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Common Anesthetic and Analgesic Agents 1

We strongly recommend the use of pre-emptive analgesia for surgical and/or painful procedures unless
contraindicated. The information provided below is a starting point. Always seek veterinary advice when
developing anesthesia and analgesia for your studies or teaching protocols.
Check out the Virtual Anesthesia Machine at http://vam.anest.ufl.edu/.
Additional information is available from http://web.research.colostate.edu/LAR/anesthesia/appaa.aspx.
Amphibians
It is the recommendation that frogs be fasted for one day prior to anesthesia to prevent regurgitation.
Xenopus should be handled with soft nets for procedures performed without anesthesia. The use of
chemical restraint is required for prolonged or invasive procedures. A light plane of anesthesia is
characterized by a loss of righting reflexes, but withdrawal reflexes and gular (throat) respiratory efforts
remain. As the anesthetic level deepens, abdominal respiration is lost, followed by slowing of gular
(throat) movements, which stop as a surgical level is reached. The cardiac impulse (visible heartbeat)
should be retained, slowing or loss of cardiac impulse indicates an anesthetic overdose. Keep skin moist
during recovery; dechlorinated water with a pH of 6.5-8.5 is recommended.
AGENT
DOSAGE
Tricaine methosulfonate Immersion bath dosages:
MS-222
Tadpoles/newts: 200-500mg/L
Frogs/salamanders: 500mg/L to 2g/L
Toads: 1-3g/L
Injection dosage:
50-150 mg/kg IM, SC, IM

Benzocaine
Ketamine

50 mg/L; Larvae
200-300 mg/L; Frogs, salamanders
50-150 mg/kg SC, IM

Tiletamine/zolazepam 10-20 mg/kg SC, IM, IC


(Telazol)

COMMENTS
Anesthetic of choice, for Xenopus.
Concentrations over 500mg/L should be
buffered with NaHCO3; unbuffered
solutions have a prolonged induction
time and are irritating to the animal.
Induction: 5 min and recovery at 1-30
min.
Disadvantage of injecting MS-222 is
that solutions for injection require
filtration to ensure that it is sterile.
Dissolve with ethanol first
Can be used for minor procedures e.g.
radiography.
Disadvantage: Animals anesthetized
with these drugs even at high doses
remain sensitive to pain. The surgical
use of these drugs is therefore limited to
preanesthetic use.
Variable results, rapid recovery

Modified from a compilation by Dr. Sylvia Sigletary (2004).

December 21, 2010

Page 1

Isoflurane

1-5%

Bubble into water to effect*.


Terrestrial animals - induction chamber

Topical application: 0.03 to 0.06ml/g


applied to an absorbent pad with an
impermeable back.
40-50 mg/kg; inject into dorsal lymph
sac, IC

Variable response may be best suited for


euthanasia

ANALGESIA
Buprenorphine

38 mg/kg SC

Duration > 4h

Butorphanol

0.2-0.4 mg/kg IM

Duration 12h **

Flunixin meglumine

25mg/kg intracelomic

4h **

Xylazine

10mg/kg intracelomic

12-24h**

Pentobarbital

* Smith. J. M. 2000. Isoflurane Anesthesia in the African Clawed frog (Xenopus laevis). Contemp. Topics 39 (6): 39-42.
**Terril-Robb, L. 1996.Evaluation of the Analgesic Effect of Butorphanol Tartrate, Xylazine Hydrochloride, and Flunixin Meglumine in Leopard
Frogs (Rana pipiens). Contemp. Topics 35 (3): 54-56.

Cat
Cats can vomit during induction and recovery. They need to be fasted for 6-8h before anesthesia and
observed carefully during recovery. They can have free access to water. Cats are prone to laryngospasm
during endotracheal intubation; a lidocaine spray is commonly used in practice to help prevent spasms. In
uncomplicated or short procedures gas anesthesia can be maintained with a correctly fitted nose cone.
Masking down is also used as an induction technique with animals that are properly sedated.
However, there is an increased risk, to the operator, from anesthetic gas exposure. Animals less than 7kg
should be placed on a nonrebreathing system when gas anesthesia is being administered.
AGENT

DOSAGE

COMMENTS

Atropine

0.02-0.04 mg/kg IM, SC

Glycopyrrolate

0.02 mg/kg IM, SC

Acepromazine

0.05-0.1 mg/kg SC, IM

Anticholinergic. Duration of effect 30-60


min.
Anticholinergic. Duration of effect is 1-2
h. Some cats can have dry mouth after 2 h
on glycopyrrolate.
Hypotension and prolonged recovery, but
very commonly used for calming
fractious animals for placement of IV
catheters and minor procedures.

Xylazine

0.4-0.9 mg/kg IM

Diazepam

2-adrenergic agonist. IV administration


can lead to hypotensive crisis. Reduces
cardiac output even when anticholinergics
are given. Reported to cause vomiting

0.2-0.4 mg/kg (max dose is 10 Duration of effect 30-180 min. More


mg) IV
rapid recovery the ace and xylazine, less
hypotension
Acepromazine + Oxymorphone 0.05mg/kg of each, IM
A good sedative analgesia combination.
Anticholinergics are recommended to
prevent bradycardia.

Ketamine + Xylazine

Ketamine + Diazepam

22 mg/kg + 1.1 mg/kg IM

Duration of effect 20-30 min. Allows


enough muscle relaxation for intubation.
Poor recovery and hyperthermia.
10 mg/kg + 0.5mg/kg IV
Duration of effect is 20 min. Allows
Give calculated dose as a enough muscle relaxation for intubation;
bolus with rest to effect.
premedicate with anticholinergic.

K+Midazolam

Ketamine + Acepromazine

20 mg/kg + 0.11 mg/kg IM

Duration of effect is 20-30 min.


Reversible

Dexmedetomidine
Pentobarbital

20-30 mg/kg IV

Isoflurane

1-3% to effect

Duration of effect is 60-90 min. Repeated


doses of thiopental or pentobarbital will
greatly prolong the recovery from
anesthesia. Narrow margin of safety, poor
analgesic properties, long and sometimes
violent recovery periods. Recommended
for nonsurvival procedures.
Scavenge waste anesthetic gases.

Buprenorphine

0.01-0.02 mg/kg IM SC

6-8h, moderate pain relief, ceiling effect

Butorphanol

0.1-0.5 mg/kg

Analgesics

Oxymorphone

Up to 4h, sedation last longer than


analgesia, moderate pain relief, ceiling
effect
0.02-0.05 mg/kg IV, IM, SC Duration 4h, minimal respiratory
depression and excellent analgesia

Morphine

0.25-0.5 mg/kg IM, SC

Tramadol

1-5 mg/kg PO

Meloxicam

0.01 mg/kg

Carprofen

4 mg/kg IV, SC

Ketoprofen

1-2 mg/kg IM, IV, SC, PO

Duration 4h, dosages over 0.5mg/kg can


cause excitement
Start at 0.01 mg/kg and decrease dose and
frequency over time
q24h

Chicken and other Avian Species


The following issues should be considered when anesthetizing avian species. The use of supplemental
heat should always be used to protect against hypothermia. Other techniques which can protect against
hypothermia are minimizing feather plucking, circulating warm water blankets, warm water bottles, heat
December 21, 2010

Page 3

lamps, heated lavage solutions, and heated IV fluids. Indwelling intravenous catheters are difficult to
maintain because avian vessels are very delicate; however, peri-anesthetically, these catheters are usually
suitable. For long term (up to 3 days) vascular access, intraosseous (IO) catheters, placed in the ulna or
tibiotarsus, are recommended. Supplemental oxygen via a facemask is recommended when injectable
anesthesia is used. Pre-anesthetic agents such as anticholinergic drugs, opioids, and benzodiazepines are
routinely used in avian patients as indicated by the procedures to be performed. Birds should be fasted 2-4
h to insure the crop is empty at the time of anesthesia. Prior to anesthesia the crop should be gently
palpated to sure it is empty. If the crop still contains food after a 4 hour fast, it is generally a sign of ill
health, and veterinary assistance should be sought. The crop can be manually emptied using a crop gavage
tube. Birds should be positioned with their head and neck slightly elevated during anesthesia. Isoflurane
or servoflurane are the anesthetic agents of choice in birds. Inhalation anesthetics can be administered
through a facemask placed over the head, air sac breathing tube, or by an oral endotracheal tube. When
using gas anesthesia, birds under 8 kg should be place on a nonrebreathing system.

AGENT

DOSAGE

COMMENTS

Ketamine + Diazepam

75mg/kg IM + 1mg/kg IV

Chicken, give diazepam 10 min


after ketamine, pain reflexes
intact, lasts 90-100 min.

Ketamine + Midazolam
Atropine

5-30 mg/kg IM + 0.5-2 mg/kg IM, Most species


IV
10-40 mg/kg + 0.2-2 mg/kg SC, Most species
IM
0.02-0.04 mg/kg IM, SC
Most species

Midazolam

).2-0.5 mg/kg IM, Sc

Most species

Isoflurane

3-5% induction, 1.5-2.5%


maintenance

Most species

Butorphanol

1-4 mg/kg IM, SC


not to exceed q4hr

Carprofen

1 mg/Kg SC

Meloxicam

5-10 mg/kg IM, IV, PO


0.5 mg/kg SC, PO q12h

Tramadol

5 mg/kg PO q12h

-opioid receptor agonism has


been shown to be more
important for establishment of
antinociception.
This dose was shown to increase
the walking ability of lame
chickens#
Joint working group, 2001
Based on PK data in Indian
Ring-necked parakeets, and has
been extrapolated clinically to
multiple other species
Based on PK data in Bald Eagles

Analgesics

#The Veterinary Clinics of North America, Heard Darrly, Volume 4, Number 1, January 2001 W.B. Saunders
Joint Working Group on Refinements. Laboratory birds: refinement in husbandry and procedures. Lab. Anim. 35(Suppl. 1), 2001.

Dog
In survival surgical patients, baseline data can identify any preexisting physical or physiological
abnormalities. The review of pre-surgical blood work and performing a physical examination are
common methods used to evaluate surgical patients. It is recommended that complete blood count,
parasite examination and chemical evaluation of both kidney and liver function be included in the presurgical work-up.
Intramuscular injections are commonly delivered to the caudal thigh muscles. However, IM injection in
this location can cause deposition of the agent in the fascial plane. This can result in both decreased
absorption and possible damage to the sciatic nerve. Drugs administered in either the cranial thigh or
lumbar muscles are better absorbed and preferred locations for IM injections. However, if the caudal
thigh muscle is used, direct the needle backwards.
AGENT

DOSAGE

COMMENTS

Atropine

0.02-0.04 mg/kg IM, SC

Glycopyrrolate

0.02 mg/kg IM, SC

Acepromazine

0.01-0.05 mg/kg, IV,


0.05-0.1 mg/kg IM, SC

Xylazine

0.5-2.0 mg/kg IM

Anticholinergic. Duration of effect 3060 min


Anticholinergic. Duration of effect is
60-120 min
Hypotension and prolonged recovery,
but very commonly used for placement
of IV and minor procedures in fractious
animals.
Duration 30-60 min 2-adrenergic
agonist with short lived analgesic
properties. IV administration can lead to
hypotensive crisis. Reduces cardiac
output even when anticholinergics are
given has been reported to cause
vomiting

Sedative Combination:
Acepromazine
Oxymorphone

0.05mg/kg of each, IM

A good sedative analgesia combination.


Anticholinergics are recommended to
prevent bradycardia.

Propofol

0.3-0.5 mg/kg/min
Recommended combination for
animals with compromised
cardiovascular function:
Propofol 1-2 mg/kg IV +
Slow bolus fentanyl 7-10g/kg
and atropine 0.005-0.01mg/kg
IV
10 mg/kg + 0.2-0.4 mg/kg IV.
Give as bolus then titrate to
effect

Propofol is a sedative/hypnotic. It can be


used in induction or maintenance of
general anesthesia. An opioid or 2agonists must be added for surgery,
because of its poor analgesic properties.
There are rapid induction and recovery
times Some of the adverse effects are
apnea, bradycardia and hypotension.
Duration 20 min used for short periods
of restraint or minor procedures or for
intubation

Ketamine + Diazepam

December 21, 2010

Page 5

Telazol

1-3 mg/kg IM, IV

Pentobarbital
Isoflurane

20-30 mg/kg IV
1-3% to effect

For tracheal intubation. For large dogs


use lower end of the recommended dose.
Tachycardia and hypertension are
common. Premedicate with
acepromazine, opioid or xylazine
provides a smoother recovery.
Scavenge waste anesthetic gases.

Analgesics
Buprenorphine

0.01-0.02 mg/kg IM, SC q6-8h Flecknell (1985)

Butorphanol
Carprofen
Meloxicam

0.1-0.5 IM, IV q2-4h


2.2-4.0 mg/kg PO, IV, SC for a
max of 3 d or 1 mg/Kg for 5 d
0.2 mg/kg PO

Ketoprofen

5 mg/kg IM

Potent COX inhibitor, preoperative


administration inhibited platelet
aggregation (Lemke, 2002). Use caution
when given pre-operatively, supportive
fluid therapy is recommended.

Fentanyl

50g/h transdermal patch

Fentanyl has a very short duration of


action (30-45 min.). Therefore, it is most
effectively used as a continuous drip
either intraoperatively and/or postoperatively

Tramadol

2-3 mg/kg PO q6-12h

Flecknell (1985). The management of post-operative pain and distress in experimental animals. Anim. Tech. 36(2): 97-103.
Mathew N (ed) (1999) The Veterinary Clinics of North America Small Animal Practice, Volume 29, number 3. W.B. Saunders.
Lemke, KA, Runyon CL, Horney BS (2002) Effect of perioperative administration of ketoprofen on whole blood platelet aggregation, buccal
mucosal bleeding time, and hematologic indices in dogs undergoing elective ovarhysterectomy. J Am Vet Med Assoc 220(12): 1818-1822

Ferret
Small mammals can develop hypoglycemia if fasted. However, the possibility of vomiting and aspiration
does exist whenever ferrets are anesthetized. Thus, fasting for a minimum of 4h not to exceed 8h is
recommended. In animals over 3 years of age fasting should not exceed four hours. In addition, water
should be withheld for 2h prior to anesthetic procedures. Ferrets respond well to gas anesthesia, but a
decrease by up to 40% of the packed cell volume should be expected when ferrets are exposed to
Isoflurane, halothane, or servoflurane. As with the cat a properly fitted nose cone can be used to
administer gas anesthesia. Furthermore, an induction chamber can be used but some animals may
become excitable during this procedure. The ferret is easily intubated; recommended endotracheal tube
size ranges from 2.5-3.5mm. The topical application of 0.05 ml of a 2% lidocaine solution will prevent
larygospasm. A nonrebreathing anesthesia circuit is recommended for ferrets. Body temperature is
rapidly lost in small mammals, which results in prolonged recovery and bradycardia. Thus, the use of
recirculation hot water blankets, rectal core temperature monitoring and heated recovery areas is
recommended.
AGENT

DOSAGE

COMMENTS

Atropine
Glycopyrrolate

0.04-0.05 mg/kg IM, SC


0.01mg/kg IM, SC

Acepromazine

0.1-0.25 mg/kg IM,SC

Xylazine
*REVERSAL AGENT:
Yohimbine (0.2 mg/kg IV; 0.5
mg/kg IM)
Diazepam

1.0 mg/kg IM,SC

Anticholinergic. Recommended to
control salivation associated with
ketamine, tiletamine-zolazepam,
administration or gas induction.
Light to moderate sedation, no
analgesia, not recommended for
debilitated animals.
Profound sedation, good muscle
relaxation, analgesia, bradycardia,
arrhythmias and hypotension. Not
recommended for debilitated animals.
Light tranquilization no analgesia
Smooth muscle relaxation
Light tranquilization no analgesia
Provides analgesia, improves recovery
in tiletamine-zolazepam/xylazine
combinations
When used alone muscle relaxation is
poor analgesia brief and salivation is
excessive. Recovering animals may
paddle Recommended for restraint
only.

Midazolam
Butorphanol

1.0-2.0 mg/kg, IM
0.5 mg/kg PO, IM, IV q6-8h
0.3-1.0 mg/kg, IM, SC
0.1-0.5 mg/kg IM, IV

Ketamine

20-30 mg/kg IM

Ketamine + Xylazine

10-25 mg/kg + 1-2mg/kg IM, SC Light anesthesia for noninvasive


procedures, good analgesia, cardiac
arrhythmias, bradycardia,
hypertension. Animals become quite
hypoxic
10-20 mg/kg + 1-2 mg/kg IM, Recommended for sedation only, poor
SC
analgesia, cardiac arrhythmias,
paddling and sneezing on recovery,
not suitable for surgical procedures,
animal must be supported during the
recovery period.
12-22mg/kg IM
At lower dosage good for sedation
only, but respiration is abnormally
shallow and rapid. At higher dosage
sedation, muscle relaxation, variable
analgesia, long recovery time,
paddling, and apnuestic breathing.

Ketamine + Diazepam

Tiletamine-zolazepam

Isoflurane

1-5%

Scavenge waste anesthetic gases.

Analgesics
Buprenorphine

0.01-0.05 mg/kg SC, IM, IV,


TM (transmucosal) q8-12h

Butorphanol
Oxymorphone

0.05-0.5 mg/kg SC, IM q2-4h May cause significant sedation


0.05-0.2 mg/kg q4h SC, IM, IV Some sedation and respiratory
q2-4h
depression

December 21, 2010

Page 7

Hydromorphone
Morphine
Flunixin meglumine
Ketoprofen

0.05-0.2 mg/kg SC, IM, IV q8h


0.5-1 mg/kg SC, IM
0.5-2.0 mg/kg SC, IV q12-24h
0.3 mg/kg PO, SC q24h
1 mg/kg SC PO, SC, IM q24h

Meloxicam

0.2 mg/kg SC, IM q24h

Caprofen

1.0 mg/kg PO q12-24h

Tramadol

5 mg/kg PO q12h

Minimal respiratory suppression


Sedation and respiratory suppression
Can be given PO, but must mask the
bitter taste with syrup
Use with caution until long term safety
studies are available
Use with caution until long term safety
studies are available
Use with caution until long term safety
studies are available
Empirical usage, data lacking other
than clinical efficacy

* reversal agents also reverse the analgesia of the 2 agonists.

Fish
Immersion is the preferred method of anesthesia. It is recommended that two separate tanks of water be
used one for induction and the other for recovery. In addition, animals should be fasted for 24h prior to
anesthesia, maintained in a clam state until induced. Fish should be handed with wet gloved hands. The
loss of the equilibrium indicates attainment of the first stages of anesthesia. Surgical anesthesia is attained
when there is no response to stimuli and respirator rate is very slow. Gill movements should be
maintained through anesthesia. Fish that stop spontaneous gill movement should be placed in a recovery
bath pushed though the water to oxygenate the gills.
AGENT

DOSAGE

Tricaine methane sulfonate (MS 15-50 mg/L water


222)
50-100mg/L bath (induction);
50-60 mg/L maintenance
Benzocaine

15-40 mg/L bath


50-100 mg/L

Isoflurane

0.4-0.75 ml/L induction


0.25-0.4 ml/L maintenance

Butorphanol

0.05-0.1 mg/kg IM
0.4 mg/kg IM in koi

COMMENTS
Sedation
Surgical anesthesia
This agent is acidic and must be
buffered
Transport sedation
Anesthesia
Less water soluble than tricaine
Isoflurane is distributed by spraying it
under surface of the water with a 25
gauge needle. Disadvantage: difficult
to scavenge waste gases

Heard D (ed) The Veterinary Clinics of North America Exotic Animal Practice. Volume 4, number 1. W.B. Saunders

Gerbil
AGENT

DOSAGE

COMMENTS

Atropine

0.1-0.4 mg/kg SC, IM

Diazepam

3-5mg/kg IM

Sedation

Ketamine

40-60 mg/kg IM

Light sedation, heavy sedation at higher


doses. Marked individual variation

Ketamine + Diazepam
50 mg/kg IM + 5 mg/kg IP
Ketamine + Medetomidine
75 mg/kg + 0.5 mg/kg IP
Ketamine + Xylazine
50 mg/kg + 2 mg/kg IP
Tiletamine/Zolazepam (Telazol) 20 mg/kg + 10 mg/kg IP
+ Ketamine
Medetomidine
0.1-0.2 mg/kg SC
Atipamazole
Yohimbine
0.5-1 mg/kg IV
Pentobarbital
50-90 mg/kg IP
Isoflurane
2-5% induction, 0.25-4%
maintenance
Analgesics
Flunixin
Buprenorphine
Oxymorphone

2.5 mg/kg IM SC q12-24 h


0.01-0.05 mg/kg SC, IV q8-12h
0.1-0.2 mg/kg SC q8h
0.2-0.5 mg/kg IM q6-12h

Carprofen

5 mg/kg SC q24h

Light to moderate sedation


Medetomidine reversal
Xylazine reversal
Respiratory depression and mortality
Anesthetic of choice. Scavenge waste
anesthetic gases.

Goat/Sheep
Fasting for 32-48h can reduce rumen volume, however, most anesthetized ruminants will require a
stomach tube to be placed to prevent bloating and to protect the airway from regurgitated rumen contents.
Atropine is usually not given to ruminants because it does not reduce the volume of saliva produced.
Ventilation is easily impaired due to both bloating and the mass of the abdominal viscera. The use of
intermittent positive pressure ventilation should be considered. During inhalation anesthesia the palpebral
reflex is depressed but not lost. The eyeball is rotated medioventrally when the patient is in a light plane
of anesthesia and center during anesthesia. A dilated pupil is a sign of anesthetic overdose.
AGENT

DOSAGE

COMMENTS

Acepromazine

0.02-0.05 mg/kg IV
0.05-0.2 mg/kg IM, SC

Xylazine

0.02-0.15 mg/kg IV
0.05-0.2 mg/kg IM, SC

Long duration of action will


prolong anesthesia recovery, not
an analgesic, minimal depression
of fetal oxygenation in the
unstressed state.
Dose-dependent sedation and
analgesia, higher dosage
associated with regurgitation

Detomidine
Medetomidine
Pentobarbital

0.01-0.04 mg/kg IM, IV


5-25 g/kg IM, IV
20-30 mg/kg IV

Propofol

4-6 mg/kg induction. 20-25


mg/min constant infusion

December 21, 2010

Very short duration 10-20 min,


profuse salivation, decreased
respiration rates, hemoglobinuria
Supplement with local anesthesia
or systemic analgesic if surgery is
performed.

Page 9

Ketamine
Xylazine

Ketamine + Diazepam

Ketamine + Medetomidine
Isoflurane
Analgesics
Carprofen

2.2-7.5 mg/kg IV; 5-15 mg/kg IM Good muscle relaxation,


0.1 mg/kg IV; 0.1-0.2 mg/kg IM regurgitation is not common.
Supplemental oxygen
recommended in pregnant and
debilitated animals
2.2-7.5 mg/kg + 0.2 mg/kg IV
Rapid onset, duration of effect 1520 min allows intubation, minimal
regurgitation, little
cardiopulmonary dysfunction
1 mg/kg + 25 g/kg IM
Not for major surgical procedures
0.5 mg/kg + 20 g/kg IV
1-3%
Scavenge waste anesthetic gases.
0.7-4.0 mg/kg IV

Long plasma half-life 48-72h

Concurrent use of NSAIDS is


recommended with opioids

Flunixin meglumine (Banamine)

0.005-0.01 mg/kg IM q4-6h


(Flecknell 1986)
1.1-2.2 mg/kg q24h IV, IM

Phenlybutazone

1 mg/kg, 1 g/sheep q24h PO, IM

Xylazine

5 mg loading dose then


Ruminants have a high density of
continuous infusion at 2 mg/kg IV 2-adrenergic receptors compared
(grant 2001)
to opioid receptors. Monitor
animals closely for potential
hypoxia when using these drugs.
2 mg/kg IV, IM, local infiltration

Meloxicam
Buprenorphine

Bupivicaine

Guinea Pig
Guinea pigs are difficult to anesthetize. Avoid fasting pregnant guinea pigs especially close to term. A
number of different injectable combinations have been evaluated. However, there is a lack of
reproducible results, between animals and investigators. In addition, ketamine can cause self mutilation at
the injection site after IM injection. Gas anesthesia produces consistent and reliable results. However,
breath holding when animals are first exposed to irritating gas vapors has been reported. Depth of
anesthesia and effectiveness of analgesia is assessed by pinching the pinna with a small hemostat and lack
of a pedal withdrawal. As with other small rodents steps should be initiated to prevent hypothermia. Large
cecum can act as reservoir for anesthetics. Depending on drug solubility, the cecum can alter the
pharmacologic effect.

AGENT

DOSAGE

COMMENTS

Atropine sulfate

0.05-0.2 mg/kg SC

Diazepam
Xylazine

1.0-5.0 mg/kg IP
5-10 mg/kg IP

Administer 15-30 minutes prior to


induction of anesthesia
For sedation
Mild sedation

Tiletamine/zolazepam
Xylazine

40 mg./kg IM
5 mg/kg IM

Duration of 90 min surgical anesthesia


(Buchanan, 1999).

Tiletamine zolazepam
Medetomidine

Ketamine + Xylazine

Pentobarbital

Isoflurane

40 mg/kg IM
0.5 mg/kg IM

Duration of can be as long as 3 h,


surgical anesthesia, us of reversal agent
my help to decrease time to recovery.
Buchanan (1999)
40 mg/kg IM + 5 mg/kg SC
Duration and depth of anesthesia is
25-40 mg/kg IM, SC + 5 mg/kg variable between animals.
SC, IM %
15-30mg/kg IM
Duration and depth of anesthesia is
40 mg/kg IP
variable between animals. Anesthesia
30mg/kg IP
associate fatalities reported at dosages
30-45 mg/kg IV
over 50mg/kg
2-5% induction, 0.25-4%
Anesthetic of choice. Scavenge waste
maintenance
anesthetic gases.

Analgesics
Buprenorphine

0.05 mg/kg SC, IV q8-12h

Flunixin meglumine

1-2 mg/kg SC
2.5-5.0 mg/kg SC q12-24h
1-2 mg/kg PO q12-24h
4 mg/kg SC q24h
0.2-0.5 mg/kg SC, IM q6-12h
0.3-1 mg/kg PO, SC q12-24h

Carprofen
Oxymorphone
Meloxicam

Higher and more frequent dosing may


lead to anorexia

Buchanan et al (1999), Evaluation of injectable anesthetics for major surgical procedures in guinea pigs. Contemp. Top. Lab. Anim. Sci. 37(4):
58-63.

Hamsters
AGENT

DOSAGE

COMMENTS

Acepromazine
Atropine

0.5-1.0mg/kg IM, SC
0.1-0.4 mg/kg IM, SC

Sedation prior to gas anesthesia

Glycopyrrolate

0.01-0.02 mg/kg SC

Excess oral or respiratory mucus

Yohimbine
Ketamine + Diazepam

0.5-1 mg/kg IV
70 mg/kg + 2 mg/kg IP

Xylazine reversal

Ketamine + Medetomidine

75 mg/kg + 1 mg/kg IP

Reverse with atipamazole (1 mg/kg)

Ketamine + Xylazine

80 mg/kg + 5 mg/kg IM, IP

Telazol + Xylazine

30 mg/kg T + 10 mg/kg X IM,


IP
50-90 mg/kg IP
Duration 60-70 min. respiratory
depression, variable depth of anesthesia
2-5% induction, 0.25-4%
Anesthetic of choice. Scavenge waste
maintenance
anesthetic gases.

Pentobarbital
Isoflurane
Analgesics
Buprenorphine

0.1 mg/kg SC q6-8h

Flunixin meglumine

2.5 mg/kg SC q12-24h

Carprofen

5 mg/kg SC q24h

December 21, 2010

Page 11

Mouse
Preoperative evaluation of rodents should include careful review of the colony health history, age of the
animal and appearance of the animal. Parenteral administration of anesthetic agents is the most common
method of drug delivery in rodents. The volume of drug, site of administration and irritant properties of
the agent should be considered when injecting rodents. To minimize errors in IP injections, fasting the
animal for 4hand using a 20-22 gauge needle are recommended. During the procedure and recovery
period animals should be protected against hypothermia. Gas anesthesia can be used in mice, but
modification of equipment may be necessary to accommodate the small size of mice.
AGENT

DOSAGE

Ketamine + Xylazine

100 mg/kg (K) + 5-16 mg/kg (X) IP.


80-100 mg/kg (K) + 10 mg/kg (X) IP
(Flecknell, 1996)
50 mg/kg + 5 mg/kg IP

COMMENTS

Ketamine inhibits blinking, ocular


lubrication in needed to protect
against corneal ulceration. 60-100
min, anesthetic depth varies
(Wixson, 1994).
Ketamine + Xylazine +
100 mg/kg (K) IP
Excellent survivability and reliable
Acepromazine
20 mg/kg (X) IP
depth of anesthesia when
3 mg/kg (A) IP (Arras, 2001)
compared to other combinations.
Dose should be adapted to mouse
strain used.
Ketamine + Medetomidine with Male: 50 mg/kg (K), 10 mg/kg (M) IP Combination produced light
Atipamazole reversal
Female: 75 mg/kg (K), 1-2.5 mg/kg anesthesia and good
(M) IP
immobilization (Cruz, 1998).
Isoflurane
2-5% induction, 0.25-4% maintenance Good general anesthetic with high
safety margin. Long procedures
require a precision vaporizer.
Scavenge waste anesthetic gases.
Analgesics
Buprenorphine

0.05-2.5 mg/kg SC, IP q6-12h

Flunixin meglumine

0.3-2.0 mg/kg IM, IV, PO q12-24h

Carprofen

5 mg/kg SC q24h

Meloxicam

1-2 mg/kg PO, SC

Takes 1 h to be effective so give


preemptively. For mild to
moderate pain. Duration of effect
3-5h (Gades, 2000). Combine with
NSAID.

Arras M, Autenried P, Rettich A, Spaeni D, Rlicke (2001) Optimization of intraperitoneal anesthesia in mice: drugs, dosages, adverse effects
and anesthesia depth. Comp. Med. 51: 443-456
Cruz et al (1998). Observations on the use of Medetomidine/ketamine and its reversal with Atipamazole for chemical restraint in the mouse. Lab.
Anim. Sci. 32(1): 18-22.
Gades et al (2000). The magnitude and duration of the analgesic effect of morphine, Butorphanol, and buprenorphine. Contemp. Top. Lab. Anim.
Sci. 39(2): 8-13.
Wixson (1994). Anesthesia and analgesia. In: The Biology of the Laboratory Rabbit, 2nd ed. Manning et al eds., p 87-109, Academic Press, New
York.

Pig
There is a documented variability of response to anesthetics between domestic and miniature swine. In
addition, there are response differences between breeds within both categories. Pigs are very sensitive to
restraint, anesthesia (particularly halothane) and excitement. In some cases these events can produce
malignant hyperthermia (MH). The first clinical sign is an elevation in end-tidal CO2. A rise of 5-10 mm
Hg above baseline is highly suspect. Other clinical signs of MH include muscle rigidity, tachypnea,
tachycardia and hyperthermia (rectal temperature up 108F) followed by dyspnea, cardiac arrhythmias,
apnea and death. Dantrolene is the drug of choice for MH. The minimum effective dose for prophylaxis
is 3.5-5mg/kg
Preanesthetic preparation should include withholding feed, at least 12 hours, and withholding water, at
least 4-12 hours before anesthesia. Each pig should be evaluated before anesthesia; at a minimum, this
evaluation should include: rectal temperature, pulse, respiration rate, auscultation of the lung fields and
assessment of general health and attitude. If, extensive surgical procedures will be part of the project,
discuss with the veterinarian the need for additional preoperative testing.
Normal values: temperature 38.0-40.0oC (100.4-104.0oF); heart rate 60-120/min; respiration rate 1012/min.
AGENT

DOSAGE

COMMENTS

Atropine

0.07-0.09 mg/kg IM

Administer 15-30 min prior to


induction of anesthesia

Acepromazine
Glycopyrrolate

0.03-0.22 mg/kg IM, IV, SC


0.004-0.01 mg/kg IM

Midazolam

100 g/kg IM

Ketamine
Ketamine + Acepromazine
Ketamine + Diazepam or
Azaperone
Ketamine + Midazolam
Ketamine + Xylazine

Telazol
Telazol + Xylazine

December 21, 2010

Duration 30 min

Produces 20 min of sedation (Smith,


1991).
0.5 mg/kg IM
In the Yucatan micropig significant
cardiovascular changes reported
(Goodrich, 2001)
11-33 mg/kg IM
Duration 30 min, immobilization with
poor muscle relaxation
33 mg/kg + 1.1 mg/kg IM
Duration 30 min, mild cardiodepressant
15 mg/kg + 2 mg/kg or 2 mg/kg Similar to ketamine + acepromazine.
IM
Diazepam and azaperone should be
given 15-20 min prior to ketamine.
33 mg/kg + 500 g/kg
Hypothermia and 1-4h recovery.
Endotracheal intubation possible.
20 mg/kg + 2 mg/kg IM
Anticholinergics recommended to
overcome cardiodepression due to
xylazine. Endotracheal intubation
possible.
2-8.8 mg/kg IM
20 min of immobilization, hypothermia
and cardiac depression
4.4 mg/kg + 2.2 mg/kg
Cardiopulmonary depression, 20 min
duration of anesthesia, endotracheal
intubation possible.

Page 13

Pentobarbital

Propofol

Isoflurane

20 mg/kg IV
5-15 mg/kg/h continuous IV
infusion (non survival studies)

20-30 min duration, metabolized by the


liver, more cariodepressant than
thiopental, prolonged recovery. Often
easier to immobilize with ketamine
hydrochloride prior to IV
administration of barbiturate to effect
(reduces barbiturate dose). Inject half
rapidly, rest to effect. Perivascular
infiltration can cause tissue sloughing.
Induction with 0.83-1.66 mg/kg Induction with azaperone and
IV followed by incremental IV thiopental is recommended (Foster,
boluses at 14-20 mg/kg/h
1992). Useful in cardiovascular
protocols.
1-3%
Scavenge waste anesthetic gases. Can
cause malignant hyperthermia

Analgesics
Carprofen
Flunixin meglumine
Phenylbutazone
Buprenorphine

Fentanyl

2-4 mg/kg IV, SC q24h


5 mg/kg IM q24h
2-2.2 mg/kg IV, SC q12-24h
1mg/kg IM
0.01 mg/kg IV q6h
Less effective in treating pain due to
0.02 mg/kg IV q10h (Rodriguez, inflammation, organ failure or systemic
2001)
disease. Higher dosages recommended
0.005- 0.1 mg/kg IM, IV q6-12h for major surgical procedures.
0.05 mg/kg IM q2h
Infusion is preferred because of the
50-100 g/kg/h IV
short half life in swine. Transdermal
50 g/h patch for 25-30 kg pig patches have been tried in miniature
up to 72 h (Harvey-Clark, 2000) swine (Wilkinson, 2001)

Tramadol

2-4 mg/kg PO

Lidocaine and prilocaine


(EMLA cream)
Phenylbutazone

Topical, apply 2 mm of cream to Effective in preventing pain associated


skin 45 min prior to procedure with blood sampling or injection of the
ear veins
1 mg/kg q24h IM

Ketoprofen

1-3 mg/kg PO q12h

NSAID, potent, non-selective inhibitor


of COX enzymes, good analgesic agent
and anti-inflammatory.

Goodrich et al (2001). Non-invasive measurement of blood pressures in the Yucatan micropig (Sus scrofa domestica), with and without
Midazolam-induced sedation. Comp. Med. 51(1): 13-15.
Harvey-Clark et al (2000). Transdermal fentanyl compared with parenteral buprenorphine in post-surgical in swine: a case study. Lab. Anim.
34(4): 386-398.
Foster PS, Hopkinson KC, Denborough MA (1992). Propofol anesthesia in malignant hyperthermia susceptible swine. Clin. Exp. Pharmacol.
Physiol. 19: 183-186.
Riebold (1995)
Rodriguez NA, Cooper DM, Risdahl JM (2001). Antinociceptive activity of and clinical experience with buprenorphine in swine (2001).
Contemp Top Lab Anim Sci 40(3): 17-20.
Smith AC, Zellner JL, Spinale FG, Swindle MM (1991). Sedative and cardiovascular effects of Midazolam in swine. Lab Anim Sci 41: 157-161.
Wilkinson AC, Thomas ML, Morse BC (2001). Evaluation of transdermal fentanyl system in Yucatan miniature pigs. Contemp Top Lab Anim
Sci 40(3): 12-16.

Rabbit
Rabbits are prone to hypoxia due to their small lung capacity and restricted nasopharynx, especially in
short nosed breeds. Their tidal volume is 4-6 ml/kg2. Rabbits should be evaluated for signs of disease (i.e.
respiratory noises, sneezing, appetite, consistency of feces, skin turgor, and moistness of mucus
membranes) before anesthesia is administered. Anesthetic drug dosages in the rabbit are higher than
similar sized cats or dogs. Animals should be weighed prior to the administration of drugs. The large
intestinal tract can lead to over estimation of lean body mass. In addition the cecum can act as a reservoir
for anesthetics and alter drug effects. It may be beneficial to calculate the drug dose based on metabolic
body size (Wkg0.75)3. In addition age, sex, breed and strain, body weight and time of day may affect the
response to anesthetic agents. Drugs given intravenously should be given to effect. When giving
intramuscular injections start at the lower end of the dose range. Fasting is not required because rabbits
have a high metabolic rate and a low risk for vomiting.
Endotracheal intubation should be used in prolonged procedures. Tube sizes range from 2.0 mm to 4.0
mm inner diameter. The blind placement of the endotracheal tube works well for many operators and is
easy to master. Prior to intubation, a few drops lidocaine should be applied directly to the larynx to
prevent laryngospasm. A non-rebreathing circuit (e.g. Ayerss T-tube, Bain system) should be used with
rabbits on gas anesthesia. In addition, supplementary oxygen is recommended in animals given
barbiturates, or other injectable agents that reduce respiratory function. Use of a pulse oximeter is
recommended anesthesia because anesthesia and a large gastrointestinal tract can decrease tidal volume
and compromise respiratory function.
The depth of anesthesia is best indicated by response to ear pinch. The reliability of accepted reflex tests
as indicators of anesthesia level has been rated (most to least) as follows: pinna, pedal, corneal, palpebral
reflex (Borkowski, 1990)4.
Rabbits have high levels of circulating catecholamine. The sudden awareness of pain can lead to breath
holding which further increases circulating catecholamines, and the possibility of fatal cardiac
arrhythmias.
AGENT

DOSAGE5

COMMENTS

Atropine

0.1-0.5 mg/kg SC, IM

Glycopyrrolate

0.01-0.02mg/kg SC

Acepromazine

0.25-1.0 mg/kg IV,IM or SC

Some rabbits produce an atropine


esterase, which can inactive atropine.
Duration 60 min. Glycopyrrolate has
been shown to be effective and is the
recommended anticholinergic agent in
rabbits.
Duration 15-30m. Useful as mild
tranquilizer to reduce handling stress,
activity as a vasodilator is beneficial in
blood collection procedures.

1-5 mg/kg SC, IM

At this dosage will increase the duration


and depth of anesthesia of ketaminexylazine

Harcout-Brown, F (2002). Textbook of Rabbit Medicine, Butterworth Heinmann, Edinburgh


Aeschbacher, G (1995). Rabbit Anesthesia. Compendium on Continuing Education, 17:1003-1011.
4
Borkowski, GL, Danneman PJ, Russell GB, Lang CM (1990). An evaluation of three intravenous anesthetic
regimens in New Zealand rabbits. Lab. Anim. Sci. 40: 270-276.
5
May need to decrease dosages by up to for small breed e.g. Dutch-Belted.
3

December 21, 2010

Page 15

Doxopram
Diazepam

5 mg/kg IM, IV
1-5 mg/kg IV, IM

Midazolam

1-2 mg/kg IM, IV

Medetomidine

0.1-0.5 mg/kg IM

Ketamine

20-50 mg/kg IM

Ketamine + Diazepam
Ketamine + Xylazine

Respiratory stimulant. Duration 15 min


Cardiovascular side effects are minimal
when used alone. Can reverse with
flumenzanil (0.01-0.1 mg/kg)
More potent than diazepam. Can mix
with other solutions or drugs. Free from
propylene glycol. May be better for
cardiovascular research.
Sedation or premedication

Good for restraint and minor


procedures.
10-15 mg/kg + 0-2 -0.5 mg/kg Follow with Isoflurane for anesthesia
IV
30-40 mg/kg + 3-5 mg/kg IM Better combinations available.
10 mg/kg + 3 mg/kg IV
Respiratory depression, hypotension
and hypoxemia common. Light plane of
anesthesia not suitable for
intraabdominal or intrathoracic
procedures. IM injection can cause
local irritation and amputation of the
digits on the injected legs. Dilution with
saline will limit this effect. Duration
20-30 min

Ketamine + Xylazine +
Acepromazine

IV infusion: 25 mg/kg + 5
mg/kg. Give the first over 1
min, and the remainder slowly
over the next 4 min.
35 mg/kg + 5 mg/kg + 0.75
mg/kg IM

Ketamine + Xylazine +
Butorphanol

35 mg/kg + 5 mg/kg + 0.1


mg/kg IM

Ketamine + Medetomidine

20 mg/kg + 0.1 mg/kg IM

Ketamine + Medetomidine +
Butorphanol
Yohimbine

10 mg/kg + 0.2 mg/kg + 0.05


mg/kg SC
0.2-1.0 mg/kg IV

IV infusion has good muscle relation


and analgesia, with moderate
depression of respiratory and heart rate
and severe hypotension.
Longer anesthesia than with ketamine
plus xylazine. Use with an
anticholinergic. More hypotension and
hypothermia than ketamine plus
xylazine.
Longer loss of reflexes than with
ketamine plus xylazine. Less
hypotensive effects compared to
ketamine plus xylazine plus
acepromazine.
Wait 15 min after Medetomidine before
giving ketamine. Duration 90-180 min.
low mortality.
Induction. Can be mixed in same
syringe. Duration 30-40 min
Will cut in the duration of ketamine
plus xylazine anesthesia.

Propofol

Propfol + medetomidine +
midozolam + atropine

Isoflurane

7.5-10 mg/kg IV

Lower dosage safest for repeat


administration. Anesthesia time 2-3 min
at lower dosage increases to 3.5 min at
higher dosage. Respiratory support
equipment should be available to treat
respiratory depression (Labreck, 1998)
0.25 mg/kg medetomidine + 0.5 Average length of ear pinch reflex loss
mg/kg midazolam+ 0.5 mg/kg was 37 min. sufficient anesthesia for
atropine IM + 4.0 mg/kg
endotracheal intubation, induction, and
propofol IV
short term anesthesia.
1-5%. MAC = 2.05
Premedication is advised to reduce
stress of induction. Gradually increase
the percentage of gas being delivered to
prevent high initial exposure to the
agent if the animal holds it breath.
Scavenge waste anesthetic gases.

Analgesics
Buprenorphine

0.01-0.05mg/kg SC, IV

Flunixin meglumine
Carprofen

1.1 mg/kg SC, IM q12-24h


1.5 mg/kg PO q12h
2-4 mg/kg SC q24h
0.5-2.0 mg/kg PO, SC q12h

Meloxicam

Lidocaine and prilocaine


(EMLA cream)

Topical, apply 2mm of cream


to skin 45 min prior to
procedure.

Duration 6-12 h Partial -agonist,


recommended for moderate pain.
Not to exceed 3 days

Palatable oral form; wide safety


margin; very effective when combined
with Buprenorphine for severe (i.e.
surgical) pain
Local anesthetic, full-skin thickness
analgesia, which reduced the
discomfort associated with ear
venipuncture Not documented

LaBreck JC, An YH, Friedman RJ (1998). Chronic use of propofol for multiple minor procedures in the rabbit. Contemp. Top. Lab. Anim. Sci.
37(2): 71-72.

Rat
AGENT

DOSAGE

COMMENTS

Acepromazine

0.5-1.0 mg/kg IM

Atropine
Glycopyrrolate

0.05-0.1 mg/kg SC
0.1-0.4 mg/kg SC, IM
0.01-0.02 mg/kg SC

In combination with ketamine.


Sedation.
Some rats possess serum
atropinesterase
Excess oral or respiratory mucus

Diazepam

3-5 mg/kg IM

Ketamine
Ketamine + Xylazine

25-40 mg/kg IM
75-95 mg/kg (K) + 5 mg/kg (X)
IM, IP

December 21, 2010

Sedation and anesthesia. Dilute


1:100 to reduce injection site
irritation.
Heavy sedation at higher doses
Anesthesia. IM can cause tissue
necrosis.
Page 17

Ketamine + Acepromazine

75 mg/kg (K) + 3 mg/kg (A) IP

Anesthesia

Ketamine + Medetomidine

75-90 mg/kg (K) + 0.5 mg/kg (M) Anesthesia, 20-20 min


IP
Medetomidine
0.03-0.1 mg/kg SC
Light to moderate sedation
Pentobarbital
60 mg/kg IP
Duration of effect highly variable
between sex, strain and age
Tiletamine + Zolazepam (Telazol) 20-40 mg/kg IM
Anesthesia
Propofol

7.5-10 mg/kg IV

Anesthesia, induction

Atipamazole

1 mg/kg SC

Medetomidine reversal

Yohimbine

0.5-1.0 mg/kg IV

Xylazine reversal

Isoflurane

2-5% induction, 0.25-3%


maintenance

Good general anesthetic. Long


procedures require precision
vaporizer. Scavenge waste
anesthetic gases.

Analgesics
Buprenorphine

0.02-0.5 mg/kg SC, IV, IP, IM


6-12h duration
0.05 mg/kg SC, IM + Carprofen 510 mg/kg PO

Butorphanol (Torbugesic)

0.2-2 mg/kg SC, IP

Flunixin meglumine (Banamine)

1.1-2.5 mg/kg SC q12-24h

Carprofen (Rimadyl)

5-10 mg/kg SC, PO q12-24h

Meloxicam

1-2 mg/kg PO, SC q24h

Ketoprofen

5 mg/kg SC, IM, PO q24h

NSAID

Oxymorphone

0.2-0.5 mg/kg SC, IM

q6-12h

Bupivicaine

1-2 mg/kg SC

2-4h duration

Can combine with buprenorphine


0.05 mg/kg

MAINTENANCE OF ANESTHETIC MACHINES AND VAPORIZERS


As with all equipment, anesthetic machines and vaporizers need experience normal wear and tear and to
be serviced periodically to ensure that they are working safely and effectively. Vaporizers should be
calibrated to ensure that they are delivering the correct amount of anesthetic agent. Typically calibrations
can be done in house by a trained technician. Please contact Laboratory Animal Resources or the Animal
Care Program coordinator for assistance with this aspect. The IACUC requires that vaporizers be
calibrated at least every 2 years, or immediately if the equipment does not operate optimally. See Policy
on Maintenance of Anesthetic Vaporizers at http://web.research.colostate.edu/ricro/acuc/policies.aspx.
The unit also needs to be cleaned and serviced. This is more involved, and often requires the unit to be
shipped to the original manufacturer or company specialized in performing those procedures. The
frequency of servicing will depend on the volatile anesthetic agent being used, how often the equipment is
used, whether the unit is mobile or stationary. Please check with the manufacturer of your unit for the
recommended schedules for servicing the unit, which may range from every 1-3 years or longer.

The hoses, fittings and connections should be checked routinely for leakage of anesthetic gases; and for
proper functioning. A properly functioning scavenging system should be in place to avoid exposing
personnel to waste anesthetic gases which can present an occupational hazard. Additional information is
available at http://web.research.colostate.edu/ACP/OHP_Waste.aspx and http://vam.anest.ufl.edu/.
References
Carpenter, JW (ed) (2005), Exotic Animal Formulary (3rd edition). Elsevier Saunders, St. Louis, MO,
USA.
Hawk, CT, Leary, SL, Morris T (2005), Formulary for Laboratory Animals (3rd edition). WileyBlackwell, Ames, IA, USA.
Flecknell, PA, Waterman-Pearson, A (eds.) (2000), Pain Management in Animals. Harcout Publishers
Ltd. (W.B. Saunders), London.
Fox, JG, Anderson, LC, Loew, FM, Quimby, FW (eds.) (2002), Laboratory Animal Medicine (2nd
edition). Pp956-1003. Academic Press (Elsevier), San Diego, CA, USA.
Hampshire V, Gonder JC (eds.) (2007). Research Animal Anesthesia, Analgesia and Surgery. Scientists
Center for Animal Welfare, Greenbelt, MD, USA. http://www.scaw.com
Kohn DW, Wixson SK, White WJ, Benson GJB (1997). Anesthesia and Analgesia in Laboratory
Animals. Academic Press, San Diego, CA, USA.
Moreland, AF, Glaser C (1985), Evaluation of ketamine, ketamine-xylazine and ketamine-diazepam
anesthesia in the ferret. Lab. Anim. Sci. 35:287-290
Quesenbery, KG, Carpenter JW (2003), Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery (2nd
edition), Saunders, Philadelphia, PA, USA.
Stetter MD (2001). Fish and amphibian anesthesia. Vet Clin North Am Exot Anim pract 41(1): 69-82, vii.
Swindle MM, Adams RJ (eds.) (1988) Experimental Surgery and Physiology: Induced Animal Models of
Human Disease. Williams and Wilkins, Baltimore, MD, USA.

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