Reversal of ketamine/xylazine combination anesthesia by atipamezole in olive baboons (Papio anubis)

J Med Primatol. 2009 Dec;38(6):404-10. doi: 10.1111/j.1600-0684.2009.00378.x. Epub 2009 Sep 4.

Abstract

Background: The potential of Atipamezole (ATI) to reverse Ketamine/Xylazine (KET/XYL) anesthesia in the Olive baboon (Papio anubis) was studied.

Methods: Anesthesia was induced with 10 mg/kg KET and 0.5 mg/kg XYL intramuscularly. Mean arousal time (MAT), heart rate (HR), systolic arterial blood pressure (SAP), rectal temperature, respiratory rate (RR), and hemoglobin oxygen saturation (SpO(2)) were monitored. Baboons were treated with: KET/XYL only, KET/XYL followed by 100 microg/kg ATI or by 200 microg/kg ATI administered 25 minutes after KET/XYL.

Results: Atipamezole rapidly reversed depressed HR and SAP (10 +/- 5.2 minutes), RR (5 +/- 2 minutes) and SpO(2) (3 +/- 6 minutes) and significantly decreased MAT (13 +/- 2.2 minutes) vs. KET/XYL alone (35 +/- 5 minutes). Emesis was absent and salivation was observed after administration of 200 microg/kg ATI only.

Conclusions: Atipamezole at 100 microg/kg is sufficient for rapid and smooth reversal of KET/XYL anesthesia in the Olive baboon with minimal side effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic alpha-Antagonists / pharmacology*
  • Anesthetics, Dissociative / administration & dosage
  • Anesthetics, Dissociative / antagonists & inhibitors*
  • Animals
  • Blood Pressure / drug effects
  • Female
  • Heart Rate / drug effects
  • Imidazoles / pharmacology*
  • Injections, Intramuscular
  • Ketamine / administration & dosage
  • Ketamine / antagonists & inhibitors*
  • Male
  • Papio anubis*
  • Respiratory Rate / drug effects
  • Xylazine / administration & dosage
  • Xylazine / antagonists & inhibitors*

Substances

  • Adrenergic alpha-Antagonists
  • Anesthetics, Dissociative
  • Imidazoles
  • atipamezole
  • Xylazine
  • Ketamine