Advertisement

Minimum alveolar concentration of isoflurane in mechanically ventilated Dumeril monitors

Mads F. Bertelsen DVM, DVSc1,2,3, Craig A. E. Mosley DVM, MSc, DACVA4,5, Graham J. Crawshaw BVM, MS, DACZM6, Doris Dyson DVM, DVSc, DACVA7, and Dale A. Smith DVM, DVSc8
View More View Less
  • 1 Toronto Zoo, 361A Old Finch Ave, Scarborough, ON M1B 5K7, Canada.
  • | 2 Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.
  • | 3 Present address is Copenhagen Zoo, Sondre Fasanvej 79, DK-2000 Frederiksberg, Denmark.
  • | 4 Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.
  • | 5 Present address is College of Veterinary Medicine, Oregon State University, Corvallis, OR 97331.
  • | 6 Toronto Zoo, 361A Old Finch Ave, Scarborough, ON M1B 5K7, Canada.
  • | 7 Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.
  • | 8 Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.

Abstract

Objective—To determine minimum alveolar concentration (MAC) of isoflurane in mechanically ventilated Dumeril monitors (Varanus dumerili).

Design—Prospective study.

Animals—10 healthy adult Dumeril monitors.

Procedure—Anesthesia was induced with isoflurane in oxygen delivered through a face mask. Monitors were endotracheally intubated, and end-tidal and inspired isoflurane concentrations were continuously measured. After equilibration at an end-tidal-toinspired isoflurane concentration ratio of > 0.9 for 20 minutes, an electrical stimulus (50 Hz, 50 V) was delivered to the ventral aspect of the tail for up to 1 minute and the monitor was observed for purposeful movement. End-tidal isoflurane concentration was then decreased by 10%, and equilibration and stimulation were repeated. The MAC was calculated as the mean of the lowest end-tidal isoflurane concentration that prevented positive response and the highest concentration that allowed response. A blood sample for blood gas analysis was collected from the tail vein at the beginning and end of the anesthetic period.

Results—Mean ± SD MAC of isoflurane was 1.54 ± 0.17%. Mean heart rates at the upper and lower MAC values were 32.4 ± 3 beats/min and 34 ± 4.5 beats/min, respectively. During the experiment, Paco2 decreased significantly from 43.1 mm Hg to 27.9 mm Hg and blood pH and HCO3 concentration increased significantly from 7.33 to 7.64 and from 25.3 to 32.9 mmol/L, respectively.

Conclusions and Clinical Relevance—The MAC of isoflurane in Dumeril monitors was similar to that reported in mammals but lower than values reported in other reptiles. This difference may be reflective of the more advanced cardiovascular physiologic features of monitor lizards. (J Am Vet Med Assoc 2005; 226:1098–1101)

Abstract

Objective—To determine minimum alveolar concentration (MAC) of isoflurane in mechanically ventilated Dumeril monitors (Varanus dumerili).

Design—Prospective study.

Animals—10 healthy adult Dumeril monitors.

Procedure—Anesthesia was induced with isoflurane in oxygen delivered through a face mask. Monitors were endotracheally intubated, and end-tidal and inspired isoflurane concentrations were continuously measured. After equilibration at an end-tidal-toinspired isoflurane concentration ratio of > 0.9 for 20 minutes, an electrical stimulus (50 Hz, 50 V) was delivered to the ventral aspect of the tail for up to 1 minute and the monitor was observed for purposeful movement. End-tidal isoflurane concentration was then decreased by 10%, and equilibration and stimulation were repeated. The MAC was calculated as the mean of the lowest end-tidal isoflurane concentration that prevented positive response and the highest concentration that allowed response. A blood sample for blood gas analysis was collected from the tail vein at the beginning and end of the anesthetic period.

Results—Mean ± SD MAC of isoflurane was 1.54 ± 0.17%. Mean heart rates at the upper and lower MAC values were 32.4 ± 3 beats/min and 34 ± 4.5 beats/min, respectively. During the experiment, Paco2 decreased significantly from 43.1 mm Hg to 27.9 mm Hg and blood pH and HCO3 concentration increased significantly from 7.33 to 7.64 and from 25.3 to 32.9 mmol/L, respectively.

Conclusions and Clinical Relevance—The MAC of isoflurane in Dumeril monitors was similar to that reported in mammals but lower than values reported in other reptiles. This difference may be reflective of the more advanced cardiovascular physiologic features of monitor lizards. (J Am Vet Med Assoc 2005; 226:1098–1101)