6
management) and anesthesia. In the past, surgery on snakes involved using gas
anesthesia (isoflurane) alone. Isoflurane alone was typically administered while the
snake was in a clear plastic tube, and once the snake was relaxed, it was intubated with an
un-cuffed endotracheal tube and maintained on isoflurane. However, isoflurane does not
have any pain management properties so some form of pain management is needed. A
second surgical method provides pain management during surgery and post-operatively
and is preferred for eastern indigo snakes unless professional expertise allows for an
alternate method of pain management. This method, developed by Dr. Darryl Heard
from the University of Florida, has been used successfully on eastern indigo snakes by
Dr. Terry Norton from the Georgia Sea Turtle Center and is summarized below by Dr.
Norton. Metric units are not converted as these units are standard in medical practice.
Surgery using a pain management methodology:
Administer ketamine 5 mg/kg (body weight) + dexmedetomidine 50 micrograms
per kg + buprenorphine 0.03 mg/kg intramuscularly (IM). Place the snake back in
a secure container for 15 to 20 minutes. After this time period, the snake will be
sedated but not fully anesthetized. Then, place the snake in the plastic tube, start
isoflurane at 1 percent and work up to higher level until sedation/anesthesia level
allows intubation with an appropriate sized, un-cuffed endotracheal tube. Intubate
and maintain on isoflurane. Manually ventilate 1 to 2 breaths per minute and less
frequently during recovery. Turn isoflurane off prior to the end of the procedure
and keep as low as possible to maintain the snake under appropriate levels of
anesthesia throughout. Once the isoflurane has been discontinued, administer
oxygen for a few minutes, and then switch to a manual resuscitator such as an
Ambu
®
bag to allow CO
2
levels to rise which will stimulate the snake to breathe.
Reverse the dexmedetomidine with atipamezole at the same volume as the
dexmedetomidine given IM. Use ultrasound for monitoring heart rate; Total CO
2
monitoring may also be used. Use meloxicam at 0.2 mg/kg SQ at the start of the
procedure for additional pain management.
During surgery, maintain snakes at a temperature around 80º F (27º C). Avoid sudden
temperature changes. Using standard sterile techniques, make a 1.2 in to 2 in (3 to 5 cm)
lateral skin incision and reflect skin ventrally. Follow with a ventral midline incision
through the coelomic (main body) lining to allow access to the coelomic cavity. Place
the telemetry device intracoelomically (within the body cavity). Use transmitters of
appropriate weight and shape. For reptiles, it is generally recommended that transmitters
should not exceed 5 percent of body mass (Plummer and Ferner 2012). However, since
the eastern indigo is a protected species under State and Federal laws, the Service is
requiring that a more conservative approach be taken and that transmitters be no more
that 3 percent of body mass (British Columbia Ministry of Environment 1998). Since 0.2
oz (5 g) transmitters are now available, juvenile snakes of 7 oz (200 g) or greater may be
implanted as long as the required body mass ratio is met. Researchers should be mindful
that a transmitter, meeting the less than 3 percent of body mass standard, may be too
wide, especially in young, slim, snakes. Researchers must strive to minimize the ratio of
transmitter width to body width to the extent possible. Therefore, this might mean that in
some cases, elongate, flattened transmitter packages will be preferred over short,