PMID- 23368842 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20181202 IS - 1467-2995 (Electronic) IS - 1467-2987 (Linking) VI - 40 IP - 3 DP - 2013 May TI - The effect of fentanyl on the end-tidal sevoflurane concentration needed to prevent motor movement in dogs. PG - 290-6 LID - 10.1111/vaa.12013 [doi] AB - OBJECTIVE: The objectives of this study were to determine the effects of fentanyl on the end-tidal concentration of sevoflurane needed to prevent motor movement (MACNM ) in response to noxious stimulation, and to evaluate if acute tolerance develops. STUDY DESIGN: Randomized cross-over experimental study. ANIMALS: Six healthy, adult (2-3 years old), intact male, mixed-breed dogs weighing 16.2 +/- 1.1 kg. METHODS: Six dogs were randomly assigned to receive one of three separate treatments over a 3 week period. After baseline sevoflurane MACNM (MACNM-B) determination, fentanyl treatments (T) were administered as a loading dose (Ld) and constant rate infusion (CRI) as follows: T1-Ld of 7.5 mug kg(-1) and CRI at 3 mug kg(-1) hour(-1); T2-Ld of 15 mug kg(-1) and CRI at 6.0 mug kg (-1) hour(-1); T3-Ld of 30 mug kg(-1) and CRI at 12 mug kg(-1) hour(-1). The MACNM was defined as the minimum end-tidal sevoflurane concentration preventing motor movement. The first post-treatment MACNM (MACNM-I) determination was initiated 90 minutes after the start of the CRI, and a second MACNM (MACNM - II) determination was initiated 3 hours after MACNM-I was established. RESULTS: The overall least square mean MACNM-B for all groups was 2.66%. All treatments decreased (p < 0.05) MACNM, and the decrease from baseline was 22%, 35% and 41% for T1, T2 and T3, respectively. Percentage change in T1 differed (p < 0.05) from T2 and T3; however, T2 did not differ from T3. MACNM-I was not significantly different from MACNM-II within treatments. CONCLUSIONS AND CLINICAL RELEVANCE: Fentanyl doses in the range of 3-12 mug kg(-1) hour(-1) significantly decreased the sevoflurane MACNM. Clinically significant tolerance to fentanyl did not occur under the study conditions. CI - (c) 2013 The Authors. Veterinary Anaesthesia and Analgesia (c) 2013 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia. FAU - Reilly, Sabrina AU - Reilly S AD - Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA. FAU - Seddighi, Reza AU - Seddighi R FAU - Egger, Christine M AU - Egger CM FAU - Rohrbach, Barton W AU - Rohrbach BW FAU - Doherty, Thomas J AU - Doherty TJ FAU - Qu, Wen AU - Qu W FAU - Johnson, James R AU - Johnson JR LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20130131 PL - United States TA - Vet Anaesth Analg JT - Veterinary anaesthesia and analgesia JID - 100956422 RN - 0 (Adjuvants, Anesthesia) RN - 0 (Anesthetics, Inhalation) RN - 0 (Methyl Ethers) RN - 38LVP0K73A (Sevoflurane) RN - UF599785JZ (Fentanyl) SB - IM MH - Adjuvants, Anesthesia/administration & dosage/*pharmacology MH - Anesthetics, Inhalation/administration & dosage/*pharmacology MH - Animals MH - Cross-Over Studies MH - Dogs/*physiology MH - Dose-Response Relationship, Drug MH - Fentanyl/administration & dosage/*pharmacology MH - Male MH - Methyl Ethers/administration & dosage/*pharmacology MH - Motor Activity/*drug effects MH - Sevoflurane EDAT- 2013/02/02 06:00 MHDA- 2013/10/18 06:00 CRDT- 2013/02/02 06:00 PHST- 2011/07/01 00:00 [received] PHST- 2012/02/03 00:00 [accepted] PHST- 2013/02/02 06:00 [entrez] PHST- 2013/02/02 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] AID - S1467-2987(16)30235-5 [pii] AID - 10.1111/vaa.12013 [doi] PST - ppublish SO - Vet Anaesth Analg. 2013 May;40(3):290-6. doi: 10.1111/vaa.12013. Epub 2013 Jan 31.