Information Resources on the Care and Welfare of Rabbits


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Anesthesia and Analgesia



Alderton, B. (1998). Anaesthesia in ferrets, rabbits, and guineapigs. In: Internal Medicine: Small Companion Animals. The T G Hungerford Course for Veterinarians. Proceedings 306, Stephen Roberts Lecture Theatre, University of Sydney, Australia, June 15 -19, 1998, Bryden, D. (Ed.), pp. 241-268, University of Sydney, Post Graduate Foundation in Veterinary Science: Sydney, Australia. ISBN: 1-875582-69-X.
NAL Call Number: SF604.R37 no. 306
Keywords: ferrets, guineapigs, rabbits, anesthesia, preanesthetic medication, neuroleptics, anesthetics, injectable anesthetics, inhaled anesthetics, dosage.

Baturaite, Z.; Ruksenas, O. (2002). Influence of 1,2,4 triazol based compound CA 10 on the cardiovascular and respiratory systems of the rabbit. Baltic Journal of Laboratory Animal Science 12 (3): 177-183, ISSN: 1407-0944.
NAL Call Number: SF405.5.L32
Keywords: 1,2,4 triazol, antiinflammatory drug, immunologic drug, hypnorm, anesthetic drug, laboratory equipment, electrocardiography, clinical techniques, diagnostic techniques, heart rate.

Borkowski R; Karas A.Z. (1999). Sedation and anesthesia of pet rabbits. Clinical Techniques in Small Animal Practice 14 (1): 44-9, ISSN: 1096-2867.
NAL Call Number: SF911 S45
Abstract: Pet rabbits frequently become stressed when handled and may require sedation or chemical immobilization for procedures such as blood collection, IV catheter placement, radiography, deep ear cleaning, and dentistry. Common surgical procedures requiring general anesthesia include spay, castration, gastrotomy, cystotomy, and orthopedic procedures. Rabbits may be difficult to safely sedate or anesthetize. Individual rabbits may have varying sensitivity to the depressant effects of anesthetics. The apparent sensitivity of the rabbit’s respiratory center to anesthetic drugs and the narrow range between anesthetic and toxic doses in this species add to the unpredictable character of rabbit anesthesia. Furthermore, mortality following anesthesia and surgery in sick rabbits is common. Strategically, safe anesthesia of rabbits must include the planning of procedures so that anesthetic time is minimized. Clinicians must be on guard for individual variation in response to drugs. Minimizing the use of cardiovascular depressant agents, use of agents with a high therapeutic index, and careful titration of doses to effect, along with thorough cardiorespiratory monitoring, will permit attainment of appropriate anesthetic depth with the widest margin of safety. This article presents several injectable and inhalant anesthetic protocols that may assist in effective management of many types of rabbit patient.
Keywords: review, anesthesia, methods, anesthetics, hypnotics and sedatives, administration and dosage, adverse effects, pharmacology, animal welfare, physiology, stress, psychological.

Cantwell, S.L. (2001). Ferret, rabbit, and rodent anesthesia. The Veterinary Clinics of North America. Exotic Animal Practice 4 (1): 169-91, ISSN: 1094-9194.
NAL Call Number: SF997.5.E95E97
Abstracts: Ferrets, rabbits, and rodents are increasingly being presented to veterinarians for evaluation and treatment. The owners of these animals expect high-level medical and surgical care. Consequently, veterinarians are more often required to provide intensive anesthetic management of these animals. The variability of anesthetic agents used and patient responses are addressed. The consequences of size for anesthetic management are discussed. Successful small mammal anesthesia requires following general anesthetic principles, awareness of limitations, and maintenance of high standards of care.
Keywords: review, rabbits, ferrets, rodents, anesthesia, physiology, monitoring, postoperative care, preoperative care.

Difilippo, S.M.; Norberg, P.J.; Suson, U.D.; Savino, A.M.; Reim, D.A. (2004). A comparison of xylazine and medetomidine in an anesthetic combination in New Zealand White rabbits. Contemporary Topics in Laboratory Animal Science 43 (1): 32-34, ISSN: 1060-0558.
NAL Call Number: SF405.5 A23
Abstract: A comparison was made of two anesthetic protocols for cardiothoracic surgery in rabbits. Eight male New Zealand White rabbits (2.8 to 3.2 kg) were used in a double crossover study. Each rabbit received intramuscular ketamine (35 mg/kg), xylazine (5 mg/kg), and buprenorphine (0.03 mg/kg) or ketamine (35 mg/kg), medetomidine (0.5 mg/kg), and buprenorphine (0.03 mg/kg) on alternate weeks. After intramuscular injection, each rabbit was intubated and placed on 0.75% isoflurane in 1 L O2/min. Palpebral, pedal, and righting reflexes and cardiopulmonary parameters were measured every minute for the first 10 min and every 5 min thereafter. Rabbits were monitored for 20 min of spontaneous ventilation followed by 60 min of intermittent positive pressure ventilation. Intermittent positive pressure ventilation and isoflurane then were discontinued and recovery monitored. Systolic, mean, and diastolic blood pressures were higher in the medetomidine-treated rabbits. Return of the palpebral, pedal, and righting reflexes was prolonged in the medetomidine-treated rabbits. There were no differences in heart rate, respiratory rate, return to spontaneous breathing, and time to extubation between the two groups. These results indicate medetomidine can be safely used in rabbit anesthesia, provides acceptable cardiovascular parameters, and induces a longer anesthetic period than that of xylazine.
Keywords: male, breed,  New Zealand White, anesthetic protocols, cardiothoracic surgery, intramuscular ketamine, xylazine, buprenorphine, ketamine, medetomidine, buprenorphine, intramuscular injection.

Flecknell, P.A.; Roughan, J.V.; Hedenqvist, P. (1999). Induction of anaesthesia with sevoflurane and isoflurane in the rabbit. Laboratory Animals 33 (1): 41-6, ISSN: 0023-6772.
NAL Call Number: QL55 A1L3
Abstract: The effects of induction of anaesthesia with sevoflurane and isoflurane were studied in rabbits. All rabbits had periods of apnoea (ranging from 30-180 s) during induction which resulted in moderate hypercapnia and acidosis. Arterial pCO2 rose from 4.1 +/- 0.3 kPa to a peak of 7.6 +/- 0.4 kPa (mean +/- SD) (both agents). All animals showed a significant reduction in heart rate (P < 0.05). Heart rate (HR) fell from 226 +/- 33 to a minimum during induction of 57 +/- 32 (sevoflurane) and 199 +/- 41 to 45 +/- 11 (isoflurane). Most animals struggled violently during induction. Use of sevoflurane did not prevent the breath-holding response seen during induction of anaesthesia with other volatile anaesthetics in this species, and the severe apnoea which occurs may represent a significant hazard. The behaviour of the animals indicated that both sevoflurane and isoflurane are aversive, suggesting that this technique should be avoided whenever possible
Keywords: anesthesia, sevoflurane, isoflurane induction, apnoea, hypercapnia, acidosis, behavior, adversive, struggling.

Flecknell, P. (1998). Assessment and alleviation of post-operative pain. Animal Welfare Information Center Newsletter 8 (3/4): 8-14, ISSN: 1050-561X.
Online: http://www.nal.usda.gov/awic/newsletters/v8n3/8n3fleck.htm
NAL Call Number: aHV4701.A952
Keywords: mice, rats, guineapigs, rabbits, ferrets, primates, pigs, sheep, dogs, cats surgery, pain, laboratory animals, animal welfare, analgesics.

Foley, P.L.; Henderson, A.L.; Bissonette, E.A.; Wimer, G.R.; Feldman, S.H. (2001). Evaluation of fentanyl transdermal patches in rabbits: blood concentrations and physiologic response. Comparative Medicine 51 (3): 239-244, ISSN: 0023-6764.
NAL Call Number: SF77.C65
Keywords: breed, New Zealand White, laboratory animals, rabbits, adverse effects, analgesics, animal welfare, blood chemistry, cutaneous application, fentanyl transdermal patches, potency, respiration, weight loss.

Gil Alfredo, G.; Illera Juan, C.; Silvan, G.; Lorenzo Pedro, L.; Illera, M.(2002). Changes in hepatic and renal enzyme concentrations and heart and respiratory rates in New Zealand White rabbits after anesthetic treatments. Contemporary Topics in Laboratory Animal Science 41 (6): 30-32, ISSN: 1060-0558.
NAL Call Number: SF405.5 A23
Keywords: breed, New Zealand White, hepatic and renal biochemical parameters, heart rate, respiratory rate, anesthesia, alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, blood urea nitrogen, creatinine, diazepam, ketamine, xylazine, autonomic drug, general anesthetic drug, sedative/hypnotic drug, gamma glutamyltransferase, laboratory animal care, laboratory techniques.

Hedenqvist, P.; Orr, H.E.; Roughan, J.V.; Antunes, L.; Flecknell, P.A. (2002).Anaesthesia with ketamine/medetomidine in the rabbit: influence of route of injection and the effect of combination with butorphanol. Veterinary Anaesthesia and Analgesia 29 (1): 14-19. ISSN: 1467-2987.
NAL Call Number: SF914.V47
Keywords: breed, New Zealand White, female, anesthesia, blood gases, depth, drug combinations, drug delivery systems, subcutaneous, intramuscular routes duration, ketamine, medetomidine, butorphanol, pH, toe pinch, ear pinch, reflexes, respiration, hypoxemia.

Hedenqvist, P.; Roughan, J.V.; Antunes, L.; Orr, H.; Flecknell, P.A. (2001). Induction of anaesthesia with desflurane and isoflurane in the rabbit. (2001). Laboratory Animals 35 (2): 172-9, ISSN: 0023-6772.
NAL Call Number: QL55.A1L3
Abstract: The characteristics of two techniques of face-mask induction of desflurane anaesthesia (rapid or slow) were compared with the effects of slow isoflurane induction in five New Zealand White (NZW) rabbits. Slow induction used stepwise increments in vapour setting of 2% for desflurane and 0.5% for isoflurane at 30 s intervals. All animals were anaesthetized using each technique according to a randomized block design with one week between treatments. Observations were made of the quality of induction (any struggling or periods of apnoea) and the latency to, and the duration of loss of the righting and toe pinch reflexes recorded. Changes in respiratory rate, arterial blood gas and cardiovascular parameters were also recorded. Induction and recovery times were shorter with rapid desflurane induction in comparison to isoflurane (loss of righting reflex: 139+/-27 s cf. 205+/-48 s), but both techniques were associated with struggling and long periods of apnoea (> 1 min) during the first 4 min after administration. During this period a significant degree of bradycardia, hypercapnia and hypoxaemia occurred with both techniques, but these and the subsequent effects of rapid desflurane administration were less severe than with isoflurane. Slow induction with desflurane was tolerated best, with little or no deleterious behavioural or physiological effects, however excessively prolonged induction times (loss of righting reflex 337+/-160 s) limits the application of this method. Desflurane, administered rapidly, appears to be a more suitable agent than isoflurane. However, as with isoflurane, anaesthesia should only be induced following oxygen supplementation.
Keywords: breed, New Zealand White, anesthesia, isoflurane, respiratory rate, arterial blood gas, cardiovascular parameters, bradycardia, hypercapnia, hypoxemia, oxygen supplementation.

Hellebrekers, L.J.; de Boer, E.J.; van Zuylen, M.A.; Vosmeer, H. (1997). A comparison between medetomidine-ketamine and medetomidine-propofol anaesthesia in rabbits.  Laboratory Animals 31 (1): 58-69, ISSN: 0023-6772.
NAL Call Number: QL55.A1L3
Abstract: We investigated the effects of combinations of the alpha 2-agonist medetomidine with either ketamine or propofol for their overall quality of anaesthesia, including the possible concomitant changes in respiratory and circulatory function in New Zealand White rabbits. Medetomidine was administered at 0.35 mg/kg, intramuscularly. Following sedation, ketamine (5 mg/kg) or propofol (2 and 3 mg/kg) were administered intravenously via the ear vein. Data on reflexes (palpebral, corneal, ear-pinch and toe-pinch), jaw muscle tone and physiologic parameters (heart rate, blood pressure, respiration rate, body temperature) were recorded before and after administration of drugs. Intermittent arterial blood sampling was performed at predetermined intervals before and after anaesthesia. The results show that the ear-pinch and toe-pinch reflexes and the jaw muscle tone are reliable indices to determine surgical anaesthetic depth. A surgical level of anaesthesia could be obtained reliably with the combination medetomidine-ketamine and medetomidine-propofol (3 mg/kg) with a duration of 19 min (variation 10 to 40 min, n = 6) and 11 min (variation 5 to 15 min, n = 6), respectively. Propofol administered at 2 mg/kg did not produce an adequate anaesthetic level. The data from this study demonstrate a high degree of predictability in achieving a fast induction and adequate anaesthetic depth together with a low incidence of untoward side-effects and a zero mortality with the combinations investigated. The data from the medetomidine-ketamine group show that, although adequate anaesthetic depth of medium duration is achieved, the arterial oxygen tension is reduced to hypoxemic levels. With the use of this combination, the supplemental administration of oxygen is advised. With the combination of medetomidine-propofol (3 mg/kg) a short duration anaesthesia of adequate depth was achieved, whereby physiological variables all remained within acceptable ranges. The use of medetomidine-propofol, in combination with the alpha 2-antagonist atipamezole to shorten recovery time, will provide reliable and very versatile anaesthesia in rabbits.
Keywords: breed, New Zealand White, alpha 2-agonist medetomidine, intramuscularly, ketamine, propofol, intravenously, anesthesia, respiratory function, circulatory function, palpebral reflex, corneal reflex, ear-pinch reflex, toe-pinch reflex, anesthetic depth.

Henry, V.A.; Parsons, D.M. (1997). Hypnotic sedation: an alternative to chemical sedation during minor diagnostic procedures for rabbits and guinea pigs. Contemporary Topics in Laboratory Animal Science 36 (4): 55, ISSN: 1060-0558.
NAL Call Number: SF405.5.A23
Keywords: rabbits, guineapigs, surgery, laboratory animals, handling, animal welfare, restraint of animals, sedation, hypnosis.

Kramer, S. (1998). Care of rabbits and rodents during and after anaesthesia. [Perioperatives Narkosemanagement bei Kleinsäugern.] Tierärztliche Praxis 26 (2): 129-135, ISSN: 0303-6286.
NAL Call Number: SF603.V4
Abstract: In anaesthesiology rabbits and rodents are considered being high risk patients as about 30% of the anaesthetized patients die intra- or postoperatively. Due to the anatomic structures many anaesthetic techniques and patient monitoring are very difficult of even impossible to perform in these animals. For this reason anaesthesia of rabbits and rodents confronts the veterinarian with great problems. The main complications during anaesthesia are discussed and principles of the perioperative anaesthetic management, of anaesthetic techniques as well as patient monitoring are presented.
Keywords: laboratory animals, rabbits, rodents, complications, injectable anesthetics, anesthesia, intraoperative care, German language.

Neiger-Aeschbacher, G. (2002). Anästhesie und Analgesie bei Heimsäugern. Teil 1. Vorbereitung, Prämedikation und Allgemein-anästhesie. [Anaesthesia and analgesia in small mammals. Part 1. Preparation, premedication and general anaesthesia.] Schweizer Archiv für Tierheilkunde 144 (11): 586-595, ISSN: 0036-7281.
NAL Call Number: 41.8 SCH9
Keywords: rabbits, rodents, pets, anesthesia, analgesics, animal welfare, postoperative care, surgery, German language.

Neiger, A.G. (2002). Anaesthesie und Analgesie bei Heimsaeugern. Teil 2. Intra  und postoperative Betreuung. [Anaesthesia and analgesia in small mammals. Part 2. Peri and postoperative care.] Schweizer Archiv fuer Tierheilkunde 144 (11): 597-604, ISSN: 0036-7281.
NAL Call Number: 41.8 SCH9
Keywords: pets, rabbits, rodents, analgesics, anesthetics, administration, emergencies, veterinary care, intraoperative care, postoperative care, monitoring, complications, fluid therapy, analgesia, physiology, perioperative care, postoperative care, fluid therapy, German language.

Park, W. (1999). Effects of inhalation anaesthetics on mucus secretion by goblet cells in the lower respiratory tract of rabbits. Korean Journal of Veterinary Clinical Medicine 16 (2): 339-351, ISSN: 1225-4800.
Keywords: inhaled anaesthetics, mucus, respiratory system, bronchi, cilia, ethyl ether, glycolipids, glycoproteins, halothane, isoflurane, mucopolysaccharides, mucoproteins, polysaccharides, postoperative care, adverse effects, trachea.

Peukert, A.; Troitzsch, D.; Vogt, S. (1997). Untersuchungen zur Langzeitanasthesie beim Kaninchen. [Studies on long-term anesthesia in rabbits.] Pabst: Lengerich; Scottsdale, AZ, 175 p., ISBN: 3931660583.
NAL Call Number: SF997.5.R2P48 1997
Keywords: anesthesia, anesthetics, German language.

Robinson, A.J.; Muller, W.J.; Braid, A.L.; Kerr, P.J. (1999). The effect of buprenorphine on the course of disease in laboratory rabbits infected with myxoma virus. Laboratory Animals 33 (3): 252-257, ISSN: 0023-6772.
NAL Call Number: QL55.A1L3
Keywords: breed, New Zealand White, ethics, pain, laboratory animals, opioids, analgesics, buprenorphine, animal welfare, survival time, weight change, virulence, experiments, viral diseases, myxoma virus.

Topal, A.; Görgül, O.S. (1996). Tavs tail an, rodent ve kanatlilarda uygulanan anestezi yöntemleri. [Methods of anaesthesia in pet rabbits, rodents and birds.] Veteriner Cerrahi Dergisi 2: 71-75.
Keywords: pets, anaesthesia, mice, rats, hamsters, chinchillas, rabbits, birds, Turkish language.

Tran, H.S. (2001). A method of endoscopic endotracheal intubation in rabbits. Laboratory Animals 35 (3): 249-252, ISSN: 0023-6772.
NAL Call Number: QL55 A1L3
Keywords: laboratory mammals, endoscopy, endoscopes, trachea.

Weinstein, C.H.; Fujimoto, Jennifer, L.; Wishner, R.E. Anesthesia of six-week-old White rabbits for thoracotomy. Contemporary Topics in Laboratory Animal Science 39 (3): 19-22, ISSN: 1060-0558.
NAL Call Number: SF405.5 A23
Keywords: laboratory animals, spine, skeletal system, isoflurane, general anesthetic drug, 5 French polypropylene catheterization, complications, surgical method, direct laryngoscopy, intubation method, surgical anesthesia, anesthesia method, thoracotomy, surgical method, cough reflex.

Worthley, S.G. (2000). Rapid oral endotracheal intubation with a fibre-optic scope in rabbits: a simple and reliable technique. Laboratory Animals 34 (2): 199-201. ISSN: 0023-6772.
NAL Call Number: QL55.A1L3
Keywords: animal welfare, anesthesia, inhaled anesthetics.

Yardimci, C.; Meyanci, G.; Oz, H. (2001). Effects of low volume + ZEEP, low volume + PEEP, low volume and sigh to  plasma and BAL MDA levels in normal rabbit lungs. European Journal of Anaesthesiology 18 (Suppl. 21): 112-113, ISSN: 0265-0215.
Keywords: breed, anesthesiology, pharmacology, bronchoalveolar lavage fluid, respiratory system, lung, respiratory system, plasma blood and lymphatics, intensive care medicine, low volume PEEP effect, low volume-ZEEP effect, low volume sigh effect.


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