Vet Med - Czech, 2018, 63(6):271-278 | DOI: 10.17221/18/2017-VETMED

Comparison of intraocular pressure, tear production and cardiorespiratory variables before and after induction of anaesthesia with either propofol or ketofol in dogs premedicated with midazolamOriginal Paper

H. Imani Rastabi*, A. Baniadam, A. Ronagh, A. Khajeh, M. Kamyabnia
Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

The objective of the present study was to compare the effects of propofol and ketofol on intraocular pressure, tear production and cardiorespiratory variables in dogs premedicated with midazolam. Six castrated adult mixed-breed dogs were used in a cross-over design with a one-week interval. Twenty minutes after premedication with midazolam (0.2 mg/kg), animals were assigned randomly to two groups and received either propofol (6 mg/kg) or ketofol (3 mg/kg; 1 : 1 mg/ml ratio) treatments intravenously. Intraocular pressure, tear production, heart rate, respiratory rate, rectal temperature and direct mean arterial blood pressure were measured at base (before induction), and at 5, 10, 15, 20 and 30 min after induction of anaesthesia. Blood gas samples were obtained at base (before induction), and at 5, 15 and 30 min after administration of treatments. Intraocular pressure showed significantly higher values at 5 min after induction in ketofol compared with propofol (16.1 ± 4.5 mm Hg vs 8.2 ± 1.2 mm Hg, respectively). There were no significant changes in tear production in either group. Significantly higher heart rate and mean arterial blood pressure were detected in ketofol at several time points. Respiratory depression occurred in both groups with no significant differences between them. In conclusion, although ketofol improved heart rate and mean arterial blood pressure and did not elicit more pronounced respiratory depression than propofol, it resulted in significantly higher values of intraocular pressure at 5 min after administration in dogs. Despite the small number of dogs in this study, our results indicate that ketofol should not be recommended for ophthalmic surgical procedures in dogs. Appropriate oxygenation should be provided when propofol is used for ophthalmic surgeries.

Keywords: heart rate; respiratory rate; rectal temperature; direct mean arterial blood pressure; blood gases

Published: June 30, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Imani Rastabi H, Baniadam A, Ronagh A, Khajeh A, Kamyabnia M. Comparison of intraocular pressure, tear production and cardiorespiratory variables before and after induction of anaesthesia with either propofol or ketofol in dogs premedicated with midazolam. Vet Med - Czech. 2018;63(6):271-278. doi: 10.17221/18/2017-VETMED.
Download citation

References

  1. Aguiar AJ, Luna SP, Oliva VN, Eugenio FR, Castro GB (2001): Continuous infusion of propofol in dogs premedicated with methotrimeprazine. Veterinary Anaesthesia and Analgesia 28, 220-224. Go to original source... Go to PubMed...
  2. Almeida DE, Nishimori CT, Oria AP, Paula DP, Nunes N, Laus JL (2008): Effects of nitrous oxide on IOP and pupillary diameter in dogs anesthetized with varying concentrations of desflurane. Veterinary Ophthalmology 11, 170-176. Go to original source... Go to PubMed...
  3. Andolfatto G, Willman E (2010): A prospective case series of pediatric procedural sedation and analgesia in the emergency department using single-syringe KetaminePropofol combination (Ketofol). Academic Emergency Medicine 17, 194-201. Go to original source... Go to PubMed...
  4. Artigas C, Redondo JI, Lopez-Murcia MM (2012): Effects of intravenous administration of dexmedetomidine on intraocular pressure and pupil size in clinically normal dogs. Veterinary Ophthalmology 15, 79-82. Go to original source... Go to PubMed...
  5. Artru AA (1991): Intraocular pressure in anaesthetized dogs given flumazenil with and without prior administration of midazolam. Canadian Journal of Anaesthesia 38, 408-414. Go to original source... Go to PubMed...
  6. Batista CM, Laus JL, Nunes N, Patto Dos Santos PS, Costa J (2000): Evaluation of intraocular and partial CO2 pressure in dogs anesthetized with propofol. Veterinary Ophthalmology 3, 17-19. Go to original source... Go to PubMed...
  7. Costa D, Leiva M, Moll X, Aguilar A, Pena T, Andaluz A (2014): Alfaxalone versus propofol in dogs: a randomised trial to assess effects on peri-induction tear production, intraocular pressure and globe position. Veterinary Record 176, doi: 10.11136/vr.102621. Go to original source... Go to PubMed...
  8. Cunningham AJ, Barry P (1986): Intraocular pressurephysiology and implications for anaesthetic management. Canadian Anaesthetists' Society Journal 33, 195-208. Go to original source... Go to PubMed...
  9. Frey K, Sukhani R, Pawlowski J, Pappas AL, Mikat-Stevens M, Slogoff S (1999): Propofol versus propofol-ketamine sedation for retrobulbar nerve block: comparison of sedation quality, intraocular pressure changes, and recovery profiles. Anesthesia and Analgesia 89, 317-321. Go to original source...
  10. Gelatt K, MacKay E (1998): Distribution of intraocular pressure in dogs. Veterinary Ophthalmology 1, 109-114. Go to original source... Go to PubMed...
  11. Ghaffari MS, Rezaei MA, Mirani AH, Khorami N (2010): The effects of ketamine-midazolam anesthesia on intraocular pressure in clinically normal dogs. Veterinary Ophthalmology 13, 91-93. Go to original source... Go to PubMed...
  12. Goodchild C, Serrao J (1989): Cardiovascular effects of propofol in the anaesthetized dog. British Journal of Anaesthesia 63, 87-92. Go to original source... Go to PubMed...
  13. Gross ME, Pablo LS (2015): Ophthalmic patients. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA (eds): Veterinary Anesthesia and Analgesia: The Fifth Edition of Lumb and Jones. Wiley Blackwell, Pondicherry. 963-982. Go to original source...
  14. Hamor RE, Gerding Jr PA, Ramsey DT, Whiteley HE, Benson GJ, Schaeffer DJ (2000): Evaluation of short-term increased intraocular pressure on flash-and patterngenerated electroretinograms of dogs. American Journal of Veterinary Research 61, 1087-1091. Go to original source... Go to PubMed...
  15. Hasiuk MM, Forde N, Cooke A, Ramey K, Pang DS (2014): A comparison of alfaxalone and propofol on intraocular pressure in healthy dogs. Veterinary Ophthalmology 17, 411-416. Go to original source... Go to PubMed...
  16. Henao-Guerrero N, Ricco CH (2014): Comparison of the cardiorespiratory effects of a combination of ketamine and propofol, propofol alone, or a combination of ketamine and diazepam before and after induction of anesthesia in dogs sedated with acepromazine and oxymorphone. American Journal of Veterinary Research 75, 231-239. Go to original source... Go to PubMed...
  17. Hofmeister EH, Mosunic CB, Torres BT, Ralph AG, Moore PA, Read MR (2006): Effects of ketamine, diazepam, and their combination on intraocular pressures in clinically normal dogs. American Journal of Veterinary Research 67, 1136-1139. Go to original source... Go to PubMed...
  18. Hofmeister EH, Williams CO, Braun C, Moore PA (2008): Propofol versus thiopental: effects on peri-induction intraocular pressures in normal dogs. Veterinary Anaesthesia and Analgesia 35, 275-281. Go to original source... Go to PubMed...
  19. Hofmeister EH, Weinstein WL, Burger D, Brainard BM, Accola PJ, Moore PA (2009): Effects of graded doses of propofol for anesthesia induction on cardiovascular parameters and intraocular pressures in normal dogs. Veterinary Anaesthesia and Analgesia 36, 442-448. Go to original source... Go to PubMed...
  20. Hubanova R, Aptel F, Zhou T, Arnol N, Romanet JP, Chiquet C (2015): Comparison of intraocular pressure measurements with the Reichert Pt100, the Keeler Pulsair Intellipuff portable noncontact tonometers, and Goldmann applanation tonometry. Journal of Glaucoma 24, 356- 363. Go to original source... Go to PubMed...
  21. Jang M, Park S, Son WG, Jo SM, Hwang H, Seo K, Lee I (2015): Effect of tiletamine-zolazepam on the intraocular pressure of the dog. Veterinary Ophthalmology 18, 481- 484. Go to original source... Go to PubMed...
  22. Kennedy MJ, Smith LJ (2015): A comparison of cardiopulmonary function, recovery quality, and total dosages required for induction and total intravenous anesthesia with propofol versus a propofol-ketamine combination in healthy Beagle dogs. Veterinary Anaesthesia and Analgesia 42, 350-359. Go to original source... Go to PubMed...
  23. Kovalcuka L, Birgele E, Bandere D, Williams DL (2013): The effects of ketamine hydrochloride and diazepam on the intraocular pressure and pupil diameter of the dog's eye. Veterinary Ophthalmology 16, 29-34. Go to original source... Go to PubMed...
  24. Lerche P, Nolan AM, Reid J (2000): Comparative study of propofol or propofol and ketamine for the induction of anaesthesia in dogs. Veterinary Record 146, 571-574. Go to original source... Go to PubMed...
  25. Martinez-Taboada F, Leece EA (2014): Comparison of propofol with ketofol, a propofol-ketamine admixture, for induction of anaesthesia in healthy dogs. Veterinary Anaesthesia and Analgesia 41, 575-582. Go to original source... Go to PubMed...
  26. Miller PE (2013): The glaucomas. In: Maggs DJ, Miller PE, Ofri R (eds): Slatter's Fundamentals of Veterinary Ophthalmology. 5th edn. Saunders Elsevier. 247-271.
  27. Pagel PS, Warltier DC (1993): Negative inotropic effects of propofol as evaluated by the regional preload recruitable stroke work relationship in chronically instrumented dogs. Anesthesiology 78, 100-108. Go to original source... Go to PubMed...
  28. Rankin DC (2015): Sedatives and tranquilizers. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA (eds): Veterinary Anesthesia and Analgesia: The Fifth Edition of Lumb and Jones. Wiley Blackwell, Pondicherry. 196-206. Go to original source...
  29. Shepard MK, Accola PJ, Lopez LA, Shaughnessy MR, Hofmeister EH (2011): Effect of duration and type of anesthetic on tear production in dogs. American Journal of Veterinary Research 72, 608-612. Go to original source... Go to PubMed...
  30. Thomson S (2007): Ophthalmic surgery. In: Seymour C, Duke-Novakovski T (eds): BSAVA Manual of Canine and Feline Anesthesia and Analgesia. British Small Animal Veterinary Association, Gloucester. 183-193.
  31. Verbruggen AM, Akkerdaas L, Hellebrekers L, Stades F (2000): The effect of intravenous medetomidine on pupil size and intraocular pressure in normotensive dogs. Veterinary Quarterly 22, 179-180. Go to original source... Go to PubMed...
  32. Wallin-Hakanson N, Wallin-Hakanson B (2001): The effects of topical tropicamide and systemic medetomidine, followed by atipamezole reversal, on pupil size and intraocular pressure in normal dogs. Veterinary Ophthalmology 4, 3-6. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.