CArdiopulmonary Assesment of Medeto-Keta-Butorf Gazella Thomsoni 2001
CArdiopulmonary Assesment of Medeto-Keta-Butorf Gazella Thomsoni 2001
CArdiopulmonary Assesment of Medeto-Keta-Butorf Gazella Thomsoni 2001
BioOne (www.bioone.org) is a nonprofit, online aggregation of core research in the biological, ecological, and
environmental sciences. BioOne provides a sustainable online platform for over 170 journals and books published
by nonprofit societies, associations, museums, institutions, and presses.
Your use of this PDF, the BioOne Web site, and all posted and associated content indicates your acceptance of
BioOne’s Terms of Use, available at www.bioone.org/page/terms_of_use.
Usage of BioOne content is strictly limited to personal, educational, and non-commercial use. Commercial inquiries
or rights and permissions requests should be directed to the individual publisher as copyright holder.
BioOne sees sustainable scholarly publishing as an inherently collaborative enterprise connecting authors, nonprofit publishers, academic institutions, research
libraries, and research funders in the common goal of maximizing access to critical research.
Journal of Zoo and Wildlife Medicine 32(2): 168–175, 2001
Copyright 2001 by American Association of Zoo Veterinarians
Elizabeth Chittick, D.V.M., M.S., William Horne, D.V.M., Ph.D., Dipl. A.C.V.A.,
Barbara Wolfe, D.V.M., Ph.D., Dipl. A.C.Z.M., Kurt Sladky, D.V.M., M.S., and
Michael Loomis, D.V.M., M.S., Dipl. A.C.Z.M.
Abstract: This investigation evaluated the cardiopulmonary effects of medetomidine, ketamine, and butorphanol
anesthesia in captive juvenile Thomson’s gazelles (Gazella thomsoni). Butorphanol was incorporated to reduce the dose
of medetomidine necessary for immobilization and minimize medetomidine-induced adverse cardiovascular side effects.
Medetomidine 40.1 6 3.6 mg/kg, ketamine 4.9 6 0.6 mg/kg, and butorphanol 0.40 6 0.04 mg/kg were administered
intramuscularly by hand injection to nine gazelles. Times to initial effect and recumbency were within 8 min postin-
jection. Cardiopulmonary status was monitored every 5 min by measuring heart rate, respiratory rate, indirect blood
pressure, end-tidal CO2, and indirect oxygen-hemoglobin saturation by pulse oximetry. Venous blood gases were col-
lected every 15 min postinjection. Oxygen saturations less than 90% in three gazelles suggested hypoxemia. Subsequent
immobilized gazelles were supplemented with intranasal oxygen throughout the anesthetic period. Sustained bradycardia
(,60 beats per minute, as compared with anesthetized domestic calves, sheep, and goats) was noted in eight of nine
gazelles. Heart and respiratory rates and rectal temperatures decreased slightly, whereas systolic, mean, and diastolic
blood pressure values were consistent over the anesthetic period. Mild elevations in end tidal CO2 and PCO2 suggested
hypoventilation. Local lidocaine blocks were necessary to perform castrations in all seven of the gazelles undergoing
the procedure. Return to sternal recumbency occurred within 7 min and return to standing occurred within 12 min after
reversal with atipamezole (0.2 6 0.03 mg/kg) and naloxone (0.02 6 0.001 mg/kg). Medetomidine, ketamine, and
butorphanol can be used to safely anesthetize Thomson’s gazelles for routine, noninvasive procedures. More invasive
procedures, such as castration, can be readily performed with the additional use of local anesthetics.
Key words: Anesthesia, butorphanol, Gazella thomsoni, ketamine, medetomidine, Thomson’s gazelle.
North Carolina Zoological Park (NCZP). All ga- the other eight gazelles. Because of the difficulty in
zelles were juvenile males aged 4–18 mo that had determining whether blood gases were arterial or
been quarantined for a period of 6 wk in the venous without confirmation with a blood pressure
NCZP’s African ungulate propagation barn. Ani- transducer, blood gases were reported as venous
mals were fed grain and alfalfa hay daily. Prior to samples. They were analyzed immediately after
anesthesia, food and water were withheld for 72 collection (EG71 cartridges, Heska, Waukesha,
and 48 hr, respectively. Wisconsin 53188, USA) with an i-STAT portable
Each animal was restrained in a wooden squeeze clinical analyzer (Heska). Blood gases were later
chute and hand injected intramuscularly with a manually temperature corrected.7 Our initial exper-
combination of 40.0 mg/kg medetomidine (Pfizer imental design did not include oxygen supplemen-
Animal Health, Exton, Pennsylvania 19341, USA), tation. However, low oxygen saturations (SpO2 ,
5.0 mg/kg ketamine (Pfizer), and 0.40 mg/kg bu- 90%) were observed on multiple blood gases col-
torphanol (Fort Dodge Animal Health, Fort Dodge, lected from the first three immobilized gazelles;
Iowa 50501, USA) on the basis of estimated therefore, the following six gazelles were admin-
weights. Each animal was maintained in the istered intranasal oxygen at 0.5–1.0 L/min flow af-
squeeze chute but not handled for 15 min after an- ter initial SpO2 readings were taken at 15 min PI.
esthetic administration to allow for adequate drug Oxygen was supplied with plastic tubing positioned
effect. Lights were dimmed to minimize stress dur- in the nostril not used for the capnography filter
ing induction. At 15 min postinjection (PI) and pri- line.
or to transfer of each gazelle to a stall for exami- Each animal was anesthetized for a total of 60
nation, heart rate, respiratory rate, and indirect min. During the anesthetic period, physical exam-
blood pressure were measured. Heart and respira- ination, blood collection, rabies vaccination, iver-
tory rates were determined by auscultation, and in- mectin administration, ear tagging, and tuberculin
direct blood pressure was measured with a Dina- testing were performed. Within 30 min of initial
map Model 8300 (Critikon, Inc., Tampa, Florida injection, ear tags were placed and blood was col-
33634, USA) with a neonatal #3- or #4-sized Cri- lected from the jugular vein for complete blood
tikon cuff placed around the metacarpus of a fore- counts and serum chemistries. Seven of the nine
limb.28 Each animal was then carried to an adjacent gazelles were castrated while anesthetized. If an an-
stall, blindfolded, and positioned in lateral recum- imal showed any response to stimulus (moving
bency for a quarantine examination and diagnostic limbs, increasing heart rate) during castration, 0.25
procedures. No animal was intubated during the ml of 2% lidocaine (Elkins-Sinn, Cherry Hill, New
study, but each gazelle’s neck was elevated to min- Jersey 08003, USA) was administered in the scrotal
imize the likelihood of gastric reflux entering the skin and each spermatic cord (total volume 0.75 ml/
mouth or trachea. Each animal’s head was also tilt- gazelle). At the completion of the quarantine ex-
ed downward to facilitate drainage of saliva. amination and diagnostic procedures for each ani-
Initial effect was defined by the earliest signs of mal, medetomidine was antagonized with 0.20 mg/
ataxia and body swaying after M/K/B injection. kg atipamezole (Pfizer) and butorphanol was antag-
Times to initial effect and recumbency were re- onized with 0.020 mg/kg naloxone (Narcan, Endo
corded. Cardiopulmonary status was monitored ev- Pharmaceuticals, Inc., Chadds Ford, Pennsylvania
ery 5 min by measuring heart rate, respiratory rate, 19317, USA) intramuscularly. Times to stage 1 re-
indirect oxygen-hemoglobin saturation (N-20 Pulse covery and return to standing (stage 0) were re-
Oximeter, Nellcor, Inc., Hayward, California corded. Stage 1 recovery was defined as mild se-
94545, USA), indirect blood pressure, and end-tidal dation with animals responding to eye and ear stim-
CO2 (Microcap, Oridion Medical Ltd., Jerusalem,
ulus but remaining sternally recumbent.
Israel). The pulse oximetry probe was placed on
the tongue, and capnographic values were collected RESULTS
by placing the filter line approximately 3–5 cm into
one nostril. Body temperature was recorded every Weights of the Thomson’s gazelles ranged from
10 min with a rectal thermometer. Blood gas col- 11.5 to 20.0 kg (mean 15.6 6 3.1 kg, median 16.0
lection from catheterized femoral or radial vessels kg). The mean doses of anesthetic agents adminis-
was attempted at 15, 30, 45, and 60 min after initial tered were the following: medetomidine 40.1 6 3.6
injection. Catheterization, however, was successful mg/kg (range 35.0–46.3 mg/kg), ketamine 4.9 6 0.6
in only one animal. Blood gases were collected mg/kg (3.8–5.8 mg/kg), and butorphanol 0.40 6
from corresponding femoral or radial vasculature 0.04 mg/kg (0.35–0.46 mg/kg). Struggling of two
by heparinized hypodermic needle and syringe for animals during restraint resulted in limb injuries
170 JOURNAL OF ZOO AND WILDLIFE MEDICINE
Table 1. Induction and recovery times (in minutes) in others displayed this behavior near the end of an-
Thomson’s gazelles after intramuscular injection with 40.1 esthesia. No gazelle responded to ear tagging by
mg/kg medetomidine, 4.9 mg/kg ketamine, and 0.40 mg/
kg butorphanol. ear twitching or increased heart or respiratory rate.
Toward the end of the anesthetic period, however,
Anesthetic stage N Mean SD Median Range occasional responses (i.e., blinking, ear twitching)
to manual stimuli were seen. Local lidocaine blocks
First effect 5 3.8 1.9 3.0 2.0–7.0 were necessary to perform castrations in all seven
Recumbency 9 5.6 2.4 5.0 3.0–10.0 of the gazelles undergoing the procedure. No com-
Stage 1 recovery 5 5.0 1.6 5.0 3.0–7.0
plication was noted with lidocaine administration or
Standing (stage 0) 9 9.3 3.8 10.0 3.0–15.0
castration procedures. No regurgitation was ob-
served; however, mild to moderate salivation was
noted in all animals throughout the anesthetic pe-
early in the study, but no animal had complications riod.
related to anesthesia. Median heart rates and respiratory rates for the
Times to initial effect and recumbency were oxygen-supplemented and non-oxygen-supplement-
within 8 min PI (Table 1). All animals experienced ed groups are shown in Figure 1. All median heart
a smooth induction, characterized by a lack of ex- rates consistently fell below 60 beats per minute
citation or stumbling in the chute. The dosages of (bpm). Heart and respiratory rates decreased slight-
administered M/K/B resulted in light anesthesia in ly over the anesthetic period in both groups. Two
which routine noninvasive procedures could be per- of the nine gazelles were also noted to have shallow
formed. Two animals received relatively lower dos- respirations, and one gazelle had a sustained ele-
es of ketamine (3.8 mg/kg and 4.3 mg/kg, respec- vation in respiratory rate (24–56 breaths per mi-
tively) and exhibited slow foot paddling throughout nute). Median rectal temperatures of gazelles in
the duration of the anesthetic period, whereas two both groups initially ranged from 103.1 to 103.88F
Figure 2. Systolic, mean, and diastolic blood pressures of oxygen-supplemented Thomson’s gazelles (n 5 5)
immobilized with 40.1 mg/kg medetomidine, 4.9 mg/kg ketamine, and 0.40 mg/kg butorphanol i.m. Median values are
indicated by solid triangles (m) for systolic blood pressures, solid squares (m) for mean blood pressures, and solid
circles (v) for diastolic blood pressure. Bars represent ranges of blood pressures.
when measured 20–30 min PI and decreased to gen-supplemented gazelles ranged from 90 to 100%
100.6–102.18F by 60 min PI. Two gazelles dem- after 25 min PI throughout the anesthetic period.
onstrated consistently increased rectal temperatures The PCO2 values for non-oxygen-supplemented
(range 102.5–1058F) while immobilized. and oxygen-supplemented animals overlapped,
Systolic, mean, and diastolic blood pressure val- with the former ranging between 46.6 and 60.2 mm
ues were fairly consistent among oxygen-supple- Hg and the latter between 39.6 and 66.4 mm Hg
mented gazelles over the anesthetic period (Fig. 2). (Table 2). One oxygen-supplemented gazelle had
One oxygen-supplemented gazelle, however, was PCO2 values that exceeded 57.2 mm Hg at all col-
not included in the blood pressure data set because lection times. Similar to blood PCO2, end tidal
of difficulties in cuff placement and resultant vari- (ET)CO2 values ranged from 50 to 68 mm Hg for
ability in cuff values. Results of blood pressure all animals in the study, though ETCO2 tended to
monitoring for non-oxygen-supplemented gazelles decrease from 30 to 60 min PI whereas PCO2 fluc-
tuated over the anesthetic period (Fig. 4).
are shown in Figure 3.
An intermittent, mild to moderate respiratory ac-
Median oxygen saturation levels determined by
idosis (pH , 7.350, PCO2 . 50 mm Hg) was evi-
pulse oximetry (SpO2) occasionally dropped below
dent in all nine gazelles in the study. Blood pH for
90% saturation, indicating a hypoxemic state (Fig.
non-oxygen-supplemented and oxygen-supplement-
4). At 20 min PI, three of the seven animals with ed gazelles ranged from 7.256 to 7.391 and 7.158
pulse oximetry values had SpO2 , 90%. Addition- to 7.369, respectively (Table 2). The bicarbonate
ally, two of the non-oxygen-supplemented gazelles range of 20–34 mmol/L was consistent for both
registered SpO2 , 90% at time points 30, 40, 45, groups of gazelles. One exception was an oxygen-
50, and 40 min PI, respectively. Of the oxygen- supplemented gazelle with a moderate metabolic
supplemented gazelles, two had transient episodes acidosis (pH 7.180–7.345, HCO3 18–25 mmol/L)
of SpO2 , 90% after oxygen supplementation was early in the anesthetic period that resolved 50–55
initiated. All other pulse oximetry values for oxy- min PI.
172 JOURNAL OF ZOO AND WILDLIFE MEDICINE
Figure 3. Systolic, mean, and diastolic blood pressures of non-oxygen-supplemented Thomson’s gazelles (n 5 3)
immobilized with 40.1 mg/kg medetomidine, 4.9 mg/kg ketamine, and 0.40 mg/kg butorphanol i.m. Median values are
indicated by solid triangles (m) for systolic blood pressures, solid squares (m) for mean blood pressures, and solid
circles (v) for diastolic blood pressure. Bars represent ranges of blood pressures.
Stage 1 recovery occurred within 7 min after an- a more complete drug effect with medetomidine
tagonism with 0.20 6 0.03 mg/kg atipamezole and combinations.9,18
0.020 6 0.001 mg/kg naloxone (Table 1). Return The M/K/B dosages reported here provided ad-
to standing (stage 0) generally occurred within 12 equate sedation for most noninvasive procedures
min of reversal administration (Table 1). Recover- but were inadequate for intubation without a spec-
ies were smooth but often rapid, with only 1 min ulum. Gazelles anesthetized with M/K/B main-
between stage 1 and stage 0 anesthetic planes. No tained mild to moderate jaw tone and the ability to
complication, other than the two chute injuries, was chew objects placed in the mouth. Use of a spec-
observed for 24 hr after recovery. ulum would be indicated with placement of an en-
dotracheal tube or capnography filter line to reduce
DISCUSSION the likelihood of damage to these instruments.
Alpha2 agonists have become important agents in Although depth of anesthesia 15–60 min PI was
the anesthetic arsenal for zoo and wildlife medi- adequate to perform minor procedures of short du-
cine. These agents facilitate rapid inductions and ration, additional local anesthetics were necessary
recoveries, provide excellent analgesia, and are eas- for more invasive surgical procedures. Local anes-
ily reversible. In this investigation, M/K/B anesthe- thetics have been previously administered to artiod-
sia was characterized by quick, smooth inductions actylids undergoing castration or umbilical surgery
and recoveries, as has been previously described for when M/K combinations have not offered adequate
medetomidine and medetomidine/ketamine (M/K) analgesia.19,30 Local administration of low doses of
combinations in other artiodactylids.8,9,29,30 Mini- lidocaine provided effective analgesia during cas-
mizing stimulus and restricting handling until 15 trations in this study.
min after injection likely contributed to the smooth Few potentially adverse side effects were noted
inductions observed in our study. A similar strategy in gazelles immobilized with M/K/B. Hypersaliva-
has been incorporated in previous studies to allow tion has been reported in Shami goats (Capra hir-
CHITTICK ET AL.—M/K/B ANESTHESIA IN THOMSON’S GAZELLES 173
Figure 4. End-tidal CO2 (ETCO2) and oxygen saturation (SpO2) of oxygen-supplemented (n 5 6) and non-oxygen-
supplemented (n 5 3) Thomson’s gazelles immobilized with 40.1 mg/kg medetomidine, 4.9 mg/kg ketamine, and 0.40
mg/kg butorphanol i.m. Solid squares (m) indicate median ETCO2 for oxygen-supplemented gazelles, solid triangles
(m) indicate median ETCO2 for non-oxygen-supplemented gazelles, and associated bars represent ranges of ETCO2
values. Open squares (M) indicate median SpO2 for oxygen-supplemented gazelles, open triangles (n) indicate median
SpO2 for non-oxygen-supplemented gazelles, and associated bars represent ranges of SpO2.
and shallow breathing. Hypertension has been dem- emic states throughout the anesthetic period. Al-
onstrated in domestic sheep after intramuscular in- though pulse oximetry is not a replacement for ar-
jection with 125 mg/kg medetomidine and 2.5 mg/ terial blood gases for assessing arterial oxygena-
kg ketamine.2 In that study, direct mean arterial tion, its use has been validated for detecting
blood pressures reached maximum values of ap- hypoxemia and oxygen saturation trends in dama
proximately 165 mm Hg at 10 min PI and remained gazelles.25 Incorporation of butorphanol into our an-
significantly elevated, with mean arterial pressure esthetic regime did not appear to reduce the like-
(MAP) . 125 mm Hg throughout the 60-min an- lihood of medetomidine-associated hypoxemia.
esthetic period. Similar trends in MAP, systolic Given the potential for development of hypoxemia
(SAP), and diastolic (DAP) arterial pressures after with M/K/B anesthesia, we recommend that all ar-
intravenous injection of 10–20 mg/kg medetomi- tiodactylids receive oxygen supplementation during
dine have been reported in domestic sheep.1 In this M/K/B immobilizations. With oxygen supplemen-
study, the highest indirect blood pressures were re- tation, M/K/B can successfully and safely anesthe-
corded in the first 20 min PI but reached levels of tize a small, wild, ungulate species for routine, non-
DAP . 119 mm Hg and MAP . 130 mm Hg in invasive procedures.
only two individuals. A gradual decline in SAP,
DAP, and MAP occurred over the anesthetic period Acknowledgments: We thank the North Carolina
in all gazelles, but median MAP remained between Zoo veterinary technicians, North Carolina Zoo Af-
95 and 110 mm Hg. The relative lack of hyperten- rican Plains keepers, North Carolina Zoo curators,
sion seen in the Thomson’s gazelles in this study Dr. Scott Larsen, and Dr. Craig Harms for their as-
may have been due to the lower dose of medetom- sistance with and support of this study. We also
idine, the addition of butorphanol, or a species-spe- thank Dr. Scott Larsen and Dr. Michael Stoskopf
cific response to the anesthetic agents administered. for their help with manuscript review. Funding was
Low heart rates of 50–60 bpm persisted through- provided in part by the North Carolina Zoological
out the anesthetic period. Although preanesthetic Society.
heart rate determination was not feasible in this
LITERATURE CITED
study, heart rates of anesthetized domestic calves,
sheep, or goats would be expected to be 80–150 1. Bryant, C. E., K. W. Clarke, and J. Thompson. 1996.
bpm, considerably higher than heart rates of anes- Cardiopulmonary effects of medetomidine in sheep and in
ponies. Res. Vet. Sci. 60: 267–271.
thetized gazelles in this study.20 This suggests that
2. Caulkett, N. A., P. H. Cribb, and T. Duke. 1994.
incorporating butorphanol at this dosage in the an- Cardiopulmonary effects of medetomidine–ketamine im-
esthetic protocol did not eliminate the potential for mobilization with atipamezole reversal and carfentanil–
medetomidine-related bradycardia. xylazine immobilization with naltrexone reversal: a com-
Increased PCO2 and ETCO2 levels suggested hy- parative study in domestic sheep (Ovis ovis). J. Zoo Wildl.
poventilation, as has been reported in other ungu- Med. 25: 376–389.
lates anesthetized with M/K combinations.2 Shal- 3. Caulkett, N. A., J. C. Haigh, and P. H. Cribb. 1995.
low respirations were noted in only two of the ga- Medetomidine–ketamine and carfentanil–xylazine in mule
zelles in this study but have also been noted in mar- deer and mule deer hybrids. Proc. Annu. Meet. Am. Coll.
khors immobilized with 69 mg/kg medetomidine Vet. Anesth. 1995: 43. (Abstr.)
4. Celly, C. S., W. N. McDonnell, S. S. Young, and W.
and 1.6 mg/kg ketamine i.m.9 ETCO2 readings of-
D. Black. 1997. The comparative hypoxaemic effect of
ten varied from concurrently drawn venous blood four a2 adrenoceptor agonists (xylazine, romifidine, de-
PCO2 samples. Such variation should be taken into tomidine and medetomidine) in sheep. J. Vet. Pharmacol.
consideration when capnography is used in lieu of Ther. 20: 464–471.
blood gases for assessing CO2 levels and pulmo- 5. Cornick, J. L., S. M. Hartsfield, T. S. Taylor, and J.
nary function. Nevertheless, elevated PCO2 resulted Jacobson. 1990. Cardiopulmonary effects of butorphanol
in moderate respiratory acidosis in four of the nine tartrate intravenously administered for placement of duo-
gazelles. With the exception of one animal, bicar- denal cannulae in isoflurane-anesthetized yearling steers.
bonate levels in Thomson’s gazelles in this study Am. J. Vet. Res. 51: 1062–1064.
were consistent with those reported for domestic 6. Duncan, J. R., K. W. Prasse, and E. A. Mahaffey.
1994. Veterinary Laboratory Medicine: Clinical Patholo-
sheep and cattle.6,15
gy, 3rd ed. Iowa State Univ. Press, Ames, Iowa.
Difficulty in catheterizing and sampling arterial 7. Gem Premier Plus Operator’s Manual. 1996. Instru-
blood gases was likely due to the peripheral vaso- mentation Laboratory, Lexington, Massachusetts. Pp. 3-
constrictive effects of medetomidine.24 Multiple 2–3-5.
readings of SpO2 # 90% in the three non-oxygen- 8. Greth, A., M. Vassart, and S. Anagariyah. 1993.
supplemented animals were supportive of hypox- Evaluation of medetomidine-induced immobilization in
CHITTICK ET AL.—M/K/B ANESTHESIA IN THOMSON’S GAZELLES 175
Arabian oryx (Oryx leucoryx): clinical, hematological and 21. Sakaguchi, M., R. Nishimura, N. Sasaki, T. Ishi-
biochemical effects. J. Zoo Wildl. Med. 24: 445–453. guro, H. Tamura, and A. Takeuchi. 1992. Enhancing effect
9. Jalanka, H. 1988. Evaluation of medetomidine- and of butorphanol on medetomidine-induced sedation in pigs.
ketamine-induced immobilization in markhors (Capra fal- J. Vet. Med. Sci. 54: 1183–1185.
coneri megaceros) and its reversal by atipamezole. J. Zoo 22. Sakaguchi, M., R. Nishimura, N. Sasaki, T. Ishi-
Anim. Med. 19: 95–105. guro, H. Tamura, and A. Takeuchi. 1993. Cardiopulmo-
10. Jalanka, H. 1993. New a2-adrenoceptor agonists nary effects of a combination of medetomidine and bu-
and antagonists. In: Fowler, M. E. (ed.). Zoo and Wild torphanol in atropinized pigs. J. Vet. Med. Sci. 55: 497–
Animal Medicine, Current Therapy 3. W. B. Saunders Co., 499.
Philadelphia, Pennsylvania. Pp. 477–481. 23. Sakaguchi, M., R. Nishimura, N. Sasaki, T. Ishi-
11. Ko, J. C. H., J. E. Bailey, L. S. Pablo, and T. G. guro, H. Tamura, and A. Takeuchi. 1996. Anesthesia in-
Heaton-Jones. 1996. Comparison of sedative and cardio- duced in pigs by use of a combination of medetomidine,
respiratory effects of medetomidine and medetomidine– butorphanol, and ketamine and its reversal by administra-
butorphanol combination in dogs. Am. J. Vet. Res. 57: tion of atipamezole. Am. J. Vet. Res. 57: 529–534.
535–540. 24. Savola, J. 1989. Cardiovascular actions of mede-
12. Ko, J. C. H., T. G. Heaton-Jones, and C. F. Nicklin. tomidine and their reversal by atipamezole. Acta Vet.
1997. Evaluation of the sedative and cardiorespiratory ef- Scand. 85: 39–47.
fects of medetomidine, medetomidine–butorphanol, med- 25. Schumacher, J., D. J. Heard, L. Young, and S. B.
etomidine–ketamine, and medetomidine–butorphanol–ke- Citino. 1997. Cardiopulmonary effects of carfentanil in
tamine in ferrets. J. Am. Anim. Hosp. Assoc. 33: 438– dama gazelles (Gazella dama). J. Zoo Wildl. Med. 28:
448. 166–170.
13. Ko, J. C. H., and C. J. McGrath. 1995. Effects of 26. Sladky, K. K., B. T. Kelly, M. R. Loomis, M. K.
atipamezole and yohimbine on medetomidine-induced Stoskopf, and W. A. Horne. 2000. Cardiorespiratory ef-
central nervous system depression and cardiorespiratory fects of four a2-adrenoceptor agonist–ketamine combina-
changes in lambs. Am. J. Vet. Res. 56: 629–632. tions in captive red wolves. J. Am. Vet. Med. Assoc. 217:
14. Kock, R. A., and P. C. Pearce. 1985. Anaesthesia 1366–1371.
in zoo ungulates. J. Assoc. Vet. Anaesth. 13: 58–88. 27. Thurmon, J. C., W. J. Tranquilli, and G. J. Benson
15. Lucas, M. J., E. M. Huffman, and L. W. Johnson. (eds.). 1996. Lumb and Jones’ Veterinary Anesthesia, 3rd
1982. Clinical and clinicopathologic features of transport ed. Williams and Wilkins, Baltimore, Maryland.
tetany of feedlot lambs. J. Am. Vet. Med. Assoc. 181: 28. Trim, C. M. 1987. Special anesthesia consider-
381–383. ations in the ruminant. In: Short, C. E. (ed.). Principles
16. Mohammad, F. K., I. K. Zangana, and N. A. Al- and Practice of Veterinary Anesthesia. Williams and Wil-
Kassim. 1991. Clinical observations in Shami goat kids kins, Baltimore, Maryland.
sedated with medetomidine. Small Ruminant Res. 5: 149– 29. Tsuruga, H., M. Suzuki, H. Takahashi, K. Jinma,
153. and K. Kaji. 1999. Immobilization of sika deer with med-
17. O’Hair, K. C., K. T. Dodd, Y. Y. Phillips, and R. J. etomidine and ketamine, and antagonism by atipamezole.
Beattie. 1988. Cardiopulmonary effects of nalbuphine hy- J. Wildl. Dis. 35: 774–778.
drochloride and butorphanol tartrate in sheep. Lab. Anim. 30. Tyler, N. J. C., R. Hotvedt, A. S. Blix, and D. R.
Sci. 38: 58–61. Sorenson. 1990. Immobilization of Norwegian reindeer
18. Phillips, L. G., M. Bush, W. Lance, and J. P. Raath. (Rangifer tarandus tarandus) and Svalbard reindeer (Ran-
1998. Ketamine/medetomidine immobilization and atipa- gifer tarandus platyrhynchus) with medetomidine and
mezole reversal of captive and free-ranging impala (Ae- medetomidine–ketamine and reversal of immobilization
pyceros melampus) in the Kruger National Park, South with atipamezole. Acta Vet. Scand. 31: 479–488.
Africa. Proc. Am. Assoc. Zoo Vet. and Am. Assoc. Wildl. 31. Virtanen, R. 1989. Pharmacological profiles of
Vet. Joint Conf. 1998: 19–21. (Abstr.) medetomidine and its antagonist, atipamezole. Acta Vet.
19. Raekallio, M., M. Kivalo, H. Jalanka, and O. Vai- Scand. 85: 29–37.
nio. 1991. Medetomidine/ketamine sedation in calves and 32. Waterman, A. E., A. Livingston, and A. Amin.
its reversal with atipamezole. J. Vet. Anaesth. 18: 45–47. 1991. Analgesic activity and respiratory effects of butor-
20. Riebold, T. W., D. R. Geiser, and D. O. Goble phanol in sheep. Res. Vet. Sci. 51: 19–23.
(eds.). 1995. Large Animal Anesthesia: Principles and
Techniques, 2nd ed. Iowa State Univ. Press, Ames, Iowa. Received for publication 30 November 2000