Use of Medetomidine in Chemical Restraint Protocols for Captive African Rhinoceroses
American Association of Zoo Veterinarians Conference 2008
Scott B. Citino, DVM, DACZM
White Oak Conservation Center, Yulee, FL, USA

Abstract

A wide variety of drugs or drug combinations have been used for anesthesia or chemical restraint of captive and free-ranging black (Diceros bicornis) and white rhinoceroses (Ceratotherium simum).2,3,8-10 Most of these anesthetic protocols utilize a potent opioid, such as etorphine, along with an alpha-2-adrenoreceptor agonist, such as xylazine or detomidine, or a neuroleptic such as azaperone or acetylpromazine.3,8,10 Recently, chemical restraint protocols utilizing the mixed opioid agonist-antagonist, butorphanol, have become useful and advantageous, particularly in the white rhinoceros.2,9,10 The potent, selective, and highly specific alpha-2-adrenoreceptor agonist, medetomidine, has been a useful drug to incorporate into anesthetic protocols for many wildlife species.1,4-7,11 Medetomidine is a potent sedative and analgesic with anxiolytic properties and has been shown to provide good muscle relaxation with minor physiologic changes in several species.7,11

Etorphine (1.71±0.35 µg/kg) was used with medetomidine (2.48±0.38 µg/kg; 21 procedures) or medetomidine-midazolam (3.16±0.60 µg/kg–20.9±2.0 µg/kg; 13 procedures) in eight black rhinoceros for in-facility transport, electroejaculation, dental extraction, endoscopy, and other clinical procedures. Supplemental drugs used to maintain chemical restraint included ketamine, medetomidine, etorphine, and guaifenesin 5% in dextrose. Chemical restraint was reversed with naltrexone (119±28 µg/kg) and atipamezole (14.7±3.8 µg/kg).

Butorphanol (63.7±1.2 µg/kg was used with medetomidine (2.64±0.17 µg/kg; eight procedures) in six white rhinoceros for electroejaculation, endoscopy, ophthalmic surgery, and other clinical procedures. Supplemental drugs used to maintain chemical restraint included ketamine, butorphanol, medetomidine, and guaifenesin 5% in dextrose. Chemical restraint was reversed with naltrexone (233±29 µg/kg) and atipamezole (28.3±2.9 µg/kg).

The addition of medetomidine to chemical restraint protocols for captive African rhinoceroses appears to improve muscle relaxation and analgesia and reduce the need for supplementation during long procedures, while maintaining clinically acceptable cardiopulmonary physiology.

Literature Cited

1.  Ancrenaz, M., S. Ostrowski, S. Anagariyah, and A. Delhomme. 1996. Long-duration anaesthesia in Arabian oryx (Oryx leucoryx) using a medetomidine-etorphine combination. J. Zoo Wildl. Med. 27:209–216.

2.  Bush, M.R., S.B. Citino, and D. Grobler. 2005. Improving cardio-pulmonary function for a safer anesthesia of white rhinoceros (Ceratotherium simum): use of opioid cocktails to influence receptor effects. Proc. Am. Assoc. Zoo Vet., Am. Assoc. Wildl. Vet., and Nutr. Adv. Group, Pp. 259–260.

3.  Bush, M., J.P. Raath, D. Grobler, and L. Klein. 2004. Severe hypoxaemia in field-anaesthetised white rhinoceros (Ceratotherium simum) and effects of using tracheal insufflation of oxygen. J. South Afr. Vet. Assoc. 75:79–84.

4.  Citino, S.B., M. Bush, D. Grobler, and W.R. Lance. 2001. Anesthesia of roan antelope (Hippotragus equinus) with a combination of A3080, medetomidine, and ketamine. J. South Afr. Vet. Assoc. 72:29–32.

5.  Citino, S.B., M. Bush, D. Grobler, and W.R. Lance. 2002. Anesthesia of boma-captured Lichtenstein’s hartebeest (Sigmoceros lichtensteinii) with a combination of thiafentanil, medetomidine, and ketamine. J. Wild. Dis. 38:457–462.

6.  Citino, S.B., M. Bush, W. Lance, M. Hofmeyr, and D. Grobler. 2006. Use of thiafentanil (A3080), medetomidine, and ketamine for anesthesia of captive and free-ranging giraffe (Giraffa camelopardalis). Proc. Am. Assoc. Zoo Vet. Tampa, Florida, Pp. 211–213.

7.  Jalanka, H.H., and B.O. Roeken. 1990. The use of medetomidine, medetomidine-ketamine combination and atipamezole in non-domestic animals: a review. J. Zoo Wildl. Med. 21:259–282.

8.  Portas, T.J. 2004. A review of drugs and techniques used for sedation and anaesthesia in captive rhinoceros species. Aust. Vet. J. 82:542–549.

9.  Radcliffe, R.W., S.T. Ferrell, and S.E. Childs. 2000. Butorphanol and azaperone as a safe alternative for repeated chemical restraint in captive white rhinoceros (Ceratotherium simum). J. Zoo Wildl. Med. 31:196–200.

10.  Radcliffe, R.W., and P. Morkel. 2007. Rhinoceroses. In: West, G., D. Heard, and N. Caulkett (eds.). Zoo Animal and Wildlife Immobilization and Anesthesia. Blackwell Publishing, Ames, Iowa. Pp. 543–566.

11.  Virtanen, R. 1989. Pharmacological profiles of medetomidine and its antagonist, atipamezole. Acta Veterinaria Scandinavica. 85:29–37.

 

Speaker Information
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Scott B. Citino, DVM, DACZM
White Oak Conservation Center
Yulee, FL, USA


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