---start---- Howard "Bud" Hughes SmithKline Beecham guy he's here to discuss anesthesia in lab animals we'll talk about rat, mice, gpig, rabbit, NHP. of course, other spp are also used in labs; hopefully anesthesia for other spp will be covered in anesthesiology.... :) the most commonly used spp in biomedical research are the rats and mice. they make up 85-90% of the animals used in biomedical research. mice - to get a mouse out of a cage will rarely cause severe human injury. if you can handle a mouse appropriately you are less likely to cause injury to it or yourself. most lab animals are docile, easily restrained. just pick mouse up by his tail and put him on a surface where he can get some traction - rubber pad, cage lid - so he can try to pull away from you instead of trying to run up your arm and maybe bite you. then grab scruff of neck with the other hand. hold that b/w thumb and index finger and tail b/w pinky and palm and you have the mouse in a one hand hold. can use gavage tube to provide oral feedings. to collect blood, use venous plexus of the infraorbital sinus - stick a capillary tube in the lateral canthus and stick it back there. you could anesthetize and do cardiac puncture. you could snip off end of tail. when you use eye bleed, just put pressure over it and bleeding will stop. can give IP injections can give IM injections can give SQ injections can do IV injections into lateral tail vein with 27 ga needle; also can collect blood here. butterfly catheters are good to use here. to facilitate vasodilation, dip tail in warm water (rodents lose heat in feet, ears, tails) or stand on heating pad, or put animal in a warm area for a minute or two (35 C) one thing about using this vein - when you do this repeatedly, you can cut off pieces of hair as you go through and get hair emboli. you use the same one hand grip to do vaginal cytology. use pasteur pipette. rats aren't just big mice. they are different. you can pick up a rat quickly by gripping the base of the tail - like, just to pull out of cage, or move cage to cage. but you can't hang from end of tail or the tail will come off and you'll be left with a tail. especially embarrassing if it is a pet and you have to follow trail of blood to recapture. most rats are fairly docile, used to people. so just pick up the rat over his shoulders and hold him. sort of cross front arms of rat under his chin. support hind end if large rat. anyway, can use same one hand grip to do all the same stuff with mice. tail vein used very commonly for blood collection and for injections. also can clip toenails to get blood. can anesthetize to get blood from saphenous vein. Hamsters - these will bite you. some inbred strains are just downright mean. if you put 6 in your apartment you won't have any problems with burglars. you walk up to the cage and they do a godzilla impression. kind of intimidating. to handle these guys you can try the gentle herding approach (by the way - feed hamster on floor b/c will not use a feeder) or push down on hamster against bottom of cage, grab as much skin as you can in sort of a mega-scruffing technique, and you can hold him that way. to get blood - could do retroorbital or cardiac. they have no useful tail. IV injections are not really possible or practical. SQ, IM, IP are available. most common anesthetics in these animals are still Pentobarbital...don't worry about doses. thiobarbiturates are not used - cause megacolon. the pentobarbital needs to be diluted down 1:10 in saline or saline alchohol mix. give IP. still commonly used. however, remember, these small animals have such large surface area they get hypothermic really fast esp if you open the abdomen so you must keep them warm, b/c anesthetic dose will rapidly approach euthanasia dose in a hypothermic animal. body temp can drop down 5-10 F if you open them up. use heat lamps, recirculating water blankets. partial list of drugs capable of producing microsomal enzyme function: steroids, ether, halothane, DDT, dilantin, barbiturates, aromatic oils from wood, diphenhydramine, etc etc. so you have to consider that these things may change your required anesthetic doses based on P450 metabolism. old animals need lower dose. males need lower dose than females (mice). if there's any drug that is really the handiest to use - ketamine - for procedures in most lab animals. ketamine esp mixed with xylazine - 50 mg ketamine, 5 mg xylazine. give IM or IM. will work well. another anesthetic commonly used and strongly recommended against is ether. ether is flammable - 1:10,000 uses causes explosion. you don't want to be in there when it goes up. use only under certified fume hood if you must use it. it is cheap, easy to get, very safe for the animal unless it explodes. so people like to use it. but, don't use it. if you soak cotton in ether and put it in the jar, put a mesh or something over it so it doesn't get onto the animal's fur, esp if you are going to be using cautery on it. but also can potentiate hypothermia this way. chloroform - don't ever use. carcinogenic for you, acute renal tubular necrosis in mice from very low fume levels. also hepatic necrosis. bell jar, cotton, mesh - use isoflurane or methoxyflurane this way. not halothane - concentration is too high at room temperature. vaporizer and chamber use - can use halothane with that, or whatever else. has exhaust system. can maintain via face mask after induction. 3-5% halothane, 5% isoflurane, 3% metofane. anesthetics are low doses of poisons...so you can euthanize with anesthetics if required - can OD on anesthetic, although it would be really hard to do with metofane. also sometimes people use CO2 for euthanasia, used with a chamber system and a tank of compressed CO2 or dry ice. other euthanasia methods - cervical dislocation is quick, effective - hold neck with thumb/finger, yank tail. animal dies quickly. but *never* ever do this in front of a layperson because they will freak out. also, in a lab situation, sometimes people will do this and then they will pin the animal out on necropsy board and stuff - but the spinal reflexes are intact so animal will "jump." it can't feel pain of course b/c the brain isn't attached to the body anymore. but this is really upsetting to people. rabbits under 1 kg can be euthanized this way also. guillotines are sometimes used. Ugh, I think i'm going to be sick. anyway. even if you anesthetized animal - the anesthesia induction is more stressful than the guillotining if done correctly. if done properly, hardly any stress response occurs. guinea pigs - cute, docile, easy to handle. will stampede around a cage and can stampede over babies if present. pick up over shoulders like rat, support back legs, don't let it flop around. support them well. they are cute. they will squeal. to get blood, can cut toenail short (only 3 toes in back, four in front), or do cardiac puncture under anesthesia.. IV injection in external pubic vein sometimes used. also can give IP injection but be careful - do not inject into an organ. hold animal with head down so guts fall forward, then inject in lower right quadrant. this one gpig got injected with mineral oil into the cecum by accident. anesthetics - can use most in g.pigs. avoid ether - bronchoconstriction. metofane works but takes 20 min to 1/2 hrs to induce and will twitch and squeal. halothane, iso are better. ketamine too. rabbits: mostly reasonably docile. you never want to pick it up by its ears!! can use scruff of neck while supporting the hind end. some of the big male rabbits can scratch you really bad - they leave long tracks down your arm and it hurts so wear long sleeves. to move a rabbit around, use football hold - tuck head under your arm, hide eyes. if you fail to handle a rabbit correctly or even sometimes if you do -= they can break their bones. they have light, fragile skeletons and very strong muscles. this allows them to hop rapidly from one place to another and avoid predators because almost any predator will eat a rabbit. they have white muscle for lactic acid metabolism. so when the rabbit struggles it can kick so hard it breaks a vertebra or two. sometimes these animals will subluxate and end up with bladder paralysis and other things. this isn't always an indication of mishandling. a rabbit can just kick out around in his cage and do this! if you have to anesthetize a rabbit, this can happen in excitement phase of anesthesia so warn clients this could happen. ears: there is an inner marginal ear vein, and outer marginal ear vein and a middle artery. don't give something IV into the artery (duh). there are special rabbit restraining apparatuses with "kick plates" to lessen the possiblity of it injuring itself. also can use cat bag or make rabbit burrito out of towel. butterfly cath in outer marginal ear vein is great for blood collection or IV injection. if you warm the ear you can dilate the vessel. can tape this in place and then use as catheter. can use central ear artery for collecting blood too - about 1 ml/kg of body weight. most animals have 6-7% body weight blood and if you take 1/2 of that out you kill the animal; if you take about 1/3 out (2% of its weight) you start having hypovolemia so take half of that and you are ok. so 1 ml/kg/day is probably ok. can use cardiac puncture (clip, clean area first; only as terminal procedure is best; anesthetize first). barbiturate anesthesia - very very narrow margin of safety in rabbits, 10-20% mortality rate in rabbits. try ketamine, rompun, gas anesthesia better! if you have a palpebral reflex in rabbit going away, that rabbit is dead. you want to maintain the palpebral reflex, and use deep pain reflex to assess anesthesia. keep rabbit on circulating water blanket. you can intubate rabbits too. rabbits have a vago-vagal reflex just like other animals...squeeze on chest and will take a deep breath...to continue stimulating that reflex, put a big rubber band around the chest - this can, postsurgically, keep rabbit breathing well. other anesth for rabbits: ket/xylazine IV, ketamine/ace, droperidol, fentanyl. gas is best. NOT metofane b/c rabbits have submersion apnea (diving reflex) and you will pass out before the rabbit will. use nose cone or induction chamber with halothane or isoflurane. can intubate the trachea. no ether - rabbits too sensitive, will get laryngospasm and hypersalivate atropine - 35-85% of rabbits have a circulating atropinase enzyme, so not useful in those rabbits. other technique - can hypnotize rabbits really easily - induce their immobility reflex. you have this happen to younow and then...if someone comes up and grabs you quickly, you might freeze - primitive response. go up, grab around neck, put back of neck in your palm, with thumb on one side of mandible and finger on the other - pick it up, hold it with head up, feet down, and it will relax, and release endorphins, and just sit htere while you do a PE...you can lie it on its back like this, and rub the belly while maintaining neck traction and stretching it out sort of - it will stay relaxed. this is what they do when they get picked up by wolf or something - endorphin release, prevents pain when being eaten. once you induce this, can let go even and watch them lay there. if you clap your hands, the rabbit will jump up. good party trick. but can auscult chest, trim teeth, clean ears, do all that stuff while they are zoned out. Monkeys - if someone owns one, they are probably in violation of at least one law. anyone with a pet monkey is probably insane. most monkeys are mean and have scary diseases that can kill you. Herpes B is, says Bud, "serious shit." monkeybites also really hurt. the monkeys have hands and feet they can use to push and pull you around, too. note that these slides are out of date b/c now you have to use hoods, masks, eye protection, bunny suits, gloves, gauntlets, hats, footcovers, etc. for new world monks, don't pull their arms back when you hold them, they'll suffocate. to handle monkey - give 10-40 mg/kg ketamine first. then you handle it. saphenous vein down back of leg is useful for IV inj or blood collection. ng tube is useful to feed or put stuff into stomach. can shove pill down back of throat with hemostat. never give ace, valium to monkey - will make it feel tranquil and then it will suddenly arouse and be disinhibited and freak out and run around and that will suck. narcotics are good to use also. if you have to get a baby from mom - give mom 10 mg/kg demerol - she'll get relaxed, you can take the infant away without her freaking out or traumatizing the baby. then you can reverse with naloxone when you return the baby. anesthesia - halothane, metofane, isoflurane; intubate with human pediatric type ET tube. keep them warm. ---break---- Swine, sheep and goats as laboratory animals: laws, regulations, guidelines. the Animal Welfare Act (AWA) is powerful, affects animals used for research, testing, and teaching. doesn't cover genus rattus or mus, or farm animals used in ways having to do with food, fiber, livestock management. only covers farm animals used in human medical type research. if you're doing fetal research, it's covered. get it? horses can be considered animal under AWA if used to create antibodies. if studying racehorses to increase speed around track, not covered. why do we use sheep, goats, swine? because they are good models of disease not because they are cheap models of disease for a long time, dog/cat was used b/c were cheap, gotten from pound. when that source dried up, people looked at other sources. people were forced to more correctly pick a species to use. today, we often buy sheep, goats, and swine in a research production unit, they aren't cheaper than purpose bred dogs, so cost isn't so much an issue. also there is public sensitivity to use of cat/dog. but rationale for selection of animal model should be that it reflects the disease you're studying. miniature swine - new interest. farm pigs are huge and difficult to house and feed, costly to have around, hard to handle. with minipigs, they are more practical. especially yucatan pig - less hair, no adnexal oil glands so less smelly. one problem with typical farm pig esp with skin studies is the coarse hair. yucatans have soft sparse hair. these have been research bred for docility. you can approach the piglets with the sow in the pen and not fear for your life. you can actually express milk from the sow. even more dramatic, you can approach and handle the mature boars. cross b/w yucatan and vietnamese potbellied pigs - they took best qualities of both and made a good research pig. swine anatomy: one must consider especially with boars, if not castrated, skin gets very tough, hard to put a needle through it. originally, all of them were castrated which cost a lot of money. then they stopped doing that. then, it became very difficult to give injections. when you don't castrate the males you have this problem. so if you're not doing repro work you should get castrated males. one advantage of Yucatan is little hair, a disadvantage is they get dry skin, and are itchy, and you have to use lotion on them. the backfat is deep on these pigs. if you try to give in IM injection you can't use short needle or you give an IF injection. also, jugular vein is very deep. with the jugular vein, typically unless you have a young animal you use a pre-caval stick. there is a unilateral left phrenic nerve innervating the diaphragm, so if you go too far left, you get a dead pig. go right. there are some unique differences about the pig - the thyroid is not where you expect it - the thyroid is where the thymus is in other animals, and the thymus is in the neck. thyroids in thoracic inlet. on right side - duodenum is there; in pigs, right kidney is caudal to the left. you see pancreas, bladder is very small. small intestine is huge left side: spleen is big, takes up whole side. spiral colon. left kidney cranial to right. it's impossible to pass urinary catheter in male pigs. there is large preputial diverticulum present as well as corkscrew tip of penis. physiologically, another thing to consider with minipig vs farm pig, the minipig is mature at 6 mos, whereas farm pig not til 8 or 9 mos. also blood clotting system not effective prior to 4 mos of age. so if you take blood, hold off really well or you get a huge hematoma. another thing is that often a researcher wants a farm pig b/c it is "cheaper" but they want a small pig. so they order a "size" of pig, not an age of pig - but they need to know the small animal is much more immature, and immune system is depressed b/w 3-4 mos of age so you don't want to use animals under 4 mos. caging is important. metabolic cages have dividers to separate animals but they can see each other; collection area for urine, stool, etc. another set up - if you feed one pig, within seconds the food is gone, so you can have panels separating each pig's portion; then you can pull the panels after feeding time so they are group housed. it's more unusual to have bedding - but it is preferred - if you can put down some straw, sawdust - keep in mind that esp the yucatans with little fur need at least four inches of beeding to be comfortable. this is the best scenario for them. more typically pigs live in dog runs. the panels can be removed so that they are together. sometimes pigs defecate and urinate on one side, leave the other side clean. allows pair housing. flooring - this is the grate type of flooring - realize you will need to trim hooves more with this flooring. also with a small yucatan, you may find a problem with the sipper tube b/c pig is used to drinking in a down position - has to learn how to use waterer -b ut then will like it and play with it. HVAC is important in these facilities. we try to keep environmental factors constant. pigs can be odiforous. want 15-20 air changes/hr, temp 65-70 F measured at PIG LEVEL. lighting is 12/12 cycle, humidity about 45-65%. feeding twice daily is recommended, b/c they don't have normal situation can cause themselves to bloat. one important thing in research animals is acclimatization period - pigs have been taken from home, trucked, brought into a weird new place. you need to rest them and let them get used to it before putting them on study. pigs are gregarious, they like people and other animals, so best situation to control vices/stereotypies is to group house, give toys, and socialize with them. one way to see if pigs are being treated well is to see if they come up to you. this one pig barnaby would jump into your arms if you let him. he was obtained as a baby, and imprinted on staff. sometimes, though, pigs will run the other way. but if they've been in your facility for a few montsh, and they don't come up to you out of curiosity or for comfort, recheck your husbandry practices. toys: basketball, garden hosed it's hard to show how to pick up a pig in slides. you hold the ear for a second as a twitch, just to get his attention. you don't pick him up by the ear. this is a small pig. with a big pig, one person would hold ear, one would hold thorax, one would hold butt. but the way she picks it up, looks like picking up dog. main thing is making it feel secure. do not let it sense fear. if you are fearful, they sense it. bend knees and lift with straight back, btw. your body is the most valuable thing you have. as you know, animals go down and get up with hind or forefeet differently. if you put front legs down first pigs dno't like it. put back feet down first. to herd the pig, can use a board to push, or you can walk along and move him with your leg - not kicking him, just sort of acting as a wall to get pig to go the direction you want. pigs can be restrained in slings- these are pretty handy. they have different sizes for different pigs, some with hydraulic lift systems for really big pigs. they can fall asleep in these slings. there are openings for limbs and for area of precaval stick. can give premeds, other meds, can do oral gavage. there are ties on the legs - put those on with double bind so that you don't cut off circulation, just like tying in dog for anesthesia. do front feet first so they don't try to crawl out. can put lotion on while these pigs are in the sling, too. not mineral oil - dries them out more. need to know if animal is in pain - will be grinding teeth if goes off feed - probably stressed if not moving, not coming to you - stressed again, part of preventive care scenario is fully understanding the behavior of the animal. pigs have personalities, like dogs do. one may be quiet. one may be aggressive. one may be friendly and outgoing. know normal. listen to animal caretakers who work with them all day. don't blow them off if they tell you an animal isn't quite right. vaccinations are important - typically lepto, erisypelas, bordetalla, pasteurella, hemophilus. should be brucellosis and pseudorabies free animals. avoid intermixing farm pigs with purpose bred pigs. some farm pigs are exposed to things that research animals are never exposed to - research animals do not have natural resistance. zoonotic diseases from pigs: leptospirosis, erisypelas - controlled by vaccination brucellosis - use brucellosis free herd intubation is difficult - they have a blind diverticulum. it is easy to go up into that. you can go in, turn tube 90 degrees, then go in, then straighten it. b/c tube has a curve, so when you turn it you avoid the diverticulum and enter the trachea. one thing recommended with pigs for anesthesia is to give atropine, b/c they salivate a lot and this makes intubation much easier. don't use halothane - use isoflurane b/c it elminates the liver toxicity that can occur associated with halothane. still some animals do get problems with malignant hyperthermia - can give dantrolene prophylactically. if treating a pet or something, consider this carefully. slide: hydraulic table. it's effective to give telazol 4.4 mg/kg (don't need xylazine with that), then you can put pig on this table, which will raise itself to level of surgery table. then you intubate. b/c jaw is so long, you need a long ET tube and long laryngoscope blade (or short one with tongue depressor taped to it but not a curved food animal blade) and a mouth gag.it's hard to open the mouth of a pig b/c really strong muscles. using this, you don't even really have problem with epiglottis - you can just see what you are doing. cetacaine can reduce laryngospasm. can mask down in the sling after giving the telazol; can use V board to put in dorsal recumbency. different people have been taught to intubate in different ways. some people put pig on the side, some people do it with pig on the back, you get used to your own way of doing it. preemptive analgesia - this is used to allow you to use less anesthetic and reduce postoperative pain. buprenorphine is a good drug for pigs. fentanyl patches not so good in pigs b/c of hair - will literally grow rapidly and push patch off. doses in handout. blood collection - somewhat of a problem. if you need small amounts, can use ear veins that are very accessible - to produce peripheral vasodilation, stick qtip in oil of wintergreen, swipe over vessel - for large volumes, use precaval stick, during which you must stay to the right to avoid the left phrenic nerve. erisypelas produces a red inflamed skin - erythematous patches, in rhomboid shapes. similar pattern can be due to septicemia, as in this postoperative staph infection. slide: barnaby's belly - has an allergic reaction to the bedding. slide: nasty skin lesion - looks like burns. turned out they found an autoimmune disease - bullous pemphigus. slide: pig with tetanus - farm problem a few models of disease you should know about: pigs are good for cardiovascular studies since heart/blood system similar to humans; skin similar to ours so burn studies, other skin studies; esophageal ulcers, hyperthermia, malignant melanoma. swine are used much more than sheep/goats. if you understand ruminant physiology/anatomy, that's sufficient for understanding this. just remember - RBC much smaller in these animals so PCV higher, MCV lower. Goat RBC can sickle normally; but if you see rouleaux, that indicates severe disease. as with other ruminants, lymphs outnumber PMNs. slide: goat herd in forest. slide: goats in milking parlor husbandry is important HVAC should be operating well. 65-70 F, humidity 50-70%, 10 air changes/minute. you can house on concrete or raised flooring of metal or mesh, can use bedding but not oat straw b/c they will eat it. avoid high concentrates, don't give rabbit chow b/c of high concentrate level and copper. w/ sheep and goats, remember hooves need trimming routinely. sheep may need shearing. to restrain sheep and goats, put sheep in dog sitting position. put goat in corner of room. to get blood, you need help. preventive medicine is important - know normal animals, give acclimation period, PE should include fecal, bloodwork, TB test, brucellosis test, and be aware of Q fever zoonotic potential.. coxiella burnetti causes disease in people - be very careful esp with pregnant or lambing ewes - placenta/milk filled with organisms. try to get coxiella free animals or restrict access, use air filters, carefully dispose of waste, and use personal protective equipment. slide: chronic interstitial nephrosis slide: leptospira with silver stain when you see a pregnant ewe, and you don't know her coxiella status, assume positive and take precautions. food animal vets do not use gloves that much. rethink that. slide: goat with abscess - caseous lymphadenitis with pus coming out, caused by corynebacterium pseudotuberculosis. common. spreads through herd. Orf - contagious ecthyma - lesions on hoof and muzzle. wear gloves. this hurts. for intubation, anesthesia - dorsal recumbency, raised position of head, fast prior to anesthesia, mouth small, hard to intubate, be sure to recognize trachea is smaller than dogs so need smaller size. research uses: AIDs stuff, liquid ventilation, fetal research, experimental surgery, antibody production. ----end----