Evaluation of Alfaxalone (Alfaxan®) For Sedation of South American Fur Seals (Arctocephalus australis)
Michael J. Adkesson1; Jenny M. Meegan2*; Gwen Jankowski3; Susana Cárdenas-Alayza4; and James E. Bailey2
Abstract
Alfaxalone (Alfaxan®, Vétoquinol Jurox, London, UK, 10 mg/ml) is a well studied, rapid acting neuroanesthetic induction agent that binds to gamma-aminobutyric acid receptors following intravenous or intramuscular injection.1-7 Currently, there are no reports of its use in marine mammals.
Following manual capture, alfaxalone was administered (2.5 mg/kg, i.m.) to six female Peruvian fur seals (Arctocephalus australis) to perform health assessments at the Punta San Juan reserve (15°22'S, 75°12'W). Mean time to initial effect was 7 min and resulted in deep sedation adequate for obtaining samples (blood, skin biopsy, orifice swabs) and measurements (morphometrics, ocular pressures). Flipper tag placement and tooth extraction (with a lidocaine nerve block) resulted in mild-moderate responses (movement and/or vocalization). All animals maintained normal spontaneous respiration rates. Arterial blood gas analysis consistently revealed mild hypoxemia, which was attributed to decreased ventilation volume and was overcome with supplemental oxygen (demand valve attached to a tight sealing nose cone). Anesthetic duration was fairly reliable (mean time to spontaneous and coordinated movement was 54 min and 59 min, respectively). Mild to moderate muscle fasciculation that was exacerbated by stimuli was noted in several animals. No other side effects were observed.
Administration at 2 mg/kg (n = 1) resulted in inadequate sedation. At 3 mg/kg (n = 1), a prolonged recovery time and severe muscle tremors were noted. Combination with another drug may ultimately yield the best results. Alfaxalone with midazolam (2 mg/kg and 0.2 mg/kg respectively, i.m., n = 1) subjectively resulted in a smoother anesthetic plane and improved recovery (characteristics and duration). Alfaxalone appears to be a safe and reliable anesthetic induction agent in A. australis and warrants further investigation.
Acknowledgements
The authors thank all persons involved with this field project, with specific thanks to Marco Cardeña, Franco Garcia, Matt Allender, and Kate Sladek. Special thanks to Dr. Patricia Majluf for her long-standing commitment to conservation of Punta San Juan's wildlife. Funding for this project was generously provided by the Chicago Zoological Society, the Chicago Board of Trade Endangered Species Fund, and Oceans of Fun.
* Presenting author
Literature Cited
1. Ferré PJ, Pasloske K, Whittem T, Ranasinghe MG, Li Q, and Lefebvre HP. 2006. Plasma pharmacokinetics of alfaxalone in dogs after an intravenous bolus of Alfaxan-CD RTU. Vet Anaesth Analg 33:229–236.
2. Maddern K, Adams VJ, Hill NA, and Leece EA. 2010. Alfaxalone induction dose following administration of medetomidine and butorphanol in the dog. Vet Anaesth Analg 37:7–13.
3. Muir W, Lerche P, Wiese A, Nelson L, Pasloske K, and Whittem T. 2009. The cardiorespiratory and anesthetic effects of clinical and supraclinical doses of alfaxalone in cats. Vet Anaesth Analg 36:42–54.
4. Muir W, Lerche P, Wiese A, Nelson L, Pasloske K, and Whittem T. 2008. Cardiorespiratory and anesthetic effects of clinical and supraclinical doses of alfaxalone in dogs. Vet Anaesth Analg 35:451–462
5. Taboada FM, and Murison PJ. 2010. Induction of anaesthesia with alfaxalone or propofol before isoflurane maintenance in cats. Vet Rec 167(3):85–9.
6. Whittem T, Pasloske KS, Heit MC, and Ranasinghe MG. 2008. The pharmacokinetics and pharmacodynamics of alfaxalone in cats after single and multiple intravenous administration of Alfaxan at clinical and supraclinical doses. J Vet Pharmacol Ther 31:571–9.
7. Zaki S, Ticehurst K, and Miyaki Y. 2009. Clinical evaluation of Alfaxan-CD(R) as an intravenous anaesthetic in young cats. Aust Vet J 87:82–87.