Sources of Variability in the Duration of Anesthesia in Snakes Dan Preston Mentors: Dr. Robert Mason, Department of Zoology Dr. Craig Mosley, College of Veterinary Medicine Oregon State University Why Anesthetize Reptiles? • Anesthesia facilitates invasive procedures such as surgery • Veterinary Medicine – Reptiles are pets • Research – Experiments often involve surgical procedures Ihooq38/flickr.com Challenges Associated with Reptile Anesthesia • Risk of Mortality • Unique Physiology and Anatomy • Difficult Drug Administration • Variability in Anesthetic Effect www.snakegetters.com Anesthetic Agents used on Reptiles • Cold Narcosis, Inhalants and Injectables Brevital Sodium •Barbiturate anesthetic •Work in the brain at GABA receptors; suppress CNS •Widely used in many reptile taxa •Intramuscular or subcutaneous administration •Fast acting; short induction and recovery times •Variable effects across individuals Questions 1. What factors are responsible for variability between individuals? 2. How can anesthetic protocols be improved to create more consistent results? Red-sided Garter Snakes (Thamnophis sirtalis parietalis) • Well-studied • Large sample sizes • Easily maintained in captivity Potential Causes of Variability in Duration of Anesthesia 1. Body temperature -Reptiles are ectotherms; heart rate increases with body temperature -High temperatures increase rates of distribution and metabolism of anesthetics Potential Causes of Variability in Duration of Anesthesia cont. 2. Body condition -Barbiturates distribute from blood to viscera, lean tissue and then accumulate in adipose tissue over time C.R.Friesen Potential Causes of Variability in Duration of Anesthesia cont. 3. Time post-feeding - Snakes have evolved to efficiently digest large meals at infrequent intervals - Upregulate heart, gut and liver after feeding - Brevital sodium distributes to the gut and is metabolized hepatically Methods: Anesthetic Protocol • Anesthetize snakes with 15 mg/kg subcutaneously • Record loss of righting ability, beginning and end of surgical anesthesia, return of righting ability • Measure body temperature every 30 min. Methods: Experimental Designs 1. Body Temperature -20 males, 3 temps. (21C, 26C, 31C) -repeated measures 2. Body Condition -45 females, 3 body condition groups, all at 21 C -60-70 cm SVL, 60-120 g body weight 3. Time Post-feeding -10 males, 10 females, all at 21 C -anesthetized 1, 3, 10 days post-feeding -dosage based on pre-feeding masses Results: Body Temperature 140 A Time to Righting Ability (min) One way ANOVA: 120 F2,17 = 12.71 100 B 80 P < 0.001 C 60 Post-hoc Tukey: 40 21 vs 31, P < 0.001 20 21 vs 26, P = 0.037 0 21 C 26 C 31 C 26 vs 31, P = 0.042 Results: Body Condition Time to Righting Ability (min) 250 Thin y = -97.19x + 230.51 R2 = 0.2527 P < 0.001 200 Medium Fat One way ANOVA: 150 F2,42 = 5.026 100 50 P = 0.011 0 0.8 1 1.2 1.4 1.6 1.8 2 Mass/SVL Post-hoc Tukey: Time to Righting Ability (min) 140 A 120 Thin vs Fat, P = 0.008 A,B Thin vs Med., P = 0.300 100 B 80 60 40 20 0 Thin Medium Fat Med. vs Fat, P = 0.230 Results: Time Post-feeding 1.35 Relative Body Mass 1.3 1.25 1.2 1.15 1.1 1.05 1 0.95 -2 -1 0 1 2 3 4 5 6 7 8 Days Post-feeding 10 F2,17 = 3.091 90 Time to Righting Ability (min) 9 One way repeated measures ANOVA: 80 P =0.057 70 60 50 40 30 20 10 0 1 3 Days Post-feeding 10 Conclusions 1. Body temperature has strong effect – Increased heart rate likely reduces anesthetic duration 2. Body condition has moderate effect – Shortened anesthetic duration with brevital sodium in fatter snakes is probably due to absorption by adipose tissue 3. Time post-feeding did not have a detectable effect – Physiological changes during digestion may not have clinically significant effect on anesthesia – Further studies may clarify whether any effect exists Acknowledgements Thanks to: Dr. Robert Mason Dr. Craig Mosley Dr. Kevin Ahern Rocky Parker Chris Friesen Howard Hughes Medical Institute Pharmacokinetics of Barbiturates 100.00 Blood Pool % Dose 90.00 Viscera 80.00 Lean Tissue 70.00 Fat 60.00 50.00 40.00 30.00 20.00 10.00 0.00 1.00 10.00 100.00 1000.00 10000.00 100000.00 Time (seconds) Thurmon, Tranquili and Benson. 1999. Essentials of Small Animal Anesthesia and Analgesia.