Cardiopulmonary effects of vatinoxan in sevoflurane-anaesthetised sheep receiving dexmedetomidine.

Adam, M; Huuskonen, V; Raekallio, M R; Casoni, Daniela; Mykkänen, A K; Lappalainen, A K; Kajula, M; Kallio-Kujala, I J; Vainio, O M (2018). Cardiopulmonary effects of vatinoxan in sevoflurane-anaesthetised sheep receiving dexmedetomidine. Veterinary journal, 238, pp. 63-69. Elsevier 10.1016/j.tvjl.2018.07.007

[img]
Preview
Text
1-s2.0-S1090023318303873-main.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (1MB) | Preview

The effects of pre-treatment with vatinoxan (MK-467) on dexmedetomidine-induced cardiopulmonary alterations were investigated in sheep. In a crossover study design with a 20-day washout, seven sheep were anaesthetised with sevoflurane in oxygen and air. The sheep were ventilated with the pressure-limited volume-controlled mode and a positive end-expiratory pressure of 5cmHO. Peak inspiratory pressure (PIP) was set at 25cmHO. The sheep received either 150μg/kg vatinoxan HCl (VAT+DEX) or saline intravenously (IV) 10min before IV dexmedetomidine HCl (3μg/kg, DEX). Cardiopulmonary variables were measured before treatments (baseline), 3min after vatinoxan or saline, and 5, 15 and 25min after dexmedetomidine. Computed tomography (CT) of lung parenchyma was performed at baseline, 2min before dexmedetomidine, and 10, 20 and 30min after DEX. Bronchoalveolar lavage (BAL) was performed after the last CT scan and shortly before sheep recovered from anaesthesia. After VAT, cardiac output significantly increased from baseline. DEX alone significantly decreased partial arterial oxygen tension, total dynamic compliance and tidal volume, whereas PIP was significantly increased. With VAT+DEX, these changes were minimal. No significant changes were detected in haemodynamics from baseline after DEX. With VAT+DEX, mean arterial pressure and systemic vascular resistance were significantly decreased from baseline, although hypotension was not detected. On CT, lung density was significantly increased with DEX as compared to baseline. No visual abnormalities were detected in bronchoscopy and no differences were detected in the BAL fluid after either treatment. The pre-administration of vatinoxan alleviates dexmedetomidine-induced bronchoconstriction, oedema and hypoxaemia in sevoflurane-anaesthetised sheep.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR)

UniBE Contributor:

Casoni, Daniela

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1090-0233

Publisher:

Elsevier

Language:

English

Submitter:

Marla Rittiner

Date Deposited:

26 Feb 2019 10:48

Last Modified:

01 Nov 2019 06:04

Publisher DOI:

10.1016/j.tvjl.2018.07.007

PubMed ID:

30103917

Uncontrolled Keywords:

Anaesthesia Computed tomography Dexmedetomidine Sheep Vatinoxan

BORIS DOI:

10.7892/boris.124472

URI:

https://boris.unibe.ch/id/eprint/124472

Actions (login required)

Edit item Edit item
Provide Feedback