Sedative effects and pharmacokinetics of detomidine when administered intravenously and intravaginally as a gel in alpacas

ObjectivesTo evaluate the sedative effects and pharmacokinetics of detomidine gel administered intravaginally to alpacas in comparison with intravenously (IV) administered detomidine.Study designRandomized, crossover, blinded experiment.AnimalsA group of six healthy adult female Huacaya alpacas (70.3 ± 7.9 kg).MethodsAlpacas were studied on two occasions separated by ≥5 days. Treatments were IV detomidine hydrochloride (70 μg kg⁻¹; treatment DET–IV) or detomidine gel (200 μg kg⁻¹; treatment DET–VAG) administered intravaginally. Sedation and heart rate (HR) were evaluated at intervals for 240 minutes. Venous blood was collected at intervals for 360 minutes after treatment for analysis of detomidine, carboxydetomidine and hydroxydetomidine using liquid chromatography–tandem mass spectrometry. Measured variables were compared between treatments and over time using mixed model analysis. Data are presented as the mean ± standard error of the mean, and a p value of <0.05 was considered significant.ResultsOnset of sedation was faster in treatment DET–IV (1.6 ± 0.2 minutes) than in treatment DET–VAG (13.0 ± 2.5 minutes). Time to maximum sedation was shorter in treatment DET–IV (8.3 ± 1.3 minutes) than in treatment DET–VAG (25 ± 4 minutes). Duration of sedation was not different between treatments. There was a significant linear relationship between sedation score and plasma detomidine concentration. HR was less than baseline for 60 and 125 minutes for treatments DET–IV and DET–VAG, respectively. The maximal decrease in HR occurred at 15 minutes for both treatments. The mean maximum plasma concentration of detomidine, time to maximum concentration and bioavailability for treatment DET–VAG were 39.6 ng mL⁻¹, 19.9 minutes and 20%, respectively.Conclusions and clinical relevanceDetomidine administration at the doses studied resulted in moderate sedation when administered IV or intravaginally to alpacas.     

Anaesthesia, sedation and transportation of juvenile Menidia estor (Jordan) using benzocaine and hypothermia

Anaesthesia, sedation and transportation of the Atherinopsid, Menidia estor, were investigated using benzocaine, hypothermia and combinations of the two. The optimum dose rates of benzocaine for sedation of juvenile Chirostoma estor were 15 and 18 mg L⁻¹. When hypothermia was used alone, stable sedation of C. estor was induced at 15 and 12°C, with no mortalities and full recovery after about 8 min. There was synergism when benzocaine and hypothermia were combined, with the optimal combination being at 15°C and 12 mg L⁻¹ benzocaine. Successful transportation was conducted over 3.5 and 8.5 h using combined benzocaine and hypothermia. Aloe vera extract used in the transportation medium reduced scale loss. This work has, for the first time, defined a systematically derived system of safe, long distance, live transportation of this species and others of the genus Menidia.     

A review of the general pharmacology of ketamine and its clinical use for injectable anaesthesia in horses

Ketamine is the most commonly used injectable anaesthetic in horses. Combinations of ketamine have been used to produce short durations of anaesthesia or as total intravenous anaesthesia (TIVA) for longer diagnostic or surgical procedures. In recent years, ketamine has been used for pain management due to its effectiveness in producing analgesia at subanaesthetic doses. This paper provides a review of the pharmacological effects of ketamine in general and its clinical use for injectable anaesthesia and pain management in horses.     

Sedative effects of an intramuscular or intranasal combination of sufentanil and midazolam in New Zealand White rabbits

ObjectiveTo evaluate the sedative effects of a combination of sufentanil and midazolam administered intramuscularly (IM) or intranasally (IN) prior to induction of anesthesia with propofol in New Zealand White rabbits.Study designProspective, randomized, crossover, experimental study.AnimalsA total of 11 adult New Zealand White rabbits.MethodsSufentanil (0.5 μg kg^–1) and midazolam (2 mg kg^–1) were administered to rabbits via IM or IN route. The righting reflex was assessed, and sedation was scored. Heart rate, respiratory rate (f_R) and temperature were recorded prior to treatment administration and after loss of the righting reflex.ResultsMeasured variables remained within normal physiologic ranges for all rabbits. The only statistically significant change was for f_R, which was significantly lower after sedation for both routes. The time to loss of righting reflex was 14.8 ± 6.5 and 12.5 ± 7.4 minutes and sedation scores were 6 (4–8) and 7 (6–8) for IM and IN routes, respectively, with no difference between treatments. No adverse effects were observed during the experimental period.Conclusions and clinical relevanceSufentanil combined with midazolam administered either IM or IN resulted in moderate to deep sedation in New Zealand White rabbits at the dose rates studied.     

Serum concentrations and effects of detomidine delivered orally to horses in three different mediums

Objective To compare the effect of orally delivered detomidine on head posture when administered alone or in combination with two different food items, and to determine the serum concentrations of detomidine after oral delivery. Study Design Prospective randomized experimental study. Animals Fifteen adult grade mares weighing 328–537 kg. Methods The horses were randomly assigned to one of the three treatment groups (five horses each). The groups were given detomidine (0.06 mg kg^?1): alone; mixed with 3 mL of an apple sauce and gum mixture; or mixed with 3 mL molasses. Head droop, measured before treatment and at 15, 30, 45, 60, 75, 90, and 105 minutes after treatment, was used to evaluate sedation. Yohimbine (0.1 mg kg^?1 IV) was administered after the 90‐minute evaluation. Blood samples were collected from the detomidine‐alone group before treatment and at 15, 30, 45, 60, 75, and 90 minutes after treatment. Sera were analyzed for detomidine equivalent concentrations by an ELISA. Head droop percentages were compared using a repeated measures analysis of variance. Results Significant mean head droop developed in each treatment group by 30 minutes and persisted until reversal with yohimbine. After yohimbine administration, head positions returned to 87–91% of pre‐treatment levels. There were no significant differences among the oral treatment groups at any time. Mean serum detomidine equivalents increased slowly until 45‐minute post‐administration, but never exceeded 30 ng mL^?1. Conclusions Orally administered detomidine results in measurable serum drug concentrations using any of the delivery mediums investigated, and can be expected to produce profound head droop in horses approximately 45 minutes after administration.     

Thermographic imaging of superficial temperature in dogs sedated with medetomidine and butorphanol with and without MK‐467 (L‐659’066)

ObjectiveTo record, with a thermal camera, peripheral temperature changes during different sedation protocols and to relate the results to changes in the rectal temperature.Study designRandomized crossover part-blinded experimental study.AnimalsEight healthy purpose-bred neutered Beagles (two females and six males) weight 14.5 ± 1.6 kg (mean ± SD) and aged 3–4 years.MethodsEach dog was sedated four times. Treatments were medetomidine 20 μg kg^?1 and butorphanol 0.1 mg kg^?1 (MB) with or without MK-467 500 μg kg^?1 (MK). Both drug combinations were administered IV and IM as separate treatments. A thermal camera (T425, FLIR) with a resolution of 320 by 240 was used for imaging.The dogs were placed in lateral recumbency on an insulated mattress. Digital (DFT) and metatarsal footpad temperatures (MFT) were measured with thermography. Thermograms and rectal temperature (RT) were taken before and at 3, 10, 20, 30, 45 and 60 minutes after treatment.ResultsAt 60 minutes after drug administration, MFT was higher (p < 0.001) after MB+MK (34.5 ± 1.1 IV, 34.8 ± 0.5 IM) than MB (31.1 ± 2.9 IV, 30.5 ± 3.6 IM), DFT was higher (p < 0.001) after MB+MK (33.6 ± 1.4 IV, 34.0 ± 0.6 IM) than MB (26.7 ± 1.4 IV, 26.7 ± 2.5 IM), and RT was lower (p < 0.001) after MB+MK (36.7 ± 0.8 IV, 36.9 ± 0.3 IM) than MB (37.5 ± 0.3 IV, 37.4 ± 0.4 IM), with both routes. The change from baseline was greater with MB+MK than MB in all variables.ConclusionsSuperficial temperature changes can be seen and detected with thermography. MK-467 used with MB resulted in increased superficial temperatures and a decline in rectal temperature compared to MB alone.Clinical relevanceThe sedation protocol may influence core temperature loss, and may also have an effect on thermographic images.     

Comparison of Computed Tomographic Images of Birds Obtained With Sedation vs General Anesthesia

Computed tomography (CT) is an increasingly available and valuable imaging modality for the diagnosis of companion avian pets. Previously, CT studies of birds required general anesthesia with inhalant anesthetics. Owing to the risks associated with general anesthesia, the authors of this article investigated the effect of sedation on birds during a CT examination. In this study, 10 psittacine birds were imaged using a 40-slice helical CT scanner. Birds were sedated with midazolam and butorphanol and placed in a positioning device. Following the initial study, birds were removed from the device and placed under general anesthesia with isoflurane. A second study was then performed. Two radiologists, blinded to the identity of the birds and partially blinded to the conditions of the study, reviewed the images. Studies were evaluated using a questionnaire consisting of 18 questions. Each question was scored on a Likert scale. A Wilcoxon signed rank test compared scores of sedated and anesthetized birds. A significant difference (P = 0.05) between sedated and anesthetized studies was found for 2 of 18 (11.1%) questions for radiologist 1 and 1 of 18 (5.5%) questions for radiologist 2, with differences identified in the scleral ossicles and the femoral heads. Interrater agreement for all questions using a linearly weighted κ was 0.334 and 0.311 for sedated and anesthetized birds, respectively, indicating fair agreement. The interrater agreement, excluding the head and musculoskeletal system, was 0.381 for sedated animals, indicating fair agreement, and 0.404 for anesthetized birds, indicating moderate agreement. Based on our results, performing CT studies in birds with sedation is a viable alternative to studies performed under general anesthesia.     

Comparison between the effects of postanesthetic xylazine and dexmedetomidine on characteristics of recovery from sevoflurane anesthesia in horses

Objective

To compare postanesthetic xylazine and dexmedetomidine on recovery characteristics from sevoflurane anesthesia in horses.