Effect of propofol at two injection rates or thiopentone on post-intubation apnoea in the dog.
Ventilatory effects at induction of anaesthesia were studied following intubation in 66 dogs anaesthetised using thiopentone (10 mg/kg) or propofol (4 mg/kg, injected rapidly or 4 mg/kg, injected slowly). Acepromazine and morphine preanaesthetic medication was administered, and anaesthesia was maintained with halothane in nitrous oxide and oxygen. The time from connection of the breathing system to the first breath was measured. Apnoea was defined as cessation of spontaneous respiration for 15 seconds or longer. Respiratory rate and minute volume were measured for the first five minutes of anaesthesia. Propofol was associated with a greater incidence of apnoea than thiopentone (59 per cent and 64 per cent compared with 32 per cent), but this difference was not statistically significant. Time to first breath was significantly longer with propofol than thiopentone and longest with the slower injection of propofol (P<0.05) (median of four seconds for thiopentone, 19.5 seconds for the propofol rapid injection, and 28.8 seconds for the propofol slow injection). In conclusion, the induction agent and speed of injection affect the incidence and duration of post-intubation apnoea.
Royal Dick School of Veterinary Studies, University of Edinburgh, near Roslin, Midlothian.
P J
PJ
Murison
D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects*; D000818:Animals; D001049:Apnea / Q000139:chemically induced / Q000453:epidemiology / Q000662:veterinary*; D004283:Dog Diseases / Q000139:chemically induced* / Q000453:epidemiology; D004285:Dogs; D005260:Female; D015994:Incidence; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000662:veterinary; D008297:Male; D015742:Propofol / Q000008:administration & dosage / Q000009:adverse effects*; D011897:Random Allocation; D012119:Respiration / Q000187:drug effects; D013874:Thiopental / Q000008:administration & dosage / Q000009:adverse effects*; D013997:Time Factors
D018686:Anesthetics, Intravenous; D013874:Thiopental; D015742:Propofol