RESUMEN
Hyperthermia is a common complication during anesthesia of bears, and it can be life threatening. The objective of this study was to evaluate the effectiveness of active cooling on core body temperature for treatment of hyperthermia in anesthetized brown bears (Ursus arctos). In addition, body temperature after reversal with atipamezole was also evaluated. Twenty-five adult and subadult brown bears were captured with a combination of zolazepam-tiletamine and xylazine or medetomidine. A core temperature capsule was inserted into the bears' stomach or 15 cm into their rectum or a combination of both. In six bears with gastric temperatures≥40.0°C, an active cooling protocol was performed, and the temperature change over 30 min was analyzed. The cooling protocol consisted of enemas with 2 L of water at approximately 5°C/100 kg of body weight every 10 min, 1 L of intravenous fluids at ambient temperature, water or snow on the paws or the inguinal area, intranasal oxygen supplementation, and removing the bear from direct sunlight or providing shade. Nine bears with body temperature>39.0°C that were not cooled served as control for the treated animals. Their body temperatures were recorded for 30 min, prior to administration of reversal. At the end of the anesthetic procedure, all bears received an intramuscular dose of atipamezole. In 10 bears, deep rectal temperature change over 30 min after administration of atipamezole was evaluated. The active cooling protocol used in hyperthermic bears significantly decreased their body temperatures within 10 min, and it produced a significantly greater decrease in their temperature than that recorded in the control group.
Asunto(s)
Antagonistas de Receptores Adrenérgicos alfa 2/farmacología , Anestesia/veterinaria , Temperatura Corporal/efectos de los fármacos , Fiebre/veterinaria , Imidazoles/farmacología , Ursidae , Anestesia/efectos adversos , Animales , Animales Salvajes , Fiebre/inducido químicamente , Fiebre/terapia , Hipnóticos y Sedantes/efectos adversos , Hipnóticos y Sedantes/farmacología , Inmovilización/veterinaria , Medetomidina/efectos adversos , Medetomidina/farmacología , Xilazina/efectos adversos , Xilazina/farmacologíaRESUMEN
There is some evidence that the handheld rectal thermometer does not accurately measure core temperature in bears. The objective of this study was to compare body temperature measured by the handheld digital thermometer (HDT), deep rectally inserted core temperature capsules (CTCs), and gastrically inserted CTCs in anesthetized brown bears (Ursus arctos). Twenty-two brown bears were immobilized with a combination of zolazepam-tiletamine and xylazine or medetomidine. After immobilization, one CTC was inserted 15 cm deep into the animal's rectum (DRTC) with a standard applicator, and another CTC was inserted into the stomach (GTC) via a gastric tube inserted orally. Temperature was measured every 5-10 min with an HDT. Paired temperature data points were analyzed with the Bland-Altman technique for repeated measurements and regression analysis with a significance level of 0.05. The mean difference ± SD of the difference between HDT and GTC readings was 0.27 ± 0.47 degrees C and the 95% limits of agreement (LoA) were 1.20 and -0.66 degrees C. The determination coefficient (r2) found between these methods was 0.68 (P < 0.0001). The mean difference ± SD of the difference between HDT and DRTC readings was 0.36 ± 0.32 degreesC and the 95% LoA were 1.0 and -0.28 degrees C. The r2 between HDT and DRTC was 0.83 (P < 0.0001). The mean difference ± SD of the difference between the two insertions of the VitalSense capsules was -0.06 ± 0.24 degrees C and the 95% LoA were 0.42 and -0.54 degrees C. The r2 found between GTC and DRTC was 0.91 (P < 0.0001). This study demonstrates that DRTC provided accurate measurement of core temperature and that HDT did not accurately measure core temperature, compared with GTC in anesthetized brown bears.