Post-Anesthetic Hypoxemia in Freshwater Fish
American Association of Zoo Veterinarians Conference 2000

Elizabeth J. Chittick1,2, DVM; Gregory A. Lewbart1,2, VMD, MS; Cliff Swanson1,3, DVM, MS, DACVA

1Environmental Medicine Consortium, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA; 2Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA; 3Department of Anatomy, Physiological Sciences, and Radiology, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA


Abstract

In a previous study evaluating the physiologic effects of MS222 and eugenol anesthesia in freshwater fish, hypoxemia was noted in five pacu (Piaractus brachypomus) 1 h after recovery. Our study evaluates this phenomenon in tilapia (Oreochromis niloticus). Tilapia weighing 458–830 g were housed in a North Carolina State University (NCSU) fish production facility and maintained with adequate nutrition and water quality. All holding, anesthetic, and recovery tanks were aerated and supplied with water from the original fish tanks. Six fish were anesthetized with tricaine methanesulfonate, 200 mg/L (MS222, Argent, Redmond, WA), and six with eugenol, 200 mg/L (Sigma, St. Louis, MO) until ventilation ceased, or a 10-min immersion in anesthetic was completed, whichever came first. Blood gases were collected from the caudal vein using lithium heparin Micro ABG syringes (Marquest Medical Products, Englewood, CO) before and during anesthesia, and 1 h into recovery. Samples were analyzed within 1 min after collection using EG7+ cartridges (i-STAT Corporation, East Windsor, NJ) in an i-STAT portable clinical analyzer (Heska, Waukesha, WI). Dissolved oxygen and temperature of the water were recorded at each sampling using a YSI dissolved oxygen meter (YSI Incorporated, Yellow Springs, OH). The pH and blood gas values were corrected to body temperature which was assumed to be equal to the ambient water temperature at the time of blood sampling. Given the disparity of water oxygen saturation between sample collections, partial pressure of oxygen in the water (PwO2) was calculated and used to express the ratio of sample venous partial pressure of oxygen (PvO2) to PwO2. This ratio, which we termed the venous blood oxygen index (VBOI), standardized comparisons within individuals and between groups. Statistical analysis included two-way analysis of variance and Tukey’s post hoc test for differences between groups. A P value ≤0.05 was used to define statistical significance.

Venous blood oxygen index values decreased significantly (P<0.001) during anesthesia and recovery, regardless of the anesthetic agent used (Table 1). Neither anesthetic group recovered to their pre-anesthetized oxygenated state after experiencing hypoxemia during anesthesia (P<0.001). Recovery of VBOI toward the pre-anesthesia value tended to be more complete after 1 h in tilapia anesthetized with MS222 (88.7% of pre-anesthesia value) than in tilapia anesthetized with eugenol (55.8% of pre-anesthesia value), however, this difference was not statistically significant. Factors affecting PvO2 at a given FIO2 include minute ventilation, gas exchange efficiency at the respiratory interface, cardiac output, and oxygen extraction supporting tissue metabolism. Prolonged hypoxemia can have detrimental, if not life-threatening, effects on fish. Further research is currently being conducted to evaluate post-anesthetic hypoxemia and its related factors in other freshwater fish species.

Table 1. Venous blood oxygen index (VBOI) responses in tilapia anesthetized with MS222 or eugenol

Anesthetic agent

Sampling period

n

VBOI

% of pre-anesthetic mean

 

Mean

SEM

Median

 

MS222 and eugenola

Pre-anesthesia

12

0.113

0.012

0.117

During anesthesia

12

0.043b

0.004

0.039

38.1

Recovery (1 h)

12

0.080bc

0.008

0.080

70.8

MS222

Pre-anesthesia

6

0.106

0.014

0.103

During anesthesia

6

0.042b

0.003

0.040

39.6

Recovery (1 h)

6

0.094bc

0.012

0.090

88.7

Eugenol

Pre-anesthesia

6

0.120

0.021

0.124

During anesthesia

6

0.043b

0.007

0.037

35.8

Recovery (1 h)

6

0.067bc

0.006

0.064

55.8

aEither drug, 200 mg/L in freshwater
bSignificantly different from pre-anesthesia value (P<0.001)
cSignificantly different from anesthesia value (P<0.001)

Acknowledgments

The authors thank Maureen Trogdon, Dennis Delong, Jonathan Bridges, Dr. Anthony Blikslager, Dr. Neil Blair, and Dr. Michael Stoskopf for their assistance with and support for this study.

 

Speaker Information
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Elizabeth J. Chittick, DVM
Environmental Medicine Consortium
North Carolina State University
Raleigh, NC, USA

Department of Clinical Sciences
College of Veterinary Medicine
North Carolina State University
Raleigh, NC, USA


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