Mkb: a New Anesthetic Approach to Feral Cat Sterilization Surgery
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MKB: A NEW ANESTHETIC APPROACH TO FERAL CAT STERILIZATION SURGERY By KELLY ANN MEYER A THESIS PRESENTED TO THE GRADUATE SCHOOL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE UNIVERSITY OF FLORIDA 2007 © 2007 Kelly Ann Meyer 2 ACKNOWLEDGMENTS I would like to thank Dr. Sheilah Robertson, Dr. Natalie Isaza, and Dr. Julie Levy for their unconditional support, their mentoring, and the tremendous opportunities they have offered me over the course of this study. I would also like to thank my parents for their patience, sincerity, and motivation in helping me to achieve a finished product. Finally, I would like to thank Justin for helping me to stay focused and Dr. Joe Hauptman for his instruction and guidance in the statistical analysis portion of this study. 3 TABLE OF CONTENTS page ACKNOWLEDGMENTS ...............................................................................................................3 LIST OF TABLES...........................................................................................................................6 LIST OF FIGURES .........................................................................................................................7 ABSTRACT.....................................................................................................................................8 CHAPTER 1 INTRODUCTION ..................................................................................................................10 Feral Cat Populations..............................................................................................................10 The Problem............................................................................................................................11 Public Health Considerations ..........................................................................................12 Wildlife Vulnerability .....................................................................................................13 Animal Welfare ...............................................................................................................15 Current Methods of Control....................................................................................................15 Removal Methods............................................................................................................16 Trap-Neuter-Return .........................................................................................................18 Nonsurgical Contraception..............................................................................................22 Operation Catnip®: A Trap-Neuter-Return Program..............................................................23 Challenges of Working with Feral Cats..................................................................................24 Alpha2-Adrenoceptors ............................................................................................................28 Medetomidine.........................................................................................................................29 Medetomidine: Cardiovascular and Respiratory Effects.................................................30 Medetomidine: Side Effects ............................................................................................32 Atimpamezole.........................................................................................................................32 Atipamezole: Side Effects ......................................................................................................33 Dissociative Anesthesia..........................................................................................................33 Ketamine.................................................................................................................................34 Ketamine: Cardiovascular and Respiratory Effects ........................................................35 Ketamine: Side Effects....................................................................................................36 Medetomidine and Ketamine Combination............................................................................37 Medetomidine and Ketamine Combination: Cardiovascular and Respiratory Effects ...38 Medetomidine and Ketamine Combination: Side Effects ...............................................38 Analgesia ................................................................................................................................38 NSAIDS...........................................................................................................................38 Opioids ............................................................................................................................39 Buprenorphine ........................................................................................................................40 Buprenorphine: Side Effects...................................................................................................41 Opioid and Alpha2 Agonists ...................................................................................................42 Summary.................................................................................................................................42 4 2 MATERIALS AND METHODS ...........................................................................................44 Animals...................................................................................................................................44 Overview.................................................................................................................................44 Cat Selection...........................................................................................................................44 Anesthetic Drugs ....................................................................................................................45 Experimental Design ..............................................................................................................45 Pre-operative Preparation .......................................................................................................46 Induction of Anesthesia ..........................................................................................................46 Drug Administration Phase 1: Dose Finding Study ........................................................47 Drug Administration Phase 2: Selected Dose Study .......................................................47 Drug Administration Phase 3: Fixed Dose Study............................................................48 Clinical Procedures: Evaluation of Anesthetic Effects...........................................................49 Clinical Procedures: Hemoglobin Oxygen Saturation............................................................49 Clinical Procedures: Evaluation of Cardiovascular Function.................................................49 Clinical Procedures: Evaluation of Respiratory Function ......................................................50 Clinical Procedures: Temperature ..........................................................................................50 Clinical Procedures: Pre-surgical ...........................................................................................50 Clinical Procedures: Post-operative........................................................................................51 Quality of Recovery................................................................................................................51 Data.........................................................................................................................................51 Statistical Analysis..................................................................................................................51 3 RESULTS...............................................................................................................................56 Phase 1-Dose-Finding Study ..................................................................................................56 Phase 1-Dose-Finding Study: Side Effects.............................................................................57 Phase 2-Selected Dose Study: Animals..................................................................................57 Phase 2-Selected Dose Study: Time Intervals........................................................................58 Phase 2-Selected Dose Study: Physiological Variables .........................................................59 Phase 2-Selected Dose Study: Physiological Variables before and after Reversal................61 Phase 2-Selected Dose Study: Rescue Anesthesia (Isoflurane) .............................................62 Phase 2-Selected Dose Study: Quality of Recovery Scores ...................................................62 Phase 2-Selected Dose Study: Side Effects............................................................................63 Phase 3-Fixed Dose Study (0.7 mL): Animals .......................................................................63 Phase 3-Fixed Dose Study (0.7 mL): Time Intervals .............................................................64 Phase 3-Fixed Dose Study (0.7 mL): Side Effects .................................................................64 Phase