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Blood gas and acid-base status during tiletamine/zolazepam anaesthesia in dogs.

AbstractOBJECTIVE:
To evaluate the effect of the tiletamine/zolazepam (TZ) combination (Zoletil 100; Virbac, Carros, France) with and without atropine on blood gas values and acid-base status in dogs.
STUDY DESIGN:
Randomized cross-over experimental study.
ANIMALS:
Six healthy adult cross-bred dogs, weighing 11.0-18.5 kg.
MATERIALS AND METHODS:
Each dog received four different drug treatments at intervals of at least 15 days: (i) 5 mg kg(-1) intravenous (IV) TZ (TZ.IV); (ii) 10 mg kg(-1) intramuscular (IM) TZ (TZ.IM); (iii) atropine, 20 microg kg(-1) IV, followed 5 minutes later by 5 mg kg(-1) TZ IV (A.TZ.IV); and (IV) atropine (same dose) given 5 minutes before 10 mg kg(-1) TZ IM (A.TZ.IM). Arterial blood samples were collected from each dog before drug administration (baseline) at induction of anaesthesia (time 0) and 2, 5, 10 and 30 minutes thereafter.
RESULTS:
Transient hypoxaemia and respiratory acidosis were observed just after induction. PaO(2) and SaO(2) dropped, while H(+) concentration and PaCO(2) rose significantly above baseline values. In groups TZ.IV and A.TZ.IV, PaO(2) values as low as 6.0-6.4 kPa (45-48 mm Hg) were recorded. However, there was no significant difference in blood gas variables among the groups encountered during the evaluation period. The overall change in [HCO(3) (-)] and base excess (BE) was not significant among groups. Atropine did not affect the above variables.
CONCLUSIONS AND CLINICAL RELEVANCE:
Tiletamine/zolazepam injection may induce transient hypoxaemia and respiratory acidosis, but acid-base status changes are clinically unimportant. Particularly, close observation of dogs is recommended during the first 5-10 minutes after induction with TZ, especially in animals with cardiopulmonary disease. TZ should perhaps not be used in animals intolerant of tachycardia.
AuthorsIoannis Savvas, Katerina Plevraki, Dimitris Raptopoulos, Alexandros F Koutinas
JournalVeterinary anaesthesia and analgesia (Vet Anaesth Analg) Vol. 32 Issue 2 Pg. 94-100 (Mar 2005) ISSN: 1467-2987 [Print] United States
PMID15762914 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
Chemical References
  • Anesthetics, Dissociative
  • Carbon Dioxide
  • Tiletamine
  • Zolazepam
  • Oxygen
Topics
  • Acidosis (veterinary)
  • Anesthesia, Intravenous (veterinary)
  • Anesthetics, Dissociative (administration & dosage)
  • Animals
  • Blood Gas Analysis (veterinary)
  • Carbon Dioxide (blood)
  • Cross-Over Studies
  • Dogs (physiology)
  • Female
  • Hydrogen-Ion Concentration
  • Male
  • Oxygen (blood)
  • Tiletamine (administration & dosage)
  • Treatment Outcome
  • Zolazepam (administration & dosage)

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