25.12.2013 Views

Tierärztliche Hochschule Hannover Vergleichende Studie zur

Tierärztliche Hochschule Hannover Vergleichende Studie zur

Tierärztliche Hochschule Hannover Vergleichende Studie zur

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Publikation 2<br />

Measured parameters<br />

Analgesia and endocrine stress response<br />

The quality of anaesthesia and analgesia was assessed by observing the calves’<br />

reactions to the following pre-set intra-operative procedures on a visual analogue<br />

scale (VAS) (Anil et al. 2002): Incision of the skin, incision of muscular tissue,<br />

opening of abdominal cavity, exploration of abdominal cavity, umbilical resection,<br />

suture of peritoneum, sutures of muscular tissue and sutures of skin. Responses to<br />

each event were subjectively interpreted and individually recorded on a line ranging<br />

from 0 (no pain) to 100 mm (very severe pain).<br />

Cardiopulmonary parameters<br />

Blood pressures were measured and recorded with a cardiovascular monitor<br />

(IntelliVue MP50, Phillips Medizin Systeme, Hamburg, Germany). Central venous<br />

blood pressures (CVP), pulmonary arterial pressures (Carrick et al. 1989) and central<br />

blood temperature were measured via the different ports of the Swan-Ganz catheter,<br />

and heart rate (HR), as well as systemic arterial blood pressure (MAP), via the aortic<br />

catheter. Cardiac output (CO) was determined using the thermodilution technique<br />

(Sprung et al. 1984) by injecting 5 mL of cold (0–5°C) 5% dextrose solution through<br />

the proximal port of the catheter and recording the change in pulmonary artery<br />

temperature as previously described by Meyer et al. (2009). Respiratory rate (RR)<br />

was measured by visual observations of thoracic excursions over a period of 1 min.<br />

Blood samples for blood-gas analysis were drawn anaerobically from the distal lumen<br />

of the Swan-Ganz- and the aortic catheter for mixed venous ( v¯ ) and arterial ( a ) blood<br />

26

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!