{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:35:09Z","timestamp":1784550909758,"version":"3.55.0"},"reference-count":42,"publisher":"American Veterinary Medical Association (AVMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To evaluate the sedative and cardiorespiratory effects of IM administration of alfaxalone and butorphanol combined with acepromazine, midazolam, or dexmedetomidine in dogs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>6 young healthy mixed-breed hounds.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Dogs received each of 3 treatments (alfaxalone [2 mg\/kg] and butorphanol [0.4 mg\/kg] combined with acepromazine [0.02 mg\/kg; AB-ace], midazolam [0.2 mg\/kg; AB-mid], or dexmedetomidine [0.005 mg\/kg; AB-dex], IM) in a blinded, randomized crossover-design study with a 1-week washout period between treatments. Sedation scores and cardiorespiratory variables were recorded at predetermined time points. Data were analyzed by use of mixed-model ANOVA and linear generalized estimating equations with post hoc adjustments.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>All treatments resulted in moderate to deep sedation (median score, \u2265 15\/21) \u2264 5 minutes after injection. Sedation scores did not differ among treatments until the 40-minute time point, when the score was higher for AB-dex than for other treatments. Administration of AB-dex resulted in median scores reflecting deep sedation until 130 minutes, versus 80 and 60 minutes for AB-ace and AB-mid, respectively, after injection. Heart rate, cardiac output, and oxygen delivery decreased significantly after AB-dex, but not AB-ace or AB-mid administration. Respiratory variables remained within clinically acceptable ranges after all treatments. Undesirable recovery characteristics were observed in 4 dogs after AB-mid treatment. Four dogs required atipamezole administration 180 minutes after AB-dex injection.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>All protocols produced reliable sedation. The results indicated that in young, healthy dogs, AB-mid may produce undesirable recovery characteristics; AB-dex treatment caused cardiovascular depression and should be used with caution.<\/jats:p><\/jats:sec>","DOI":"10.2460\/ajvr.81.1.65","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T18:34:24Z","timestamp":1577730864000},"page":"65-76","source":"Crossref","is-referenced-by-count":12,"title":["Sedative and cardiorespiratory effects of intramuscular administration of alfaxalone and butorphanol combined with acepromazine, midazolam, or dexmedetomidine in dogs"],"prefix":"10.2460","volume":"81","author":[{"given":"Melissa A.","family":"Murdock","sequence":"first","affiliation":[{"name":"1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, 43210."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina H.","family":"Ricc\u00f3 Pereira","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, 43210."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turi K.","family":"Aarnes","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, 43210."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannette","family":"Cremer","sequence":"additional","affiliation":[{"name":"2Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Lerche","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, 43210."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Bednarski","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, 43210."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Can Vet J","first-page":"885","article-title":"A review of the physiological effects of \u03b12-agonists related to the clinical use of medetomidine in small animal practice","volume":"44","author":"Sinclair","year":"2003"},{"key":"ref2","series-title":"Trends Anaesth Crit Care","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.tacc.2014.03.002","article-title":"Ketamine\u2013more mechanisms of action than just NMDA blockade","volume":"4","author":"Sleigh","year":"2014"},{"key":"ref3","series-title":"J Equine Med Surg","first-page":"460","article-title":"Pharmacological review\u2013the phenothiazine tranquilizers","volume":"3","author":"Tobin","year":"1979"},{"key":"ref4","series-title":"J Vet Pharmacol Ther","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1111\/j.1365-2885.1993.tb00206.x","article-title":"Telazol\u2013a review of its pharmacology and use in veterinary medicine","volume":"16","author":"Lin","year":"1993"},{"key":"ref5","series-title":"Prog Neurobiol","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.pneurobio.2003.09.001","article-title":"Neurosteroid modulation of GABAA receptors","volume":"71","author":"Lambert","year":"2003"},{"key":"ref6","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1111\/j.1467-2995.2012.00747.x","article-title":"An evaluation of anesthetic induction in healthy dogs using rapid intravenous injection of propofol or alfaxalone","volume":"40","author":"Amengual","year":"2013"},{"key":"ref7","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1111\/j.1467-2995.2012.00752.x","article-title":"Alfaxalone for total intravenous anesthesia in dogs undergoing ovariohysterectomy: a comparison of premedication with acepromazine or dexmedetomidine","volume":"40","author":"Herbert","year":"2013"},{"key":"ref8","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1177\/1098612X17742289","article-title":"Cardiovascular, respiratory and sedative effects of intramuscular alfaxalone, butorphanol and dexmedetomidine compared with ketamine, butorphanol and dexmedetomidine in healthy cats","volume":"20","author":"Cremer","year":"2018"},{"key":"ref9","series-title":"J Vet Med Sci","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1292\/jvms.14-0368","article-title":"The pharmacological effects of the anesthetic alfaxalone after intramuscular administration to dogs","volume":"77","author":"Tamura","year":"2015"},{"key":"ref10","series-title":"J Pharm Sci","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1002\/jps.2600690715","article-title":"Pharmacokinetics of subcutaneous and intramuscular butorphanol in dogs","volume":"69","author":"Pfeffer","year":"1980"},{"key":"ref11","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.vaa.2017.08.003","article-title":"Comparison of the sedative effects of nalbuphine and butorphanol, alone or in combination with acepromazine in dogs","volume":"45","author":"Gomes","year":"2018"},{"key":"ref12","series-title":"Arch Int Pharmacodyn Ther","first-page":"231","article-title":"The pharmacology of butorphanol, a 3,14-dihydroxymorphinan narcotic antagonist analgesic","volume":"220","author":"Pircio","year":"1976"},{"key":"ref13","series-title":"J Vet Pharmacol Ther","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1111\/j.1365-2885.1992.tb01026.x","article-title":"Pharmacokinetics and preliminary observations of behavioral changes following administration of midazolam to dogs","volume":"15","author":"Court","year":"1992"},{"key":"ref14","series-title":"Am J Vet Res","first-page":"631","article-title":"Cardiopulmonary effects of acepromazine and the subsequent administration of ketamine in the dog","volume":"47","author":"Farver","year":"1986"},{"key":"ref15","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1111\/j.1467-2995.2006.00328.x","article-title":"Effects of acepromazine on cardiovascular actions of dopamine in anesthetized dogs","volume":"34","author":"Monteiro","year":"2007"},{"key":"ref16","series-title":"J Am Vet Med Assoc","first-page":"1111","article-title":"Adverse effects of administration of propofol with various preanesthetic regimens in dogs","volume":"202","author":"Smith","year":"1993"},{"key":"ref17","series-title":"Am J Vet Res","first-page":"2113","article-title":"Effect of acepromazine on the anesthetic requirement of halothane in the dog","volume":"47","author":"Heard","year":"1986"},{"key":"ref18","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1136\/vr.160.26.891","article-title":"Evaluation of the clinical efficacy and safety of intramuscular and intravenous doses of dexmedetomidine and medetomidine in dogs and their reversal with atipamezole","volume":"160","author":"Granholm","year":"2007"},{"key":"ref19","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"81","DOI":"10.2460\/javma.239.1.81","article-title":"Evaluation of the sedative and cardiovascular effects of intramuscular administration of dexmedetomidine with and without concurrent atropine administration in dogs","volume":"239","author":"Congdon","year":"2011"},{"key":"ref20","series-title":"BMC Vet Res","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/s12917-017-1027-2","article-title":"Sedation levels in dogs: a validation study","volume":"13","author":"Wagner","year":"2017"},{"key":"ref21","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1111\/j.1748-5827.2008.00670.x","article-title":"Does pethidine affect the cardiovascular and sedative effects of dexmedetomidine in dogs?","volume":"50","author":"Grint","year":"2009"},{"key":"ref22","series-title":"Can J Vet Res","first-page":"207","article-title":"Comparison of a central and a peripheral (cephalic vein) injection site for the measurement of cardiac output using the lithium-dilution cardiac output technique in anesthetized dogs","volume":"66","author":"Mason","year":"2002"},{"key":"ref23","series-title":"Comp Med","first-page":"156","article-title":"Reference cardiopulmonary values in normal dogs","volume":"55","author":"Haskins","year":"2005"},{"key":"ref24","series-title":"Multiple comparisons and multiple tests using SAS","author":"Westfall","year":"2001"},{"key":"ref25","series-title":"J Vet Med Sci","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1292\/jvms.15-0159","article-title":"The pharmacological effects of intramuscular administration of alfaxalone combined with medetomidine and butorphanol in dogs","volume":"78","author":"Tamura","year":"2016"},{"key":"ref26","series-title":"J Vet Med Sci","first-page":"1677","article-title":"Cardiorespiratory and anesthetic effects produced by the combination of butorphanol, medetomidine and alfaxalone administered intramuscularly in Beagle dogs","volume":"77","author":"Lee","year":"2016"},{"key":"ref27","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1111\/vaa.12223","article-title":"Cardiopulmonary and anesthetic effects of the combination of butorphanol, midazolam and alfaxalone in Beagle dogs","volume":"42","author":"Seo","year":"2015"},{"key":"ref28","series-title":"J Appl Toxicol","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1002\/jat.727","article-title":"A good practice guide to the administration of substances and removal of blood, including routes and volumes","volume":"21","author":"Diehl","year":"2001"},{"key":"ref29","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"934","DOI":"10.2460\/javma.244.8.934","article-title":"Cardiovascular effects of orotracheal intubation following anesthetic induction with propofol, ketamine-propofol, or ketamine-diazepam in premedicated dogs","volume":"244","author":"Ricc\u00f3","year":"2014"},{"key":"ref30","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1111\/j.1467-2995.2006.00330.x","article-title":"Effect of intravenous lidocaine on heart rate, systolic arterial blood pressure and cough responses to endotracheal intubation in propofol-anesthetized dogs","volume":"34","author":"Jolliffe","year":"2007"},{"key":"ref31","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1111\/j.1467-2995.2005.00264.x","article-title":"Plasma pharmacokinetics of alfaxalone in dogs after an intravenous bolus of Alfaxan-CD RTU","volume":"33","author":"Ferr\u00e9","year":"2006"},{"key":"ref32","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e0204553","DOI":"10.1371\/journal.pone.0204553","article-title":"Pharmacokinetics of intramuscular alfaxalone and its echocardiographic, cardiopulmonary and sedative effects in healthy dogs","volume":"13","author":"Cruz-Benedetti","year":"2018"},{"key":"ref33","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"1184","DOI":"10.1016\/j.vaa.2016.11.013","article-title":"Sedative and physiologic effects of low-dose intramuscular alfaxalone in dogs","volume":"44","author":"Maney","year":"2017"},{"key":"ref34","series-title":"Biol Psychiatry","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1016\/0006-3223(90)90424-Z","article-title":"A comparative study of the behavioral, neurophysiological, and motor effects of psychotropic drugs in the dog","volume":"27","author":"Bruhwyler","year":"1990"},{"key":"ref35","series-title":"J Vet Pharmacol Ther","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1111\/jvp.12032","article-title":"The pharmacokinetics of midazolam after intravenous, intramuscular, and rectal administration in healthy dogs","volume":"36","author":"Schwartz","year":"2013"},{"key":"ref36","series-title":"J Vet Pharmacol Ther","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1046\/j.1365-2885.2000.00245.x","article-title":"Clinical effects and pharmacokinetics of medetomidine and its enantiomers in dogs","volume":"23","author":"Kuusela","year":"2000"},{"key":"ref37","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"956","DOI":"10.2460\/ajvr.78.8.956","article-title":"Effects of the \u03b12-adrenoceptor agonist medetomidine on the distribution and clearance of alfaxalone during coadministration by constant rate infusion in dogs","volume":"78","author":"Bennett","year":"2017"},{"key":"ref38","series-title":"J Vet Pharmacol Ther","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1111\/j.1365-2885.2012.01383.x","article-title":"Effect of dexmedetomidine on its clearance: a pharmacokinetic model","volume":"36","author":"Pypendop","year":"2013"},{"key":"ref39","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.2460\/ajvr.73.11.1715","article-title":"Effects of anesthetic drugs on canine splenic volume determined via computed tomography","volume":"73","author":"Baldo","year":"2012"},{"key":"ref40","series-title":"Can J Vet Res","first-page":"203","article-title":"Effects of a single intravenous bolus injection of alfaxalone on canine splenic volume as determined by computed tomography","volume":"82","author":"Hasiuk","year":"2018"},{"key":"ref41","series-title":"J Vet Emerg Crit Care","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1111\/j.1476-4431.2007.00266.x","article-title":"An update on cardiovascular adrenergic receptor physiology and potential pharmacological applications in veterinary critical care","volume":"18","author":"Long","year":"2008"},{"key":"ref42","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1111\/j.1467-2995.2008.00406.x","article-title":"Cardiorespiratory and anesthetic effect of clinical and supraclinical doses of alfaxalone in dogs","volume":"35","author":"Muir","year":"2008"}],"container-title":["American Journal of Veterinary Research"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/81\/1\/ajvr.81.1.65.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/ajvr\/81\/1\/ajvr.81.1.65.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/ajvr\/81\/1\/ajvr.81.1.65.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T20:44:42Z","timestamp":1696538682000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/81\/1\/ajvr.81.1.65.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":42,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.2460\/ajvr.81.1.65","relation":{},"ISSN":["0002-9645"],"issn-type":[{"value":"0002-9645","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}