title: Chronotropic effect of propofol or alfaxalone following fentanyl administration in healthy dogs.
abstract: OBJECTIVE
  To compare the effect of alfaxalone and propofol on heart rate (HR) and blood pressure (BP) after fentanyl administration in healthy dogs.
  
  
  METHODS
  Prospective, randomised clinical study.
  
  
  METHODS
  Fifty healthy client owned dogs (ASA I/II) requiring general anaesthesia for elective magnetic resonance imaging for neurological conditions.
  
  
  METHODS
  All dogs received fentanyl 7 μg kg(-1) IV and were allocated randomly to receive either alfaxalone (n = 25) or propofol (n = 25) to effect until endotracheal (ET) intubation was possible. Heart rate and oscillometric BP were measured before fentanyl (baseline), after fentanyl (Time F) and after ET intubation (Time GA). Post-induction apnoea were recorded. Data were analysed using Fisher's exact test, Mann Whitney U test and one-way anova for repeated measures as appropriate; p value <0.05 was considered significant.
  
  
  RESULTS
  Dogs receiving propofol showed a greater decrease in HR (-14 beat minute(-1) , range -47 to 10) compared to alfaxalone (1 beat minute(-1) , range -33 to 26) (p = 0.0116). Blood pressure decreased over the three time periods with no difference between groups. Incidence of post-induction apnoea was not different between groups.
  
  
  CONCLUSIONS
  Following fentanyl administration, anaesthetic induction with propofol resulted in a greater negative chronotropic effect while alfaxalone preserved or increased HR.
  
  
  CONCLUSIONS
  Following fentanyl administration, HR decreases more frequently when propofol rather than alfaxalone is used as induction agent. However, given the high individual variability and the small change in predicted HR (-7.7 beats per minute after propofol), the clinical impact arising from choosing propofol or alfaxalone is likely to be small in healthy animals. Further studies in dogs with myocardial disease and altered haemodynamics are warranted.
authors.affiliation: Dick White Referrals, Six Mile Bottom, Cambridgeshire, UK.
authors.forename: Sayaka
authors.initials: S
authors.lastname: Okushima
authors.forename: Enzo
authors.initials: E
authors.lastname: Vettorato
authors.forename: Federico
authors.initials: F
authors.lastname: Corletto
mesh_terms: D000777:Anesthetics / Q000008:administration & dosage / Q000494:pharmacology*; D000818:Animals; D001794:Blood Pressure / Q000187:drug effects; D004285:Dogs; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000494:pharmacology*; D006339:Heart Rate / Q000187:drug effects; D008297:Male; D011277:Pregnanediones / Q000008:administration & dosage / Q000494:pharmacology*; D015742:Propofol / Q000008:administration & dosage / Q000494:pharmacology*
chemical_list: D000777:Anesthetics; D011277:Pregnanediones; C006477:alphaxalone; D005283:Fentanyl; D015742:Propofol
keywords: alfaxalone; dogs; fentanyl; heart rate; propofol