Effects of acepromazine-morphine and acepromazine-methadone premedication on the minimum alveolar concentration of isoflurane in dogs. 2016

Eduardo R Monteiro, and Karina Coelho, and Thais F Bressan, and Clarissa R Simões, and Betânia S Monteiro
School of Veterinary Medicine, UVV - University of Vila Velha, Vila Velha, Brazil.

OBJECTIVE To evaluate the effects of premedication with acepromazine-morphine or acepromazine-methadone on the minimum alveolar concentration of isoflurane (ISOMAC) and the incidence of bradycardia and hypotension in dogs. METHODS Prospective randomized clinical study. METHODS Thirty-two female dogs undergoing elective ovariohysterectomy. METHODS Dogs were randomly assigned to one of three groups: no premedication (CONTROL group; n = 9); acepromazine (0.02 mg kg(-1)) and morphine (0.5 mg kg(-1)) (ACPMOR group; n = 11); and acepromazine (0.02 mg kg(-1)) and methadone (0.5 mg kg(-1)) (ACPMET group; n = 12). All drugs were administered intramuscularly. Twenty minutes later, anesthesia was induced with propofol administered intravenously to effect. Determinations of the ISOMAC were conducted by use of the up-and-down method using a quantal study design to determine the MAC for the population. Cardiovascular variables were registered immediately before noxious stimulation that was performed approximately 30 minutes after anesthetic induction. The occurrence of bradycardia (heart rates ≤ 70 beats minute(-1) in dogs ≤15 kg and ≤60 beats minute(-1) in dogs >15 kg) and hypotension (mean arterial pressure < 60 mmHg) were registered. RESULTS The ISOMAC in CONTROL was 1.20 ± 0.11%. Compared with CONTROL, the ISOMAC was reduced by 33.3% and 68.3% in ACPMOR and ACPMET, respectively (p < 0.001). The ISOMAC was lower in ACPMET than in ACPMOR (p < 0.001). Bradycardia was observed in 0%, 45% and 50% of dogs and hypotension was observed in 56%, 55% and 67% of dogs in CONTROL, ACPMOR and ACPMET, respectively. CONCLUSIONS The percentage reduction of the ISOMAC in ACPMET was approximately twice that in ACPMOR. Premedication with acepromazine-morphine or acepromazine-methadone increased the incidence of bradycardia. Hypotension was observed in most dogs during isoflurane anesthesia regardless of premedication.

UI MeSH Term Description Entries
D007044 Hysterectomy Excision of the uterus. Hysterectomies
D007530 Isoflurane A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
D008691 Methadone A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3) Amidone,Biodone,Dolophine,Metadol,Metasedin,Methaddict,Methadone Hydrochloride,Methadose,Methex,Phenadone,Phymet,Physeptone,Pinadone,Symoron,Hydrochloride, Methadone
D009020 Morphine The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. Morphine Sulfate,Duramorph,MS Contin,Morphia,Morphine Chloride,Morphine Sulfate (2:1), Anhydrous,Morphine Sulfate (2:1), Pentahydrate,Oramorph SR,SDZ 202-250,SDZ202-250,Chloride, Morphine,Contin, MS,SDZ 202 250,SDZ 202250,SDZ202 250,SDZ202250,Sulfate, Morphine
D010052 Ovariectomy The surgical removal of one or both ovaries. Castration, Female,Oophorectomy,Bilateral Ovariectomy,Bilateral Ovariectomies,Castrations, Female,Female Castration,Female Castrations,Oophorectomies,Ovariectomies,Ovariectomies, Bilateral,Ovariectomy, Bilateral
D011292 Premedication Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION. Premedications
D011650 Pulmonary Alveoli Small polyhedral outpouchings along the walls of the alveolar sacs, alveolar ducts and terminal bronchioles through the walls of which gas exchange between alveolar air and pulmonary capillary blood takes place. Alveoli, Pulmonary,Alveolus, Pulmonary,Pulmonary Alveolus
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D005260 Female Females
D000075 Acepromazine A phenothiazine that is used in the treatment of PSYCHOSES. Acetazine,Acetopromazine,Acetylpromazine,Acepromazine Maleate,Calmivet,Plegicil,Vetranquil,Maleate, Acepromazine

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