Evidence map›Paper›PMID 31834913›Full record

ArticlePloS one2019

Oxygen inhalation improves postoperative survival in ketamine-xylazine anaesthetised rats: An observational study.

Mare Mechelinck, Carolin Kupp, Johanne C Krüger, Moriz A Habigt, Marius J Helmedag, René H Tolba, Rolf Rossaint, Marc Hein

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Mare MechelinckDepartment of Anaesthesiology, Uniklinik RWTH Aachen, Aachen, Germany.ORCID 0000-0002-8928-338X
Carolin KuppDepartment of Anaesthesiology, Uniklinik RWTH Aachen, Aachen, Germany.
Johanne C KrügerInstitute for Laboratory Animal Science and Experimental Surgery, Uniklinik RWTH Aachen, Aachen, Germany.
Moriz A HabigtDepartment of Anaesthesiology, Uniklinik RWTH Aachen, Aachen, Germany.
Marius J HelmedagDepartment of General, Visceral and Transplantation Surgery, Uniklinik RWTH Aachen, Aachen, Germany.
René H TolbaInstitute for Laboratory Animal Science and Experimental Surgery, Uniklinik RWTH Aachen, Aachen, Germany.
Rolf RossaintDepartment of Anaesthesiology, Uniklinik RWTH Aachen, Aachen, Germany.
Marc HeinDepartment of Anaesthesiology, Uniklinik RWTH Aachen, Aachen, Germany.
Universitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA simple but reliable and safe anaesthetic procedure is required for surgical interventions in small rodents. Combined ketamine and xylazine injections are often used in rats for less invasive surgery, possibly with spontaneous breathing and without airway management. However, there are important pitfalls to be avoided by special precautions and monitoring, as shown subsequently. STUDY

designObservational study. ANIMALS: Twenty-four anaesthetic procedures for bile duct ligation, sham operation or carotid artery dilatation in 20 male Sprague-Dawley rats, preoperatively weighing between 440 and 550 g.

methodsIntolerable high mortality rates occurred in the first 7 postoperative days while establishing a new experimental model in rats using ketamine-xylazine anaesthesia. Rats were spontaneously breathing ambient air during the first 12 surgeries without airway management. An observed high mortality rate in these animals led to a change in the trial protocol: the insufflation of 2 litres of oxygen per minute via nose cone during the following 12 rat surgeries. Retrospective comparison of the outcome (without oxygen vs. with oxygen insufflation) was conducted.

resultsThe perioperative mortality rate could be significantly reduced from 58% (7/12) to 17% (2/12) (p = 0.036) by oxygen insufflation via nose cone. Significantly different levels of intraoperative oxygen saturation (SpO2; 89 ± 4% [without oxygen] vs. 97 ± 0.5% [with oxygen], p < 0.0001), but no significant differences in heart rate (HR; 267 ± 7 beats minute-1 [bpm] [without oxygen] vs. 266 ± 6 bpm [with oxygen], p = 0.955) were observed. CONCLUSIONS AND CLINICAL RELEVANCE: In summary, rats under ketamine-xylazine anaesthesia are susceptible to hypoxia. This may lead to increased delayed mortality related to hypoxia induced lung failure. Apparently, this is an underestimated problem. We highly recommend using additional oxygen insufflation in spontaneously breathing rats under ketamine-xylazine anaesthesia with basic monitoring such as measurement of oxygen saturation.

Indexed as

Anesthetics, InhalationKetamineOxygenXylazineAnalgesicsAnesthesiaAnimalsMalePostoperative CareRatsRats, Sprague-DawleyAnalgesicsAnesthetics, InhalationKetamineOxygenXylazine

Identifiers

PMID31834913
PMCPMC6910690
OpenAlexW2998286461

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.