Skip to main content

Advertisement

Log in

Does ketamine-midazolam combination act as a routine and safe chemical restraint in cats? Clinical and hemato-biochemical evaluation

  • Original Article
  • Published:
Comparative Clinical Pathology Aims and scope Submit manuscript

Abstract

Intramuscular administration of ketamine-midazolam was used as a fast-acting chemical restraint, with convenient use of the drug in domestic cats. Furthermore, biochemical and hematological changes were evaluated following administration. A total of 20 clinically healthy cats were selected. During the physical examination, cephalic vein was prepared aseptically. Then, cats were restrained cautiously and intravenous catheter was placed in the cephalic vein and immediately heparinized. After covering and protecting the catheter, the animals were kept in separate cages for half an hour. Subsequently, the first blood samples were obtained before intramuscular injection of combination of ketamine and midazolam. The intervals between injection and animal sedation were recorded and the second blood samples were taken. Results showed that the interval between intramuscular injection compound and clinical sedation, the time of second sampling, was 6 ± 2.12 (mean ± SD) min and cat’s recovery time and the time of returning to full power, consciousness, and ability to move and balance were recorded 19 ± 5.35 (mean ± SD) min. Also, values of blood-biochemical parameters were measured before and after administration of the ketamine-midazolam combination and implications on the effect of subsequent administration of the compound on the RBC count, hemoglobin values, PCV, WBC count, lymphocyte percentile, and glucose levels which were found to be significantly reduced (P < 0.05). It seemed that using a combination of ketamine-midazolam could well be tolerated in restraining cats without clinical complications. Following administration of this combination, a short time induction of clinical sedation is a valuable finding that may help to discharge clinical cases without undue delay.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abu-Ahmed H (2013) Sedative and hematobiochemical effects of midazolam and midazolam-ketamine combination in Baladi goats. Glob Vet 10:742–747

    Google Scholar 

  • Akkerdaas LC, Minch P, Sap P, Hellebrekers LJ (2001) Anaesthesiology: cardiopulmonary effects of three different anaesthesia protocols in cats. Vet Quart 23:182–186

    Article  CAS  Google Scholar 

  • Bougherara H, Bouaziz O (2014) Effects of the anaesthetic / tranquillizer treatments (ketamine, ketamine+acepromazine, zoletil) on selected plasma biochemical parameters in laboratory rats. Eur J Exp Biol 3:1–5

    Google Scholar 

  • Clanahan AS, McGrath JC, MacKenzie JE (1976) Cardiovascular effects of ketamine in the pithed rat, rabbit and cat. Brit J Anaesth 48:935–939

    Article  Google Scholar 

  • Desborough JP, Hall GM, Hart GR, Burrin JM (1991) Midazolam modifies pancreatic and anterior pituitary hormone secretion during upper abdominal surgery. Br J Anaesth 67:390–396

    Article  CAS  PubMed  Google Scholar 

  • Dyson DH (2000) Chemical restraint and analgesia for diagnostic and emergency procedures. Vet Clin North Am Small Anim Pract 30:885–898

    Article  CAS  PubMed  Google Scholar 

  • Ebner J, Wehr U, Busch R, Erhardt W, Henke J (2007) A comparative clinical study of three different dosages of intramuscular midazolam–medetomidine–ketamine immobilization in cats. J Vet Med A Physiol Pathol Clin Med 54:418–423

    Article  CAS  PubMed  Google Scholar 

  • Grint NJ, Murison PJ (2007) Preoperative body temperature in isoflurane anaesthetized rabbits following ketamine-medetomidine. Vet Anaesth Analg 34:181–189

    Article  CAS  PubMed  Google Scholar 

  • Grove DM, Ramsay EC (2000) Sedative and physilologic effects of orally administered α2-adrenoceptor agonists and ketamine in cats. J Am Vet Med Assoc 216:1929–1932

  • Gülanber EG, Baştan A, Tasal I, Aktaş M, Arikan N (2001) General anesthesia in dogs with midazolam and ketamine. Istanbul Univ Vet Fak Derg 27:401–409

    Google Scholar 

  • Habib S, Das BC, Islam MN, Hossain MK, Ahmed MF (2002) A comparison of xylazine, diazepam, chlorpromazine and promethazine in relation to certain clinical and hematological parameters of indigenous sheep (Ovis aries). Pak J Biol Sci 5:484–488

    Article  Google Scholar 

  • Hall LW, Clarke KW (1991) Veterinary anaesthesia. Baillière Tindall, London, p 93

    Google Scholar 

  • Ilkiw JE, Suter CM, Farver TB, McNeal D, Steffey EP (1996) The behaviour of healthy awake cats following intravenous and intramuscular administration of midazolam. J Vet Pharmacol Ther 19:205–216

    Article  CAS  PubMed  Google Scholar 

  • Johnson C (1999) Companion animal practice: chemical restraint in the dog and cat. In Practice 21:111–118

    Article  Google Scholar 

  • Kanda T, Hikasa Y (2008) Effects of medetomidine and midazolam alone or in combination on the metabolic and neurohormonal responses in healthy cats. Can J Vet Res 72:332–339

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kilic N (2008) Cardiopulmonary, biochemical and haematological changes after detomidine-midazolam-ketamine anaesthesia in calves. Bull Vet Inst Pulawy 52:453–456

    Google Scholar 

  • Kleinsorgen A, Brandenburg C, Brummer H (1976) Research into the influence of using force on cats on the blood parameters. Berl Munch Tierarztl Wochenschr 89:358–360

    CAS  PubMed  Google Scholar 

  • Kong KL, Willatts SM, Prys-Roberts C, Harvey JT, Gorman S (1990) Plasma catecholamine concentration during sedation in ventilated patients requiring intensive therapy. Intensive Care Med 16:171–174

    Article  CAS  PubMed  Google Scholar 

  • Kumar N, Kumar A, Singh B (1989) Haematological and biochemical effects of ketamine with or without meperidine and diazepam in dogs. Indian J Anim Sci 59:815–818

    CAS  Google Scholar 

  • Mathews KA, Dyson DH (2005) Analgesia and chemical restraint for the emergent patient. Vet Clin North Am Small Anim Pract 35:481–515

    Article  PubMed  Google Scholar 

  • McEvoy GK (1992) American hospital formulary service-drug information 92. American Society of Hospital Pharmacists Inc., Bethesda

    Google Scholar 

  • Muir WW (1998) Anesthesia for dogs and cats with cardiovascular disease. Part I. Comp Contin Educ Pract Vet 20:78–87

    Google Scholar 

  • Muir WW, Hubbell JAE, Skarda RT et al (2000) Handbook of veterinary anesthesia, 3rd edn. Mosby Inc., St. Louis

    Google Scholar 

  • Nascimento Jdos S, Modolo NS, Silva RC, Santos KP, Carvalho HG (2007) Sedative and cardiovascular effects of midazolam and diazepam alone or combined with clonidine in patients undergoing hemodynamic studies for suspected coronary artery disease. Arq Bras Cardiol 89:403–408

    PubMed  Google Scholar 

  • Rand JS, Kinnaird E, Baglioni A, Blackshaw J, Priest J (2002) Acute stress hyperglycemia in cats is associated with struggling and increased concentrations of lactate and norepinephrine. J Vet Intern Med 16:123–132

    Article  PubMed  Google Scholar 

  • Reynolds BS, Geffre A, Bourges-Abella NH, Vaucoret S, Mourot M, Braun JP, Trumel C (2012) Effects of intravenous, low-dose ketamine-diazepam sedation on the results of hematologic, placma biochemical, and coagulation analyses in cats. J Am Vet Med Assoc 240:287–293

  • Rockhill AP, Chinnadurai SK, Powell RA, DePerno CS (2011) A comparison of two field chemical immobilization techniques for bobcats (Lynx rufus). J Zoo Wildl Med 42:580–585

    Article  PubMed  Google Scholar 

  • Soliman MK, Amrousi SE, Khamis MY (1965) The influence of tranquilizers and barbiturate anaesthesia on the blood picture and electrolytes of dogs. Vet Rec 77:1256

    Article  CAS  PubMed  Google Scholar 

  • Takki S, Nikki P, Jaattela A (1972) Ketamine and plasma catecolamines. Br J Anaesth 44:1318–1322

    Article  CAS  PubMed  Google Scholar 

  • Troyer HL, Feeman WE, Gray TL, Guillermo C (2005) Comparing chemical restraint and anesthetic protocols used for blood donations in cats: one teaching hospital's experience. Vet Med 100:652–658

    Google Scholar 

  • White PF, Way WL, Trevor AJ (1982) Ketamine—its pharmacology and therapeutic uses. Anesthesiology 56:119–136

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Heidari, F., Javdani, M., Bigham Sadegh, A. et al. Does ketamine-midazolam combination act as a routine and safe chemical restraint in cats? Clinical and hemato-biochemical evaluation. Comp Clin Pathol 26, 793–797 (2017). https://doi.org/10.1007/s00580-017-2448-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00580-017-2448-9

Keywords

Navigation