Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids

Etorphine is widely used in zoological medicine for the immobilization of large herbivores. All reported immobilization protocols for kulans use etorphine as the primary immobilizing agent. However, etorphine can trigger severe side effects and is highly toxic for humans, its availability is occasio...

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Main Authors: Julia Bohner, Johanna Painer, Denyse Bakker, Anna Jean Haw, Hanna Rauch, Eva Maria Greunz, Beate Egner, Frank Goeritz
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2022.885317/full
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author Julia Bohner
Julia Bohner
Johanna Painer
Denyse Bakker
Anna Jean Haw
Hanna Rauch
Eva Maria Greunz
Beate Egner
Frank Goeritz
author_facet Julia Bohner
Julia Bohner
Johanna Painer
Denyse Bakker
Anna Jean Haw
Hanna Rauch
Eva Maria Greunz
Beate Egner
Frank Goeritz
author_sort Julia Bohner
collection DOAJ
description Etorphine is widely used in zoological medicine for the immobilization of large herbivores. All reported immobilization protocols for kulans use etorphine as the primary immobilizing agent. However, etorphine can trigger severe side effects and is highly toxic for humans, its availability is occasionally limited for use in wildlife medicine. Therefore, two different alpha-2 agonist-based protocols for the general anesthesia of kulans were investigated and compared with the standard etorphine immobilization. In total, 21 immobilizations were performed within the scope of routine husbandry management at the Serengeti-Park Hodenhagen. Kulans were darted using a ketamine–medetomidine–midazolam–butorphanol (KMMB) protocol (n = 8, treatment group (TG) 1), a tiletamine–zolazepam–medetomidine–butorphanol (TZMB) protocol (n = 7, treatment group (TG) 2), or an etorphine–acepromazine–detomidine–butorphanol (EADB) protocol (n = 6, control group). Vital parameters included heart rate, respiratory rate, arterial blood pressure (invasive), end tidal CO2 (etCO2), electromyography and core body temperature, which were all assessed every 10 min. For blood gas analysis, arterial samples were collected 15, 30, 45 and 60 min after induction. Subjective measures of quality and efficacy included quality of induction, immobilization, and recovery. Time to recumbency was longer for TG 1 (9.00 ± 1.67 min) and TG 2 (10.43 ± 1.79 min) compared to the induction times in the control group (5.33 ± 1.93 min). Treatment group protocols resulted in excellent muscle relaxation, normoxemia and normocapnia. Lower pulse rates combined with systolic arterial hypertension were detected in the alpha-2 agonist-based protocols. However, only in TZMB-immobilized kulans, sustained severe systolic arterial hypertension was observed, with significantly higher values than in the TG 1 and the normotensive control group. At 60 min following induction, medetomidine and detomidine were antagonized with atipamezole IM (5 mg/mg medetomidine or 2 mg/mg detomidine), etorphine and butorphanol with naltrexone IV (2 mg/mg butorphanol or 50 mg/mg etorphine), and midazolam and zolazepam with flumazenil IV (0.3 mg per animal). All three combinations provided smooth and rapid recoveries. To conclude, the investigated treatment protocols (KMMB and TZMB) provided a safe and efficient general anesthesia in kulans with significantly better muscle relaxation, higher respiration rates and improved arterial oxygenation compared with the immobilizations of the control group. However, the control group (EADB) showed faster recoveries. Therefore, EADB is recommended for ultra-short immobilizations (e.g., microchipping and collaring), especially with free-ranging kulans where individual recovery is uncertain, whereas the investigated treatment protocols are recommended for prolonged medical procedures on captive kulans.
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spelling doaj.art-bea4841986564ad6b11bd4569fe4a20e2022-12-22T03:47:49ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692022-08-01910.3389/fvets.2022.885317885317Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent OpioidsJulia Bohner0Julia Bohner1Johanna Painer2Denyse Bakker3Anna Jean Haw4Hanna Rauch5Eva Maria Greunz6Beate Egner7Frank Goeritz8Leibniz Institute for Zoo and Wildlife Research (IZW), Berlin, GermanySerengeti-Park Department of Research, Hodenhagen, GermanyDepartment of Integrative Biology and Evolution (FIWI), University of Veterinary Medicine Vienna, Vienna, AustriaLammermoor Veterinary Clinic, Krugersdorp, South AfricaBrain Function Research Group, Faculty of Health Sciences, School of Physiology, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Integrative Biology and Evolution (FIWI), University of Veterinary Medicine Vienna, Vienna, AustriaCenter of Zoo and Wild Animal Health, Copenhagen Zoo, Frederiksberg, DenmarkVeterinary Academy of Higher Learning (VAHL), Babenhausen, GermanyLeibniz Institute for Zoo and Wildlife Research (IZW), Berlin, GermanyEtorphine is widely used in zoological medicine for the immobilization of large herbivores. All reported immobilization protocols for kulans use etorphine as the primary immobilizing agent. However, etorphine can trigger severe side effects and is highly toxic for humans, its availability is occasionally limited for use in wildlife medicine. Therefore, two different alpha-2 agonist-based protocols for the general anesthesia of kulans were investigated and compared with the standard etorphine immobilization. In total, 21 immobilizations were performed within the scope of routine husbandry management at the Serengeti-Park Hodenhagen. Kulans were darted using a ketamine–medetomidine–midazolam–butorphanol (KMMB) protocol (n = 8, treatment group (TG) 1), a tiletamine–zolazepam–medetomidine–butorphanol (TZMB) protocol (n = 7, treatment group (TG) 2), or an etorphine–acepromazine–detomidine–butorphanol (EADB) protocol (n = 6, control group). Vital parameters included heart rate, respiratory rate, arterial blood pressure (invasive), end tidal CO2 (etCO2), electromyography and core body temperature, which were all assessed every 10 min. For blood gas analysis, arterial samples were collected 15, 30, 45 and 60 min after induction. Subjective measures of quality and efficacy included quality of induction, immobilization, and recovery. Time to recumbency was longer for TG 1 (9.00 ± 1.67 min) and TG 2 (10.43 ± 1.79 min) compared to the induction times in the control group (5.33 ± 1.93 min). Treatment group protocols resulted in excellent muscle relaxation, normoxemia and normocapnia. Lower pulse rates combined with systolic arterial hypertension were detected in the alpha-2 agonist-based protocols. However, only in TZMB-immobilized kulans, sustained severe systolic arterial hypertension was observed, with significantly higher values than in the TG 1 and the normotensive control group. At 60 min following induction, medetomidine and detomidine were antagonized with atipamezole IM (5 mg/mg medetomidine or 2 mg/mg detomidine), etorphine and butorphanol with naltrexone IV (2 mg/mg butorphanol or 50 mg/mg etorphine), and midazolam and zolazepam with flumazenil IV (0.3 mg per animal). All three combinations provided smooth and rapid recoveries. To conclude, the investigated treatment protocols (KMMB and TZMB) provided a safe and efficient general anesthesia in kulans with significantly better muscle relaxation, higher respiration rates and improved arterial oxygenation compared with the immobilizations of the control group. However, the control group (EADB) showed faster recoveries. Therefore, EADB is recommended for ultra-short immobilizations (e.g., microchipping and collaring), especially with free-ranging kulans where individual recovery is uncertain, whereas the investigated treatment protocols are recommended for prolonged medical procedures on captive kulans.https://www.frontiersin.org/articles/10.3389/fvets.2022.885317/fullzoological medicinewildlifekulanimmobilizationequinegeneral anesthesia
spellingShingle Julia Bohner
Julia Bohner
Johanna Painer
Denyse Bakker
Anna Jean Haw
Hanna Rauch
Eva Maria Greunz
Beate Egner
Frank Goeritz
Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids
Frontiers in Veterinary Science
zoological medicine
wildlife
kulan
immobilization
equine
general anesthesia
title Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids
title_full Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids
title_fullStr Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids
title_full_unstemmed Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids
title_short Immobilization of Captive Kulans (Equus hemionus kulan) Without Using Ultrapotent Opioids
title_sort immobilization of captive kulans equus hemionus kulan without using ultrapotent opioids
topic zoological medicine
wildlife
kulan
immobilization
equine
general anesthesia
url https://www.frontiersin.org/articles/10.3389/fvets.2022.885317/full
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