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Biomedical subjects

W W Muir

Publications and source records attributed to W W Muir.

At least 163 records · Page 9Linked to original sources

Barbiturate anesthesia in greyhound and mixed-breed dogs: comparative cardiopulmonary effects, anesthetic effects, and recovery rates.

The cardiovascular effects, anesthetic effects, and recovery rates were evaluated in racing Greyhounds under barbiturate anesthesia. Greyhounds and mixed-breed dogs of similar body weights were given (by IV route) thiopental (15 mg/kg), thiamylal (15 mg/kg), methohexital (10 mg/kg), and pentobarbital (20 mg/kg). The anesthesia lasted longer in Greyhound than in non-Greyhound mixed-breed dogs given thiopental, thiamylal, and methohexital. The mean times from recumbency to standing were 3 to 4 times longer for Greyhounds anesthetized with thiobarbiturates than for non-Greyhound mixed-breed dogs anesthetized with the same drugs, with recovery times for some Greyhounds lasting more than 8 hours. With thiobarbiturate anesthesia, Greyhounds had long periods of respiratory depression, struggled, and relapsed into sleep, whereas in the other dogs, the recovery was quiet. Respiratory depression related to the stage of anesthesia was produced by all barbiturates, but did not result in significant changes in blood gas values. Rectal temperature decreased in all dogs, but did not result in significant hypothermia. Cardiovascular variables and acid-base estimations in Greyhounds were not significantly different from those in mixed-breed dogs before and during barbiturate anesthesia. Packed cell volumes in Greyhounds were significantly higher than those in non-Greyhound mixed-breed dogs after the thiobarbiturates and methohexital were administered. Total plasma protein concentrations were significantly lower in Greyhounds, compared with those in the other dogs before and during barbiturate anesthesia. Methohexital is a useful alternative to thiobarbiturates for short-duration barbiturate anesthesia in Greyhounds.

Anesthesia, General↗

Cervicothoracic (stellate) ganglion block in conscious horses.

Seven adult horses were used to compare the cardiovascular and respiratory effects of unilateral (right side) and bilateral cervicothoracic ganglion (CTG) blockade. An 18-gauge, 25-cm needle was placed midventrally between articulations of the 1st and 2nd ribs from a cranial and paratracheal site. One gram of lidocaine HCl in aqueous solution (100 ml) was used to infiltrate the CTG. Cervicothoracic sympathetic blockade was characterized by Horner's syndrome, increased skin temperature and profuse sweating over the face, neck, and thoracic limb. Comparison of base-line data with data obtained during unilateral and bilateral CTG blockades indicated a significant (P less than 0.05) decrease in respiratory rate, significant (P less than 0.05) increases in arterial oxygen, and carbon dioxide tensions, and a significant increase in subcutaneous temperature at the neck and shoulder. Systolic, diastolic, and mean aortic blood pressures, pulse pressure, rectal temperature, arterial pH, bicarbonate, PVC, and total solid concentration did not change significantly from base-line values. Arterial O2 tension was significantly (P less than 0.05) less in horses with bilateral CTG blockade than in horses with unilateral CTG blockade. In 4 horses without cervicothoracic sympathetic blockade that were given lidocaine (1 g in 100 ml) in the right cervicothoracic region, cardiovascular and respiratory values did not change significantly from base-line values. The nonsedated healthy horse tolerated unilateral CTG blockade well. Bilateral and unilateral injections of 100 ml of 1% lidocaine into the CTG at intervals of less than 2 hours induced bilateral recurrent nerve paralysis and airway obstruction.

Animals↗

Rate of rise of arterial carbon dioxide tension in the halothane-anesthetized horse.

The rate of rise of arterial partial pressure of carbon dioxide (PaCO2) was determined in 49 apneic halothane-anesthetized horses following controlled ventilation. Drugs given for induction of anesthesia did not affect the rapid rate of rise of PaCO2 during the first minute after controlled ventilation, the PaCO2 at 1 minute after controlled ventilation, or the PaCO2 at which spontaneous ventilation began. Horses given xylazine-ketamine for induction of anesthesia had a significantly (P less than 0.05) faster rate of rise of PaCO2 after 1 minute following controlled ventilation than did horses receiving xylazine-thiamylal for induction.

Anesthesia, Inhalation↗

Pharmacology and pharmacokinetics of drugs used to treat cardiac disease in horses.

The rational therapy of cardiovascular disease in horses requires a thorough knowledge of the pharmacology and pharmacokinetics of several specific drugs (digitalis, digoxin). Calcium solutions, dopamine, and dobutamine are frequently used to treat congestive heart failure in horses. Quinidine, procainamide, lidocaine, and propranolol are used to treat a variety of supraventricular and ventricular arrhythmias. Furosemide, a highly potent loop diuretic, is used to eliminate edema and promote diuresis. A thorough understanding of the applied pharmacology, dosage recommendations, toxicity, and practical considerations must be attained before these drugs can be used effectively.

Administration, Oral↗

Diagnosis and treatment of cardiac arrhythmias.

Cardiac arrhythmias are probably more common in horses than in any other domestic animal species. The most frequent clinical complaint associated with cardiac arrhythmias is exercise intolerance. Physical examination is characterized by auscultation abnormalities such as fast or slow heart rate, irregular rhythm, extra sounds, long pauses, or abnormal heart sounds. The electrocardiogram is used to make a definitive diagnosis of the dysrhythmia. Other laboratory and cardiac function tests are employed to determine the etiology and to assess the significance of the arrhythmia. Antiarrhythmic therapy is given when clinical signs specifically related to the arrhythmia are present, when hemodynamic parameters are compromised by the arrhythmia, or when the ECG reveals abnormalities that put the patient at risk for development of more severe arrhythmias. The cardiovascular drugs most frequently used are digoxin and quinidine. Digoxin is most commonly used for supraventricular arrhythmias, especially arrhythmias characterized by fast heart rates. Quinidine is very effective for short-term treatment of ventricular and supraventricular arrhythmias but must be used with caution because of the potential for toxic side effects. The cardiac arrhythmias due to vagal tone (sinus arrhythmia, sinus block, sinus arrest, sinus bradycardia, wandering pacemaker, first-degree AV block, and second-degree AV block) that are found in resting horses are generally considered to be normal and generally do not require therapy.

Animals↗

Spinal fluid concentrations of mepivacaine in horses and procaine in cows after thoracolumbar subarachnoid analgesia.

The CSF concentrations of mepivacaine in 10 Standardbred horses and of procaine in 10 Holstein cows given the drugs by thoracolumbar subarachnoid injection were determined. Mepivacaine hydrochloride was injected into the horses (502 +/- 60.5 kg) at an average dosage of 30 mg (1.5 ml of 20 mg/ml solution). Analgesia was produced 7.5 +/- 4.3 minutes after injection, extended between spinal cord segments T13 and L3 on both sides of the spinal column, and lasted 47 +/- 18.7 minutes at the T18 dermatome. Procaine hydrochloride was injected into cows (614 +/- 51.5 kg) at a dosage ranging between 75 mg and 100 mg (1.5 ml and 2 ml of 50 mg/ml solution). Analgesia was produced 8.2 +/- 2.0 minutes after injection, extended between spinal cord segments T11 and L4 on both sides of the spinal column, and lasted 47 +/- 17.5 minutes at the T13 dermatome. The critical CSF concentrations of local anesthetics required to eliminate response to pinprick stimulation were 204.4 +/- 90.3 micrograms of mepivacaine/ml in horses and 197.0 +/- 86.1 micrograms of procaine/ml in cows. Average CSF concentrations at 120 minutes after injections were made were 16.8 +/- 15.5 micrograms of mepivacaine/ml and 30.6 +/- 17.1 micrograms of procaine/ml. In in vitro experiments to determine the rates of hydrolysis of mepivacaine and procaine in CSF, significant changes (P greater than 0.05) were not seen in the CSF concentrations of mepivacaine in horses and procaine in cattle after a 120-minute incubation (37 C). The analgesic threshold concentrations of mepivacaine in CSF of horses and procaine in CSF of cows were similar.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Spinal↗

Effect of endotoxin administration on body fluid compartments in the horse.

Plasma volume, extracellular fluid volume (ECFV), and total body water (TBW) were measured before and after endotoxin (Escherichia coli) administration in 6 conscious adult horses. Evan's blue dye, sodium thiocyanate, and antipyrine were the test substances used to estimate plasma volume, ECFV, and TBW, respectively. Pharmacokinetic analysis of plasma concentration vs time was used to determine changes in body fluid compartments. The pathophysiologic effects of endotoxin were monitored by clinical evaluation, blood chemical changes, and blood gas determinations. All horses became dyspneic within 15 minutes of endotoxin administration and clinical signs of colic were evident 30 to 45 minutes after endotoxin administration. After endotoxin administration, serum glucose and creatinine concentrations were significantly (P less than 0.05) elevated, and all horses became hypoxic and developed marked metabolic acidosis, and plasma volume decreased approximately 15% (P less than 0.05). A significant change in ECFV or TBW during the 300-minute experimental period was not observed.

Animals↗

Hemodynamic responses in halothane-anesthetized horses given infusions of dopamine or dobutamine.

The hemodynamic changes induced by constant infusions of dopamine or dobutamine (each 3, 5, and 10 micrograms/kg/min) were observed in halothane-anesthetized horses. Left ventricular dp/dt and cardiac output were increased in horses given dobutamine at dosage of 3 micrograms/kg/min and in those given either of the drugs at dosages of 5 and 10 micrograms/kg/min. Concomitant increases in systemic arterial blood pressure occurred at lower infusion dosage rates of dobutamine than those of dopamine and were modulated by dosage-related changes in peripheral vascular resistance that were different between the 2 drugs. Total peripheral vascular resistance was unchanged by the 3 micrograms/kg/min dosage of dopamine, significantly (P less than 0.05) decreased at the 5 micrograms/kg/min dosage of dopamine, and returned to base line in horses when given the largest dosage. Dobutamine had no effect on total peripheral vascular resistance. Heart rate was significantly (P less than 0.05) decreased by the 2 smaller dosages of dobutamine, but returned to base line at the 10 micrograms/kg/min dosage. Heart rates did not change significantly in response to dopamine over the range of the dosages. Sinus tachycardia with atrioventricular conduction block was noted in some horses given either of the drugs. The results of the present study indicate that the hemodynamic responses in horses given dopamine or dobutamine infusions are similar to those in other species, and are the net result of the different adrenergic pharmacologic profiles of the 2 drugs combined with autonomic nervous system reflexes.

Anesthesia, General↗

Comparative pharmacokinetics and anesthetic effects of methohexital, pentobarbital, thiamylal, and thiopental in Greyhound dogs and non-Greyhound, mixed-breed dogs.

Pharmacokinetics and duration of anesthesia of methohexital, pentobarbital, thiamylal, and thiopental in Greyhound and non-Greyhound, mixed-breed dogs were compared. In all dogs evaluated, pentobarbital induced the longest duration of anesthesia and methohexital induced the shortest duration. Pharmacokinetics of pentobarbital and methohexital were similar in both groups of dogs. Thiobarbiturates induced longer anesthetic effects in Greyhound dogs than in mixed-breed dogs. Plasma thiobarbiturate concentrations remained above normal longer in Greyhound dogs than in mixed-breed dogs. Disposition of thiobarbiturates in Greyhound dogs was characterized by nonlinearity from 45 minutes to 8 hours after dosing.

Anesthesia, General↗

Catecholamine infusion in vagotomized dogs during thiamylal-halothane and pentobarbital anesthesia.

The cardiac arrhythmogenic infusion rate of epinephrine, dopamine, and dobutamine in vagotomized dogs was determined during thiamylal-halothane and pentobarbital anesthesia. Epinephrine, dopamine, and dobutamine were administered until 4 or more ventricular arrhythmias on duplicated trials were produced or until a predetermined maximum infusion rate was attained. The mean ventricular arrhythmogenic infusion rates (micrograms X kg-1 X min-1) during thiamylal-halothane anesthesia were: epinephrine, 0.57 +/- 0.24; dopamine, 23.7 +/- 8.26; and dobutamine, 10.21 +/- 3.54. Few arrhythmias were produced at the maximum administered infusion rate during pentobarbital anesthesia (2 of 6 with epinephrine, 3 of 6 with dopamine, and 0 of 6 administered dobutamine). Heart rate and blood pressure increased progressively with increasing infusion rates for all 3 catecholamines during thiamylal-halothane anesthesia. Heart rate and blood pressure changes were similar during pentobarbital anesthesia except for blood pressure changes during dobutamine infusion.

Anesthesia, General↗

Effect of vasoactive intestinal polypeptide on the canine cardiovascular system.

Our purpose was to determine the effect of vasoactive intestinal polypeptide (VIP) on the cardiovascular system with special emphasis on coronary vascular effects. In section I, VIP was infused into six healthy and six cobalt-cardiomyopathic dogs at two infusion rates (0.02 and 0.05 micrograms/kg/min). Left ventricular end diastolic pressure and mean systemic pressure fell significantly in both groups. Heart rate rose in both, and maximum systolic dP/dt increased in the myopathic group. Cardiac output and regional blood flows were determined by serial left atrial injections of radioactive 15 +/- 3 mum (mean +/- SD) microspheres. In both groups, blood flow increased significantly to the esophagus, pancreas, atria, and ventricles and to the endocardial and epicardial regions of the left ventricular free wall. Blood flow to the brain decreased. In section II, VIP was infused intravenously at 0.1 micrograms/kg/min into six anesthetized dogs with coronary sinus flow, pulmonary artery, and systemic artery catheters inserted. Cardiac index rose from baseline (3.1 +/- 0.5 to 4.8 +/- 1.3 L/min/m2, P less than 0.005), as did coronary blood flow (90 +/- 25 to 159 +/- 54 ml/min, P less than 0.005) during the VIP infusion. Myocardial oxygen consumption rose from 14.1 +/- 3.9 to 19.8 +/- 5.4 ml/min (P less than 0.001), but the aorta-to-coronary sinus O2 difference decreased from 157 +/- 19 ml/L to 132 +/- 42 ml/L (P less than 0.05), and the percent O2 extracted from coronary blood also decreased significantly.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Visceral analgesia: effects of xylazine, butorphanol, meperidine, and pentazocine in horses.

The visceral analgesic, cardiorespiratory, and behavioral effects induced by xylazine, butorphanol, meperidine, and pentazocine were determined in 9 adult horses with colic. Colic was produced by inflating a balloon in the horses' cecum. Heart rate, respiratory rate, mean arterial blood pressure, and cardiac output increased after cecal balloon inflation. Xylazine and butorphanol decreased the hemodynamic response to cecal balloon inflation. Meperidine and pentazocine had minimal effects on the cardiorespiratory changes induced by cecal balloon inflation. Xylazine produced the most pronounced visceral analgesia. The duration of visceral analgesia was longest with xylazine (approx 90 minutes) followed by butorphanol (approx 60 min) and then by meperidine and pentazocine (approx 30 to 35 min). Accurate assessment of the effects of visceral analgesics is dependent upon the use of objective tests to evaluate pain.

Analgesia↗

Cost comparison of anesthetic regimens in the dog and cat.

Comparative costs of anesthetic regimens for the dog and cat were calculated. Various combinations of currently popular sedatives, tranquilizers, and anti-muscarinics (preanesthetic drugs), and anesthetic induction and maintenance drugs were studied. The preanesthetic drug affected overall anesthetic cost through its own cost, its effect on the amount of anesthetic drug necessary for intubation, and its effect on the amount of anesthetic necessary to maintain anesthesia. The combination of acetylpromazine-thiamylal-halothane was the least expensive regimen for both the dog and cat, whereas drug combinations that included isoflurane as the maintenance drug were the most expensive. In the cat, induction of anesthesia by use of N2O, O2, and halothane in a plexiglas chamber was more expensive than by the use of thiamylal.

Anesthesia↗

Change of inhalation anesthetic agents for management of ventricular premature depolarizations in anesthetized cats and dogs.

Ventricular premature depolarizations (VPD) were found in 27 cats and 14 dogs during inhalation anesthesia. For animals receiving halothane, the anesthetic agent was changed to enflurane (n = 22) or isoflurane (n = 15). After the change to enflurane, the VPD reverted to normal sinus rhythm (n = 19) or decreased in frequency (n = 3). After the change to isoflurane, the VPD reverted to normal sinus rhythm (n = 14) or decreased in frequency (n = 1). For 4 cats receiving enflurane, the inhalant agent was changed to halothane, which caused an increased frequency of VPD (n = 3) or reversion to normal sinus rhythm (n = 1). It was concluded that cats and dogs with VPD during inhalation anesthesia with halothane would benefit from a change to enflurane or isoflurane.

Anesthesia, Inhalation↗

Treatment of cardiac arrhythmias in dogs with gastric distention-volvulus.

Lidocaine, procainamide, quinidine, or a combination of these drugs was used to treat a variety of cardiac arrhythmias in 70 dogs with gastric distention-volvulus. Antiarrhythmic drugs were administered by constant infusion, the double-infusion technique, or intramuscular injection. Most cardiac arrhythmias were ventricular in origin, although supraventricular arrhythmias including atrial fibrillation also were included. Normal sinus rhythm was reestablished in greater than 85% of the dogs treated. Restoration to normal rhythm was improved by combination drug therapy, normalization of acid-base balance, and appropriate electrolyte therapy.

Animals↗

Thermodilution curves for diagnosis of ventricular septal defect in cattle.

An indicator dilution method developed for detection of intracardiac shunts and determination of cardiac output in man and domestic animals was evaluated in 4 calves and 1 cow with holosystolic cardiac murmurs. Thermodilution curves recorded from the pulmonary artery and the right ventricle confirmed a left-to-right intracardiac shunt and provided a means for its quantitation. Ventricular septal defect was confirmed in 2 cows, which were euthanatized. The data obtained by thermodilution were evaluated along with information obtained from other diagnostic procedures (auscultation, oximetry, echocardiography, measurement of intravascular pressures). It was concluded that the procedure is a simple and accurate method for diagnosis of ventricular septal defect in cattle.

Animals↗

Hemodynamics before and after conversion of atrial fibrillation to normal sinus rhythm in horses.

Hemodynamic measurements were obtained from 17 horses with atrial fibrillation or flutter. Eight horses had atrial fibrillation of unknown duration. In 7 horses, atrial fibrillation developed during anesthesia. Atrial flutter developed during recovery from anesthesia in 2 horses. Hemodynamic measurements were considered normal in 7 of 8 conscious horses with atrial fibrillation. Cardiac output was decreased and pulmonary arterial blood pressure and right atrial pressure were increased in 1 conscious horse which had signs of congestive heart failure. Arterial blood pressure decreased in 5 of 7 horses in which atrial fibrillation developed during anesthesia. Heart rate and arterial blood pressure were increased in 2 horses in which atrial flutter developed during recovery from anesthesia. Conversion of atrial fibrillation to normal sinus rhythm with quinidine given orally generally decreased pulmonary arterial and right atrial blood pressures. Heart rate decreased and cardiac output increased in 1 horse after conversion of atrial fibrillation to normal sinus rhythm. It was concluded that the development of atrial fibrillation in conscious resting horses is not necessarily associated with a deterioration of hemodynamics, particularly if there is no other cardiac disease. Intravenous quinidine therapy was a safe and effective means of converting the acute onset of atrial fibrillation to normal sinus rhythm in anesthetized horses.

Animals↗

Plasma mepivacaine concentrations after caudal epidural and subarachnoid injection in the horse: comparative study.

The venous plasma concentrations of mepivacaine were determined in 7 adult mares (420 +/- 17.1 kg) given an injection of a 2% solution of the hydrochloride at either the sacral (S2-3 to S5-C1) epidural space or the midsacral (S2-3) subarachnoid space. An average dose of 91.4 +/- 15.7 mg (4.6 +/- 0.8 ml) was needed to produce caudal epidural analgesia (CEA) and 26.7 +/- 5.4 mg (1.3 +/- 0.3 ml) to produce caudal subarachnoid analgesia (CSA). Maximal caudal analgesia extended from spinal cord segments S-1 to coccyx during CEA and CSA. The onset of analgesia as measured by response to superficial and deep muscular pinprick stimulations was significantly (P less than 0.05) faster in mares with CSA than with CEA (8.3 +/- 2.4 minutes vs 21.4 +/- 3.8 minutes). The period of analgesia was significantly (P less than 0.05) longer in mares with CEA than with CSA (80.0 +/- 11.5 minutes vs 67.4 +/- 26.3 minutes). The rate of vascular absorption of mepivacaine from the epidural space was significantly (P less than 0.05) faster than from the subarachnoid space. Maximum venous plasma concentrations of mepivacaine were similar (P greater than 0.05) after epidural and subarachnoid injections (0.05 +/- 0.03 micrograms/ml and 0.05 +/- 0.03 micrograms/ml) at the same times after mepivacaine administration (51.4 +/- 33.4 minutes and 53.6 +/- 24.3 minutes).(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Caudal↗