In 1983, the author described the experimental report on antagonism of xylazine and ketamine combination anesthesia by 4-aminopyridine (4-AP) and yohimbine (YO) in dogs, concluding that these antagonists are safe, fast-acting and specific in xylazine and ketamine combination anesthesia.
In this paper are described clinical applications to minor surgery in dogs.
Twenty cases selected for the need of reduction of awakening time were divided into 3 groups.
After beeing atropinized, all dogs were administrated xylazine subcutaneously (3 mg/ kg) and ketamine intramuscularly (5 mg/kg, 10 mg/kg) . Then, at the stage of surgical anesthesia, minor surgeries were done.
In group I, in which the operation time was less than 25 minutes were given 4-AP (0.3 mg/kg) and YO (0.125 mg/kg) intravenously.
In group II, in which the operation time was more than 30 minutes were given [4-AP (0.3 mg/kg) +YO (0.125 mg/kg) ] × _??_ intravenously.
In group III, in which the operation timee was less than 25 minutes were given 4-AP (0.3 mg/kg) and YO (0.125 mg/kg) intramuscularly.
In group I, the mean initial response time (RT; time from administration of combination of 4-AP and YO to cognition and ability to lift up head) was 2.3 min (control in the experiment ; 47.6 mm) . Mean alert time (AT; time to cognition and ability to wake up) was 3.8 min (control ; 53.0 mm) . Mean stand-up time (ST; time to cognition and ability to stand-up) was 6.3 min (control ; 60.0 mm) . And mean walk time (WT; time to cognition and ability to walk) was 10.8 min (control ; 65.4 mm) .
In group II, mean RT was 3.1 min. Mean AT, ST and WT were 4. 1, 7.2 and 11.8 min.
In group III, mean RT was 15.5 min. Mean AT, ST and WT were 18. 0, 22.2 and 27.0 min.
In all cases, loss of appetite, cherless or no good general conditions were not marked after operation. And abnormal hemorhage or delay of healing were not observed. Relapses to unconciousness did not occur.
Result of this study shows that in group I, the same effects were seen as the experimental groups previous by reported.
In group II, the same effects were also seen as in group I and the experimental groups. Therefore, if it takes over 30 min in operation, these antagonists may be reduced to _??_
In group III (the intramuscular administration) the time was delayed a little at RT, AT, ST and WT, in comparison with group I, II and the experimental groups (the intravenous administration) ; but effects were obvious in comparison with the control of the experimental groups.
The intramuscular administration may have some clinical significances when so fast awakening is not needed.
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