Journal of Wildlife Diseases, 49(2), 2013, pp. 338–346
REVERSIBLE IMMOBILIZATION OF FREE-RANGING SNOWLEOPARDS (PANTHERA UNCIA) WITH A COMBINATION OFMEDETOMIDINE AND TILETAMINE-ZOLAZEPAM
¨ rjan Johansson,1,2,3,8 Jonas Malmsten,4,5 Charudutt Mishra,3,6 Purevjav Lkhagvajav,7 and
Tom McCarthy21 Grimso¨ Wildlife Research Station, Department of Ecology, Swedish University of Agricultural Sciences, SE-73091,Riddarhyttan, Sweden2 Panthera, 8 W 40th Street, 18th floor, New York, New York 10018, USA3 Snow Leopard Trust, 4649 Sunnyside Avenue North, Seattle, Washington 98103, USA4 Department of Pathology and Wildlife Diseases, National Veterinary Institute, SE-751 89 Uppsala, Sweden5 Department of Clinical Sciences, Swedish University of Agricultural Sciences, SE-75007 Uppsala, Sweden6 Nature Conservation Foundation, 3076/5, IV Cross Gokulam Park, Mysore, India7 Snow Leopard Conservation Foundation, Sukhbaatar District, 4th Khoroo, 53-9 Ulan Baatar, Mongolia8 Corresponding author (email: orjan.johansson@slu.se)
Conservation and research of the elusive snow leopard (Panthera uncia) have been
hampered by inadequate knowledge about its basic life history. Global positioning system (GPS)collars can provide useful information, but there has been limited information available on safecapture methods, drug doses, and efficacy for effective immobilization of free-ranging snowleopards. We describe a drug protocol using a combination of medetomidine and tiletamine-zolazepam for the chemical immobilization of free-ranging snow leopards. We also describephysiologic responses to immobilization drugs, including rectal temperature, heart rate,respiratory rate, and relative hemoglobin oxygen saturation (SpO2) recorded every 10 min. Our
study was carried out in the Tost Mountains adjacent to the Great Gobi Desert, in southernMongolia, between August 2008 and April 2012. Eighteen snow leopards were captured orrecaptured with foot-snares on 42 occasions and anesthetized for marking with GPS collars. Thesnow leopards received on average (6SD) 0.02060.04 mg/kg body mass medetomidine and2.1760.45 mg/kg tiletamine-zolazepam. The duration of ensuing anesthesia was 69613 min,including an induction period of 10 (64) min. Anesthesia was reversed with 4 mg (0.1060.04 mg/kg) atipamezole administered intramuscularly. The mean value for SpO2 for the 37 captures where
we could record physiologic values was 9164. The SpO2 increased significantly during anesthesia
(+0.0660.02%/min), whereas rectal temperature (average 38.160.7 C/min, change 20.0460.003C/min), heart rate (average 9769 beats/min, change 20.2060.03 beats/min), and respiratoryrate (average 2666 breaths/min, change 20.1160.03 breaths/min) decreased significantly. Adose of 80 mg tiletamine-zolazepam (2 mg/kg body weight) and 0.72 mg medetomidine(0.02 mg/kg body weight) safely immobilized all adult and subadult snow leopards (weight 25–45 kg) in our study. All measured physiologic values remained within clinically acceptablelimits.
Anesthesia, capture, drug dose, Mongolia, physiology, vital rates.
2003). Chemical immobilization must relyon a safe drug, or drug combination, and
that inhabit relatively inaccessible terrain
sufficient maintenance of physiologic pro-
cesses such as respiration and heart rate
tracking device, for example, global posi-
carnivores, this requires the animals to be
in the mountains of Central Asia. Captive
important that the immobilization process
be safe and involve as little stress to the
JOHANSSON ET AL.—REVERSIBLE IMMOBILIZATION OF FREE-RANGING SNOW LEOPARDS
(Jalanka, 1989b). The three field studies
that involved multiple immobilizations ofwild snow leopards employed ketamine
study of snow leopards in Mongolia. A keycomponent of the study was to capture and fit
snow leopards with GPS collars (for a detailed
description of the study, see McCarthy et al.,
2010). The study area was located in the Tost
Mongolia. Our primary base camp was locatedat 43u119N, 100u369E. Annual precipitation in
strong winds all year, especially in winter and
spring. Elevation ranges between 1,900 and
conducted August 2008 to April 2012. Snow
leopards were caught in modified Aldrich-style
Novak, 1980) placed in steep-walled, narrow
canyons. The snare design follows Frank et al.
(2003), with the exception that the snares wereanchored with a four-way cross stake ground
(tiletamine) and a benzodiazepine agonist
stakes,17 mm in diameter, with a nut welded
properties (Plumb, 2008). Used alone, it causes
to one end. The stakes were hammered in at
about 45u angle from the ground and perpen-
laryngeal reflexes, and cataleptoid anesthesia.
dicular to one another. This prevented thecaptured animal from escaping with the snare
Adverse effects include marked salivation,
cable attached to its leg. A spring was also
which, in combination with retained laryn-
attached between the anchor and the snare to
geal reflexes, can cause vomiting and retching
struggled. Each snare was equipped with a
trap-site VHF transmitter (TBT-500, TelonicsInc., Mesa, Arizona, USA) emitting a contin-
and TZ has reportedly been used for safe,
uous signal at a unique frequency. A change in
efficient, and reversible immobilization of
signal pulse rate indicated the trap had been
signals every 3 hr from early evening to late
morning from a mountain peak using ahandheld receiver (Communications Special-
Jacquier et al., 2006), California sea lions
Gulland, 2001), captive polar bears (Ursus
4FL, Followit, Lindesberg, Sweden). Starting
maritimus; Caulkett et al., 1999), and free-
in autumn 2010, we used an automatic trap
surveillance system that constantly monitored
Caulkett and Cattet, 1997). We report the
the traps. The system scans the trap transmit-ters and sounds an alarm within a maximum of
8 min after a snare has been sprung (Johans-
son et al., 2011). This greatly reduced our
objectives were to evaluate the physiologic
response time, allowing us to be at the capture
site in an average of 40 min, and a maximum of
bilization, and to describe a drug combi-
immobilized with a combination of TZ (Tela-
effectively immobilize average-sized sub-
Fort Dodge Laboratories, Inc., Fort Dodge,
JOURNAL OF WILDLIFE DISEASES, VOL. 49, NO. 2, APRIL 2013
Vectronic, Berlin, Germany) programmed to
land). The drugs were mixed to a concentra-
record the animal’s location every 5 hr and
tion of 50 mg zolazepam, 50 mg of tiletamine,
uplink the data via Globalstar satellites. Data
5 mL of Domitor to one vial of Telazol (the
drug combination henceforth referred to as
recorded because we waited out of sight to
minimize disturbing the darted snow leopards.
needle (Daninject, Borkøp, Denmark) fired
from a CO2-powered rifle (Daninject J.M.
Special) fitted with a red dot sight (Aimpoint
and were able to handle the snow leopard.
Once fully sedated, vital rates were measured
throughout the anesthesia. Rectal temperature
was monitored with a digital thermometer.
leopard and darted it from a distance of 7–15 m,
Respiratory rate was measured by counting
and the capture site was vacated immediately to
the number of chest movements for 30 sec.
avoid stressing the animal. After 6–7 min, the
Heart rate and relative hemoglobin oxygen
animal was approached to ensure that it was not
saturation (SpO2) were measured throughout
lying in a position that could obstruct its
the anesthesia with a pulse oximeter (Nellcor
airways. If unsuccessful anesthesia was con-
N65 Oximax handheld pulse oximeter, Nellcor
Inc., Boulder, Colorado, USA) by attaching the
animal was left for another 5 min. If still
sensor (Vetsat, Nellcor Inc.) to the ear.
unanesthetized for any reason (e.g., unsuccess-
Capillary refill times were estimated but not
ful drug delivery/induction, or dart placement),
another full dose was administered, approxi-
circulation. To reverse the effect of MED,
mately 13–15 min after the first dart.
atipamezole hydrochloride (Antisedan vet 5 mg/mL, Orion Pharma Animal Health) was admin-
istered intramuscularly in the quadriceps ortriceps at a dose five times higher than the
medetomidine dose. Duration of anesthesia
lateral recumbency on an insulated blanket
was defined as the time from when the last dart
(Fjellduken, Jerven AS, Odda, Norway). If
was fired to the time when the snow leopard
first raised its head after collaring (head-up
time). Time to recovery and time to walking
rubber hot-water bottles were placed in the
were defined as the time from injection of the
groin and axillaries. Eye gel (Viscotears, CIBA
reversal drug to the head-up time and the time
Vision AG, Hetlingen, Switzerland) was ap-
from injection of the reversal drug to the animal
walking steadily. In case of a spontaneous
blindfolded to protect its eyes from dust and
recovery toward the end of the anesthesia, a
light. In cases where the capture site was
full dose of antidote was nevertheless adminis-
deemed unsafe for cat recovery (steep slopes
in more than one direction close to the snare),the anesthetized animal was moved to a
predetermined handling and awakening site.
The data were analyzed using mixed linear
and blood, hair, and ear swabs were collected
models in the statistical software R 2.12.1 (R-
for serologic, genetic, and parasitologic analy-
Development Core Team, 2010) with package
ses. Age was estimated based on body weight,
lme4. We included snow leopard individuals
size, and tooth wear (Stander, 1997). Smaller
and capture events as random factors, as some
wounds (either capture related or from pre-
individuals were captured more than once and
capture events) were cleaned with 2% iodine
some measurements were taken several times
solution, and, if deemed appropriate, a 500-mg
during a capture event. Reported mean values
of drug dose and physiologic parameters are
Norbrook Laboratories Ltd., Carlisle, UK) was
for each capture. The effect of time on the
administered intramuscularly. Female snow
variables was tested with a t-test (df516,
leopards were visually inspected for signs of
number of individuals: 2), testing whether
current or previous lactation. The animals
the slope was significantly different from 0.
were equipped with GPS collars (North Star,
JOHANSSON ET AL.—REVERSIBLE IMMOBILIZATION OF FREE-RANGING SNOW LEOPARDS
Description of individual snow leopards (Panthera uncia) captured and immobilized in Tost
Mountains of South Gobi Province, Mongolia, August 2008–April 2012. Snow leopards were weighed using adigital scale with an accuracy of 0.1 kg; hobbles were placed around the front and hind legs, and tworesearchers lifted the animal. Weight is given as a range when the same individual was caught more than once. Age estimates are based on tooth wear and body size.
a Caught in wolf trap. b Offspring of F4. c Offspring of F3, still travelling with his mother at time of capture.
killed M2 3 mo after he was collared. Theother three adult males caught early in the
captured 17 snow leopards, nine males and
eight females, on 41 occasions. In addition,one male (M6) was anesthetized and
released from a steel-jaw wolf trap set by
(1.69 mg/kg and 1.36 mg/kg, respectively)
this anesthesia were also included in the
analysis. Physiologic data were collected for
for safety reasons. On those occasions, we
M3), resulting in anesthesia durations of
53, 36, and 85 min, respectively. Thereaf-
one capture occurred during daytime.
JOURNAL OF WILDLIFE DISEASES, VOL. 49, NO. 2, APRIL 2013
Drug doses and physiologic response of anesthetized snow leopards (Panthera uncia) captured and
immobilized in Tost Mountains of South Gobi Province, Mongolia, August 2008–April 2012. Values for t and Pare from t-tests.
a MED 5 medetomidine; TZ 5 tiletamine-zolazepam (doses are mg/kg body weight); SpO2 5 relative oxygen saturation
in hemoglobin measured with a pulse oximeter.
b Change in physiologic parameter per minute, derived using mixed linear models; NS 5 not statistically significant.
Induction, duration of anesthesia, and recovery
in an attempt to escape. Once darted, and
upon the retreat of the darter, the animals
rate decreased significantly during anes-
generally remained silent, indicating that
they remained still during induction.
tion time was not significantly related to
on three relatively warm nights, but with
fore the antidote was administered. In 18
such cases, the recovery was slow, with 3–
speed of 60–80 km/hr. Mean heart rate for
all snow leopards was 96 beats per minute
male (F5) stood up within 1 min after the
had to be physically restrained to receive
the antidote both times she was captured.
JOHANSSON ET AL.—REVERSIBLE IMMOBILIZATION OF FREE-RANGING SNOW LEOPARDS
standard dose of 80 mg TZ and 0.72 mgMED provided safe immobilization foraverage-size (weight 25–45 kg) adult andsubadult snow leopards. A standard dosethat works on most individuals withouthaving to estimate their weight is useful, asbody weight estimation prior to dartingcan be subjective and made more difficultby the animal’s behavior or capturecircumstances (e.g., in the case of snowleopards lying flat when approached orbody partially hidden behind a rock orother obstruction). The dose used in thisstudy may need to be adjusted for animalsoutside the weight range of the snow
rameters of anesthetized free-ranging snow leopards
(Panthera uncia). Rectal temperature, heart rate,
respiratory rate, and SpO2 (relative oxygen saturationin hemoglobin) were measured during 37 captures in
animals with foot-snares is to minimize the
Tost Mountains, South Gobi, Mongolia. Data were
time the animal spends in the snare.
analyzed using mixed linear models where capture
event and individual were treated as random factors.
surveillance system, we observed somemild injuries. However, after we began to
was recorded. Capillary refill time never
around 1 sec. Muscle relaxation was withinnormal range, and no excessive salivation,
Capture-associated lesions and mortalities
with lack of responsiveness to tactile stimuli.
leopards continuously after darting, but let
sions, small cuts, or between two and four
several minutes pass between the observa-
fissured claws (mild onychoschisis). In one
overestimates, and the true induction times
overestimation, induction times were short
within 3 mo after any anesthesia event.
immobilized with the same drug combina-tion. Two previous studies report the mean
induction time for free-ranging Africanlions to be 14 min (n56) and 5.9 min
dine and tiletamine-zolazepam (Fahlman et
al., 2005; Jacquier et al., 2006). Captive
clinically acceptable physiologic respons-
midine and ketamine had similar induction
times as the wild snow leopards in our study
JOURNAL OF WILDLIFE DISEASES, VOL. 49, NO. 2, APRIL 2013
collars, recording biologic data, and sam-
pling blood and hair. Longer duration has
been reported in free-ranging lions (Jac-
quier et al., 2006; Fahlman et al., 2005)
than just ambient temperature. In approx-
drug combination, although those investi-
ature went below approximately 36.5 C.
(Gulo gulo; Fahlman et al., 2008) and gray
duration by providing the antidote as soon
wolves (Canis lupus; Ballard et al., 1991).
as possible, thus reducing the anesthetized
respiratory rates we observed were ex-pected, and they can be attributed to
previous information on respiratory rates
ing terrain of the capture site was steep,
of free-ranging snow leopards. We record-
ed a respiratory rate of 13–16 breaths per
leopards in a zoo (Johansson, unpubl.
the relatively high number of spontaneous
data). In our study, the anesthetized snow
leopards had a substantially higher respi-
ratory rate, interpreted as a physiologic
response to the elevation in body temper-
invariably walked toward steep slopes. In
rugged terrain or in areas with open water,
an animal that is still under influence of
caused an initial mild to moderate tachy-
drugs is at risk of injury or mortality.
cardia, which was possibly exacerbated by
Therefore, it is desirable to ensure that
sedated animals recover in relatively safe
(Fahlman et al., 2005). Hence, we believe
terrain, away from cliffs or water sources,
that the heart rates during anesthesia were
although completely avoiding steep terrain
above 84%, except for recordings madeduring the first two anesthetic events
captures). We believe this was the result of
is to be expected due to stress when free-
incorrect probe attachment to the animal’s
ranging animals are captured. The gradual
ear in the first two events, due to the initial
JOHANSSON ET AL.—REVERSIBLE IMMOBILIZATION OF FREE-RANGING SNOW LEOPARDS
study, logistic constraints such as extreme
constant supply of oxygen. The reliability
humans as well as animals, and differencesbetween actual arterial values and exter-
without the Mongolian Ministry for Nature
New, 1983; Hendricks and King, 1993).
and Environment’s cooperation or the gener-
ous support of Kolmarden and Nordens Ark. Henrik Andre´n helped with the statistical
trend of recorded values of SpO2 in order
Henrik Andre´n, Pernilla Eriksson, and Eva-
Charlott Munkenberg helped to improve thismanuscript. We are deeply grateful to Bayar-
jargal Agvantseeren and all staff members andvolunteers who assisted at the captures.
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Submitted for publication 6 January 2012.
Hyperglycemic Crisis in Adults: Pathophysiology, Editor’s note: This article is the 9th in a 12-part series reviewing the funda- mentals of diabetes care for physicians in training. Previous articles in the series can be viewed at the Clinical Diabetes website (http://clinical. water and the flow is incessant . . . . Life is short, unpleasant and painful, thirst unquen