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. 2020 Nov;61(11):1175-1180.

Comparison of the efficacy of 2 sedative protocols in pediatric dogs undergoing brainstem auditory-evoked response testing

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Comparison of the efficacy of 2 sedative protocols in pediatric dogs undergoing brainstem auditory-evoked response testing

Alejandra García de Carellán Mateo et al. Can Vet J. 2020 Nov.

Abstract

This study compared the quality of sedation with dexmedetomidine or alfaxalone during brainstem auditory-evoked response (BAER) tests in 6- to 17-week-old dogs. This was a prospective, randomized clinical study involving 19 client-owned pediatric dogs of breeds with reported congenital deafness. Group A (GA) received alfaxalone, 2 mg/kg body weight (BW) (n = 9) and group D (GD) dexmedetomidine, 0.005 mg/kg BW, and postprocedure antagonism with atipamezole (n = 10) intramuscularly. Time from injection to sedation, duration of sedation, sedation scores, need for re-dosing, rectal temperature, pulse and respiratory rate were recorded at baseline, before and after the BAER test, and once recovered from sedation. Pulse rate was significantly lower in GD (P = 0.004) and the number of re-dosing was significantly higher in GA (P = 0.011). Both sedation protocols allowed good quality BAER test recordings in pediatric dogs. Sedation with dexmedetomidine required less re-dosing, whereas alfaxalone maintained more physiological pulse rates.

Comparaison de l’efficacité de 2 protocoles de sédation chez des chiens pédiatriques soumis à un test potentiel évoqué auditif. L’étude vise à comparer deux protocoles de sédation à base de la dexmédétomidine et de l’alfaxalone pour la réalisation de test de potentiels évoqués auditifs (PEA) chez les chiens âgés de 6 à 17 semaines. Il s’agit d’une étude clinique prospective, randomisée, incluant 19 chiens pédiatriques de propriétaire, appartenant à des races prédisposées à la surdité congénitale. Les groupe A (GA) a reçu de l’alfaxalone (2 mg/kg) (n = 9), ceux du groupe D (GD) de la dexmédétomidine (0,005 mg/kg) (n = 10), en intramusculaire. Ont été relevés : temps d’action, durée de sédation, scores de sédation, nombre de doses, température, pouls et fréquence respiratoire; au repos, avant et après le test PEA. Des différences statistiquement significatives ont été trouvées dans la fréquence du pouls, étant plus bas pour GD (P = 0,004) alors que le nombre de doses utilisées, étant supérieurs parmi GA (P = 0,011). Trois chiens avaient une surdité unilatérale. Les deux protocoles de sédation ont permis des enregistrements de bonne qualité. La sédation avec la dexmédétomidine a nécessité moins de redosage; cependant, l’alfaxalone induit un pouls cardiaque plus proche des valeurs physiologiques chez les jeunes chiens testés.(Traduit par les auteurs).

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