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Acid-base and biochemical stabilization and quality of recovery in male cats with urethral obstruction and anesthetized with propofol or a combination of ketamine and diazepam

Freitas, Gabrielle C ; da Cunha, Marina G Monteiro Carvalho Mori ; Gomes, Kleber ; da Cunha, João P Monteiro Carvalho Mori LU orcid ; Togni, Monique ; Pippi, Ney L and Carregaro, Adriano B (2012) In Canadian Journal of Veterinary Research 76(3). p.8-201
Abstract

This study compared acid-base and biochemical changes and quality of recovery in male cats with experimentally induced urethral obstruction and anesthetized with either propofol or a combination of ketamine and diazepam for urethral catheterization. Ten male cats with urethral obstruction were enrolled for urethral catheterization and anesthetized with either ketamine-diazepam (KD) or propofol (P). Lactated Ringer's solution was administered by intravenous (IV) beginning 15 min before and continuing for 48 h after relief of urethral obstruction. Quality of recovery and time to standing were evaluated. The urethral catheter was maintained to measure urinary output. Hematocrit (Hct), total plasma protein (TPP), albumin, total protein... (More)

This study compared acid-base and biochemical changes and quality of recovery in male cats with experimentally induced urethral obstruction and anesthetized with either propofol or a combination of ketamine and diazepam for urethral catheterization. Ten male cats with urethral obstruction were enrolled for urethral catheterization and anesthetized with either ketamine-diazepam (KD) or propofol (P). Lactated Ringer's solution was administered by intravenous (IV) beginning 15 min before and continuing for 48 h after relief of urethral obstruction. Quality of recovery and time to standing were evaluated. The urethral catheter was maintained to measure urinary output. Hematocrit (Hct), total plasma protein (TPP), albumin, total protein (TP), blood urea nitrogen (BUN), creatinine, pH, bicarbonate (HCO3-), chloride, base excess, anion gap, sodium, potassium, and partial pressure of carbon dioxide in mixed venous blood (pvCO2) were measured before urethral obstruction, at start of fluid therapy (0 h), and at subsequent intervals. The quality of recovery and time to standing were respectively 4 and 75 min in the KD group and 5 and 16 min in the P group. The blood urea nitrogen values were increased at 0, 2, and 8 h in both groups. Serum creatinine increased at 0 and 2 h in cats administered KD and at 0, 2, and 8 h in cats receiving P, although the values were above the reference range in both groups until 8 h. Acidosis occurred for up to 2 h in both groups. Acid-base and biochemical stabilization were similar in cats anesthetized with propofol or with ketamine-diazepam. Cats that received propofol recovered much faster, but the ketamine-diazepam combination was shown to be more advantageous when treating uncooperative cats as it can be administered by intramuscular (IM) injection.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acid-Base Equilibrium/drug effects, Acidosis, Anesthesia Recovery Period, Anesthesia, Intravenous/veterinary, Anesthetics, Dissociative/administration & dosage, Anesthetics, Intravenous/administration & dosage, Animals, Blood Urea Nitrogen, Cat Diseases/surgery, Cats, Creatinine/blood, Diazepam/administration & dosage, Drug Therapy, Combination, Hyperkalemia, Ketamine/administration & dosage, Male, Propofol/pharmacology, Urethral Obstruction/blood
in
Canadian Journal of Veterinary Research
volume
76
issue
3
pages
8 pages
publisher
Canadian Veterinary Medical Association
external identifiers
  • scopus:84863829728
  • pmid:23277699
ISSN
0830-9000
language
English
LU publication?
no
id
77737a3f-b51f-4f54-9fc7-494035c7d57a
date added to LUP
2019-02-14 10:00:48
date last changed
2024-06-11 05:04:34
@article{77737a3f-b51f-4f54-9fc7-494035c7d57a,
  abstract     = {{<p>This study compared acid-base and biochemical changes and quality of recovery in male cats with experimentally induced urethral obstruction and anesthetized with either propofol or a combination of ketamine and diazepam for urethral catheterization. Ten male cats with urethral obstruction were enrolled for urethral catheterization and anesthetized with either ketamine-diazepam (KD) or propofol (P). Lactated Ringer's solution was administered by intravenous (IV) beginning 15 min before and continuing for 48 h after relief of urethral obstruction. Quality of recovery and time to standing were evaluated. The urethral catheter was maintained to measure urinary output. Hematocrit (Hct), total plasma protein (TPP), albumin, total protein (TP), blood urea nitrogen (BUN), creatinine, pH, bicarbonate (HCO3-), chloride, base excess, anion gap, sodium, potassium, and partial pressure of carbon dioxide in mixed venous blood (pvCO2) were measured before urethral obstruction, at start of fluid therapy (0 h), and at subsequent intervals. The quality of recovery and time to standing were respectively 4 and 75 min in the KD group and 5 and 16 min in the P group. The blood urea nitrogen values were increased at 0, 2, and 8 h in both groups. Serum creatinine increased at 0 and 2 h in cats administered KD and at 0, 2, and 8 h in cats receiving P, although the values were above the reference range in both groups until 8 h. Acidosis occurred for up to 2 h in both groups. Acid-base and biochemical stabilization were similar in cats anesthetized with propofol or with ketamine-diazepam. Cats that received propofol recovered much faster, but the ketamine-diazepam combination was shown to be more advantageous when treating uncooperative cats as it can be administered by intramuscular (IM) injection.</p>}},
  author       = {{Freitas, Gabrielle C and da Cunha, Marina G Monteiro Carvalho Mori and Gomes, Kleber and da Cunha, João P Monteiro Carvalho Mori and Togni, Monique and Pippi, Ney L and Carregaro, Adriano B}},
  issn         = {{0830-9000}},
  keywords     = {{Acid-Base Equilibrium/drug effects; Acidosis; Anesthesia Recovery Period; Anesthesia, Intravenous/veterinary; Anesthetics, Dissociative/administration & dosage; Anesthetics, Intravenous/administration & dosage; Animals; Blood Urea Nitrogen; Cat Diseases/surgery; Cats; Creatinine/blood; Diazepam/administration & dosage; Drug Therapy, Combination; Hyperkalemia; Ketamine/administration & dosage; Male; Propofol/pharmacology; Urethral Obstruction/blood}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{8--201}},
  publisher    = {{Canadian Veterinary Medical Association}},
  series       = {{Canadian Journal of Veterinary Research}},
  title        = {{Acid-base and biochemical stabilization and quality of recovery in male cats with urethral obstruction and anesthetized with propofol or a combination of ketamine and diazepam}},
  volume       = {{76}},
  year         = {{2012}},
}