Effects of intravenous administration of perzinfotel, fentanyl, and a combination of both drugs on the minimum alveolar concentration of isoflurane in dogs

Yukie Ueyama Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210; and Fort Dodge Animal Health, 9 Ridge Rd, Monmouth Junction, NJ 08852.

Search for other papers by Yukie Ueyama in
Current site
Google Scholar
PubMed
Close
 DVM
,
Phillip Lerche Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210; and Fort Dodge Animal Health, 9 Ridge Rd, Monmouth Junction, NJ 08852.

Search for other papers by Phillip Lerche in
Current site
Google Scholar
PubMed
Close
 BVSc, PhD
,
C. Mark Eppler Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210; and Fort Dodge Animal Health, 9 Ridge Rd, Monmouth Junction, NJ 08852.

Search for other papers by C. Mark Eppler in
Current site
Google Scholar
PubMed
Close
 PhD
, and
William W. Muir III Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210; and Fort Dodge Animal Health, 9 Ridge Rd, Monmouth Junction, NJ 08852.

Search for other papers by William W. Muir III in
Current site
Google Scholar
PubMed
Close
 DVM, PhD

Abstract

Objective—To determine the effects of IV administration of perzinfotel and a perzinfotel-fentanyl combination on the minimum alveolar concentration (MAC) of isoflurane in dogs.

Animals—6 healthy sexually intact Beagles (3 males and 3 females).

Procedures—All dogs were instrumented with a telemetry device for continuous monitoring of heart rate, arterial blood pressure, and core body temperature (at a femoral artery). Dogs were anesthetized with propofol (6 mg/kg, IV) and isoflurane. Isoflurane MAC values were determined in 3 experiments in each dog, separated by at least 7 days, before (baseline) and after the following treatments: no treatment (anesthetic only), perzinfotel (20 mg/kg, IV), fentanyl (5 μg/kg bolus, IV, followed by a continuous IV infusion at 0.15 μg/kg/min), and a fentanyl-perzinfotel combination (20 mg of perzinfotel/kg, IV, plus the fentanyl infusion). Bispectral index and oxygen saturation as measured by pulse oximetry were also monitored throughout anesthesia.

Results—Without treatment, the mean ± SD isoflurane MAC for all 6 dogs was 1.41 ± 0.10%. Baseline MAC was 1.42 ± 0.08%. Intravenous administration of perzinfotel, fentanyl, and the perzinfotel-fentanyl combination significantly decreased the MAC by 39%, 35%, and 66%, respectively. Perzinfotel and perzinfotel-fentanyl administration yielded significant increases in the bispectral index. Mean, systolic, and diastolic arterial blood pressures significantly increased from baseline values when perzinfotel was administered. Systolic arterial blood pressure significantly increased from the baseline value when perzinfotel-fentanyl was administered. No adverse effects were detected.

Conclusions and Clinical Relevance—IV administration of perzinfotel, fentanyl, or a perzinfotel-fentanyl combination reduced isoflurane MAC in dogs and increased arterial blood pressure.

Abstract

Objective—To determine the effects of IV administration of perzinfotel and a perzinfotel-fentanyl combination on the minimum alveolar concentration (MAC) of isoflurane in dogs.

Animals—6 healthy sexually intact Beagles (3 males and 3 females).

Procedures—All dogs were instrumented with a telemetry device for continuous monitoring of heart rate, arterial blood pressure, and core body temperature (at a femoral artery). Dogs were anesthetized with propofol (6 mg/kg, IV) and isoflurane. Isoflurane MAC values were determined in 3 experiments in each dog, separated by at least 7 days, before (baseline) and after the following treatments: no treatment (anesthetic only), perzinfotel (20 mg/kg, IV), fentanyl (5 μg/kg bolus, IV, followed by a continuous IV infusion at 0.15 μg/kg/min), and a fentanyl-perzinfotel combination (20 mg of perzinfotel/kg, IV, plus the fentanyl infusion). Bispectral index and oxygen saturation as measured by pulse oximetry were also monitored throughout anesthesia.

Results—Without treatment, the mean ± SD isoflurane MAC for all 6 dogs was 1.41 ± 0.10%. Baseline MAC was 1.42 ± 0.08%. Intravenous administration of perzinfotel, fentanyl, and the perzinfotel-fentanyl combination significantly decreased the MAC by 39%, 35%, and 66%, respectively. Perzinfotel and perzinfotel-fentanyl administration yielded significant increases in the bispectral index. Mean, systolic, and diastolic arterial blood pressures significantly increased from baseline values when perzinfotel was administered. Systolic arterial blood pressure significantly increased from the baseline value when perzinfotel-fentanyl was administered. No adverse effects were detected.

Conclusions and Clinical Relevance—IV administration of perzinfotel, fentanyl, or a perzinfotel-fentanyl combination reduced isoflurane MAC in dogs and increased arterial blood pressure.

Contributor Notes

Supported by Fort Dodge Animal Health.

The authors thank Dr. Anja-Christina Waselau and Barbara Lang for technical assistance and Debbie Amodie for statistical analysis.

Address correspondence to Dr. Muir (bill.muir@amcny.org).
  • 1.

    Ilkiw JE, Pascoe PJ, Haskins SC, et al. The cardiovascular sparing effect of fentanyl and atropine administered to enflurane anesthetized dogs. Can J Vet Res 1993;57:248253.

    • Search Google Scholar
    • Export Citation
  • 2.

    Hellyer PW, Mama KR, Shafford HL, et al. Effects of diazepam and flumazenil on minimum alveolar concentrations for dogs anesthetized with isoflurane or a combination of isoflurane and fentanyl. Am J Vet Res 2001;62:555560.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Solano AM, Pypendop BH, Boscan PL, et al. Effect of intravenous administration of ketamine on the minimum alveolar concentration of isoflurane in anesthetized dogs. Am J Vet Res 2006;67:2125.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Pypendop BH, Solano A, Boscan P, et al. Characteristics of the relationship between plasma ketamine concentration and its effect on the minimum alveolar concentration of isoflurane in dogs. Vet Anaesth Analg 2007;34:209212.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Pascoe PJ, Raekallio M, Kuusela E, et al. Changes in the minimum alveolar concentration of isoflurane and some cardiopulmonary measurements during three continuous infusion rates of dexmedetomidine in dogs. Vet Anaesth Analg 2006;33:97103.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Hendrickx JFA, Eger EI II, Sonner JM, et al.Is synergy the rule? A review of anesthetic interactions producing hypnosis and immobility. Anesth Analg 2008;107:494506.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Muir WW III, Wiese AJ, March PA. Effects of morphine, lidocaine, ketamine, and morphine-lidocaine-ketamine drug combination on minimum alveolar concentration in dogs anesthetized with isoflurane. Am J Vet Res 2003;64:11551160.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Salmenpera MT, Szlam F, Hug CC Jr. Anesthetic and hemodynamic interactions of dexmedetomidine and fentanyl in dogs. Anesthesiology 1994;80:837846.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Hellebrekers LJ, Sap R. Medetomidine as a premedicant for ketamine, propofol or fentanyl anaesthesia in dogs. Vet Rec 1997;140:545548.

  • 10.

    Bailey PL, Pace NL, Ashburn MA, et al. Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology 1990;73:826830.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Lamont LA, Bulmer BJ, Grimm KA, et al. Cardiopulmonary evaluation of the use of medetomidine hydrochloride in cats. Am J Vet Res 2001;62:17451749.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Enouri SS, Kerr CL, McDonell WN, et al. Cardiopulmonary effects of anesthetic induction with thiopental, propofol, or a combination of ketamine hydrochloride and diazepam in dogs sedated with a combination of medetomidine and hydromorphone. Am J Vet Res 2008;69:586595.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Sun L, Chiu D, Kowal D, et al. Characterization of two novel N-methyl-D-aspartate antagonists: EAA-090 (2-[8,9-dioxo-2,6-diazabicyclo[5.2.0]non-1(7)en2yl]ethylphosphonic acid) and EAB-318 (R-A-amino-5-chloro-1(phosphonomethyl)1H benzimidazole-2-propanoic acid hydrochloride). J Pharmacol Exp Ther 2004;310:563570.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Kinney WA, Abou-Gharbia M, Garrison DT, et al. Design and synthesis of [2(8,9 dioxo 2,6-diazabicyclo[5.2.0]non-1(7)-en2-yl]ethylphosphonic acid (EAA090), a potent N methyl-D-aspartate antagonist, via the use of 3-cyclobutene-1,2dione as an achiral alpha amino acid bioisostere. J Med Chem 1998;41:236246.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Boyce S, Wyatt A, Webb JK, et al. Selective NMDA NR2B antagonists induce antinociception without motor dysfunction: correlation with restricted localization of NR2B subunit in dorsal horn. Neuropharmacology 1999;38:611623.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Kushiro T, Wiese AJ, Eppler MC, et al. Effects of perzinfotel on the minimum alveolar concentration of isoflurane in dogs. Am J Vet Res 2007;68:12941299.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Bufalari A, Di Meo A, Nannarone S, et al.Fentanyl or sufentanil continuous infusion during isoflurane anaesthesia in dogs: clinical experiences. Vet Res Commun 2007;31 (suppl 1):277280.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Liehmann L, Mosing M, Auer U. A comparison of cardiorespiratory variables during isoflurane-fentanyl and propofol-fentanyl anaesthesia for surgery in injured cats. Vet Anaesth Analg 2006;33:158168.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Yackey M, Ilkiw JE, Pascoe PJ, et al. Effect of transdermally administered fentanyl on the minimum alveolar concentration of isoflurane in cats. Vet Anaesth Analg 2004;31:183189.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Egger CM, Glerum LE, Allen SW, et al. Plasma fentanyl concentrations in awake cats and cats undergoing anesthesia and ovariohysterectomy using transdermal administration. Vet Anaesth Analg 2003;30:229236.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Mendes GM, Selmi AL. Use of a combination of propofol and fentanyl, alfentanil, or sufentanil for total intravenous anesthesia in cats. J Am Vet Med Assoc 2003;223:16081613.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Bailey PL, Port JD, McJames S, et al. Is fentanyl an anesthetic in the dog? Anesth Analg 1987;66:542548.

  • 23.

    Murphy MR, Olson WA, Hug CC Jr. Pharmacokinetics of 3H-fentanyl in the dog anesthetized with enflurane. Anesthesiology 1979;50:1319.

  • 24.

    Sano T, Nushimura R, Kanazawa H, et al. Pharmacokinetics of fentanyl after single intravenous injection and constant rate infusion in dogs. Vet Anaesth Analg 2006;33:266273.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25.

    Shafer SL, Hendrickx JFA, Flood P, et al. Additivity versus synergy: a theoretical analysis of implications for anesthetic mechanisms. Anesth Analg 2008;107:507524.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Kissin I. Depth of anesthesia and bispectral index monitoring. Anesth Analg 2000;90:11141117.

  • 27.

    Johansen JW, Sebel PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology 2000;93:13361344.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Greenwald SD, Smith CP, Sigl JC, et al. Development of the EEG bispectral index (BIS). J Clin Monit Comput 2000;16:6263.

  • 29.

    March PA, Muir WW. Bispectral analysis of the electroencephalogram: a review of its development and use in anesthesia. Vet Anaesth Analg 2005;32:241255.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Campagnol D, Teixeira Neto FJ, Monteiro ER, et al.Use of bispectral index to monitor depth of anesthesia in isoflurane-anesthetized dogs. Am J Vet Res 2007;68:13001307.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Greene SA, Benson GJ, Tranquilli WJ, et al. Bispectral index in dogs anesthetized with isoflurane: comparison with sevoflurane. Vet Anaesth Analg 2002;29:100101.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Haga HA, Tevik A, Moerch H. Bispectral index as an indicator of anesthetic depth during isoflurane anaesthesia in the pig. J Vet Anaesth 1999;26:37.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33.

    Haga HA, Dolvik NI. Evaluation of the bispectral index as an indicator of degree of central nervous system depression in isoflurane-anesthetized horses. Am J Vet Res 2002;63:438442.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34.

    Antognini JF, Wang XW, Carstens E. Isoflurane anaesthetic depth in goats monitored using the bispectral index of the electroencephalogram. Vet Res Commun 2000;24:361370.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Lamont LA, Greene SA, Grimm KA, et al. Relationship of feline bispectral index to multiples of isoflurane minimum alveolar concentration. Comp Med 2005;55:269274.

    • Search Google Scholar
    • Export Citation
  • 36.

    Greene SA, Benson GJ, Tranquilli WJ, et al. Relationship of canine bispectral index to multiples of sevoflurane minimal alveolar concentration, using patch or subdermal electrodes. Comp Med 2002;52:424428.

    • Search Google Scholar
    • Export Citation
  • 37.

    Greene SA, Benson GJ, Tranquilli WJ, et al. Effect of isoflurane, atracurium, fentanyl, and noxious stimulation on bispectral index in pigs. Comp Med 2004;54:397403.

    • Search Google Scholar
    • Export Citation
  • 38.

    Moore PG, Quall AW, Cottee DB, et al. Effect of fentanyl on baroreflex control of circulfex coronary conductance. Clin Exp Pharmacol Physiol 2000;27:10281033.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 39.

    Steagall PVM, Teixeira Neto FJ, Minto BW, et al.Evaluation of the isoflurane-sparing effects of lidocaine and fentanyl during surgery in dogs. J Am Vet Med Assoc 2006;229:522527.

    • Crossref
    • Search Google Scholar
    • Export Citation

Advertisement