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Hansen, L. L., & Bertelsen, M. F. (2013). Assessment of the effects of intramuscular administration of alfaxalone with and without medetomidine in horsfield's tortoises (agrionemys horsfieldii). Veterinary Anaesthesia and Analgesia, 40(6), e68–e75. 
Added by: Admin (06 Jan 2014 18:24:32 UTC)
Resource type: Journal Article
DOI: 10.1111/vaa.12045
BibTeX citation key: Hansen2013
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Categories: General
Keywords: Schildkröten - turtles + tortoises, Testudinidae, Testudo horsfieldii, Untersuchungsmethoden - examination method, Veterinärmedizin - veterinary medicine
Creators: Bertelsen, Hansen
Collection: Veterinary Anaesthesia and Analgesia
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Abstract     
Testudinidae Testudo Objective To characterise four different intramuscular (IM) anaesthetic protocols, two with alfaxalone and two with alfaxalone in combination with medetomidine in terrestrial tortoises. Study design Blinded, randomized, cross-over experimental study. Animals Nine healthy adult male Horsfield's tortoises (Agrionemys horsfieldii). Methods Each tortoise was randomly assigned to one of four different protocols: 1) 10 mg kg−1 alfaxalone; 2) 10 mg kg−1 alfaxalone + 0.10 mg kg−1 medetomidine; 3) 20 mg kg−1 alfaxalone; and 4) 20 mg kg−1 alfaxalone + 0.05 mg kg−1 medetomidine. During the experiment, the following variables were recorded: heart rate; respiratory rate; peripheral nociceptive responses; muscle strength; ability to intubate; palpebral, corneal and tap reflexes; and cloacal temperature. Results Protocols 1 and 2 resulted in moderate sedation with no analgesia, and moderate to deep sedation with minimal analgesia, respectively. Protocols 3 and 4 resulted in deep sedation or anaesthesia with variable analgesic effect; these two protocols had the longest total anaesthetic time and allowed intubation in 6/9 and 8/9 tortoises respectively. The total anaesthesia/sedation time produced by alfaxalone was significantly increased (p < 0.05) by the addition of medetomidine. There were no significant differences regarding time to plateau phase and duration of plateau phase. Baseline heart rate of 53 ± 6 beats minute−1 decreased significantly (p < 0.05) with all protocols, and was lower (p < 0.05) in protocols 3 and 4. Heart rate increased after atipamezole administration, but the increase was transient. In two tortoises, extreme bradycardia with no cardiac activity for 10 minutes was observed with protocols 3 and 4. Conclusion and clinical relevance Alfaxalone 10 and 20 mg kg−1 IM can be used for sedation for non-painful procedures. Alfaxalone in combination with medetomidine can be used for deeper sedation or anaesthesia, but the observed respiratory and cardiovascular depression may limit its use.
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