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Tierärztliche Hochschule Hannover Vergleichende Studie zur

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Summary<br />

Jennifer Offinger (2010)<br />

Comparison of isoflurane inhalation anaesthesia, injection anaesthesia and high<br />

volume caudal epidural anaesthesia in calves; metabolic, endocrine and<br />

cardiopulmonary effects<br />

Summary<br />

In a prospective, randomised study, the effects of three anaesthetic regimes<br />

(inhalation-, injection- and high volume caudal epidural anaesthesia) were compared<br />

regarding analgesic qulatity, cardiorespiratory effect and endocrine-metabolical<br />

parameters in calves undergoing umbilical surgery.<br />

Thirty Holstein-Friesian calves (7 female, 23 male) aged 45.9 ± 6.4 days with a mean<br />

body weight of 66.1 ± 6.2 kg were included in the study. Calves were randomly<br />

allocated to three groups: The inhalation-group (INH) received isoflurane in oxygen<br />

after induction of anaesthesia with 0.1 mg kg -1 xylazine IM and 2.0 mg kg -1 ketamine<br />

IV, the injection-group (INJ) was treated with 0.2 mg kg -1 xylazine IM and 5.0 mg kg -1<br />

ketamine IV injection, redosed every 10-15 min with half the initial dose of ketamine,<br />

while the epidural-group (EPI) underwent a high volume caudal epidural anaesthesia<br />

of 0.2 mg kg -1 xylazine, diluted to a final volume of 0.6 ml kg -1 with procaine 2%. All<br />

calves received a periumbilical infiltration with local anaesthetic and a pre-emptive<br />

application of flunixine IV (2.2 mg kg -1 ).<br />

Preoperative parameters were initially determined in the standing calf. After induction<br />

of anaesthesia, measurements took place in 15 minute intervals with the animal<br />

restrained in dorsal recumbency. During the final measurements taken 30, 60 and<br />

120 minutes after completing the surgery, animals were free to choose standing<br />

position or sternal recumbency.<br />

The endocrine stress response was determined through analysis of epinephrine,<br />

norepinephrine and cortisol concentrations. A visual analogue scale (VAS) was<br />

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