Ratite anesthetic events are often dangerous because these birds use their powerful legs and clawed feet as a defense, and physical restraint can result in self-trauma or injury to handlers. Although various combinations of opioids, alpha-2 adrenergic agonists, and dissociative agents have been employed in ratites, few effective chemical immobilization protocols have been documented for rheas (Rhea spp.). An intramuscular, remote-delivered combination of thiafentanil (0.30 +/- 0.08 mg/kg), dexmedetomidine (7.31 +/- 2.72 microg/kg), and tiletamine-zolazepam (5.09 +/- 2.31 mg/kg) was utilized in eight adult (four male, four female) greater rheas (Rhea americana). Smooth inductions were observed. During clinical procedures, birds were intubated and maintained on isoflurane gas, and atipamezole was administered to antagonize the dexmedetomidine. At recovery, naltrexone was administered to antagonize the thiafentanil, and midazolam was administered to smooth crate recoveries until release. This low-volume, high-potency, reversible drug combination demonstrated safe inductions and smooth recoveries and proved to be a reliable anesthetic regimen for greater rheas.
Wildlife Safari, a zoo located in Winston, Oregon, has fed donated carcass meat as a diet to carnivores for over 30 yr. Carcass meat is an alternative to commercially prepared meat. Donated meat arrives at Wildlife Safari as an entire animal. Cattle (Bos taurus), horse (Equus caballus), deer (Odocoileus hemionus), and elk (Cervus elaphus roosevelti) have been donated. Bacterial testing was performed on site with the use of Neogen Reveal immunosorbent assays. Testing focused on Salmonella spp., Listeria spp., and Escherichia coli 0157:H7. Twenty-five meat samples were randomly selected from 50 meat samples for the bacterial detection tests. Twenty-eight percent of the meat samples were positive for Salmonella spp. (n = 25). One sample was positive for Listeria spp. None of the meat samples were positive for Escherichia coli O157:H7 (n - 25). Thirty-two meat samples were analyzed off site for organic contaminants with the use of gas chromatography/mass spectrometry at Michigan State University's Diagnostic Center for Population and Animal Health. Specific organic contaminants tested for were barbiturates, phenylbutazone, flunixin meglumine, and xylazine. None of the meat samples were found to have evidence of these or any other common organic toxicants. As monitored, carcass meat appears to be a reasonably safe food source for carnivores.
Fifteen adult emu (Dromaius novaehollandiae) anesthetic events were successfully undertaken with the use of thiafentanil oxalate (A3080) 0.175 mg/kg i.m. (SD 0.026) and medetomidine 0.092 mg/kg i.m. (SD 0.009) via remote injection. Following induction, the birds were transported to the clinic, where a venous blood gas sample was taken for analysis, which indicated a respiratory acidosis, with a mean arterial pCO2 of 54.46 mmHg (SD 9.31) and venous pH of 7.135 (SD 0.11), most likely due to moderate bradypnoea. Atipamezole 0.2 mg/kg i.v. (SD 0.02) was administered, immediately followed by orotracheal intubation initiating 2-3% isoflurane with 2 L/min oxygen flow. Parameters evaluated during anesthesia included heart rate, respiratory rate, anesthetic depth, and electrocardiogram readings. Physical exams plus any required procedures were performed in addition to venous blood samples for biochemistry and full blood counts. The birds were then recovered in a crate padded with grass hay with administration of 8.75 mg/kg (SD 1.36) naltrexone (50 mg/mg A3080) administered in equal doses i.v. and i.m. along with 5 mg midazolam i.m. to reduce excitement. Emus were placed in a lateral position and given 4 L/min oxygen via the endotracheal tube, until movement of the head and neck necessitated extubation. Recovery was rapid and smooth in each case with a mean time of 3.1 min from antagonist administration to sternal recovery. On the basis of rapid, smooth, and successful inductions and recoveries, the described dosage of thiafentanil and medetomidine, with administration of midazolam prior to recovery, is recommended for immobilization of adult emus. Due to evidence of respiratory acidosis and bradypnoea, careful monitoring should be instituted throughout and oxygen provision recommended from initial contact.
The use of 0.025 +/- 0.012 mg/kg (median +/- interquartile range) thiafentanil with 0.15 +/- 0.03 mg/kg xylazine (TX) and 0.011 +/- 0.0015 mg/kg carfentanil with 0.25 +/- 0.093 mg/kg xylazine (CX), with dosages based on estimated bodyweight, was used in the anesthesia of 37 Tibetan yak (Bos grunniens) housed within a drive-through animal park setting. The median time to lateral recumbency was 5 and 7 min for each group, respectively. With the addition of propofol in 8 CX animals and 17 TX animals, the anesthetic plane was suitable for a wide range of procedures. The median time to standing recovery following administration of naltrexone was 4 +/- 3.5 min with TX and 7 +/- 1.5 min with CX. There was one fatality and one case of renarcotization in the TX group. Overall, the dosages used in the study provided a reliable and useful anesthetic induction protocol, with TX animals demonstrating a more rapid induction and recovery with less cardiac depression than CX animals.
A 67-year-old patient was admitted for incision and drainage of a recurrent methicillin-resistant Staphylococcus aureus (MRSA) hip abscess. Linezolid therapy was initiated postoperatively. Within 48 h the patient developed confusion, agitation, hypertension and acute renal failure. Citalopram was stopped and resolution of symptoms occurred within 48 h of discontinuing the offending agent. The symptoms observed in our patient were consistent with the Sternbach criteria for serotonin syndrome.
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