versão On-line ISSN 2224-9435
versão impressa ISSN 1019-9128
J. S. Afr. Vet. Assoc. vol.82 no.2 Pretoria Jan. 2011
K E JoubertI,*; T SerfonteinII; M ScantleburyIII,IV; M B ManjerovicV; P W BatemanIV; N C BennettIV; J M WatermanVI
IPharmacology, Department of Paraclinical Studies, Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort, 0110 South Africa
IIAnaesthesiology, Onderstepoort Academic Veterinary Hospital, Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort, 0110 South Africa
IIISchool of Biological Sciences, Queen's University Belfast, Belfast BT9 7BL, UK
IVDepartment of Zoology and Entomology, University of Pretoria, Pretoria 0002, South Africa
VDepartment of Biology, University of Central Florida, Orlando, FL 32816-2368, USA
VIDepartment of Biological Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
The optimal dose of medetomidine-ketamine-buprenorphine was determined in 25 Cape ground squirrels (Xerus inauris) undergoing surgical implantation of a temperature logger into the abdominal cavity. At the end of anaesthesia, the squirrels were given atipamezole intramuscularly to reverse the effects of medetomidine. The mean dose of medetomidine was 67.6 ± 9.2 µg/kg, ketamine 13.6 ± 1.9 mg/kg and buprenorphine 0.5 ± 0.06 µg/kg. Induction time was 3.1 ± 1.4 min. This produced surgical anaesthesia for 21± 4.2 min. Atipamezole 232 ± 92 µg/kg produced a rapid recovery. Squirrels were sternally recumbent in 3.5 ± 2.2 min.
Keywords: anaesthesia, atipamezole, buprenorphine, Cape ground squirrel, ketamine,, medetomidine, Xerus inauris.
The Cape ground squirrel (Xerus inauris) inhabits hot and arid areas of southern Africa. Ground squirrels have been suggested to use both behavioural and physiological means to adapt to the extremes of temperature they encounter. For example, they may use their tail as a parasol to reduce solar radiation1 or retreat to cool burrows as a thermal refuge during the day6 in order to regulate body temperature (Tb). The present study utilised 2 populations of squirrels, 1 from an open plain with little or no shade and a 2nd population from a location surrounded by shady thorn trees. The reason for anaesthetising the squirrels was to implant miniature temperature loggers (iButtons® DS1922L ± 0.0625 ºC; Thermo chron, Dallas Semiconductors, Maxim Integrated Products, Inc., Sunnyvale, CA) into the abdomen of the squirrels to monitor Tb and relate this to environmental and behavioural data. The anaesthetic requirements for this project were a rapid induction, sufficient anaesthetic duration to complete implantation of the loggers and a rapid recovery before being returned to their colonies. The surgery and anaesthesia were performed in the field where minimal equipment was available.
Ketamine has been used for the immobilisation of the Cape ground squirrel18. High doses of ketamine (40-50 mg/kg) were required for complete immobilisation of the squirrels18. No recovery times were recorded18. In Richardson's ground squirrel (Spermophilus richardsonii), ketamine at 86 mg/kg, droperidol (2.6 mg/kg) and fentanyl (52 µg/kg), and pentobarbitone (50 mg/kg) failed to produce surgical anaesthesia15. Xylazine (10 mg/kg) and ketamine (85 mg/kg) administered either subcutaneously or intramuscularly produced surgical anaesthesia in Richardson's ground squirrel15. Medetomidineketamine anaesthesia has been successfully used for the induction of anaesthesia in dogs7,8,11,12,14,16,20, cats17, mice5, horses2 and wildlife (impala and badgers)3,13. Medetomidine-ketamine has been shown to produce a rapid induction, provide adequate analgesia for surgery and a rapid recovery when reversed with atipamezole. On this basis medetomidineketamine was selected for anaesthesia. Antagonism of medetomidine generally results in reversal of the analgesic effects. For this reason, buprenorphine was administered for post-operative analgesia.
MATERIALS AND METHODS
Twenty-five squirrels from the SA Lombard Nature Reserve (3660 ha, 18 km northwest of Bloemhof, South Africa, 27º35'S, 25º23'E) were captured in Tomahawk wire-mesh traps (15 × 15 × 50 cm) as previously described9,18. Thirteen males and 12 females were captured. Their mean weight was 625.2 ± 70.2 g (males 632.2 ± 84.9 g, females 618.8 ± 52.7 g). Females and resident males were trapped for implantation of temperature loggers. Five migratory males were caught. These males were anaesthetised for the placement of radio-collars (1), body measurements (1) and collection of semen (3) and their data were excluded from analysis. An initial dose of medetomidine (Domitor, Pfizer Animal Health) of 0.03 m (50 µg/kg) and ketamine (Anaket V, Centaur Laboratories, Isando) of 0.075 (15 mg/kg) was chosen. If anaesthesia was unsuccessful the doses of medetomidine and ketamine were increased by 0.01 m and 0.025 m, respectively until appropriate anaesthetic levels were achieved. The medetomidine and ketamine were administered in the same insulin syringe (1 m BD U-100 Insulin Syringe, Manta Medical, Bryanston). Buprenorphine (Temgesic, Schering Plough, Isando) was administered at a standard dose of 0.1 m per squirrel in a separate insulin syringe. All injections were given intramuscularly into the lumbar epaxial muscles. Following induction of anaesthesia, the abdomen was shaved and prepared for surgery following standard aseptic techniques. During preparation potassium clavulanate and amoxicillin trihydrate (Synulox RTU, Pfizer Animal Health) (20 mg/kg) was administered subcutaneously. An incision approximately 15 mm in length was made in the ventral midline between the xiphoid and the umbilical scar. The temperature logger was then inserted into the abdomen. The linea alba was closed with 4/0 Nylon (Ethicon, Johnson & Johnson, Midrand) and the subcutaneous tissue and skin with 4/0 PDS (Ethicon, Johnson & Johnson) in a standard fashion. The squirrels' heart rate and respiration were monitored using a multiparameter physiological monitor (Dash 4000, GE Electronics, Midrand) following standard anaesthetic procedures for patient safety. The data are not presented. The anaesthesia was reversed with a volume of atipamezole (Antisedan, Pfizer Animal Health) equal to the total volume of medetomidine administered for immobilisation. Squirrels used for semen collection, measurement and radio transmitter placement did not receive buprenorphine.
The time from injection of medetomidine-ketamine and buprenorphine until loss of response to a paw pinch (induction time), the duration of anaesthesia (induction to recovery), the duration of surgery, the time from induction to the injection of atipamezole (anaesthetic time) and the time to return of the righting reflex following the administration of atipamezole (recovery time) were recorded. Any adverse anaesthetic or surgical events were recorded.
Descriptive statistics were used to describe the data collected. Data were normally distributed. A t-test was used to examine differences between males and females with respect to the following variables: weight, induction time, duration of surgery, recovery time, anaesthetic time and doses of drugs administered per kg. Statistical significance was set at P < 0.05. This study was approved by the Animal Use and Care Committee of the Universities of Central Florida and Pretoria and complied with their guidelines for animal research (UCF IACUC #07-43W).
The male and female groups were not statistically different with respect to weight, induction time, duration of surgery, recovery time, anaesthetic time and doses of drugs administered per kg and their data were analysed together. Data for all 25 squirrels are presented in Table 1. The reason for excluding some data is that buprenorphine was not administered, no surgery was performed and the duration of anaesthesia was variable. Temperature loggers were implanted into 20 squirrels (8 males, 12 females). The 1st squirrel was excluded from analysis as the dose of drugs administered was insufficient to complete the surgery. The doses of medetomidine and ketamine were increased after this squirrel. This left 19 squirrels (7 males, 12 females) in which the procedure was successfully completed with the initial doses administered. The mean dose of medetomidine was 67.6 ± 9.2 µg/kg, ketamine 13.6 ± 1.9 mg/kg and buprenorphine 0.5 ± 0.06 µg/kg. Squirrel no. 2 had a rough recovery characterised by excitement and the dose of ketamine was reduced for the following squirrels by 5 mg/kg. The remaining 18 squirrels were successfully managed with the combination described and had satisfactory recoveries.
This study showed that a combination of medetomidine, ketamine and buprenorphine provided rapid surgical anaesthesia that was rapidly reversed at the end of the procedure with atipamezole. Ketamine alone does not completely immobilise Cape ground squirrels at doses between 10 and 25 mg/kg while doses of 40-50 mg/kg are required for complete immobilisation18. In the Richardson's ground squirrel, 86 mg/kg of ketamine alone did not produce surgical anaesthesia15. The combination of xylazine and ketamine did produce surgical anaesthesia of 20-30 min duration15. This duration of anaesthesia would be sufficient to allow for the implantation of temperature loggers15. Medetomidine was chosen over xylazine due to greater potency, more specific affinity for alpha2 receptors and its safety when used in wild animals in combination with ketamine4,10,19.
The induction time for xylazine-ketamine was 1.3 min15 compared with the 3.1 min in our study. The longer duration for induction observed in the present study is most probably due to the lower dose of ketamine used, 86 mg/kg15 compared with 13.6 mg/kg. The squirrels could be handled within a minute of administration of the immobilising drugs intramuscularly (loss of righting reflex) but would be responsive to pain stimuli. The present study's induction time was to the point of not responding to painful stimuli (paw pinch reflex). Handling of the immobilised squirrels was possible before the end of the induction time. In the present study squirrels were only handled once they were anaesthetised.
Recovery times (3.5 min) observed in the present study were faster than those reported for xylazine-ketamine (16-19 min)15. This is most probably the result of administration of an antagonist at the end of the procedure. With the exception of squirrel number 2, all recoveries were smooth and uneventful. It was thought that the rough recovery in squirrel number 2 could have been due to the residual effects of ketamine after the reversal of the medetomidine.
The combination of medetomidine, ketamine and buprenorphine produced satisfactory anaesthesia for 20 min and recovery from anaesthesia was rapid following the administration of atipamezole in Cape ground squirrels. This combination produced an adequate depth of anaesthesia for surgery.
1. Bennett A F, Huey R B, John-Alder H, Nagy K A 1984 The parasol tail and thermoregulatory behaviour of the Cape ground squirrel Xerus inauris. Physiological Zoology 57: 57-62 [ Links ]
2. Bettschart-Wolfensberger R, Bowen I M, Freeman, S L, Weller R, Clarke, K W 2003 Medetomidine-ketamine anaesthesia induction followed by medetomidinepropofol in ponies: infusion rates and cardiopulmonary side effects. Equine Veterinary Journal 35: 308-313 [ Links ]
3. Bush M, Raath J P, Phillips L G, Lance W 2004 Immobilisation of impala (Aepyceros melampus) with a ketamine hydrochloride/medetomidine hydrochloride combination, and reversal with atipamezole hydrochloride. Journal of the South African Veterinary Association 75: 14-18 [ Links ]
4. Celly C S, McDonell W N, Young S S, Black W D 1997 The comparative hypoxaemic effect of four α2 adrenoreceptor agonists (xylazine, romifidine, detomidine and medetomidine) in sheep. Journal of Veterinary Pharmacology and Therapeutics 20: 464-471 [ Links ]
5. Cruz J I, Loste J M, Burzaco H 1998 Observation on the use of medetomidine/ketamine and its reversal with atipamezole for chemical restraint in the mouse. Laboratory Animals 31: 18-22 [ Links ]
6. Fick L G, Kucio T A, Fuller A, Matthee A, Mitchell D 2009 The relative roles of the parasol-like tail and burrow shuttling in thermoregulation of free-ranging Cape ground squirrels, Xerus inauris. Comparative Biochemistry and Physiology Part A: Molecular & Integrative Physiology 152: 334-340 [ Links ]
7. Hellebrekers L J, Sap R 1997 Medetomidine as a premedicant for ketamine, propofol or fentanyl anaesthesia in dogs. Veterinary Record 140: 545-548 [ Links ]
8. Hellebrekers L J, van Herpen H, Hird J F R, Rosenhagen C U, Sap R, Vainio O 1998 Clinical efficcy and safety of propofol or ketamine anaesthesia in dogs premedicated with medetomidine. Veterinary Record 142: 631-634 [ Links ]
9. Herron M D, Waterman J M, Parkinson C L 2005 Phylogeny and historical biography of African ground squirrels: the role of climate change in the evolution of Xerus. Molecular Ecology 14: 2773-2788 [ Links ]
10. Kästner S B R 2006 A2-agonists in sheep: a review. Veterinary Anaesthesia and Analgesia 33: 79-96 [ Links ]
11. Ko J C H, Fox, S M, Mandsager, R E 2000 Sedative and cardiorespiratory effects of medetomidine, medetomidine-butorphanol, and medetomidine-ketamine in dogs. Journal of the American Veterinary Medical Association 216: 1578-1583 [ Links ]
12. Ko J C H, Nicklin C F, Melendaz M, Hamilton P, Kuonen C D 1998 Effects of a microdose of medetomidine on diazepamketamine induced anesthesia in dogs. Journal of the American Veterinary Medical Association 213: 215-219 [ Links ]
13. McLaren G W, Thornton P D, Newman C, Buesching C D, Baker S E, Mathews F, MacDonald D W 2005 High rectal temperature indicates an increased risk of unexpected recovery in anaesthetized badgers. Veterinary Anaesthesia and Analgesia 32: 48-52 [ Links ]
14. Moens Y, Fargetton X 1990 A comparative study of medetomidine/ketamine and xylazine/ketamine in dogs. Veterinary Record 127: 567-571 [ Links ]
15. Olson M E, McCabe K 1986 Anesthesia in the Richardson's ground squirrel: comparison of ketamine, ketamine and xylazine, droperidol and fentanyl, and sodium pentobarbital. Journal of the American Veterinary Medical Association 189: 1035-1037 [ Links ]
16. Serteyn D, Coppens P, Jones R, Verstegen J P, Philipparts C, Lamy M 1993 Circulatory and respiratory effects of the combination medetomidine/ketamine in beagles. Journal of Veterinary Pharmacology and Therapeutics 16: 199-206 [ Links ]
17. Smith A A, Posner L P, Goldstein R E, Ludders J W, Erb H N, Simpson K W, Gleed R D 2004 Evaluation of the effects of premedication on gastroduodenoscopy in cats. Journal of the American Veterinary Medical Association 255: 540-544 [ Links ]
18. van Heerden J 1984 Capture and immobilization of the Cape ground squirrel Xerus inauris with ketamine hydrochloride. South African Journal of Wildlife Research 14: 127-128 [ Links ]
19. Vickery R G, Maze M 1989 Actions of the stereoisomers of medetomidine, in halothane-anesthetized dogs. Acta Veterinaria Scandanavia 85: 71-76 [ Links ]
20. Wilson D V, Evans A T, Carpenter R L, Mullineaux D R 2004 The effect of four anesthetic protocols on splenic size in dogs. Veterinary Anaesthesia and Analgesia 31: 102-108 [ Links ]
Received: June 2010.
Accepted: May 2011.