1 Zoo and Wildlife Anesth

Page 1: Introduction

  • Dr. Brighton T. Dzikiti

    • PhD, MSC, BVSc

    • Anesthesiology Department of Clinical Science

  • Ross University School of Veterinary Medicine

    • Focus on Anesthesia: Wildlife & Zoo

Page 2: Overview of Wildlife Anesthesia

  • Key Areas of Understanding:

    • Indications for using capture drugs in wildlife

    • Legal and ethical considerations regarding wildlife capture

    • Safety protocols during anesthesia

    • Commonly used drugs:

      • Sedatives/Tranquilizers

      • Potent Opioids

      • Cyclo-hexylamines (Dissociative anesthetics)

      • Antagonists

    • Specific drugs for different animal groups

    • Common equipment used

    • Possible complications during anesthesia

Page 3: Indications for Wildlife Capture

  • Types of Immobilization:

    • Tranquilization

    • Sedation

    • Standing immobilization

    • Complete immobilization

    • Field immobilization

    • Hospitalization for diagnostics or surgery

Page 4: Legal and Ethical Considerations

  • Regulations Vary by Location:

    • Countries/states have different regulations on wildlife drugs

    • Certification required for possession of wildlife drugs or capturing species

    • Risks of drug abuse by poachers

    • Wildlife translocation regulations

    • Ethical considerations in game breeding:

      • Animal ownership

      • Justification of breeding

      • Manipulation of genetic pool

  • Cautions:

    • Avoid legal infringements

Page 5: Safety Considerations

  • Importance of Safety in Wildlife Anesthesia:

    • Risks to people, animals, and equipment

    • High-risk factors:

      • Use of potent drugs

      • Dart guns as lethal firearms

      • Hostile environments

      • Unpredictable animal behavior

Page 6: People Safety Considerations

  • Veterinarian Responsibilities:

    • Effective management and communication essential

    • Importance of firearm handling regulations

    • Preventing accidental exposure to capture drugs

    • Best practice: pair at least two veterinarians

    • Awareness of risks such as thiafentanil exposure which can lead to cardiopulmonary arrest rapidly

    • Emergency preparedness with antagonists available (e.g., Naltrexone)

    • Environmental hazard awareness (e.g., snakes) and carrying first aid kits

Page 7: Animal Safety Considerations

  • Factors Affecting Animal Safety:

    • Ambient temperature extremes (heat/cold)

    • Exposure to noise-induced stress

    • Risks of injuries (lacerations, panic-related accidents)

    • Bloat – a significant stress response

    • Swift procedures to minimize animal stress

Page 8: Special Equipment for Anesthesia

  • Equipment Requirements:

    • Significant capital investment needed

    • Essential equipment includes:

      • High-quality syringes and needles

      • Pole syringe (3-4 meters)

      • Blow pipes (10-15 meters)

      • Dart projectors:

        • Pistol: 1-25 meters

        • Rifle: 5-60 meters

Page 9: Pole Syringe (Jab Stick)

  • Pole Syringe Characteristics:

    • Ideal for close-range use (within hand reach)

    • Rapid drug administration in a single jab

    • Versatile for different animal sizes

Page 10: Blow Pipe

  • Blow Pipe Features:

    • Manual lung-powered device

    • Best for smaller animals to prevent trauma from powerful darts

    • Limited reach and volume of drug delivery

Page 11: Dart Pistol and Kit

Page 12: Dart Rifle

  • Dart Rifle Features:

    • CO2 powered injection rifle kit, includes:

      • CO2 cartridges

      • Syringes with red tailpieces

Page 13: Darts

  • Characteristics of Darts:

    • Special syringes and needles that are sturdy and liquid-tight until impact

Page 14: Dart Projectors Overview

  • Dart Projectors:

    • Powered by:

      • Compressed gas systems (e.g., air, CO2)

      • Explosive charge systems (powder)

    • Require licenses for use

    • Understand dart impact physics for safe usage:

      • Impact Energy = 1/2 x mass x (velocity)^2

    • Importance of experience for target species to minimize tissue trauma

Page 15: Injection Sites for Dart Projectors

Page 16: Causes of Dart Failure

  • Common Problems in Dart Firing:

    • Firing Failures:

      • Not firing

      • Blocked needle

      • Sticky plunger

    • Drug Delivery Issues:

      • Incorrect injection site

      • Drug interactions affecting efficacy

    • Aerodynamic Factors:

      • Deflection during flight and environmental interferences

    • Animal Injury Risks:

      • Fractures, hemorrhage, accidental intrathoracic injections

Page 17: Commonly Used Drugs

  • Categories of Drugs:

    • Immobilizers:

      • Potent Opioids & Cyclo-hexylamines

    • Tranquilizers:

      • Phenothiazines & Butyrophenones

    • Sedatives:

      • Benzodiazepines & Alpha-2-adrenergic agonists

    • Antagonists:

      • For opioids & alpha-2-adrenergic agonists

Page 18: Opioids

  • Key Opioids:

    • Mu agonistic opioids such as:

      • Etorphine (M99)

      • Carfentanil

      • Thiafentanyl (A3080)

    • Suitable for large mammals (e.g., elephants)

    • Notable doses, e.g., 8 mg of etorphine for adult elephants

Page 19: Adverse Effects of Opioids

  • Major Risks:

    • Respiratory depression, especially in sensitive species:

      • White rhinoceros

      • Giraffe

      • Hippopotamus

      • Mini antelope

      • Waterbuck

    • Essential to manage complications:

      • Oxygen supplementation

      • Supported ventilation

      • Partial opioid reversal with Butorphanol

Page 20: Additional Adverse Effects

  • Other Concerns with Opioids:

    • Prolonged excitement due to under-dosing

    • Muscle rigidity and tremors

    • Hyperthermia risk due to excitement or muscle activity

    • Increased blood pressure and heart rate

    • Decreased gut mobility leading to bloat

    • Nausea, especially in primates and carnivores

Page 21: Renarcotization

  • Understanding Renarcotization:

    • Signs of re-sedation after opioid antagonist administration include high-stepping and decreased response

    • Causes include:

      • Inadequate antagonist dosing

      • Choices of antagonist with shorter half-life than agonist

      • Excess agonist leading to receptor imbalance

    • Interventions:

      • Repeat antagonist doses can be administered via dart

Page 22: Opioids in Wildlife (Summary)

  • Types of Opioid Drugs:

    • Mixed agonist-antagonists:

      • Diprenorphine (M5050)

    • Pure antagonists:

      • Naloxone

      • Naltrexone

      • Nalmefene*

    • Agonists:

      • Etorphine (M99)

      • Carfentanil

      • Thiafentanil (A3080)

      • Fentanyl

Page 23: Cyclo-hexylamines (Dissociative anesthetics)

  • Commonly Used Drugs:

    • Ketamine (Ketaset)

    • Tiletamine (in Telazol)

    • Effective for immobilizing feral carnivores (felids and canids)

Page 24: Tiletamine-Zolazepam (Telazol)

  • Characteristics of Telazol:

    • Combination drug of higher potency than Ketamine

    • Excitement during recovery possible; low dose preferred with Dexmedetomidine support

Page 25: Tranquillizers

  • Uses of Butyrophenones and Phenothiazines:

    • Adjuncts to opioids for large mammal immobilization

    • Reduce stress for captive herbivores

    • Common adverse effects:

      • Extrapyramidal signs such as ataxia and tremors

Page 26: Butyrophenones

  • Examples of Butyrophenones:

    • Azaperone

    • Haloperidol

Page 27: Phenothiazines

  • Examples of Phenothiazines:

    • Acetylpromazine (ACP)

    • Propionylpromazine

    • Long-acting drugs such as Zuclopenthixol acetate

    • Perphenazine enanthate

Page 28: Tranquillizers: Onset and Duration

  • Onset & Duration Details:

    • Azaperone: Onset 15-30 mins, Duration 2-4 hrs

    • Haloperidol: Onset 15-30 mins, Duration 8-12 hrs

    • Acepromazine: Onset 15-30 mins, Duration 6-8 hrs

    • Zuclopenthixol acetate: Onset 1-2 hrs, Duration 1.5-3 days

    • Perphenazine enanthate: Onset 12-36 hrs, Duration 7-10 days

Page 29: Sedatives - Benzodiazepines

  • Benzodiazepines Used:

    • Midazolam

    • Diazepam

    • Zolazepam

Page 30: Diazepam Specifics

  • Diazepam:

    • Can be mixed with ketamine in one syringe

    • Recommended IV route due to irritant properties for IM or subcutaneous injections

    • Usage variations based on species (carnivores vs herbivores)

  • Midazolam:

    • More potent option, multi-route administration capable

Page 31: Zolazepam Information

  • Zolazepam:

    • Mixed with Tiletamine as Zoletil/Telazol for carnivore immobilization

Page 32: Sedatives - Alpha-2 Adrenergic Agonists

  • Examples:

    • Xylazine

    • Medetomidine

    • Dexmedetomidine

    • Detomidine

    • Romifidine

Page 33: Xylazine Specifics

  • Xylazine:

    • Older, inexpensive, used widely

    • Duration of action 1-2 hours, analgesia for 30 minutes

    • Antidotes available:

      • Yohimbine and Atipamezole

  • Dexmedetomidine:

    • Faster onset and more potent than Xylazine

    • Ideal for carnivores

  • Detomidine:

    • More effective in herbivores

  • Romifidine:

    • Effective without causing much ataxia in herbivores

Page 34: Specific Alpha-2 Antagonists

  • Antagonists for Sedatives:

    • Atipamezole (Antisedan)

    • Yohimbine

    • Tolazoline

    • Routes vary; dosing adjustments needed based on time lapsed and animal response

Page 35: Drug Combinations

  • Common Combinations:

    • Use of 2 or 3 drugs based on:

      • Species type

      • Availability

      • Anesthesia reason

  • Ideal Drug Attributes:

    • High potency

    • Quick onset

    • Safety profile

    • Minimal adverse effects

Page 36: Drug Combinations by Species

  • Summary of Drug Combinations:

    • Large Mammals: Potent Opioids + Tranquilizers

    • Smaller mammals: Potent Opioids + Tranquilizers or Ketamine/Telazol with alpha-adrenergic agonists or Benzodiazepines

    • Carnivores: Ketamine/Telazol with alpha-adrenergic agonists or Benzodiazepines

    • Primates: Ketamine/Telazol with alpha-adrenergic agonists or Benzodiazepines

Page 37: Drug Combinations for White Rhino

  • Considerations for White Rhino:

    • Large structure and sensitive to opioids

    • Common complications include:

      • Muscle tremors and rigidity

      • Hypoventilation and hypoxemia

  • Immobilization Dosing:

    • Etorphine + Azaperone, supplemented with Ketamine/Isoflurane

Page 38: Drug Combinations for Black Rhino

  • Dynamics of Black Rhino:

    • Smaller body mass and lower respiratory depression with opioids

    • More excitable and aggressive than White Rhino

  • Immobilization Dosing:

    • Similar opioid + Azaperone dosing strategy as White Rhino

Page 39: Drug Combinations for Elephants

  • Special Considerations for Elephants:

    • Large, dangerous, special respiratory considerations

    • Specific drug combinations including:

      • Etorphine + Azaperone, monitored for effectiveness

Page 40: Drug Combinations for Red Deer

  • Capture Protocol:

    • Example combinations include Xylazine + Ketamine or Medetomidine + Ketamine

Page 41: Drug Combinations for Coyote

  • Coyote Protocols:

    • Ketamine dosing resulted in excessive salivation and rigidity

    • Combined drugs recommended for better results: Telazol + Xylazine

Page 42: Wild Dogs Immobilization

  • Wild Dogs:

    • Drug combination of Fentanyl + Xylazine recommended

    • Fully reversible regimen with established dosing

Page 43: Bear Protocols

  • Bear Immobilization Regimens:

    • Mixtures of Xylazine/Ketamine with flexibility in dosages

    • Enhancement of absorption via addition of Hyaluronidase

Page 44: Primates Anesthesia Techniques

  • Primate Protocols:

    • Oral sedation for immobilization is beneficial

    • Using Ketamine with alpha-2 adrenergic agonists or benzodiazepines

Page 45: Monitoring During Anesthesia

  • Monitoring Capabilities:

    • Challenges due to unique animals/environments

    • Essential observations and portable monitors for assessing respiration and oxygenation

Page 46: Common Complications

  • Potential Complications Include:

    • Trauma from darts or environmental objects

    • Respiratory failure:

      • Hypoventilation

    • Hyperthermia or Hypothermia

    • Capture Myopathy

    • Bloat/Regurgitation

    • Stress and Shock

    • Maladaptation: managing symptoms as necessary

Page 47: Capture Myopathy Overview

  • Recognized Syndromes:

    • Acute Death Syndrome: hyperthermia, acidosis

    • Delayed Death Syndrome: death after 24 hours

    • Ataxic-Myoglobinuric Syndrome: acute renal failure

    • Muscle-rupture Syndrome: hyper-flexion of hocks

Page 48: Capture Myopathy and Release

  • Causes and Effects:

    • Muscle breakdown from over-exertion leading to systemic issues

    • Urgent need to manage stress during capture

Page 49: Stress Management**

  • Best Practices:

    • Reduce capture time

    • Maintain average temperatures

    • Fluids and sedatives if required

Page 50: References

  • Primary Reference:

    • Lumb & Jones’ Anesthesia and Analgesia, 4th Edition, 2007

    • Dr. Michelle Miller, University of Stellenbosch, South Africa

    • Dan-inject.com

Page 51: Conclusion

  • Thank You!

    • Questions welcomed

    • ©2021 Ross University School of Veterinary Medicine. All rights reserved.