Propofol-medetomidine-ketamine total intravenous anaesthesia in thiafentanil-medetomidine immobilised impala (Aepyceros melampus)

dc.contributor.advisorZeiler, Gareth Edwarden
dc.contributor.coadvisorTordiffe, Adrian Stephen Wolferstanen
dc.contributor.emailroxannebuck88@gmail.comen
dc.contributor.postgraduateBuck, Roxanne Kateen
dc.date.accessioned2016-06-22T08:00:46Z
dc.date.available2016-06-22T08:00:46Z
dc.date.created2016-04-21en
dc.date.issued2015en
dc.descriptionDissertation (MSc)--University of Pretoria, 2015.en
dc.description.abstractObjective To characterise a propofol-medetomidine-ketamine total intravenous anaesthetic protocol in impala (Aepyceros melampus). Study design Prospective clinical study. Animals Ten adult female impala, weighing 39 (±4) kg. Materials and methods Impala were immobilised with 2 mg thiafentanil and 2.2 mg medetomidine via projectile darts. Propofol was given to effect (0.5 mg kg-1 boluses) to allow endotracheal intubation, following which oxygen was supplemented at 2 L min-1. Anaesthesia was maintained with a constant rate infusion of medetomidine and ketamine at 5 ?g kg-1 h-1 and 1 mg kg-1 h-1, respectively, and propofol to effect (initially 0.2 mg kg-1 min-1) for a period of 120 minutes. The propofol infusion was titrated according to reaction to nociceptive stimuli every 15 minutes. Cardiopulmonary parameters were monitored continuously and arterial blood gas samples analysed intermittently. At 120 minutes maintenance the thiafentanil and medetomidine were antagonised using naltrexone (10:1 thiafentanil) and atipamezole (5:1 medetomidine), respectively, and recoveries scored. Results All impala were successfully immobilised, with a median (IQR) time to recumbency of 9.6 (7.2-14.4) minutes. The median (IQR) dose of propofol required for intubation was 2.7 (1.9-3.3) mg kg-1. The propofol-medetomidine-ketamine combination ensured recumbency for the 120 minute period. Propofol titration showed an erratic downward trend; a minimum infusion rate was not determined. Heart rate, respiratory rate and arterial blood pressure were well maintained. Arterial blood gas analysis indicated marked hypoxaemia, hypercapnia and acidosis. All impala regurgitated frequently during the maintenance period. Recovery was calm and rapid in all animals. Median (IQR) time to standing from antagonist administration was 9.4 (8.2-10.6) minutes. Conclusions and clinical relevance A propofol-medetomidine-ketamine combination can provide adequate anaesthesia for invasive procedures in impala for up to 120 minute duration. The propofol infusion should begin at 0.2 mg kg-1 min-1 and be titrated to clinical effect. Oxygen supplementation and airway protection with a cuffed endotracheal tube are essential.en
dc.description.degreeMScen
dc.description.departmentCompanion Animal Clinical Studiesen
dc.description.librariantm2016en
dc.identifier.citationBuck, RK 2015, Propofol-medetomidine-ketamine total intravenous anaesthesia in thiafentanil-medetomidine immobilised impala (Aepyceros melampus), MSc Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/53318>en
dc.identifier.otherA2016en
dc.identifier.urihttp://hdl.handle.net/2263/53318
dc.language.isoenen
dc.publisherUniversity of Pretoriaen_ZA
dc.rights© 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.en
dc.subjectUCTDen
dc.titlePropofol-medetomidine-ketamine total intravenous anaesthesia in thiafentanil-medetomidine immobilised impala (Aepyceros melampus)en
dc.typeDissertationen

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Buck_Propofol_2015.pdf
Size:
1.99 MB
Format:
Adobe Portable Document Format
Description:
Dissertation