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1 CERIGEFAS (Research Centre on Wildlife Management), Università degli Studi di Torino, Fraz.ne Rore, 17, 12020 Sampeyre (CN), Italy
2 Central Zoo, Jawalakhel, Lalitpur, P.O. Box No. 3712, Kathmandu, Nepal
3 Dipartimento di Produzioni Animali, Epidemiologia ed Ecologia, Università degli Studi di Torino, Via L. Da Vinci, 44, 10095 Grugliasco (TO), Italy
4 Dipartimento di Scienze Ambientali "G. Sarfatti", Università degli Studi di Siena, Via P.A. Mattioli, 4, 53100 Siena, Italy
5 Corresponding author (email: cerigefas{at}unito.it)
| ABSTRACT |
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| INTRODUCTION |
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Based on the available literature, Kreeger et al. (2002) recommended the combination of 1.5 mg/kg ketamine plus 0.09 mg/kg medetomidine, antagonized with atipamezole (Jalanka and Roeken, 1990). Alternative drugs include the following: 0.001 mg/kg carfentanil plus 0.01 mg/kg xylazine antagonized with naloxone plus yohimbine; a mixture of 2 mg etorphine plus 8 mg acepromazine and 10 mg xylazine antagonized with diprenorphine; or 2.2 mg/kg tiletamine plus 2.2 mg/kg zolazepam (Gray et al., 1974; Rapley and Mehren, 1975; Wiesner et al., 1982; Wiesner et al., 1984; Göltenboth and Klös, 1987; Jalanka and Roken, 1990; Allen et al., 1991). Wiesner (1977) reports the use of 100 mg xylazine plus 80 mg ketamine to immobilize adult Himalayan tahr in captivity. The chemical capture of Himalayan tahr is poorly documented, with anesthetic dosages only derived from work with animals in zoological collections.
The present study was carried out within an international framework (Scientific and Technological Research in Himalaya and Karakorum [Ev-K2-CNR] and the Royal Nepal Academy of Science and Technology [RONAST]) which, beyond its scientific intent, aims to train local professionals in capture and field management operations. The objective of this study was to evaluate the effects of predetermined xylazine and ketamine combinations to be administered irrespective of differences in body weight. Moreover, in order to form a local, fully autonomous research team, it was important to set up an anesthetic protocol suitable for the Nepalese context where obtaining and purchasing drugs for the immobilization of wildlife (especially antagonists) is difficult (director of the zoological garden of Kathmandu, R. K. Shresta, pers. comm.).
| MATERIALS AND METHODS |
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Combinations of ketamine and xylazine were used in this study. Xylazine is an alpha-2-adrenergic agonist acting as a nonnarcotic sedative analgesic, and ketamine is a dissociative anesthetic. The combination of the two drugs enables their dosages to be reduced, enhances muscle relaxation and duration of effect, and has been associated with faster and smoother induction (Lin, 1996). Furthermore, this combination has been reported as effective for several wild species of Bovidae (Festa-Bianchet and Jorgenson, 1985; Wiesner and von Hegel, 1985; Fico, 1988; Gauthier, 1993; Peracino and Bassano, 1993). The effects of alpha-2-adrenergic agonists were reversed using a specific alpha-2-adrenergic antagonist; currently there are no effective antagonists for ketamine (Kreeger et al., 2002).
Drugs were injected with a 3-ml-capacity projectile syringe and 1.5 x 30mm plain needles fired from a Dan-inject® Air-pressure pistol 15 (barrel diameter = 11 mm; Sturzelbronn, France). Initially (Group 1), two males were immobilized with a standard dose of 250 mg xylazine plus 300 mg ketamine, prepared by dissolving 500 mg xylazine (Rompun® dry substance, Bayer, Leverkusen, Germany) in 6 ml ketamine (100 mg/ml; Ketavet® 100, Parke-Davis GmbH, Berlin, Germany), and two females were immobilized with a standard dose of 167 mg xylazine plus 300 mg ketamine, prepared by dissolving 500 mg xylazine in 9 ml ketamine. Subsequently (Group 2), 18 males were immobilized with a standard dose of 167 mg xylazine plus 300 mg ketamine and seven females with a standard dose of 111 mg xylazine plus 200 mg ketamine, prepared by dissolving 500 mg xylazine in 9 ml ketamine. The females received a lower dose per animal compared to the males because of their lower estimated body weight.
Anesthesia was reversed using a standard dose of 11 mg atipamezole (5 mg/ml; Antisedan®, Orion Corporation Farmos, Turku, Finland), administered by intramuscular injection. During immobilization, the following data were recorded: the time interval from anesthetic injection to complete immobilization with head down (induction time); the time from the antagonist administration until the animal was standing (recovery time); the interval between induction time and the injection of atipamezole (handling time).
During handling time, the animals were hobbled, blindfolded, placed in right lateral recumbency, weighted with a spring scale and ear-tagged; metric measures were taken and the age was estimated by horn notches and tooth eruption and wear. Anesthesia was monitored to assess signs of stress related to capture. Heart rate (HR), respiratory rate (RR), and rectal temperature (RT) were recorded at two moments (designated 1 and 2 for HR, RR, and RT): immediately after the animals were placed in right lateral recumbency and immediately before antagonist administration, regardless of handling time.
Blood samples were collected from the jugular vein. During the same day, these were centrifuged and the serum was stored at 20 C for further analysis.
All tahr were individually identified by marked plastic ear tags. Each animal was monitored until it left the capture site and, thereafter, monitored from a minimum of 5 to a maximum of 14 days postcapture. In addition, the survival estimate for each individual, based on mark-resight techniques (Cormack, 1964), was assessed 1 yr later (in 2005).
Because data were not normally distributed according to the ShapiroWilk W test (Altman, 1991), the Spearman rank correlation coefficient was used to assess the association between the following: 1) anesthetic dosage and induction time; 2) HR/RR and anesthetic dosage; and 3) HR/RR and induction time. The paired sample Wilcoxon test was performed to compare HR and RR. The R 1.8.0 statistic program was used for all statistical tests (Ihaka and Gentleman, 1996). Statistical significance was determined at P < 0.05. Means have been reported with standard deviation.
| RESULTS |
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Most darts were fired into the rump, hip, or thigh. On seven occasions (six males, one female), darts bounced off immediately on hitting, causing incomplete drug injection; these animals were excluded from analysis leaving data from 20 males and 9 females. No clinical anesthetic-related problems were encountered. All dosages resulted in rapid sedation after a single dose. Induction was calm and the animals became sedated without apparent clinical stress. For Group 1, the two male and two female tahr were immobilized with an initial mean dose of 2.77 ± 0.99 mg/kg xylazine plus 3.32 ± 0.19 mg/kg ketamine, and 2.39 ± 0.10 mg/kg xylazine plus 4.29 ± 0.17 mg/kg ketamine, respectively. Mean induction time was 3.6 ± 0.07 min in males and 5.8 ± 1.8 min in females; mean recovery time was 18.8 ± 2.3 min in males and 11.2 ± 2.2 min in females. There was no significant correlation between drug dosage and induction time (rs = 0.3, P > 0.05).
The twenty-five tahr in Group 2 were immobilized with a lower dosage; 18 males received a mean dose of 1.7 ± 0.41 mg/kg xylazine plus 3.06 ± 0.74 mg/kg ketamine, and the seven females received a mean dose of 1.82 ± 0.29 mg/kg xylazine plus 3.29 ± 0.52 mg/kg ketamine. Mean induction time was 6.3 ± 3 min in males and 9.3 ± 6.8 min in females. A significant very low correlation was assessed between drug dosage and induction time (rs = 0.15, P < 0.001). Handling time in all combinations was 29.6 ± 11.4 min.
No excessive hypo- or hyperthermia was detected. Mean RT1 was 38.8 ± 0.6 C (range 3840 C) whereas RT2 was 39 ± 0.5 C (range 38.240 C). Respiratory rate increased slightly during immobilization (RR1 mean = 60 ± 17 breaths/min, range = 3090 breaths/min; RR2 mean = 60 ± 15 breaths/min, range = 3078 breaths/min), but the difference was not significant (VRR = 128.5, P > 0.05). Heart rate during immobilization showed a similar pattern (HR1 mean = 83 ± 20 beats/min, range = 55125 beats/min; HR2 mean = 89 ± 22 beats/min, range = 50132), with no significant difference (VHR = 83.5, P > 0.05). No significant correlation was found between HR/RR and drug dosages, whereas a significant correlation was obtained between HR1 and induction time (rs = 0.4, P < 0.001).
Abundant salivation was observed immediately prior to immobilization and continued until after initial recovery, but tahr retained pharyngeal and laryngeal reflexes.
One animal died during immobilization after falling asleep with its mouth and nose in a puddle of water, out of sight of the operators. Although necropsy was not possible, signs of drowning such as abundant water in the airway were evident. All tahr were monitored after each capture session and additional mortality was not observed. Sixteen out of 20 tahr, ear-tagged during the first capture session (November 2004), were observed the following year (November 2005), leading to a minimum survival rate of 0.8.
The males of Group 1 that received an atipamezole:xylazine dose ratio of 1:23 (0.12 ± 0.04 mg/kg atipamezole) had a mean recovery time of 18.8 ± 2.3 min, whereas the males of Group 2 receiving a dose ratio of 1:15 (0.11 ± 0.03 mg/kg atipamezole) had a mean recovery time of 12.7 ± 5.7 min. The females of Group 1 receiving an atipamezole:xylazine dose ratio of 1:15 (0.16 ± 0.01 mg/kg atipamezole) had a mean recovery time of 11.2 ± 2.2 min, whereas the females of Group 2 that received a dose ratio of 1:10 (0.18 ± 0.03 mg/kg atipamezole) had a mean recovery time of 7.1 ± 2.5 min.
| DISCUSSION |
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Festa-Bianchet and Jorgenson (1985) reported that in bighorn sheep (Ovis Canadensis) complete immobilization with an intramuscular injection of xylazineketamine combination can occur within 251 min, Foster (1999) obtained immobilization in gazelles (Gazella sub-gutturosa, Gazella gazella) within 5.17.2 min. Jalanka and Roeken (1990) reported an induction time ranging from 1.8 to 15.7 min in Himalayan tahr immobilized with a combination of medetomidine plus ketamine. Similarly, we recorded a fairly short induction time (6.8 ± 4.2 min); the animals laid down near the injection site, decreasing the risk of their falling from cliff ledges or becoming impossible to locate in the dense forest below. The lack of a relationship between the dosage and induction time suggests that increasing the dosage will not improve the effectiveness of immobilization (Haviernick et al., 1998). The xylazineketamine dosage suggested by Wiesner (1977) to immobilize adult Himalayan tahr in captivity is lower than the one we used in the wild. In fact, anesthetic dosages valid for captive individuals are usually lower than those required for free-ranging animals (Bauditz, 1972; Von Rockenschaub, 1982; Fico, 1988).
Xylazine-ketamine immobilization was not associated with serious changes in physiologic parameters in the Himalayan tahr compared to the potential bradycardic and respiratory depressant effects of xylazine in ruminants (Hall and Clarke, 1991). The physiologic parameters monitored during immobilization did not differ significantly between the two values measured, suggesting a deep sedation without clinical signs of stress. Heart rate 1 was positively correlated to the increase in induction time; this may be because of the excitement level of the animals requiring a longer latency to full sedation. These values should be compared to those of tahr in a rest condition, but these data are not available in literature.
A standard dose of 11 mg/animal atipamezole was administered to reverse immobilization. The dose ratio initially used in Group 1 was of 1:23 in males and 1:15 in females. The animals showed a prolonged recovery time together with rough recovery and resedation in three out of four cases. As reported above (Introduction), a greater dose ratio, without increasing atipamezole, is needed to set up an anesthetic protocol suitable for the Nepalese context, using the lowest effective dose of antagonists. It was decided to reduce xylazine dosage (in Group 2) from 250 to 167 mg/animal (males) and from 167 to 111 mg/animals (females), thereby obtaining an atipamezole:xylazine dose ratio of 1:15 and 1:10, respectively. Recovery was calm and smooth and the animals appeared alert and coordinated within minutes of antagonist administration. The dose ratio in males, even if greater than the optimal one of 1:10 reported by Jalanka and Roeken (1990) and by Arnemo et al. (1993), was satisfactory for a quick return to awareness.
When using partial antagonists, care must be taken to avoid adverse excitatory effects from other components, such as ketamine, in the anesthetic combination. Ketamine shows an elimination half-life of about 60 min in cattle and other domestic species, but the duration of anesthesia, depending on central nervous system concentration, is significantly lower, avoiding excitatory behavior after antagonism of xylazine (Adams, 2001). In fact, an atipamezole injection took place approximately 40 min after anesthetic administration and the recovery of the animals was rapid and complete in Group 2. The xylazine and ketamine combination also presents less risk to field staff. Neither xylazine (Carruthers et al., 1979) nor ketamine (Kreeger et al., 2002) is lethal to humans in small dosages.
No further comparison between the xylazineketamine combination used in this study and different drug combinations used in previous studies was possible. Most of these papers report drug dosages only as part of a list referring to anesthesia for zoo animals without evaluating the physiologic responses to treatments (Wiesner, 1977; Wiesner et al., 1982; Shobert, 1987). Male tahr survival rate 1 yr after first capture was similar to that (0.86) reported in an ecological study on Alpine ibex (Dematteis, 2005).
The combination of xylazine and ketamine is useful for the immobilization of free-ranging Himalayan tahr. In a context where immobilizing drugs are difficult to get, such as Nepal, a dose of 167 mg/animal xylazine combined with 300 mg/animal ketamine to immobilize males and one of 111 mg/animal xylazine plus 200 mg/animal ketamine for females, reversed by a standard dose of 11 mg/animal atipamezole, can be used effectively.
| ACKNOWLEDGMENTS |
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We also gratefully acknowledge the cooperation provided by the Deputy Director General of National Parks and Wildlife Conservation (Narayan Poudel), the Chief Warden of the Sagarmatha National Park (Gopal P. Bhattarai) and the Director of the Central Zoo in Kathmandu (Radha Krishna Shrestha) who kindly provided us with a darting device. Financial support for our work was provided by the Ev-K2-CNR to S. Lovari. Our research was also made possible through contributions from the Italian National Research Council and the Italian Ministry of Foreign Affairs.
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Received for publication 6 June 2005.
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