Total intravenous anaesthesia in a goat undergoing craniectomy

Comparison of Propofol or Isoflurane Anesthesia Maintenance, Combined with a Fentanyl-Lidocaine-Ketamine Constant-Rate Infusion in Goats Undergoing Abomasotomy

Simple Summary

General anesthesia in small ruminants is still a challenge under field conditions. Propofol is an injectable short-acting anesthetic used to provide induction and/or anesthesia maintenance. Isoflurane is the inhaled anesthetic more widely used for providing general anesthesia; however, it requires an expensive equipment for its administration, and high doses may produce environmental pollution. Both anesthetics produce dose-related cardiovascular depressant effects. This study aimed to compare the effects of propofol or isoflurane, combined with a constant-rate infusion of fentanyl–lidocaine–ketamine (total [total intravenous anesthesia (TIVA)] and partial intravenous anesthesia [PIVA], respectively) in goats undergoing abomasotomy. Our results showed that both TIVA and PIVA protocols produced a satisfactory quality of anesthesia during surgery, with minimal changes in cardiopulmonary parameters. However, recovery from anesthesia induced by propofol fentanyl–lidocaine–ketamine might be of poor quality.

Abstract

This study aimed to compare, first, the anesthetic and cardiopulmonary effects of propofol or isoflurane anesthetic maintenance in goats receiving a fentanyl–lidocaine–ketamine infusion undergoing abomasotomy and, secondly, to compare the quality of the recovery from anesthesia. Two groups were used: propofol (TIVA) and isoflurane (PIVA). Goats were premedicated with fentanyl (10 μg/kg intravenously [IV]), lidocaine (2 mg/kg, IV), and ketamine (1.5 mg/kg, IV). Anesthesia was induced with propofol and maintenance consisted of fentanyl (10 μg/kg/h, IV), lidocaine (50 μg/kg/min, IV), and ketamine (50 μg/kg/min, IV) as constant-rate infusions (CRIs), combined with either CRI of propofol at initial dose of 0.3 mg/kg/min, IV (TIVA), or isoflurane with initial end-tidal (FE’Iso) concentration of 1.2% partial intravenous anesthesia (PIVA). The mean effective propofol dose for maintenance was 0.44 ± 0.07 mg/kg/min, while the mean FE’Iso was 0.81 ± 0.2%. Higher systolic arterial pressure (SAP) values were observed in total intravenous anesthesia (TIVA) during some time points. Recovery was smooth in PIVA, while restlessness, vocalizations, and paddling were observed in TIVA. Both protocols produced a satisfactory quality of anesthesia during surgery, with minimal impact on cardiopulmonary function. Nevertheless, recovery after anesthesia in TIVA might be of poor quality.