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24 protocols using propofol lipuro

1

Cardiac MRI for Left Ventricular Analysis

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Cardiac magnetic resonance imaging (MRI) was performed with a 1.5 Tesla MR scanner (Genesis Sigma CVI; GE Healthcare, Solingen, Germany). The MRI investigation of the animals took place under general anesthesia 3 months following surgery and immediately prior to scheduled euthanasia. Before the MRI examination, anesthesia of the animals was induced with ketamin (20 mg/kg body weight i.m., B. Braun) and propofol (propofol-lipuro 1%, 4–6 mg/kg body weight, i. v.; B. Braun, Melsungen, Germany) and maintained after that with inhalative 2% isoflurane in oxygen.
Cardiac MRI was done using a four-element phased array receiver coil. ECG gated, breath-hold balanced steady-state free precession gradient echo sequence (FIESTA) in the short-axis view were used for the quantitative evaluation of left ventricular volumes and function. Additionally, late enhancement imaging was performed using a T1-weighted inversion recovery gradient echo of a series of short axes. For quantitative analysis, endocardial and epicardial contours were traced manually in all end-systolic and end-diastolic short-axis slices between the atrioventricular plane and the apex of the heart using cvi42 software version 4.1 (Circle Cardiovascular Imaging Inc., Calgary, AB, Canada).
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2

Porcine Model for Robotic Surgical Training

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The study was performed at the Research Institute against Digestive Cancer (IRCAD, France). Three female pigs (Sus scrofa domesticus, ssp. Large White) with a weight range comprised between 27 and 35 kg (mean: 30 kg) were included and managed according to the French regulations for animal use and care and to the ARRIVE guidelines. 22 For ethical purposes, respecting the ''3R's'' (Replace, Refine, Reduce) principles of animal research, 23 we performed this study in pigs, which were used for educational purposes for novel robotic surgeons without imposing any urological or pelvic organ damage (ethical protocol number 38.2019.01.124). Premedication consisted of zolazepam and tiletamine 10 mg/kg intramuscular (IM) (Zoletil ND, Virbac, France), and anesthesia was induced using an IV injection of propofol 3 mg/kg (Propofol Lipuro ND, B Braun, France) and rocuronium 0.8 mg/kg (Esmeron ND, MSD, France), allowing for intubation and mechanical ventilation. Sedation was maintained by means of an inhalation of isoflurane 2% to 3% (Isoflurin ND, Axience, France) and oxygen. Buprenorphine (Buprecare ND, Axience, France) 0.01 mg/kg IM was used for analgesia. At the end of the surgical procedure, pigs were sacrificed under deep anesthesia (isoflurane 5%) with IV injection of pentobarbital 40 mg/kg (Exagon ND, Axience, France).
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3

Porcine Model for Surgical Imaging

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Six mature, female pigs (Sus scrofa domesticus, ssp. Large White; mean weight 44.7 ± 7.97 kg) were included and were managed according to French laws for animal use and care and according to the directives of the European Community Council (2010/63/EU) and ARRIVE guidelines [24] . The present study is part of the Endoscopic Luminescent Imaging for Oncology Surgery (ELIOS) project and was approved by the local ethical committee on animal experimentation (ICOMETH No. 38.2016.01.085), and by the French Ministry of Superior Education and Research (MESR) (APAFIS#8721-2017013010316298-v2). The pigs were housed in individual stable boxes and had access to food and water.
Animals received an intramuscular (IM) injection of Zolazepam + Tiletamine 10 mg/kg (Zoletil ND, Virbac, France) as premedication. Anesthesia was induced by means of IV injection of Propofol 3 mg/kg (Propofol Lipuro ND, B Braun, France) + Rocuronium 0.8 mg/kg (Esmeron ND, MSD, France) allowing intubation and mechanical ventilation. Pigs were sedated during the experiment via inhalation of isoflurane 2-3% (Isoflurin ND, Axience France) + Oxygen. Buprenorphine (Buprecare ND, Axience, France) 0.01 mg/kg IM was used as a painkiller. At the end of the experiments, pigs were sacrificed under deep anesthesia (Isofluran 5%) with a lethal IV injection of Pentobarbital 40 mg/kg (Exagon ND, Axience, France).
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4

Nasotracheal Intubation Procedure

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All patients in the NTI group were intubated by the same (OK) experienced anesthesiologist (nearly 15 years of experience). Mask induction was carried out with 8% sevoflurane and 100% oxygen. Following the loss of consciousness, an intravenous (i.v.) line was established through which 2 mg/kg of 1% propofol (Propofol-Lipuro®; B. Braun Melsungen AG, Germany), 1 µg/kg of fentanyl (Talinat®; Vem, Istanbul, Turkey), and 0.5 mg/kg of rocuronium (Myocron®; Vem) were administered, followed by NTI with a cuffed tube. The nasotracheal tube was selected using the following formula: tube size=([age/4]+3.5). The surgeon placed the tongue blade when sufficient anesthetic depth had been achieved.
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5

Anesthetic and Analgesic Protocol for Sheep

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All sheep received medetomidine (0.01 mg/kg, Cepetor, CP-Pharma Handelsges), butorphanol (0.1 mg/kg, Butomidor Richter Pharma AG, Oberösterreich, Austria), and a combination of tiletamine and zolazepam (2 mg/kg, Zoletil 100, Virbac, Carros, France) intramuscularly (im). General anesthesia was induced with propofol (Propofol-Lipuro®, 10 mg/mL, B. Braun Melsungen AG, Melsungen, Germany) at an initial dose of 2 mg/kg to effect, in order to permit tracheal intubation. The anesthesia was maintained with isoflurane (IsoVet, Piramal Healthcare, Morpeth, UK) in oxygen. After a bolus of fentanyl (Fentanyl WZF, Polfa Warszawa, Poland; 3 mcg/kg), analgesia was continued with a constant rate infusion of fentanyl (CRI—0.3 mcg/kg/min). Postoperative pain was managed with meloxicam (0.2 mg/kg sc, Metacam, Boehringer Ingelheim Vetmedica GmbH, Ingelheim am Rhein, Germany), metamizole (50 mg/kg iv, Injectio Pyralgini Biowet Puławy, Biowet Puławy Sp. z o.o., Puławy, Poland), and buprenorphine (0.02 mg/kg im, Bupaq Multidose, Richter Pharma AG, Austria). Intravenous fluids (crystalloids) were given in each case at a rate of 10 mL/kg/h. Throughout the surgical procedure, the vital parameters of the animals (heart rate, respiratory rate, end-tidal CO2, blood pressure, oxygen saturation, and temperature) were monitored continuously (Datex-Ohmeda S5 monitor, Helsinki, Finland).
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6

Neuroinflammation Assessment in Rats

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Propofol-Lipuro was from B. Braun Melsungen AG (Melsungen, Germany); Tween 80 was from Merck (Darmstadt, Germany); 10% neutral formalin was from BioVitrum (St. Petersburg, Russia); diethyl ether for anesthesia was from Kuzbassorgkhim (Kemerovo, Russia), ethanol was from Konstanta-Farm M (Moscow, Russia), ethyl acetate was from Component-Reactive (Moscow, Russia); 2,3,5-triphenyl tetrazolium chloride, dimethyl sulfoxide (DMSO), and rat TNF and rat IL-1β ELISA kits were from Sigma-Aldrich (St. Louis, MO, USA).
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7

Anesthesia Procedure in Rabbits

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All aspects of this study were conducted according to the guidelines approved by the Government of Catalonia's Animal Care Committee (authorization number CEEAH 3336 and DAAM 8904) following the Directive 2010/63/EU of the European Parliament and of the Council of 22 September 2010 on the protection of animals used for scientific purposes.
Three New Zealand White rabbits (Granja San Bernardo S.L., Spain) were acquired and maintained under standard conditions with a laboratory diet and water ad libitum. The animals where premedicated with ketamine 10 mg/kg IM (Imalgene, Merial Laboratorios, Spain) + midazolam 3 mg/kg IM (Midazolam Normon®; Laboratorios Normon, Spain) + buprenorphine 0.02 mg/kg IM (Buprecare, Animalcare Limited, UK) and they were anesthetized with propofol 4 mg/kg IV (Propofol-Lipuro, B.Braun Vetcare, Spain) during the induction phase and maintained with isoflurane (Isovet, Piramal Healthcare, UK) from 1.5 to 2% and oxygen 100% mixture once the animal was endotracheally intubated. Heart rate, respiratory rate, pulse oximetry and capnography were monitored using a multiparametric monitor (Vetcare, B.Braun Vetcare, Spain).
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8

Luminescent Imaging for Oncology Surgery

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The present study is part of the ELIOS protocol (endoscopic luminescent imaging for oncology surgery), fully approved by the local Ethical Committee on Animal Experimentation (ICOMETH No. 38.2016.01.085), and by the French Ministry of Superior Education and Research (MESR) (APAFIS#8721-2017013010316298-v2).
Six adult female pigs (Susscrofadomesticus, mean weight: 44.7 ± 7.97 kg) were used. Animals were managed according to the directives of the European Community Council (2010/63/EU) and ARRIVE guidelines25 (link). Following an acclimatation period in our animal keeping facility, the animals received premedication by means of an intramuscular injection of Zolazepam and Tiletamine 10 mg/kg (Zoletil ND, Virbac, France). Anesthesia induction was achieved through an intravenous injection of Propofol 3 mg/kg (Propofol Lipuro ND, B Braun, France) together with rocuronium 0.8 mg/kg (Esmeron ND, MSD, France). After intubation, the pigs were mechanically ventilated throughout the experiment and were sedated via an inhalation of isoflurane 2–3% (Isoflurin ND, Axience, France). During the experiment, analgesia was ensured with intramuscular buprenorphine (Buprecare ND, Axience, France) 0.01 mg/kg. At the end of the experimental procedure, pigs were sacrificed under deep anesthesia (Isoflurane 5%) with a lethal intravenous application of Pentobarbital 40 mg/kg (Exagon ND, Axience, France).
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9

Ischemia-Reperfusion Injury Treatment

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Propofol-Lipuro (B. Braun Melsungen AG, Melsungen, Germany), diethyl ether for anesthesia (Kuzbassorgkhim, Kemerovo, Russia), Tween 80 (MERCK, Darmstadt, Germany), 10% neutral formalin (BioVitrum, St. Petersburg, Russia), 2,3,5-triphenyl tetrazolium chloride (Sigma-Aldrich, Saint Louis, MO, USA), and citicoline (Recognan, Alfa Wassermann S.p.A., Bologna, Italy) were used.
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10

Anesthesia and Hemodynamic Monitoring

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Prior to the surgical operation or imaging studies, animals were anaesthetized with intramuscular (i.m.) administration of midazolam 1 mg/kg (Midazolam Hameln, Hameln Pharmaceuticals GmbH, Hameln, Germany) and xylazine 4 mg/kg (Rompun vet, Bayer Animal Health GmbH, Leverkusen, Germany) and connected to a respirator and ventilated mechanically (tidal volume 8–10 mL/kg, frequency 14–18 min−1, Dräger Oxylog 3000, Drägerwerk AG, Lübeck, Germany). An ear vein was cannulated using a 22G venous catheter and anesthesia was maintained with intravenous (i.v.) infusion of propofol 10–50 mg/kg/h (Propofol Lipuro, B. Braun Melsungen AG, Melsungen, Germany) combined with fentanyl 4–8 μg/kg/h i.v. (Fentanyl-Hameln, Hameln Pharmaceuticals GmbH, Hameln, Germany). Femoral artery was cannulated for hemodynamic monitoring during the imaging studies. Diastolic, systolic and mean arterial pressure and heart rate were recorded using a pressure transducer (TruWave, Edwards Lifesciences Corp., Irvine, CA, USA) connected to an anesthesia monitor (Datex Ohmeda S5, GE Healthcare Finland Oy, Helsinki, Finland).
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