|
|
||||||||
1 Colorado Division of Wildlife, Wildlife Research Center, 317 West Prospect Road, Fort Collins, Colorado 80526, USA
2 Wildlife Pharmaceuticals Incorporated, 1401 Duff Drive, Fort Collins, Colorado 80522, USA
3 Corresponding author (email: lisa.wolfe{at}state.co.us)
| ABSTRACT |
|---|
|
|
|---|
Key words: A-3080, chemical immobilization, Colorado, mule deer, naltrexone, Odocoileus hemionus, opioid narcotics, thiafentanil, xylazine.
| INTRODUCTION |
|---|
|
|
|---|
Thiafentanil oxalate (A-3080), a highly potent opioid anesthetic, has been used in Rocky Mountain elk (Cervus elaphus nelsoni; Stanley et al., 1988a), impala (Aepyceros melampus; Janssen et al., 1993), and pronghorn (Antilocapra americana; Kreeger et al., 2001). As with carfentanil and the other opioids used in wildlife capture, thiafentanils effects are quickly antagonized with naltrexone. However, thiafentanil offers two important potential advantages over carfentanil. Compared with carfentanil, thiafentanil has a significantly shorter duration of action but is only slightly less potent (Stanley et al., 1988b; Janssen et al., 1991). Moreover, thiafentanil apparently offers a greater margin of safety than carfentanil: in a domestic ferret (Mustella putorius furo) laboratory model, the therapeutic index of thiafentanil was about 4x higher than the therapeutic index for carfentanil (48 vs. 16; Stanley et al., 1988b). Here, we report data from laboratory and field studies evaluating thiafentanil and thiafentanil in combination with xylazine HCl in immobilizing mule deer (Odocoileus hemionus).
| MATERIALS AND METHODS |
|---|
|
|
|---|
Experimental assessment
For experimental assessment, we used 10 captive adult (>1 yr old) mule deer held at the Colorado Division of Wildlifes Foothills Wildlife Research Facility (Fort Collins, Colorado). All deer were uniquely identified by marked plastic ear tags or collars. Eight of these deer were weighed on a calibrated scale prior to the study; we estimated weights of the other two deer that could not be worked on the scale by visual comparisons to deer of known weight.
Our experiment had a balanced, crossover design. We randomly assigned each deer to one of two thiafentanil dose treatments: one treatment was the study protocol dose (0.1 mg/kg), and the other treatment was 2x the protocol dose (0.2 mg/kg). The latter treatment was used to aid in assessing margin of safety. For both treatments, thiafentanil was antagonized by naltrexone (100 mg/mg thiafentanil). Treatment assignments were switched for the second half of the experiment so that each animal eventually received both treatments. The first half of the crossover was run on day 0, and the second half was run 14 days later. All trials were conducted during October 2001.
Thiafentanil was delivered intramuscularly (IM) via single-use, 1- or 2-ml 13-mm-diameter darts equipped with gel-collared 32-mm-long needles (Pneu-dart, Williamsport, Pennsylvania, USA) shot from a CO2-powered rifle (DanInjectTM, Wildlife Pharmaceuticals). We recorded induction (elapsed time from dart placement until deer was recumbent) to the nearest 0.1 min. Once recumbent, the animal was briefly examined, blindfolded, and given 5 ml penicillin suspension (penicillin G benzathine and penicillin G procaine, G.C. Handford Manufacturing Company, Syracuse, New York, USA) to prevent dart site infection. We measured and recorded heart rate, respiration rate, and rectal temperature at 3-min intervals. Animals were reversed 15 min postinduction with the study protocol dose and route of naltrexone (100 mg/mg thiafentanil): 25% of the naltrexone dose was given intravenously (IV) and the other 75% subcutaneously (SC). We recorded recovery (elapsed time from injection of antagonist to when the deer was walking on its own) to the nearest 0.1 min. Deer were observed daily for adverse side effects for 14 days after each treatment.
Field assessment
To evaluate thiafentanil alone for capturing deer under field conditions, we immobilized 10 free-ranging adult mule deer with 7 mg thiafentanil (six deer) or 10 mg thiafentanil (four deer). Deer weights were estimated by averaging weights from the captive deer study. Thiafentanil was delivered in 1-ml single-use darts (Pneu-dart) via a CO2-powered rifle (Dan-Inject) as in the laboratory study. Induction was recorded to the nearest 0.1 min. Once recumbent, the animal was examined, blindfolded, and given 5 ml combined penicillin suspension to prevent dart site infection. Each deer was marked with a unique metal ear tag and weighed with a suspended scale. Heart rate, respiration rate, and body temperature were measured at 3-min intervals and recorded. We reversed deer 15 min postinduction with naltrexone; the dose was divided into 100 mg IV and 200250 mg SC. Recovery was recorded to the nearest 0.1 min.
In conjunction with other field studies (e.g., Wolfe et al., 2002) conducted April 2001 to April 2002, we used thiafentanil in combination with xylazine HCl (100 mg/ml, various sources) for mule deer capture. In these captures, drugs were delivered to free-ranging mule deer in 2-ml single-use darts (Pneu-dart) with 32-mm barbed or gel-collared needles or in 2-ml transmitter darts (Pneu-dart) with 32-mm barbed needles. All darts were fired from a CO2-powered rifle (Daninject). We used various combinations of thiafentanil and xylazine for capture (Table 1
). When feasible, we recorded induction as above. Heart rate, respiration rate, and rectal temperature were measured and recorded at least once during handling. These deer were marked with metal ear tags and either plastic ear tags, a radio collar, or a plastic collar. Thiafentanil immobilization was reversed with naltrexone administered (SQ, IV, or both) as a split dose in most cases. Yohimbine HCl (1520 mg IV) (Antagonil®, Wildlife Pharmaceuticals) was used to reverse xylazine. Recovery was recorded as above. All deer were monitored for adverse effects during handling procedures, and 25 deer with radio collars also were rechecked 1, 7, and 30 days after capture.
|
=0.05 to assess statistical significance. For field studies, we had no a priori hypotheses; consequently, we report only means and 95% confidence intervals (CI) on measured times and rates. | RESULTS |
|---|
|
|
|---|
All 10 captive mule deer were successfully immobilized with either the recommended or 2x-recommended thiafentanil doses. Both doses produced rapid induction and immobilization in all animals. Induction was shorter (P=0.013) for the 2x group (mean±SE, 1.9±0.2 min vs. 2.7±0.4 min). Reversals for both groups were rapid (recommended=0.9±0.1 min; 2x=1±0.1 min) and did not differ (P=0.29). Pulse (recommended=66±8 beats/min; 2x=71±8 beats/min), respiration (recommended=29±3 breaths/min; 2x=29±2 breaths/min), and maximum rectal temperatures (recommended=39.5±0.2 C; 2x=39.6±0.3 C) did not differ between dose treatment groups (P
0.65). Immobilized deer showed typical opioid-induced muscle rigidity, kicking, odontoprisis (grinding teeth), and ptyalism (salivation); the combination of grinding and salivation often produced frothing around the mouth. None of the deer showed signs of renarcotization or adverse side effects during posttreatment observations. Three animals became hyperthermic (rectal temperatures >40.6 C) while immobilized, and one of these was recovered early; however, none of the three showed any long-term adverse effects.
Field assessment
Of the 10 free-ranging mule deer tested (six with 7 mg and four with 10 mg thiafentanil), induction was 2.3 min for both groups (95% CI: 7 mg=1.23.4 min; 10 mg=1.92.8 min). Mean reversal was 0.9 min (95% CI, 0.41.3 min) for deer immobilized with 7 mg thiafentanil and 0.6 min (95% CI, 0.021.2 min) for deer immobilized with 10 mg thiafentanil.
Of 165 free-ranging deer darted with various combinations of thiafentanil and xylazine, we successfully immobilized 148 (90%); 93 of 100 females and 55 of 65 males were successfully captured. Complete data sets were available for 116 of the free-ranging mule deer immobilized (Table 1
); we were unable to accurately measure induction for the remainder. Mean induction for the different drug combinations ranged from 2.1 to 4.9 min (Table 1
). All combinations produced immobilization adequate for routine handling and sampling. However, at lower doses of thiafentanil, higher doses of xylazine were required to produce adequate muscle relaxation needed for some procedures, and in some cases, we gave an additional 50 mg xylazine IV to facilitate sampling.
Comparisons were not made for reversal associated with specific thiafentanil:xylazine combinations because doses of naltrexone and yohimbine varied. Reversal with naltrexone or naltrexone plus yohimbine provided rapid recovery: overall, mean reversal was 1.9 min (95% CI, 1.72.1 min). Compared with recoveries from thiafentanil alone, the approximately 1-min delay in mean recovery was likely caused by the presence of xylazine. Naltrexone:thiafentanil ratios ranging from 10: 1 to 43:1 provided mean recoveries ranging from 1.5 to 2.3 min.
In general, deer remained stable during immobilization and recovered uneventfully. One animal showed signs of hyperthermia. Among 25 deer that were fitted with radio collars, there was no mortality 30 days or less postcapture. We failed to capture 17 deer (10 males and seven females) with various combinations of thiafentanil and xylazine (Table 1
). In two cases in which transmitter darts failed, darted deer were found dead 1 and 2 days later. No cause of death was found on necropsy at the Colorado State Diagnostic Laboratory (Fort Collins, Colorado). In two other cases, darted deer that eluded capture were seen more than 1 hr later and were recovering from the anesthetic. The fates of other deer that eluded capture were not determined.
| DISCUSSION |
|---|
|
|
|---|
Reversal with naltrexone or naltrexone plus yohimbine provided rapid recovery. Previous studies of opioid antagonism in wild ungulates have recommended using 100 mg naltrexone/mg opioid given (Miller et al., 1996; Kreeger et al., 2001), with the dose divided between IV and IM or SC routes. Although this regimen produced rapid recovery from thiafentanil immobilization in both captive and free-ranging deer, we also observed excellent recovery (1.22.6 min) with IV naltrexone doses as low as 100 mg (n=31). Naltrexone:thiafentanil ratios ranging from 10:1 to 43:1 provided rapid recoveries (1.52.3 min), suggesting that lower naltrexone doses are sufficient to antagonize thiafentanil immobilization in mule deer. Renarcotization was not observed in any of the deer. Although we did not have opportunities to explicitly reevaluate free-ranging deer for renarcotization, many were captured in urban areas where deer displaying signs of renarcotization would have been reported. Moreover, we have not observed renarcotization after use of low-dose naltrexone in captive mule deer immobilized subsequent to this study (L. L. Wolfe, unpubl. data).
Aside from muscle rigidity, which was managed by the addition of xylazine, the most common problems encountered were hyperthermia and failure to capture. However, we observed no other short- or long-term adverse effects even at twice the original recommended dose. Hyperthermia was rare (1 of 148 cases) in captured deer when thiafentanil was used in combination with xylazine. In the experimental assessment of thiafentanil alone, two of the three deer that became hyperthermic were excited and running before being darted. For the use of thiafentanil alone, we recommend caution when darting excited animals and in high ambient temperatures to avoid hyperthermia.
Deer that eluded capture appeared to exhibit excitatory behavior and started running 12 min after being darted. Some of these animals might have been under-dosed because of poor dart placement or incomplete injections. Despite exhaustive searches for downed animals, we were unable to locate deer, either because of the distances that they ran or thick cover. The two animals that were found dead were both darted in August, but necropsy results were inconclusive. Stanley et al. (1988a) reported recovery from thiafentanil immobilization in elk without antagonist; unassisted recovery also was observed in two mule deer from our field study. Among excitatory deer that we were able to track with transmitter darts, they often stopped running after becoming entangled in thick brush or encountering a solid object such as a fence or trailer. Similar observations were made in impala immobilized with thiafentanil (Janssen et al., 1993). Kilpatrick et al. (1997) reported a comparable (86%) recovery rate in deer darted with a ketamine:xylazine combination by transmitter darts; they concluded that capture failures were a result of poor shot placement, incomplete injection of drugs, or transmitter failure. On the basis of our experiences, we recommend the use of transmitter darts when darting deer with opioids to increase the likelihood both of finding animals that might manifest excitatory behavior and of retrieving missed darts. Our recommendation is tempered by experiences in which accurate darting in windy conditions or at long distances with transmitter darts was substantially compromised by the length and weight of the darts. Barbed transmitter darts also were more traumatic to deer than standard gel collar darts and could have contributed to darted deer running away in some cases.
On the basis of our field observations, overall reliability and effectiveness, drug volumes, and ease of handling drugged animals, we recommend the use of a combination of 1012 mg thiafentanil (0.150.2 mg/kg) and 100 mg xylazine to immobilize mule deer in situations in which rapid immobilization and recovery are needed. Immobilization produced by this thiafentanil:xylazine combination can be effectively reversed with 100 mg naltrexone or more and 15 mg yohimbine or more (both delivered IV).
| ACKNOWLEDGMENTS |
|---|
| LITERATURE CITED |
|---|
|
|
|---|
JANSSEN, D. L., J. L. ALLEN, J. P. RAATH, V. DE VOS, G. E. SWAN, D. JESSUP, AND T. H. STANLEY. 1991. Field studies with the narcotic immobilizing agent A-3080. In Proceedings of the American Association of Zoo Veterinarians, R. E. Junge (ed.). Calgary, Alberta, Canada, pp. 340342.
, G. E. SWAN, J. P. RAATH, S. W. MCJAMES, J. L. ALLEN, V. DE VOS, K. E. WILLIAMS, J. M. ANDERSON, AND T. H. STANLEY. 1993. Immobilization and physiologic effects of the narcotic A-3080 in impala (Aepyceros melampus). Journal of Zoo and Wildlife Medicine 24: 1118.
KILPATRICK, H. J., S. M. SPOHR, AND A. J. DENICOLA. 1997. Darting urban deer: Techniques and technology. Wildlife Society Bulletin 25: 542546.
KREEGER, T. J., W. E. COOK, C. A. PICHE, AND T. SMITH. 2001. Anesthesia of pronghorns using thiafentanil or thiafentanil plus xylazine. Journal of Wildlife Management 65: 2528.
, J. M. ARNEMO, AND J. P. RAATH. 2002. Handbook of wildlife chemical immobilization. International Edition. Wildlife Pharmaceuticals Inc., Fort Collins, Colorado, 412 pp.
LANCE, W. R. 1991. New pharmaceutical tools for the 1990s. In Proceedings of the American Association of Zoo Veterinarians, R. E. Junge (ed.). Calgary, Alberta, Canada, pp. 354359.
MILLER, M. W., M. A. WILD, AND W. R. LANCE. 1996. Efficacy and safety of naltrexone hydrochloride for antagonizing carfentanil citrate immobilization in captive Rocky Mountain elk (Cervus elaphus nelsoni). Journal of Wildlife Diseases 32: 234239.[Abstract]
STANLEY, T. H., S. MCJAMES, J. KIMBALL, J. D. PORT, AND N. L. PACE. 1988a. Immobilization of elk with A-3080. Journal of Wildlife Management 52: 577581.
, J. D. PORT, N. PACE, M. KIMBLE, AND S. MCJAMES. 1988b. Chemical immobilization using new high potency opioids and other drugs and drug combinations with high therapeutic indices. US Army Armament Munitions Chemical Command, Chemical Research Development & Engineering Center, CRDEC-CR-88077, Aberdeen Proving Ground, Maryland, pp. 122.
THORNE, E. T. 1982. Agents used in North American ruminant immobilization. In Chemical immobilization of North American wildlife, L. Nielsen, J. C. Haigh, and M. E. Fowler (eds.). Wisconsin Humane Society Inc., Milwaukee, Wisconsin, pp. 304334.
WOLFE, L. L., M. M. CONNER, T. H. BAKER, V. J. DREITZ, K. P. BURNHAM, E. S. WILLIAMS, N. T. HOBBS, AND M. W. MILLER. 2002. Evaluation of antemortem sampling to estimate chronic wasting disease prevalence in free-ranging mule deer. Journal of Wildlife Management 66: 564573.
Received for publication 20 March 2003.
This article has been cited by other articles:
![]() |
L. L. Wolfe and M. W. Miller Suspected Secondary Thiafentanil Intoxication in a Captive Mountain Lion (Puma concolor) J. Wildl. Dis., October 1, 2005; 41(4): 829 - 833. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |