mehrzad Foroud, Nasser Vesal

Abstract The purpose of the present study was to evaluate anti-nociceptive effects of morphine, tramadol, meloxicam and their combinations in rats. Seventy male Wistar rats were divided into seven equal groups and randomly assigned to receive intraperitoneal saline (S) (control group, 1.0 mL kg-1), morphine (MO) (4.0 mg kg-1), tramadol (TR) (12.5 mg kg-1), meloxicam (ML) (1.0 mg kg-1), tramadol- morphine (TR-MO), meloxicam-morphine (ML-MO) and meloxicam-tramadol (ML-TR) at the same doses. Anti-nociception was evaluated using tail flick latency (TFL) test at 45, 60, 75, 90 and 120 min after drug injection. The TFL was significantly higher in TR and MO groups compared to S group for 90 and 120 min, respectively. No significant change in TFL from baseline values was observed at all time points in ML group. Among rats that received combination of analgesics, those that received TR-MO had significantly greater TFL. There was no significant difference in TFL between ML-TR and ML-MO groups. In conclusion, TR, MO and their combination all provided acceptable anti-nociceptive effects in rats. Meloxicam at the given dosage (1.0 mg kg-1) did not demonstrate any anti-nociceptive effect when evaluated by TFL test.

Anesthesiology

Thiopental Sodium Anesthesia Following Premedication of Rabbits with Vitamin C

Volume 1, Issue 1, June 2010, Pages 7-11

Farshid Sarrafzadeh-Rezaei, Siamak Asri-Rezaei, Mojtaba Hadian, Rahim Mohammadi, Maryam Asfari

Abstract Rabbits are widely used as laboratory animals for experimental surgery. Anesthesia of rabbits may present complications unless the method is easy to apply and safe to use. In present study, effects of different dosages of vitamin C on thiopental sodium induced anesthesia in 25 male New Zealand white rabbits were studied. In the animals that had not received vitamin C treatment before thiopental sodium induced general anesthesia, return mean time of front limb pedal, corneal and ear pinch reflexes were 6.40 ± 1.67, 6.60 ± 2.96 and 8.00 ± 2.58 minutes, respectively. Pre-treatment of rabbits with 30 and 240 mg kg-1 (IV) of vitamin C followed by thiopental sodium 20 mg kg-1 (IV) resulted in significant (P < 0.05) increase in front limb pedal reflex return mean time to 13.00 ± 2.24 and ear pinch to 11.60 ± 4.16 minutes, respectively. There was also significant (P < 0.05) decrease in the heart rate following induction of anesthesia in the animals pre-treated with 30 and 90 mg kg-1 (IV) vitamin C and no change in the animals pre-treated with 240 mg kg-1 (IV) vitamin C. Serum analysis indicated a significant (P < 0.05) increase in blood glucose. These results suggest that premedication of rabbits with vitamin C despite potentiating of thiopental sodium anesthesia in rabbits is not dose dependent.

Anesthesiology

Sedation with Xylazine-Diazepam and Epidural Administration of Lidocaine and Xylazine for Castration and Ovariohysterectomy in Cats

Volume 1, Issue 1, June 2010, Pages 21-25

Amin Bigham-Sadegh, Mohammad Shadkhast, Zahra Shafiei Shafiei, Bizhan Ziae

Abstract The aim of this study was to determine whether anesthesia consisting of sedation induced by intramuscular administration of xylazine-diazepam and lumbosacral analgesia induced by epidural administration of lidocaine and xylazine is satisfactory for castration and ovariohysterectomy in cats. Six adult (3 male and 3 female, 2.5 ± 0.5 years of age) cats (mean body weight ± SD, 2.2 ± 0.44 kg) were used in this study. Cats were sedated with xylazine (1-2 mg kg-1 IM) and diazepam (0.2 mg kg-1, IM) and 5 minutes later a 2% solution of lidocaine (0.5ml/4.5kg) and xylazine (1 mg kg-1) were administered into the lumbosacral epidural space. Open castration technique or ventral midline routine ovariohysterectomy were performed. Time to onset, duration and cranial spread of analgesia were recorded. Heart rate, respiratory rate and rectal temperature were recorded at time 0 (prior to epidural drugs administration) as a base line values and at 10, 20, 30, 45 and 60 minutes after the epidural administration. Onset time of analgesia was 4.0 ± 0.63 min (Mean ± SEM) and duration of analgesia was 89.5 ± 3.0 min (Mean ± SEM). However, surgical procedures were completed within 25-37 min. There were significant decrease in heart rate and rectal temperature values and significant increase in respiratory rate (P < 0.001). Intramuscular administration of xylazine-diazepam for sedation and epidural administration of lidocaine and xylazine for analgesia provided satisfactory analgesia for castration and ovariohysterectomy in cats. Utilizing epidural anesthetic technique with this combination is most useful for spaying surgery, especially when the surgical procedure can be completed in < 40 minutes.