Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Research Note
  • Published:

Comparison of ketamine-pentobarbital anesthesia and fentanyl-pentobarbital anesthesia for open-heart surgery in minipigs

Abstract

The authors analyzed and compared the cardiovascular effects of two anesthetic combinations in minipigs undergoing open-heart surgery and cardiopulmonary bypass. Pigs in group K (n = 15) were anesthetized with low-dose ketamine combined with pentobarbital (5 mg per kg and 20 mg per kg, respectively, for induction; continuous intravenous infusion of 5 mg per kg per h and 10 mg per kg per h, respectively, for maintenance). Pigs in group F (n = 15) were treated with fentanyl and pentobarbital (20 μg per kg and 20 mg per kg, respectively, for induction; continuous intravenous infusion of 20 μg per kg per h and 10 mg per kg per h, respectively, for maintenance). Most pigs remained stable during the surgical procedures and survived for at least one day after surgery; two pigs in group F died during or soon after surgery. Heart rate and mean arterial pressure after bypass were significantly lower in group F than in group K, and pigs in group F required higher doses of inotropic agents to maintain cardiac function. Results suggest that for open-heart surgery and bypass in minipigs, ketamine-pentobarbital anesthesia is associated with more stable cardiovascular conditions than is fentanyl-pentobarbital anesthesia.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Intravenous route of drug administration after the surgical procedure.
Figure 2: Cardiovascular characteristics.

Similar content being viewed by others

References

  1. Adams, H.A. [S-(+)-ketamine. Circulatory interactions during total intravenous anesthesia and analgesia-sedation; article in German]. Anaesthesist 46, 1081–1087 (1997).

    Article  CAS  Google Scholar 

  2. Goldmann, C. et al. Combination anesthesia with ketamine and pentobarbital: a long-term porcine model. Res. Exp. Med. (Berl.) 199, 35–50 (1999).

    Article  CAS  Google Scholar 

  3. Institute for Laboratory Animal Research, National Research Council. Guide for the Care and Use of Laboratory Animals (National Academies Press, Washington, DC, 1996).

  4. Schumann, R.E., Swindle, M.M., Knick, B.J., Case, C.L. & Gillette, P.C. High-dose narcotic anesthesia using sufentanil in swine for cardiac catheterization and electrophysiologic studies. J. Invest. Surg. 7, 243–248 (1994).

    Article  CAS  Google Scholar 

  5. Swindle, M.M. et al. Anatomic and anesthetic considerations in experimental cardiopulmonary surgery in swine. Lab. Anim. Sci. 36, 357–361 (1986).

    CAS  PubMed  Google Scholar 

  6. Shimada, M., Winchurch, R.A., Beloucif, S. & Robotham, J.L. Effect of anesthesia and surgery on plasma cytokine levels. J. Crit. Care 8, 109–116 (1993).

    Article  CAS  Google Scholar 

  7. Strom, J., Haggmark, S., Reiz, S. & Sorensen, M.B. Cardiovascular effects of pentobarbital in pigs, and the lack of response to naloxone in pentobarbital induced circulatory failure. Acta Anaesthesiol. Scand. 31, 413–416 (1987).

    Article  CAS  Google Scholar 

  8. Grund, F., Tjomsland, O., Sjaastad, I., Ilebekk, A. & Kirkeboen, K.A. Pentobarbital versus medetomidine-ketamine-fentanyl anaesthesia: effects on haemodynamics and the incidence of ischaemia-induced ventricular fibrillation in swine. Lab. Anim. 38, 70–78 (2004).

    Article  CAS  Google Scholar 

  9. Hubert, M.B., Salazkin, I., Desjardins, J. & Blaise, G. Cardiopulmonary bypass surgery in swine: a research model. J. Exp. Anim. Sci. 43, 135–149 (2003).

    Article  Google Scholar 

  10. Mazzadi, A.N. et al. Mechanisms leading to reversible mechanical dysfunction in severe CAD: alternatives to myocardial stunning. Am. J. Physiol. Heart Circ. Physiol. 291, H2570–H2582 (2006).

    Article  CAS  Google Scholar 

  11. Parasher, P.S. & Daher, I.N. Myocardial recovery after hypoxia: stunning recovery. Echocardiography 25, 1011–1013 (2008).

    Article  Google Scholar 

  12. Hue, L. & Rider, M.H. Role of fructose 2,6-bisphosphate in the control of glycolysis in mammalian tissues. Biochem. J. 245, 313–324 (1987).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was supported by grant number 30772152 from the National Natural Science Foundation of China.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Debin Liu.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Liu, D., Shao, Y., Luan, X. et al. Comparison of ketamine-pentobarbital anesthesia and fentanyl-pentobarbital anesthesia for open-heart surgery in minipigs. Lab Anim 38, 234–240 (2009). https://doi.org/10.1038/laban0709-234

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/laban0709-234

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing