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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vedomostiregmed</journal-id><journal-title-group><journal-title xml:lang="ru">Регуляторные исследования и экспертиза лекарственных средств</journal-title><trans-title-group xml:lang="en"><trans-title>Regulatory Research and Medicine Evaluation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3034-3062</issn><issn pub-type="epub">3034-3453</issn><publisher><publisher-name>Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30895/1991-2919-2023-13-1-51-59</article-id><article-id custom-type="elpub" pub-id-type="custom">vedomostiregmed-528</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ИССЛЕДОВАНИЯ IN VIVO</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>IN VIVO STUDIES</subject></subj-group></article-categories><title-group><article-title>Влияние антагонистов α2-адренорецепторов на характеристики электроэнцефалограмм кроликов при введении дексмедетомидина</article-title><trans-title-group xml:lang="en"><trans-title>Influence of α2-Adrenoreceptor Antagonists on Electroencephalogram Characteristics after Dexmedetomidine Administration in Rabbits</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2448-513X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гришина</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Grishina</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гришина Анна Юрьевна.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Anna Yu. Grishina.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">grishina.anna@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1021-0338</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаркова</surname><given-names>У. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharkova</surname><given-names>U. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шаркова Ульяна Викторовна.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Ulyana V. Sharkova.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">sharkova.ulana@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4199-5318</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сысоев</surname><given-names>Ю. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sysoev</surname><given-names>Yu. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сысоев Юрий Игоревич - кандидат биологических наук.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Yuriy I. Sysoev - Cand. Sci. (Biol.).</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">sysoev.yurij@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9273-6864</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивкин</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivkin</surname><given-names>D. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ивкин Дмитрий Юрьевич - кандидат биологических наук, доцент.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Dmitry Yu. Ivkin - Cand. Sci. (Biol.), Associate Professor.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">dmitry.ivkin@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5789-6475</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитина</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitina</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никитина Инга Алексеевна.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Inga A. Nikitina.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">inga06819@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4019-4255</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Анисимова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Anisimova</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анисимова Наталья Аскольдовна - кандидат биологических наук, доцент.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Natalya A. Anisimova - Cand. Sci. (Biol.), Associate Professor.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">natalia.anisimova@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3054-3594</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильницкий</surname><given-names>В. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Ilnitskiy</surname><given-names>V. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ильницкий Василий Петрович.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Vasiliy P. Ilnitskiy.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">vasilii.ilnitski@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9423-7249</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Елецкая</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Eletskaya</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елецкая Елизавета Игоревна.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Elizaveta I. Eletskaya.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">elizaveta.eleckaya@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4294-5531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оковитый</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Okovityi</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Оковитый Сергей Владимирович - доктор медицинских наук, профессор.</p><p>ул. Профессора Попова, 14, лит. А, Санкт-Петербург, 197376</p></bio><bio xml:lang="en"><p>Sergey V. Okovityi - Dr. Sci. (Med.), Professor.</p><p>14A Professor Popov St., St Petersburg 197376</p></bio><email xlink:type="simple">Sergey.Okovity@pharminnotech.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный химико-фармацевтический университет Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg State Chemical and Pharmaceutical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>06</day><month>02</month><year>2023</year></pub-date><volume>13</volume><issue>1</issue><fpage>51</fpage><lpage>59</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гришина А.Ю., Шаркова У.В., Сысоев Ю.И., Ивкин Д.Ю., Никитина И.А., Анисимова Н.А., Ильницкий В.П., Елецкая Е.И., Оковитый С.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Гришина А.Ю., Шаркова У.В., Сысоев Ю.И., Ивкин Д.Ю., Никитина И.А., Анисимова Н.А., Ильницкий В.П., Елецкая Е.И., Оковитый С.В.</copyright-holder><copyright-holder xml:lang="en">Grishina A.Y., Sharkova U.V., Sysoev Y.I., Ivkin D.Y., Nikitina I.A., Anisimova N.A., Ilnitskiy V.P., Eletskaya E.I., Okovityi S.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vedomostincesmp.ru/jour/article/view/528">https://www.vedomostincesmp.ru/jour/article/view/528</self-uri><abstract><p>Неотъемлемой частью надлежащей лабораторной практики является гуманное отношение к лабораторным животным. Актуальными  остаются  исследования  по изучению анестезирующего действия различных препаратов, позволяющих снизить болевой синдром и дистресс у лабораторных животных.</p><sec><title>Цель работы</title><p>Цель работы: оценка  влияния  α2-адреноблокаторов  пророксана  и  атипамезола на изменение отношения индексов ритмов  волн  электроэнцефалограмм при введении дексмедетомидина.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы: в исследовании были использованы кролики-самцы линии Советская шиншилла массой 3,0±0,3 кг (n=12). Дексмедетомидин вводили однократно подкожно в дозе 100 мкг/кг, атипамезол — 50 мкг/кг внутримышечно, пророксан — 170 мкг/кг внутривенно (дозы эквимолярны дозе дексмедетомидина). Действие препарата оценивали методом фармакоэлектроэнцефалографии. Запись электроэнцефалограмм животных осуществляли с помощью чашечковых электродов с использованием 8-канального энцефалографа «Нейрон-Спектр-1» с полосой пропускания 0,5–35 Гц и частотой квантования 500 Гц. Осуществляли проверку распределения количественных признаков с использованием W-критерия Шапиро–Уилка. При нормальном распределении количественных признаков значимость различий оценивали с помощью однофакторного дисперсионного  анализа  ANOVA  с  post-hoc-тестом  по  Даннетту; при распределении, отличном от нормального, — с помощью непараметрического критерия Краскела–Уоллиса с post-hoc-тестом по Данну.</p></sec><sec><title>Результаты</title><p>Результаты: в результате введения дексмедетомидина наблюдали достоверное увеличение δ-ритма и снижение θ-ритма головного мозга кроликов на протяжении 2 ч. Введение атипамезола в эквимолярных количествах возвращало соотношение индексов ритмов к исходным значениям, эквимолярное введение пророксана не влияло на соотношение индексов ритмов волн.</p></sec><sec><title>Выводы</title><p>Выводы: атипамезол устраняет седативное и гипнотическое действие дексмедетомидина, что подтверждает возможность его применения в ветеринарной практике для вывода из наркоза. В свою очередь, применение пророксана с целью устранения седативного эффекта дексмедетомидина неэффективно.</p></sec></abstract><trans-abstract xml:lang="en"><p>The humane treatment of laboratory animals is an integral part of good laboratory practice. It remains relevant to study the anaesthetic effects of various medicinal products helping to reduce pain and distress in laboratory animals.</p><p>The aim of the study was to compare the effects of the α2 blockers proroxan and atipamezole on changes in electroencephalogram rhythm index ratios after dexmedetomidine administration.</p><sec><title>Materials and methods</title><p>Materials and methods. The study used male Soviet chinchilla rabbits weighing 3.0±0.3 kg (n=12). Study animals received single injections of 100 μg/kg dexmedetomidine subcutaneously, 50 μg/kg atipamezole intramuscularly, and 170 μg/kg proroxan intravenously (equimolar to the dose of dexmedetomidine). The effects of these medicinal products were evaluated by pharmacoelectroencephalography. The authors recorded electroencephalograms using cup electrodes and a Neuron-Spectrum-1 8-channel encephalograph (Neurosoft, Russia)  with  a  bandwidth of 0.5–35 Hz and a sampling frequency of 500 Hz. The distribution of quantitative characteristics was checked for normality using the Shapiro–Wilk W test. The authors used one-way ANOVA with Dunnett’s post hoc test to evaluate the significance of differences for the normal distribution of quantitative characteristics; they used the nonparametric Kruskal–Wallis test with  Dunn’s  post  hoc  test  for the non-normal one.</p></sec><sec><title>Results</title><p>Results. Dexmedetomidine administration resulted in significant two-hour changes in the rabbit brain, and the authors observed an increase in the delta rhythm and     a decrease in the theta rhythm. At equimolar doses, atipamezole returned the ratios of the wave rhythm indices to the baseline values, whereas proroxan had no effect on the ratios.</p></sec><sec><title>Conclusions</title><p>Conclusions. As demonstrated by the neutralisation of dexmedetomidine sedative and hypnotic effects, atipamezole can be used in veterinary for recovery from anaesthesia. Proroxan, on the contrary, is not effective in reversing the sedative effect of dexmedetomidine.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>дексмедетомидин</kwd><kwd>фармако-ЭЭГ</kwd><kwd>анестезия</kwd><kwd>седация</kwd><kwd>адренергические альфа-антагонисты</kwd><kwd>адренергические альфа-агонисты</kwd><kwd>доклинические исследования</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dexmedetomidine</kwd><kwd>pharmaco-EEG</kwd><kwd>anaesthesia</kwd><kwd>sedation</kwd><kwd>alpha-adrenoreceptor antagonists</kwd><kwd>alpha-adrenoreceptor agonists</kwd><kwd>non-clinical studies</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Vachon P, Dupras J, Prout R, Blais D. EEG recordings in anesthetized rabbits: comparison of ketamine-midazolam and telazol with or without xylazine. J Am Assoc Lab Anim Sci. 1999;38(3):57–61.</mixed-citation><mixed-citation xml:lang="en">Vachon P, Dupras J, Prout R, Blais D. EEG recordings in anesthetized rabbits: comparison of ketamine-midazolam and telazol with or without xylazine. J Am Assoc Lab Anim Sci. 1999;38(3):57–61.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Jameson LC, Sloan TB. Using EEG to monitor anesthesia drug effects during surgery. J Clin Monit Comput. 2006;20(6):445–72. https://doi.org/10.1007/s10877-006-9044-x</mixed-citation><mixed-citation xml:lang="en">Jameson LC, Sloan TB. Using EEG to monitor anesthesia drug effects during surgery. J Clin Monit Comput. 2006;20(6):445–72. https://doi.org/10.1007/s10877-006-9044-x</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Tong S, Thakor NV. Quantitative EEG analysis methods and clinical applications. Norwood: Artech House; 2009.</mixed-citation><mixed-citation xml:lang="en">Tong S, Thakor NV. Quantitative EEG analysis methods and clinical applications. Norwood: Artech House; 2009.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Weerink MAS, Struys MMRF, Hannivoort LN, Barends CRM, Absalom AR, Colin P. Clinical pharmacokinetics and pharmacodynamics of dexmedetomidine. Clin Pharmacokinet. 2017;56(8):893–913. https://doi.org/10.1007/s40262-017-0507-7</mixed-citation><mixed-citation xml:lang="en">Weerink MAS, Struys MMRF, Hannivoort LN, Barends CRM, Absalom AR, Colin P. Clinical pharmacokinetics and pharmacodynamics of dexmedetomidine. Clin Pharmacokinet. 2017;56(8):893–913. https://doi.org/10.1007/s40262-017-0507-7</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ramadhyani U, Park JL, Carollo DS, Waterman RS, Nossaman BD. Dexmedetomidine: clinical application as an adjunct for intravenous regional anesthesia. Anesthesiol Clin. 2010;28(4):709–22. https://doi.org/10.1016/j.anclin.2010.08.008</mixed-citation><mixed-citation xml:lang="en">Ramadhyani U, Park JL, Carollo DS, Waterman RS, Nossaman BD. Dexmedetomidine: clinical application as an adjunct for intravenous regional anesthesia. Anesthesiol Clin. 2010;28(4):709–22. https://doi.org/10.1016/j.anclin.2010.08.008</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Tonner PH. Alpha 2-adrenoceptor agonists in anaesthesia. In: Euroanaesthesia: Refresher course lectures. Glasgow; 2003. P. 43–9.</mixed-citation><mixed-citation xml:lang="en">Tonner PH. Alpha 2-adrenoceptor agonists in anaesthesia. In: Euroanaesthesia: Refresher course lectures. Glasgow; 2003. P. 43–9.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Lee S. Dexmedetomidine: present and future directions. Korean J Anesthesiol. 2019;72(4):323–30. https://doi.org/10.4097/kja.19259</mixed-citation><mixed-citation xml:lang="en">Lee S. Dexmedetomidine: present and future directions. Korean J Anesthesiol. 2019;72(4):323–30. https://doi.org/10.4097/kja.19259</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Afonso J, Reis F. Dexmedetomidine: current role in anesthesia and intensive care. Rev Bras Anestesiol. 2012;62(1):118–33. https://doi.org/10.1016/S0034-7094(12)70110-1</mixed-citation><mixed-citation xml:lang="en">Afonso J, Reis F. Dexmedetomidine: current role in anesthesia and intensive care. Rev Bras Anestesiol. 2012;62(1):118–33. https://doi.org/10.1016/S0034-7094(12)70110-1</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Kirihara Y, Takechi M, Kurosaki K, Matsuo H, Kajitani N, Saito Y. Effects of an anesthetic mixture of medetomidine, midazolam, and butorphanol and antagonism by atipamezole in rabbits. Exp Anim. 2019;68(4):443–52. https://doi.org/10.1538/expanim.18-0183</mixed-citation><mixed-citation xml:lang="en">Kirihara Y, Takechi M, Kurosaki K, Matsuo H, Kajitani N, Saito Y. Effects of an anesthetic mixture of medetomidine, midazolam, and butorphanol and antagonism by atipamezole in rabbits. Exp Anim. 2019;68(4):443–52. https://doi.org/10.1538/expanim.18-0183</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Рощина ЛФ. Влияние клофелина на биоэлектрическую активность головного мозга. Фармакология и токсикология. 1980;(3):306–10.</mixed-citation><mixed-citation xml:lang="en">Roshchina LF. Effect of clopheline on bioelectrical activity of the brain. Pharmacology and Toxicology. 1980;(3):306–10 (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Siegenthaler J, Pleyers T, Raillard M, Spadavecchia C, Levionnois OL. Effect of medetomidine, dexmedetomidine, and their reversal with atipamezole on the nociceptive withdrawal reflex in beagles. Animals (Basel). 2020;10(7):1240. https://doi.org/10.3390/ani10071240</mixed-citation><mixed-citation xml:lang="en">Siegenthaler J, Pleyers T, Raillard M, Spadavecchia C, Levionnois OL. Effect of medetomidine, dexmedetomidine, and their reversal with atipamezole on the nociceptive withdrawal reflex in beagles. Animals (Basel). 2020;10(7):1240. https://doi.org/10.3390/ani10071240</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Bruniges N, Yates D. Effects of atipamezole dosage and timing of administration on recovery time and quality in cats following injectable anaesthesia incorporating ketamine. J Feline Med Surg. 2020;22(6):589–97. https://doi.org/10.1177/1098612X19868547</mixed-citation><mixed-citation xml:lang="en">Bruniges N, Yates D. Effects of atipamezole dosage and timing of administration on recovery time and quality in cats following injectable anaesthesia incorporating ketamine. J Feline Med Surg. 2020;22(6):589–97. https://doi.org/10.1177/1098612X19868547</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Jang HS, Choi HS, Lee SH, Jang KH, Lee MG. Evaluation of the anaesthetic effects of medetomidine and ketamine in rats and their reversal with atipamezole. Vet Anaesth Analg. 2009;36(4):319–27. https://doi.org/10.1111/j.1467-2995.2009.00463.x</mixed-citation><mixed-citation xml:lang="en">Jang HS, Choi HS, Lee SH, Jang KH, Lee MG. Evaluation of the anaesthetic effects of medetomidine and ketamine in rats and their reversal with atipamezole. Vet Anaesth Analg. 2009;36(4):319–27. https://doi.org/10.1111/j.1467-2995.2009.00463.x</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Козлов ИА. Дексмедетомидин при анестезиолого-реаниматологическом обеспечении кардиохирургических вмешательств. Часть 1. Общие сведения об агонистах α2-адренорецепторов и их фармакодинамике. Кардиология и сердечно-сосудистая хирургия. 2014;7(3):63–73.</mixed-citation><mixed-citation xml:lang="en">Kozlov IA. Dexmedetomidine in anesthetic and resuscitative care during cardiac surgery. Part 1. Overview of α2-adrenoceptors agonists and its pharmacodynamics. Cardiology and Cardiovascular Surgery. 2014;7(3):63–73 (In Russ.).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
