Literature DB >> 28778513

Cardiopulmonary effects of reverse Trendelenburg position at 5° and 10° in sevoflurane-anesthetized steers.

Marcelo A Araújo1, Maurício Deschk2, Juliana T Wagatsuma2, Beatriz P Floriano2, Carlos E Siqueira2, Valéria Nls Oliva2, Paulo Sp Santos3.   

Abstract

OBJECTIVE: To assess the cardiopulmonary effects caused by reverse Trendelenburg position (RTP) at 5° and 10° in sevoflurane-anesthetized yearling steers. STUDY
DESIGN: Prospective, experimental study. ANIMALS: Eight Holstein steers aged (mean ± standard deviation) 12 ± 2 months and weighing 145 ± 26 kg.
METHODS: In the first phase of the study, the individual minimum alveolar concentration (MAC) of sevoflurane was determined using electrical stimulation. In the second phase, the effects of RTP were assessed. The animals were anesthetized on three separate events separated by ≥7 days in an incomplete crossover design: control treatment using a table without tilt (RTP0); treatment with the table at 5° RTP (RTP5) and table tilted 10° RTP (RTP10). Subjects were physically restrained in dorsal recumbency on the table, which was already tilted according to each treatment. Anesthesia was induced with sevoflurane at 8% in 5 L minute-1 oxygen via face mask followed by maintenance with sevoflurane at 1.3 MAC and spontaneous breathing. Cardiopulmonary variables were obtained immediately after instrumentation (T0) and then after 30, 60, 120 and 180 minutes (T30, T60, T120 and T180, respectively).
RESULTS: The mean sevoflurane MAC for the eight steers was 2.12 ± 0.31%. Cardiac output was lower at all time points and the systemic vascular resistance index was higher at T120 and T180 in RTP10 compared with RTP0. Oxygen consumption was lower at T0 and at T180 in RTP10 compared with RTP0 and at all time points except T30 compared with RTP5. Oxygen extraction was lower at T0 in RTP10 compared with RTP0 and RTP5, and at T60 and T180 compared with RTP5. CONCLUSIONS AND CLINICAL RELEVANCE: RTP 5° and 10° did not improve ventilatory and oxygenation variables in sevoflurane-anesthetized steers when compared with no tilt, however the cardiovascular variables were adversely affected in RTP10.
Copyright © 2017 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  bovine; dorsal recumbency; hemodynamic; minimum alveolar concentration; reverse Trendelenburg; sevoflurane

Mesh:

Substances:

Year:  2017        PMID: 28778513     DOI: 10.1016/j.vaa.2017.03.006

Source DB:  PubMed          Journal:  Vet Anaesth Analg        ISSN: 1467-2987            Impact factor:   1.648


  2 in total

1.  Effect of position on transdiaphragmatic pressure and hemodynamic variables in anesthetized horses.

Authors:  Cori D Youngblood; David S Hodgson; Warren L Beard; Yuqi Song; Punit Prakash; Lindsay V Heflin
Journal:  Can J Vet Res       Date:  2020-07       Impact factor: 1.310

2.  Effect of 15° Reverse Trendelenburg Position on Arterial Oxygen Tension during Isoflurane Anesthesia in Horses.

Authors:  Laura Tucker; Daniel Almeida; Erin Wendt-Hornickle; Caroline F Baldo; Sandra Allweiler; Alonso G P Guedes
Journal:  Animals (Basel)       Date:  2022-02-01       Impact factor: 2.752

  2 in total

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