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THE INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (IACUC)

ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS AT UCSF

I. Overview
II. Species-specific considerations
III. Commonly used anesthetics and analgesics
IV. Species-specific anesthesia-analgesia formularies:

Cat
Dog
• Frog
• Fish

• Guinea Pig
• Hamster
Mouse
Nonhuman primates

Rabbit
Rat
Swine

RABBIT FORMULARY

Note that all of these doses are approximations and must be titrated to the animal’s strain, age, sex and individual responses. Significant departures from these doses should be discussed with a veterinarian. Doses will also vary depending on what other drugs are being administered concurrently.

All doses are listed as milligrams per kilogram (mg/kg) unless otherwise noted.

DRUG NAME DOSE (mg/kg) & ROUTE FREQUENCY NOTES
Inhalation anesthetics
Recommended:
Isoflurane or Halothane or Sevoflurane
1-3% inhalant to effect (up to 5% for induction). Up to 8% for Sevoflurane Whenever general anesthesia is required Survival surgery requires concurrent preemptive analgesia.
Must use precision vaporizer. Mask or chamber induction without injected pre-medication may result in breath-holding and injury.
Nitrous oxide (N2O) Up to 60% with oxygen Whenever deep sedation or general anesthesia is required Not acceptable for surgery as sole agent – usually used with inhalant anesthetic to potentiate effect and lower required dose
Ketamine combinations
Recommended:
Ketamine-Xylazine
35 – 50 + 5-10 IM or SC (in same syringe or with xylazine administered 10-20 minutes in advance) As needed May not produce surgical-plane anesthesia for major procedures. If redosing, use ketamine alone. May be partially reversed with Atipamezole or Yohimbine. Note that IM Ketamine combinations often sting upon injection.
Ketamine alone 20 – 60 IM or SC As needed Deep sedation, but not surgical anesthesia. Not often used alone. Note that IM Ketamine combinations often sting upon injection.
Ketamine-Medetomidine 35 - 50 + ~ 0.5 IM or SC (in same syringe, or with medetomidine administered 10-20 minutes in advance) As needed May not produce surgical-plane anesthesia for major procedures. If redosing, use ketamine alone. May be partially reversed with Atipamezole. Note that IM Ketamine combinations often sting upon injection.
Ketamine-Xylazine-Acepromazine 35-40 + 3 - 5 + 0.75 – 1.0 IM or SC (in same syringe) As needed May not produce surgical-plane anesthesia for major procedures. If redosing, use ketamine alone. May be partially reversed with Atipamezole or Yohimbine. Note that IM Ketamine combinations often sting upon injection.
Ketamine-Midazolam 35 - 50 + ~ 2 IM or SC (in same syringe) As needed May not produce surgical-plane anesthesia for major procedures, but may be useful for restraint. Note that IM Ketamine combinations often sting upon injection.
Reversal agents
Atipamezole 0.1 - 1.0 subcutaneous or IP Any time medetomidine or xylazine has been used More specific for medetomidine than for xylazine (as a general rule, Atipamezole is dosed at the same volume as Medetomidine, though they are manufactured at different concentrations)
Yohimbine ~ 0.2 IV or SC For reversal of xylazine effects  
Other injectable anesthetics
Sodium pentobarbital (Nembutal) 20 - 60 IV Recommended for terminal/acute procedures only, with booster doses as needed Consider supplemental analgesia (opioid or NSAID) for invasive procedures. Apnea is common at anesthetic doses.
Propofol 12-26 IV As needed Only useful IV, so therefore limited usefulness. Respiratory depression upon induction is possible.
Opioid analgesia
Recommended:
Buprenorphine
0.05 - 0.1 SC or IP Used pre-operatively for preemptive analgesia and post-operatively every 6-12 hour For major procedures, require more frequent dosing than 12 hour intervals. Consider multi-modal analgesia with a NSAID
Non-steroidal anti-inflammatory analgesia (NSAID) -- Note that prolonged use my cause renal, gastrointestinal, or other problems
Recommended:
Carprofen
4-5 SC Used pre-operatively for preemptive analgesia and post-operatively every 12-24 hour Depending on the procedure, may be used as sole analgesic, or as multi-modal analgesia with buprenorphine.
Meloxicam 0.1 – 0.3 PO, IM or SC Used pre-operatively for preemptive analgesia and post-operatively every 24 hour for up to 4 days. Depending on the procedure, may be used as sole analgesic, or as multi-modal analgesia with buprenorphine.
Ketorolac 0.3 – 0.5 oral or SC Used pre-operatively for preemptive analgesia and post-operatively every 12-24 hour Depending on the procedure, may be used as sole analgesic, or as multi-modal analgesia with buprenorphine.
Ketoprofen 2 – 5 SC Used pre-operatively for preemptive analgesia and post-operatively every 12-24 hour Depending on the procedure, may be used as sole analgesic, or as multi-modal analgesia with buprenorphine.
Local anesthetic/analgesics (lidocaine and bupivicaine may be combined in one syringe for rapid onset and long duration analgesia)
Lidocaine hydrochloride Dilute to 0.5%, do not exceed 7 mg/kg total dose, SC or intra-incisional Use locally before making surgical incision Faster onset than bupivicaine but short (<1 hour) duration of action
Bupivicaine Dilute to 0.25%, do not exceed 8 mg/kg total dose, SC or intra-incisional Use locally before making surgical incision Slower onset than lidocaine but longer (~ 4-8 hour) duration of action