A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees

Objective: To characterise the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam +/- medetomidine) and their suitability for the immobilisation of healthy chimpanzees undergoing cardiac assessment. Study design: Prospective, clinical, longitudinal study A...

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Main Authors: Strong, Victoria, Möller, Torsten, Tillman, Ann-Sofie, Träff, Stefan, Guevara, Louise, Martin, Mike, Redrobe, Sharon, White, Kate
Format: Article
Language:English
Published: Wiley 2018
Online Access:https://eprints.nottingham.ac.uk/55057/
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author Strong, Victoria
Möller, Torsten
Tillman, Ann-Sofie
Träff, Stefan
Guevara, Louise
Martin, Mike
Redrobe, Sharon
White, Kate
author_facet Strong, Victoria
Möller, Torsten
Tillman, Ann-Sofie
Träff, Stefan
Guevara, Louise
Martin, Mike
Redrobe, Sharon
White, Kate
author_sort Strong, Victoria
building Nottingham Research Data Repository
collection Online Access
description Objective: To characterise the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam +/- medetomidine) and their suitability for the immobilisation of healthy chimpanzees undergoing cardiac assessment. Study design: Prospective, clinical, longitudinal study Animals: Six chimpanzees (Pan troglodytes) aged 4 - 16 years weighing 19.5 - 78.5 kg were anaesthetized on two occasions Methods: Anaesthesia was induced with tiletamine/zolazepam (TZ) (3-4 mg kg-1) or tiletamine/zolazepam (2 mg kg-1) and medetomidine (0.02 mg kg-1) (TZM) via blow dart (IM) and maintained with intermittent boluses of ketamine (IV) or zolazepam/tiletamine (IM) as required.
The overall quality of the anaesthesia was quantified based on scores given for: quality of induction, degree of muscle relaxation and ease of intubation. 
The time to achieve a light plane of anaesthesia, number of supplemental boluses needed and recovery characteristics were also recorded. Chimpanzees were continuously monitored and heart rate (HR), pulse rate (PR), respiratory rate (fR) oxygen saturation of heamoglobin (SpO2), systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP), rectal temperature, mucous membrane colour and capillary refill time recorded. During the first procedure (TZ) animals underwent a 12 channel ECG, hematology, biochemistry and cardiac biomarker assessment to rule out the presence of pre-existing cardiovascular disease. A detailed echocardiographic examination was carried out by the same blinded observer during both procedures. Data were compared using Student’s paired t-test or Wilcoxon rank tests as appropriate. Results: There was a significant difference for the area under the curves between anaesthetic protocols for HR, SAP, MAP and fR. No significant differences in the echocardiographic measurements were evident. Quality of anaesthesia was significantly better with TZM and no additional boluses were required. The TZ protocol required multiple supplemental boluses. Conclusions and clinical relevance: Both combinations are suitable for immobilization and cardiovascular evaluation of healthy chimpanzees. Further work is required to evaluate the effect of medetomidine in cardiovascular disease.
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spelling nottingham-550572019-08-23T04:30:15Z https://eprints.nottingham.ac.uk/55057/ A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees Strong, Victoria Möller, Torsten Tillman, Ann-Sofie Träff, Stefan Guevara, Louise Martin, Mike Redrobe, Sharon White, Kate Objective: To characterise the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam +/- medetomidine) and their suitability for the immobilisation of healthy chimpanzees undergoing cardiac assessment. Study design: Prospective, clinical, longitudinal study Animals: Six chimpanzees (Pan troglodytes) aged 4 - 16 years weighing 19.5 - 78.5 kg were anaesthetized on two occasions Methods: Anaesthesia was induced with tiletamine/zolazepam (TZ) (3-4 mg kg-1) or tiletamine/zolazepam (2 mg kg-1) and medetomidine (0.02 mg kg-1) (TZM) via blow dart (IM) and maintained with intermittent boluses of ketamine (IV) or zolazepam/tiletamine (IM) as required.
The overall quality of the anaesthesia was quantified based on scores given for: quality of induction, degree of muscle relaxation and ease of intubation. 
The time to achieve a light plane of anaesthesia, number of supplemental boluses needed and recovery characteristics were also recorded. Chimpanzees were continuously monitored and heart rate (HR), pulse rate (PR), respiratory rate (fR) oxygen saturation of heamoglobin (SpO2), systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP), rectal temperature, mucous membrane colour and capillary refill time recorded. During the first procedure (TZ) animals underwent a 12 channel ECG, hematology, biochemistry and cardiac biomarker assessment to rule out the presence of pre-existing cardiovascular disease. A detailed echocardiographic examination was carried out by the same blinded observer during both procedures. Data were compared using Student’s paired t-test or Wilcoxon rank tests as appropriate. Results: There was a significant difference for the area under the curves between anaesthetic protocols for HR, SAP, MAP and fR. No significant differences in the echocardiographic measurements were evident. Quality of anaesthesia was significantly better with TZM and no additional boluses were required. The TZ protocol required multiple supplemental boluses. Conclusions and clinical relevance: Both combinations are suitable for immobilization and cardiovascular evaluation of healthy chimpanzees. Further work is required to evaluate the effect of medetomidine in cardiovascular disease. Wiley 2018-08-23 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/55057/1/Chimp%201-s2.0-S1467298718301831-main.pdf Strong, Victoria, Möller, Torsten, Tillman, Ann-Sofie, Träff, Stefan, Guevara, Louise, Martin, Mike, Redrobe, Sharon and White, Kate (2018) A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees. Veterinary Anaesthesia and Analgesia . ISSN 1467-2995 http://dx.doi.org/10.1016/j.vaa.2018.06.015 doi: 10.1016/j.vaa.2018.06.015 doi: 10.1016/j.vaa.2018.06.015
spellingShingle Strong, Victoria
Möller, Torsten
Tillman, Ann-Sofie
Träff, Stefan
Guevara, Louise
Martin, Mike
Redrobe, Sharon
White, Kate
A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
title A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
title_full A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
title_fullStr A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
title_full_unstemmed A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
title_short A clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
title_sort clinical study to evaluate the cardiopulmonary characteristics of two different anaesthetic protocols (tiletamine/zolazepam ± medetomidine) and to evaluate their suitability for immobilization of healthy chimpanzees
url https://eprints.nottingham.ac.uk/55057/
https://eprints.nottingham.ac.uk/55057/
https://eprints.nottingham.ac.uk/55057/