Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2013.09.005
Brazilian Journal of Anesthesiology
Scientific Article

Rectal dexmedetomidine in rats: evaluation of sedative and mucosal effects

Dexmedetomidina retal em ratos: avaliação dos efeitos sedativos e sobre a mucosa

Volkan Hanci; Kanat Gülle; Kemal Karakaya; Serhan Yurtlu; Meryem Akpolat; Mehmet Fatih Yüce; Fatma Zehra Yüce; Isil Özkoçak Turan

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Abstract

BACKGROUND AND OBJECTIVES: In this study, we investigated the anesthetic and mucosal effects of the rectal application of dexmedetomidine to rats. METHODS: Male Wistar albino rats weighing 250-300 g were divided into four groups: Group S (n = 8) was a sham group that served as a baseline for the normal basal values; Group C (n = 8) consisted of rats that received the rectal application of saline alone; Group IPDex (n = 8) included rats that received the intraperitoneal application of dexmedetomidine (100 µg kg-1); and Group RecDex (n = 8) included rats that received the rectal application of dexmedetomidine (100 µg kg-1). For the rectal drug administration, we used 22 G intravenous cannulas with the stylets removed. We administered the drugs by advancing the cannula 1 cm into the rectum, and the rectal administration volume was 1 mL for all the rats. The latency and anesthesia time (min) were measured. Two hours after rectal administration, 75 mg kg-1 ketamine was administered for intraperitoneal anesthesia in all the groups, followed by the removal of the rats' rectums to a distal distance of 3 cm via an abdominoperineal surgical procedure. We histopathologically examined and scored the rectums. RESULTS: Anesthesia was achieved in all the rats in the Group RecDex following the administration of dexmedetomidine. The onset of anesthesia in the Group RecDex was significantly later and of a shorter duration than in the Group IPDEx (p < 0.05). In the Group RecDex, the administration of dexmedetomidine induced mild-moderate losses of mucosal architecture in the colon and rectum, 2 h after rectal inoculation. CONCLUSION: Although 100 µg kg-1 dexmedetomidine administered rectally to rats achieved a significantly longer duration of anesthesia compared with the rectal administration of saline, our histopathological evaluations showed that the rectal administration of 100 µg kg-1 dexmedetomidine led to mild-moderate damage to the mucosal structure of the rectum.

Keywords

Dexmedetomidine, Rectum, Rat, Anesthesia, Mucosa

Resumo

JUSTIFICATIVA E OBJETIVOS: Neste estudo pesquisamos os efeitos anestésicos e sobre a mucosa da aplicação retal de dexmedetomidina em ratos. MÉTODOS: Ratos machos albinos Wistar, com 250-300 g, foram divididos em quatro grupos: Grupo S (n = 8) foi um grupo sham que serviu de parâmetro para os valores basais normais; Grupo C (n = 8) consistiu em ratos que receberam a aplicação retal apenas de soro fisiológico; Grupo IPDex (n = 8) consistiu em ratos que receberam aplicação intraperitoneal de dexmedetomidina (100 µg kg-1) e Grupo RecDex (n = 8) consistiu em ratos que receberam a aplicação retal de dexmedetomidina (100 µg kg-1). Para a administração dos fármacos por via retal, usamos cânulas intravenosas de calibre 22, com os estiletes removidos. A administração consistiu em avançar a cânula 1 cm no reto e o volume de administração retal foi de 1 mL para todos os ratos. Os tempos (min) de latência e de anestesia foram registrados. Duas horas após a administração por via retal, 75 mg kg-1 de cetamina foram administrados a todos os grupos para anestesia intraperitoneal, seguido por remoção dos retos dos ratos a uma distância 3 cm distal por meio de procedimento cirúrgico abdominoperineal. Os retos foram histopatologicamente examinados e classificados. RESULTADOS: A anestesia foi feita em todos os ratos do grupo RecDex após a administração de dexmedetomidina. O tempo de início da anestesia no Grupo RecDex foi significativamente mais longo e com uma duração mais curta do que no Grupo IPDEx (p < 0,05). No Grupo RecDex, a administração de dexmedetomidina induziu perdas leves a moderadas da arquitetura da mucosa do cólon e reto duas horas após a inoculação retal. CONCLUSÃO: Embora a administração de 100 µg kg-1 de dexmedetomidina por via retal em ratos tenha resultado em uma duração significativamente maior da anestesia, em comparação com a administração retal de soro fisiológico, nossas avaliações histopatológicas mostraram que a administração retal de 100 µg kg-1 de dexmedetomidina ocasionou danos leves a moderados à estrutura da mucosa retal.

Palavras-chave

Dexmedetomidina, Reto, Rato, Anestesia, Mucosa

References

Yousaf F, Seet E, Venkatraghavan L. Efficacy and safety of melatonin as an anxiolytic and analgesic in the perioperative period: a qualitative systematic review of randomized trials. Anesthesiology.. ;113:976-968.

Zanette G, Micaglio M, Zanette L. Comparison between ketamine and fentanyl-droperidol for rectal premedication in children: a randomized placebo controlled trial. J Anesth.. ;2:197-203.

Bozkurt P. Premedication of the pediatric patient - anesthesia for the uncooperative child. Curr Opin Anaesthesiol.. ;20:215-211.

Yuen VM, Hui TW, Irwin MG. A comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric anesthesia: a double-blinded randomized controlled trial. Anesth Analg.. ;106:1715-1721.

Hosey MT, Asbury AJ, Bowman AW. The effect of transmucosal 0.2 mg/kg midazolam premedication on dental anxiety, anaesthetic induction and psychological morbidity in children undergoing general anaesthesia for tooth extraction. Br Dent J.. ;207:E2 (discussion33)-E2 (discussion 32.

Cruz JR, Cruz DF, Branco BC. Clonidine as preanesthetic medication in cataract extraction: comparison between 100 microg and 200 microg. Rev Bras Anestesiol.. ;59:694-703.

Almenrader N, Passariello M, Coccetti B. Premedication in children: a comparison of oral midazolam and oral clonidine. Paediatr Anaesth.. ;17:1143-1149.

Yuen VM. Dexmedetomidine: perioperative applications in children. Paediatr Anaesth.. ;20:256-264.

Wang X, Zhou ZJ, Zhang XF. A comparison of two different doses of rectal ketamine added to 0. 5 mg × kg-1 midazolam and 0.02 mg × kg-1 atropine in infants and young children. Anaesth Intensive Care.. ;38:900-904.

Sayin MM, Mercan A, Ture H. The effect of 2 different concentrations of rectal ketamine on its premedicant features in children. J Saudi Med.. ;29:687-683.

Bergendahl HT, Lönnqvist PA, Eksborg S. Clonidine vs. midazolam as premedication in children undergoing adenotonsillectomy: a prospective, randomized, controlled clinical trial. Acta Anaesthesiol Scand.. ;48:1292-1300.

Constant I, Leport Y, Richard P. Agitation and changes of Bispectral Index and electroencephalographic-derived variables during sevoflurane induction in children: clonidine premedication reduces agitation compared with midazolam. Br J Anaesth.. ;92:511-504.

Bergendahl HT, Eksborg S, Kogner P. Neuropeptide Y response to tracheal intubation in anaesthetized children: effects of clonidine vs midazolam as premedication. Br J Anaesth.. ;82:391-394.

Lönnqvist PA, Bergendahl HT, Eksborg S. Pharmacokinetics of clonidine after rectal administration in children. Anesthesiology.. ;81:1097-1101.

Hanci V, Erdoğan G, Okyay RD. Effects of fentanyllidocaine-propofol and dexmedetomidine-lidocaine-propofol on tracheal intubation without use of muscle relaxants. Kaohsiung J Med Sci.. ;26:244-250.

Hanci V, Erol B, Bekta¸s S. Effect of dexmedetomidine on testicular torsion/detorsion damage in rats. Urol Int.. ;84:111-105.

Hanci V, Karakaya K, Yurtlu S. Effects of dexmedetomidine pretreatment on bupivacaine cardiotoxicity in rats. Reg Anesth Pain Med.. ;34:568-565.

Ghali AM, Mahfouz AK, Al-Bahrani M. Preanesthetic medication in children: a comparison of intranasal dexmedetomidine versus oral midazolam. Saudi J Anaesth.. ;5:391-387.

Mizrak A, Gul R, Ganidagli S. Dexmedetomidine premedication of outpatients under IVRA. Middle East J Anesthesiol.. ;21:60-53.

Özcengiz D, Gunes Y, Ozmete O. Oral melatonin, dexmedetomidine, and midazolam for prevention of postoperative agitation in children. J Anesth.. ;25:188-184.

Sakurai Y, Obata T, Odaka A. Buccal administration of dexmedetomidine as a preanesthetic in children. J Anesth.. ;24:53-49.

Talon MD, Woodson LC, Sherwood ER. Intranasal dexmedetomidine premedication is comparable with midazolam in burn children undergoing reconstructive surgery. J Burn Care Res.. ;30:599-605.

Zub D, Berkenbosch JW, Tobias JD. Preliminary experience with oral dexmedetomidine for procedural and anesthetic premedication. Paediatr Anaesth.. ;15:932-938.

Erkola O, Korttila K, Aho M. Comparison of intramuscular dexmedetomidine and midazolam premedication for elective abdominal hysterectomy. Anesth Analg.. ;79:653-646.

Hinkle AJ, Weinlander CM. The effects of 10% methohexital on the rectal mucosa in mice. Anesthesiology.. ;71:550-553.

Ozbakis-Dengiz G, Bakirci A. Anticonvulsant and hypnotic effects of amiodarone. J Zhejiang Univ Sci B.. ;10:322-317.

Leung FW, Su KC, Pique JM. Superior mesenteric artery is more important than inferior mesenteric artery in maintaining colonic mucosal perfusion and integrity in rats. Dig Dis Sci.. ;37:1335-1329.

Guneli E, Karabay Yavasoglu NU, Apaydin S. Analysis of the antinociceptive effect of systemic administration of tramadol and dexmedetomidine combination on rat models of acute and neuropathic pain. Pharmacol Biochem Behav.. ;88:9-17.

Yuen VM, Hui TW, Irwin MG. Optimal timing for the administration of intranasal dexmedetomidine for premedication in children. Anaesthesia.. ;65:929-922.

Bergogne-Bérézin E, Bryskier A. The suppository form of antibiotic administration: pharmacokinetics and clinical application. J Antimicrob Chemother.. ;43:177-185.

Maxson RT, Dunlap JP, Tryka F. The role of the mucus gel layer in intestinal bacterial translocation. J Surg Res.. ;57:686-682.

van Joost T, Faber WR, Manuel HR. Drug-induced anogenital cicatricial pemphigoid. Br J Dermatol.. ;102:715-718.

Engelhard K, Werner C, Eberspächer E. The effect of the 2-agonist dexmedetomidine and the N-methyl-daspartate antagonist S+ ketamine on the expression of apoptosisregulating proteins after incomplete cerebral ischemia and reperfusion in rats. Anesth Analg.. ;96:524-531.

Jolkkonen J, Puurunen K, Koistinaho J. Neuroprotection by the -adrenoceptor agonist, dexmedetomidine, in rat focal cerebral ischemia. Eur J Pharmacol.. ;372:31-36.

Maier C, Steinberg GK, Sun GH. Neuroprotection by the 2-adrenoreceptor agonist dexmedetomidine in a focal model of cerebral ischemia. Anesthesiology.. ;79:1-7.

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