Dose regimens, variability, and complications associated with using repeat-bolus dosing to extend a surgical plane of anesthesia in laboratory mice. Jaber, S. M, Hankenson, F C., Heng, K., McKinstry-Wu, A., Kelz, M. B, & Marx, J. O J Am Assoc Lab Anim Sci, 53(6):684–91, November, 2014.
abstract   bibtex   
Extending a surgical plane of anesthesia in mice by using injectable anesthetics typically is accomplished by repeat-bolus dosing. We compared the safety and efficacy of redosing protocols administered either during an anesthetic surgical plane (maintaining a continuous surgical plane, CSP), or immediately after leaving this plane (interrupted surgical plane, ISP) in C57BL/6J mice. Anesthesia was induced with ketamine, xylazine, and acepromazine (80, 8, and 1 mg/kg IP, respectively), and redosing protocols included 25% (0.25K), 50% (0.5K), or 100% (1.0K) of the initial ketamine dose or 25% (0.25KX) or 50% (0.5KX) of the initial ketamine-xylazine dose. In the ISP group, the surgical plane was extended by 13.8 \${\textbackslash}pm\$ 2.1 min (mean \${\textbackslash}pm\$ SEM) after redosing for the 0.25K redose with 50% returning to a surgical plane, 42.7 \${\textbackslash}pm\$ 4.5 min for the 0.5K redose with 88% returning to a surgical plane, and 44.3 \${\textbackslash}pm\$ 15.4 min for the 1.0K redose, 52.8 \${\textbackslash}pm\$ 7.2 min for the 0.25KX redose, and 45.9 \${\textbackslash}pm\$ 2.9 min for the 0.5KX redose, with 100% of mice returning to a surgical plane of anesthesia in these 3 groups. Mortality rates for ISP groups were 0%, 12%, 33%, 12%, and 18%, respectively. Mice in CSP groups had 50% mortality, independent of the repeat-dosing protocol. We recommend redosing mice with either 50% of the initial ketamine dose or 25% of the initial ketamine-xylazine dose immediately upon return of the pedal withdrawal reflex to extend the surgical plane of anesthesia in mice, optimize the extension of the surgical plane, and minimize mortality.
@article{jaber_dose_2014,
	title = {Dose regimens, variability, and complications associated with using repeat-bolus dosing to extend a surgical plane of anesthesia in laboratory mice},
	volume = {53},
	abstract = {Extending a surgical plane of anesthesia in mice by using injectable anesthetics typically is accomplished by repeat-bolus dosing. We compared the safety and efficacy of redosing protocols administered either during an anesthetic surgical plane (maintaining a continuous surgical plane, CSP), or immediately after leaving this plane (interrupted surgical plane, ISP) in C57BL/6J mice. Anesthesia was induced with ketamine, xylazine, and acepromazine (80, 8, and 1 mg/kg IP, respectively), and redosing protocols included 25\% (0.25K), 50\% (0.5K), or 100\% (1.0K) of the initial ketamine dose or 25\% (0.25KX) or 50\% (0.5KX) of the initial ketamine-xylazine dose. In the ISP group, the surgical plane was extended by 13.8 \${\textbackslash}pm\$ 2.1 min (mean \${\textbackslash}pm\$ SEM) after redosing for the 0.25K redose with 50\% returning to a surgical plane, 42.7 \${\textbackslash}pm\$ 4.5 min for the 0.5K redose with 88\% returning to a surgical plane, and 44.3 \${\textbackslash}pm\$ 15.4 min for the 1.0K redose, 52.8 \${\textbackslash}pm\$ 7.2 min for the 0.25KX redose, and 45.9 \${\textbackslash}pm\$ 2.9 min for the 0.5KX redose, with 100\% of mice returning to a surgical plane of anesthesia in these 3 groups. Mortality rates for ISP groups were 0\%, 12\%, 33\%, 12\%, and 18\%, respectively. Mice in CSP groups had 50\% mortality, independent of the repeat-dosing protocol. We recommend redosing mice with either 50\% of the initial ketamine dose or 25\% of the initial ketamine-xylazine dose immediately upon return of the pedal withdrawal reflex to extend the surgical plane of anesthesia in mice, optimize the extension of the surgical plane, and minimize mortality.},
	number = {6},
	journal = {J Am Assoc Lab Anim Sci},
	author = {Jaber, Samer M and Hankenson, F Claire and Heng, Kathleen and McKinstry-Wu, Andrew and Kelz, Max B and Marx, James O},
	month = nov,
	year = {2014},
	pmid = {25650976},
	keywords = {LAS-biblio, LAS-formations-M2RAPC-BEA, LAS-vet},
	pages = {684--91}
}

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