Intranasal dexmedetomidine as premedication for magnetic resonance imaging examinations in dogs with neurological disorders mitigates hypotension and hypothermia

J Am Vet Med Assoc. 2023 Oct 25;262(2):193-200. doi: 10.2460/javma.23.06.0322. Print 2024 Feb 1.

Abstract

Objective: This study aimed to evaluate the safety and feasibility of intranasal administration of dexmedetomidine as a premedication for preventing hypotension and hypothermia in canine patients undergoing MRI examinations.

Animals: Dogs undergoing MRI examinations for neurological disorders were enrolled in this study. The dogs were randomly assigned: 15 to the N-Dex group (without premedication) and 13 to the Dex group (125 μg/m2 of dexmedetomidine, intranasally, as a premedication).

Methods: During the examination, pulse rate, systolic blood pressure, diastolic blood pressure, and mean arterial blood pressure were recorded every 5 minutes for the first 30 minutes. Body temperature was measured before and after the examination. Any adverse events during the procedure were documented.

Results: Significant changes in pulse rate during the examination were not distinguishable. Although blood pressure and body temperature decreased in both groups under anesthesia, dogs in the Dex group had a significantly smaller drop in blood pressure and body temperature and fewer hypotension events than those in the N-Dex group MRI examinations of 1 hour's duration. Two dogs in the Dex group exhibited bradycardia at 45 and 60 minutes of MRI examination, which resolved after receiving atipamezole.

Clinical relevance: Our results indicate that intranasal administration of 125 μg/m2 of dexmedetomidine as premedication is safe and can potentially mitigate hypothermia and hypotension in dogs with neurological disorders during MRI examinations.

Keywords: MRI; canine; hypotension; hypothermia; intranasal dexmedetomidine.

Publication types

  • Randomized Controlled Trial, Veterinary

MeSH terms

  • Administration, Intranasal / veterinary
  • Animals
  • Dexmedetomidine* / administration & dosage
  • Dexmedetomidine* / adverse effects
  • Dog Diseases* / chemically induced
  • Dog Diseases* / diagnostic imaging
  • Dogs
  • Feasibility Studies
  • Hypnotics and Sedatives* / administration & dosage
  • Hypnotics and Sedatives* / adverse effects
  • Hypotension* / prevention & control
  • Hypotension* / veterinary
  • Hypothermia* / prevention & control
  • Hypothermia* / veterinary
  • Magnetic Resonance Imaging / adverse effects
  • Magnetic Resonance Imaging / veterinary
  • Nervous System Diseases* / diagnostic imaging
  • Nervous System Diseases* / veterinary
  • Premedication / adverse effects
  • Premedication / methods
  • Premedication / veterinary

Substances

  • Dexmedetomidine
  • Hypnotics and Sedatives