! The best anaesthesia is the one you have experience with!
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1 WILDLIFE CHEMICAL CAPTURE AND ANAESTHESIA II! C. Walzer! Research Institute of Wildlife Ecology! University of Veterinary Medicine, Vienna, Austria! Wisdom 1! The best anaesthesia is the one you have experience with! Introduction! Considerations prior to capture! High therapeutic index! Potent - low volume! Rapid onset - min. excitment! Good muscle relaxation! Antagonists available! Long shelf-life! Species - determines drug choice and doses. Know the species! Sex! Age! Weight! Seasonal variations! Excitement! 1!
2 Potent - low volume! Drug combinations! Soehrings law! Resorbtion per time unit is inversely proportional to the concentration and the applied injection volume! + Dose reduction - adverse effects reduced! + Shorter induction phase! + Smoother awakening! - Difficult to assess individual component effects! - Dose calculation! - Adverse effects increased! Ethorphine mg / kg Xylazin mg / kg 2!
3 Dose calculation! Never memorize a drug dose! When you are not sure do not apply! Paper, pencil and calculator! Careful when you have! bad feeling! Take your time! Sedation! Long-Acting Neuroleptics! Neuromuscular blocking drugs! Neuromuscular blocking drugs! Curare - typifies this group! Three classes! Depolarizing! Non-depolarizing or competitive! Ganglionic! Depolarizing! Succinylcholine, suxamethonium! Competitive! Gallamine, Tubocurarine, Atracrium! Antagonists: Physostigmine, neostigmine! Ganglionic! Nicotine (Cap-Chur-Sol ) - lethal!! 3!
4 Neuroleptanalgesia! Neuroleptanalgesia! Combination of a neuroleptic Alpha-2 agonist tranquilizer with a analgetic and kataleptic Cyclohexane! Alpha-2: xylazine, detomidine, romifidine, medetomidine, dexmedetomidine! Cyclohexanes: phencylidine, ketamine, tiletamine,! Ketamine Hydrochloride! Xylazine (alpha-2 inhibits norepinephrine release)! Hellabrunner Mischung! Ketamin 10 mg / Kg Kgw + Xylazin 2 mg Kg Kgw.! Hellabrunner Mix! 500 mg Rompun TS (Xylazine) disolved with! "4 ml 10 % Ketamine! 1 ml mix contains?! 125 mg Xylazin! 100 mg Ketamin "! 4!
5 HBM / Xylazine Antagonisten! Yohimbin 0,25-0,3 mg / Kg Kgw.! Atipamezole (Antisedan ) 1 mg / 10 mg Xylazine! 4-amino-pyridin! Tolazolin! Medetomidine + Ketamine! Medetomidine Alpha - 2 adrenoceptor Agonist! Similar to Xylazine! New Generation! Enhanced action! Medetomidine + Ketamine! Medetomidine is available as:! Dormitor 1 mg / ml! Zalopine 10 mg / ml! Experimental 40 mg/ml! 5!
6 Medetomidine Antagonist! Atipamezole (Antisedan ): 5 mg /ml! 5 mg / 1 mg Medetomidine! Medetomidine + Ketamin! Very useful for ungulates! Gazelles und Antelopes! Equids Alternative for ethorphine! Careful in bears - spontaneous arrousal! Dose ug / Kg Kgw. + 1,5 mg / Kg / Kgw. Ketamine! 6!
7 Other combinations! Tiletamine - Zolazepam - Medetomidine! Detomidine - Buthorphanol - Ethorphine + Tiletamine-Zolazepam! Other combinations_bam! Tiletamine - Zolazepam! BAM a mixture of Butorphanol, Azaperone and Medetomidine! Completely reversible anesthesia! excellent muscle relaxation, analgesia, relaxed respiration and no hyperthermia! mule deer and white tail deer.! Also a Neuroleptanalgesia! Used since the 1960s in the USA! Since the 1980s in Europe - but not as popular! Tiletamine - Zolazepam! Available under various product names:! Zoletil 500 und 100 mg TS! Tilest! Telazol! Dosage / kg always is a combination of! mg Tiletamine + mg Zolazepam! After Schobert 1987! 7!
8 Tiletamine - Zolazepam! 5 mg / Kg Kgw. Tiletamine Zolazepam means :! 2,5 mg Tiletamine + 2,5 mg Zolazepam / Kg Kgw.! Tiletamine Zolazepam! Excellent for emergencies! Very short induction time! Large therapeutic index! Can be used in just about all species! 10 mg / Kg Kgw! 8!
9 Vienna Mix! Benzodiazepine Antagonist! 500 mg Rompun TS with 5 ml 10 % Tiletamin - Zolazepam Lsg. Auflösen! Sarmazenil (Sarmasol ) : 0,05-0,1 mg /Kg! Flumazenil (Anexate ): 1 mg / 25 mg BDZ! Per ml 100 mg Xylazin and 100 mg TZ! Walzer, C. and Huber, C. Partial antagonism of Tiletamine-Zolazepam anaesthesia in cheetahs (Acinonyx jubatus): a comparison of Flumazenil and Sarmazenil. J. of Wildl. Dis. 2002; 38: ! Tiletamine - Zolazepam - Medetomidine! Very useful in many species but especially in carnivores - bears:! ug Medetomidine mg/kg TZ! 500 mg T-Z with 3mg medetomidine (3 ml Dormitor )! 9!
10 Opioids! Ethorphine Potency (based on rat data)! From poppy flower (Papaver somniferum)! Most anaesthetics derived from Morphine und Thebaine! Fentanyl, Ethorphine, Carfentanil! Morphine 1! Fentanyl 50! Ethorphine 750! Carfentanil 1000! Ethorphine + ACP + (alpha-2)! Large Animal Immobilon (C-Vet): 2,45 mg / ml Ethorphine + 10 mg / ml ACP! M-99: 2,45 mg / ml oder 9,8 mg / ml! Ethorphine! 10!
11 Ethorphine + ACP + (alpha-2)! Ethorphine Human Emergency! NB! Human toxicity! Keep calm - get help! Wash contaminated area - use gloves! Naltrexone PO! Naltrexone od. Naloxon IV - IM! Repeat till effective! IV port! Remember ABC s! Ethorphine Emergency! NEVER USE! DIPHRENORHINE! IN HUMANS!!! Ethorphine! Ethorphine can be used orally! In honey bait for Brown / black Bears! Antagonise and apply TZ!! Dosage cannot be controlled in oral applications! 11!
12 Ethorphine Antagonists! Ethorphine Antagonists! Diprenorphine (Revivon ): 2 x the Ethorphine Dose! Naltrexone (Trexonil, Revia ): 20 mg / mg Ethorphine! Naloxon (Narcanti ): 0,04 mg / kg IM/IV/SQ! Naltrexone can be given intranasally! Emergency - Cardio-pulmonary depression or arrest! Primates! Ethorphine Antagonists! Ethorphine - Wisdom! NB! Enterohepatic cycle with possible Renarcotisation after 8-12 hrs.! Use naltrexone - long half-life! Ethorphine solo can not be recomended! Catalepsia - significant muscle rigidity and cramping! Ethorphine - Wisdom 2! The therapeutic index is narrow in some species! Elephant! Rhino - especially white rhino! Hippo dive reflex! 12!
13 Opioid agonist-antagonist! Kappa-receptor Agonist! Mu-receptor Antagonist! Buthorphanol! Use this in combo in all equids, rhinos, tapir! Detomidine - Buthorphanol - Ethorphine + Tiletamine-Zolazepam! Always use the partial antagonist with ethorphine! Reduces respiratory depression! Very smooth! Less pacing! Detomidine - Buthorphanol - Ethorphine + Tiletamine-Zolazepam! Gas Anaesthesia! Gas can provide a useful addition to injectable protocols! Halothane! Isoflurane! Sevoflurane! 13!
14 Gas equipment for larger animals! can be cumbersome!! - and cylinders heavy!! - or even unavailable! 14!
15 Dormouse! honestly! ANAESTHETIC MONITORING & FLUID THERAPY! GUIDELINE ANAESTHETIC DOSE RATES (mg/ kg) FOR CARNIVORES! Agent! Small spp.! < 10kg! Medium spp kg! Large spp. >100kgs! Medetomidine + ketamine! g mg! g + 2-4mg! g + 2-3mg! Ketamine +! xylazine! 10-20mg + 1-2mg! 8-10mg mg! OR! 2-4mg +2-3mg! 5-8mg mg! OR! 2-4mg +2-3mg! Tiletamine +! Zolazepam! (TZ)! 5-15mg! (Total mgs of T +Z)! 3-10mg! (Total mgs of T +Z)! 2-5mg! (Total mgs of T +Z)! Medetomidine + TZ! g mg! g +! 0.5-3mg! g +! 0.5-3mg! 15!
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