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Published on: June 20, 2020
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HYPERKALEMIA IN FOUR ANESTHETIZED RED WOLVES (CANIS RUFUS)
Caitlin M Hepps Keeney1, Melinda A Gorges1, Megan M Gremling1
1Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, NC 27607, USA.
Summary
Hyperkalemia occurred in four red wolves during anesthesia. Terbutaline treatment successfully resolved high potassium levels in three of the four wolves, indicating its potential as an effective intervention.
Area of Science:
- Veterinary Anesthesiology
- Wildlife Conservation Medicine
- Canid Physiology
Background:
- Hyperkalemia is a critical condition characterized by elevated serum potassium levels.
- Anesthetic protocols in wildlife, particularly for endangered species like red wolves (Canis rufus), require careful monitoring for adverse events.
- Routine anesthetic procedures in red wolves have not been extensively studied for electrolyte disturbances.
Purpose of the Study:
- To report the occurrence of hyperkalemia in clinically healthy red wolves during anesthesia.
- To identify potential contributing factors to hyperkalemia in this species.
- To evaluate the efficacy of terbutaline in treating hyperkalemia in red wolves.
Main Methods:
- Four red wolves underwent anesthesia using a combination of dexmedetomidine, ketamine, and midazolam or butorphanol.
- Anesthetic duration varied from 60 to 420 minutes.
- Electrocardiography (ECG) was used for cardiac monitoring in three cases; terbutaline was administered subcutaneously (0.01 mg/kg) to three wolves for hyperkalemia treatment.
Main Results:
- All four red wolves developed hyperkalemia during anesthesia.
- Three of the four hyperkalemic wolves were successfully treated with terbutaline.
- No bradyarrhythmias were observed in the three wolves monitored with ECG.
- All wolves recovered from anesthesia, with one experiencing a prolonged recovery.
Conclusions:
- Hyperkalemia is a potential risk during red wolf anesthesia, possibly influenced by anesthetic duration, alpha-2 agonists, hyperthermia, or genetics.
- Serial blood gas and electrolyte measurements are recommended during red wolf anesthesia, especially with prolonged procedures or hyperthermia.
- Terbutaline shows promise as a successful treatment for hyperkalemia in red wolves.

