Neurotoxicity of Subarachnoid Preservative-Free S (+)-Ketamine in Dogs
Lyvia Maria R. S. Gomes, MSc1, João Batista S. Garcia, MD, PhD1, José S. Ribamar Jr., MSc2, Ana Gisélia Portela Nascimento1
Pain Physician 2011; 14:83-90
Background: Subarachnoid S(+)-ketamine is a matter of much debate as the results regarding its toxicity are contradictory. Objectives: Our objective was to investigate possible histopathological alterations after subarachnoid administration of different doses of preservative-free S(+)-ketamine to dogs.
Study design: A randomized, blind, prospective experimental study.
Setting: Center for Research on Pain at the Federal University of Maranhão, Brazil. Methods: Sixteen adult mongrel dogs of both sexes, each weighing 11 to 20 kg were divided into 3 groups: Group I (n=6), 0.7 mg/kg-1 S(+)-ketamine; Group II (n=6), 0.5 mg/ kg-1 S(+)-ketamine, and a control group, Group III, (n=4), 0.9% NaCl. All substances were administered in one mL volume doses. The animals were kept in captivity for 2 weeks; after this period, they were put down and lumbar and sacral portions of the spinal cords were removed for histological examination using conventional light microscopy. Results: There were histological alterations in the spinal cords of the test subjects in the control group. Comparison showed significant histological abnormalities in Groups I and II when compared to the control group, including gliosis, axonal edema, central chromatolysis, lymphocyte infiltration and fibrous thickening of the dura mater. Limitations: Test subjects received only a single dose each. The observation period was not very long, less than a month. Conclusions: Subarachnoid administration of S(+)-ketamine without preservative caused histological lesions on the spinal cord and meninges in the dogs studied. S(+)-ketamine should not be given to clinical patients in this way until further evaluation of the significance of this toxicity has been conducted.
Key words: S(+)-ketamine. subarachnoid, neurotoxicity, dog, histopathology
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