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Lookup NU author(s): Henri Bertrand,
Emeritus Professor Paul FlecknellORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Background: This study assessed the effects of sedation using a combination of fentanyl, midazolam and medetomidine in comparison to ketamine. Rhesus Macaques (Macaca mulatta), (n = 16, 5 males and 3 females randomly allocated to each treatment group) received either ketamine (KET) (10 mg.kg-1) or fentanyl-midazolam-medetomidine (FMM) (10 mu g/kg(-1); 0.5 mg.kg(-1); 20 mu g.kg(-1)) both IM. Oxygen (100 %) was provided by mask and heart rate, blood pressure, respiratory rate, EtCO2 and depth of sedation were assessed every 5 min for 20 min. After the last time point, FMM monkeys were reversed with atipamezole-naloxone (0.2 mg.kg(-1); 10 mu g.kg(-1)). Recovery was scored using clinical scoring scheme. Differences in physiological parameters and quality of sedation were compared using Area Under the Curve (AUC) method and either Mann-Witney or t-student tests.Results: Heart rate (beats/min) (Ket = 119 +/- 18; FMM = 89 +/- 17; p = 0.0066), systolic blood pressure (mmHg) (Ket = 109 +/- 10; FMM = 97 +/- 10; p = 0.0313), and respiratory rate (breaths/min) (Ket = 39 +/- 9; FMM = 29 +/- 10; p = 0.0416) were significantly lower in the FMM group. End-tidal CO2 (mmHg) did not differ between the groups (KET = 33 +/- 8; FMM = 42 +/- 11; p = 0.0462). Although some depression of physiological parameters was seen with FMM, the variables all remained within the normal ranges in both groups. Onset of a sufficient degree of sedation for safe handling was more rapid with ketamine (KET = 2.9 +/- 1.4 min; FMM = 7.9 +/- 1.2 min; p = 0.0009), but FMM recovery was faster (KET = 21.4 +/- 13.4 min; FMM = 9.1 +/- 3.6 min; p = 0.0379) and of better quality (KET = 1.3 +/- 0.9; FMM = 7.4 +/- 1.9; p = 0.0009) most probably because of the effectiveness of the reversal agents used.Conclusion: FMM provides an easily reversible immobilization with a rapid and good recovery quality and may prove a useful alternative to ketamine.
Author(s): Bertrand HGMJ, Ellen YC, O'Keefe S, Flecknell PA
Publication type: Article
Publication status: Published
Journal: BMC Veterinary Research
Online publication date: 08/06/2016
Acceptance date: 03/06/2016
Date deposited: 11/07/2016
ISSN (electronic): 1746-6148
Publisher: BioMed Central Ltd
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