Comparative Evaluation of Ketamine-Diazepam and Tiletamine-Zolazepam Induction Anaesthesia with Isoflurane Maintenance in Dogs
DOI:
https://doi.org/10.48165/ijvsbt.22.1.03Keywords:
Diazepam, Dog, Isoflurane, Ketamine, Tiletamine, ZolazepamAbstract
The present anaesthetic study was conducted in twelve dogs requiring general anaesthesia for surgical procedures, which were randomly divided into two groups. Induction of anaesthesia was achieved by intravenous administration of tiletamine @ 2.5 mg/kg b.wt. with zolazepam @ 2.5 mg/kg b.wt. in group I, and ketamine @ 5 mg/kg b.wt. with diazepam @ 0.5 mg/kg b.wt. in group II and then maintained by isoflurane in both groups. Anaesthetic, clinico-physiological and haemato-biochemical parameters were evaluated at different time intervals. The tiletamine-zolazepam combination showed better induction quality than the ketamine-diazepam combination, although both combinations had fair to excellent quality. Excellent maintenance quality anaesthesia with smooth and rapid recovery was observed with isoflurane. Non-significant differences were found in haemato-biochemical parameters between the groups and between time periods post-induction. However, significant differences were recorded in clinico-physiological parameters within the groups at different time periods.Few complications were encountered during induction and maintenance in both groups.
Downloads
References
Bindu, B., Bindra, A., & Rath, G. (2017). Temperature management under general anaesthesia: Compulsion or option. Journal of Anaesthesia and Clinical Pharmacology, 33(3), 306–316.
Bornkamp, J.L., Robertson, S., Isaza, N.M., Harrison, K., DiGangi, B.A., & Pablo, L. (2016). Effects of anaesthetic induction with a benzodiazepine plus ketamine hydrochloride or propofol on hypothermia in dogs undergoing ovariohysterectomy. American Journal of Veterinary Research, 77(4), 351–357.
Brooks, M.B., Harr, K.E., Seelig, D.M., Wardrop, K.J., & Weiss, D.J. (2022). Schalm’s Veterinary Hematology (7th ed.). Wiley Blackwell, USA.
Chen, H.C., Yeoh, H.Y., & Yeoh, E.C. (2005). Comparison of tiletamine-zolazepam and tiletamine-zolazepam-ketamine-xylazine administered intravenously in dogs. Jurnal Veterinal Malaysia, 17(1), 1–6.
Clarke, K.W., & Trim, C.M. (2013). Veterinary Anaesthesia (11th ed.). Elsevier Health Sciences, Amsterdam, Netherlands.
De Caro Carella, C. (2016). Effect of intravenous tiletamine-zolazepam for induction of general anaesthesia prior to and during maintenance with isoflurane on cardiorespiratory parameters and acid-base status in healthy dogs: A comparison with alfaxalone, ketamine-diazepam, and propofol (M.Sc. thesis). Oregon State University, Corvallis, USA.
Diaz, M., & Becker, D.E. (2010). Thermoregulation: Physiological and clinical considerations during sedation and general anaesthesia. Anaesthetic Progress, 57(1), 25–33.
Dinesh, R.S., Tayal, R., Chaudhary, R.N., & Kumar, A. (2019). Evaluation of efficacy and safety of atropine-midazolam-pentazocine with propofol/ketamine for induction and isoflurane for maintenance of anaesthesia in dogs undergoing orthopaedic surgical procedures. Journal of Pharma Innovations, 8(2), 111–117.
Gangwar, H.P.S. (2016). Clinical studies on comparative evaluation of halothane, isoflurane and sevoflurane anaesthesia on glycopyrrolate-xylazine premedicated and ketamine-diazepam induced anaesthesia in canine (Ph.D. thesis). Pt. Deen Dayal Upadhyaya Pashu Chikitsa Vigyan Vishwavidyalaya Evam Go Anusandhan Sansthan, Mathura, Uttar Pradesh, India.
Hampton, C.E., Riebold, T.W., LeBlanc, N.L., Scollan, K.F., Mandsager, R.E., & Sisson, D.D. (2019). Effects of intravenous administration of tiletamine-zolazepam, alfaxalone, ketamine-diazepam, and propofol for induction of anaesthesia on cardiorespiratory and metabolic variables in healthy dogs before and during anesthesia maintained with isoflurane. American Journal of Veterinary Research, 80(1), 33–44.
Hernandez-Avalos, I., Flores-Gasca, E., Mota-Rojas, D., Casas Alvarado, A., Miranda-Cortes, A.E., & Domínguez-Oliva, A. (2021). Neurobiology of anaesthetic-surgical stress and induced behavioural changes in dogs and cats: A review. Veterinary World, 14(2), 393–404.
Kavechiya, V.P. (2010). Studies on balanced anaesthesia using butorphanol-acepromazine-glycopyrrolate (BAG) as preanaesthetic to ketamine-diazepam, ketamine-midazolam, propofol and isoflurane maintenance in canines (M.V.Sc. thesis). Anand Agricultural University, Anand, Gujarat, India.
Kenna, J.G., & Jones, R.M. (1995). The organ toxicity of inhaled anaesthetics. Anesthesia & Analgesia, 81(6), 51–66.
Kumar, R., Das, A.K., Verma, N.K., Saxena, A.C., & Hoque, M. (2025). Effects of anaesthetic protocol on kidney and liver function of female dogs undergoing ovariohysterectomy. Indian Journal of Animal Research, 59(8), 1414–1419.
Lobetti, R., & Lambrechts, N. (2000). Effects of general anaesthesia and surgery on renal function in healthy dogs. American Journal of Veterinary Research, 61(2), 121–124.
Nam, T.C., Seo, K.M., & Yoon, J.H. (1993). Clinical use of tiletamine-zolazepam anesthesia in dogs. Journal of Veterinary Clinics, 10(2), 215–220.
Pereira, S.A., Henrique, F.V., Medeiros, L.K., Silva, J.K., Goes, A.B., Vaz, A.F., & Nóbrega, P.I. (2019). Anaesthetic quality and cardiovascular and respiratory effects of continuous intravenous infusion of tiletamine-zolazepam in bitches. Pesquisa Veterinaria Brasileira, 39(3), 214–220.
Ramasamy, V. (1995). Comparative studies on tiletamine-zolazepam and tiletamine-zolazepam-xylazine anaesthesia in dogs (Ph.D. thesis). Tamil Nadu Veterinary and Animal Sciences University, Namakkal, Tamil Nadu, India.
Ricco, C.H., & Henao-Guerrero, N. (2014). Cardiovascular effects of orotracheal intubation following anaesthetic induction with propofol, ketamine-propofol, or ketamine-diazepam in premedicated dogs. Journal of the American Veterinary Medical Association, 244(8), 934–939.
Riviere, J.E., & Papich, M.G. (2018). Veterinary Pharmacology and Therapeutics (10th ed.). Wiley-Blackwell, Iowa, USA.
Singh, T., Malik, V., & Singh, B. (2012). Comparative evaluation of xylazine, midazolam and xylazine-midazolam combination as preanaesthetics to propofol-halothane anaesthesia in dogs. Indian Journal of Veterinary Surgery, 33(1), 1–5.
Steffey, E.P., Mama, K.R., & Brosnan, R.J. (2015). Inhalation anesthetics. In K.A. Grimm (Ed.), Lumb and Jones’ Veterinary Anesthesia and Analgesia (5th ed., pp. 297–331). Wiley-Blackwell, Iowa, USA.
Suthar, D.N. (2016). Evaluation of balanced anaesthesia using different preanaesthetics followed by induction with propofol/thiopentone sodium and maintenance with isoflurane in dog (Ph.D. thesis). Navsari Agricultural University, Navsari, Gujarat, India.
Sutil, D.V., Mattoso, C.R.S., Volpato, J., Weinert, N.C., Costa, Á., Antunes, R.R., Muller, T.R., Beier, S.L., Tochetto, R., Comassetto, F., & Saito, M.E. (2017). Hematological and splenic Doppler ultrasonographic changes in dogs sedated with acepromazine or xylazine. Veterinary Anaesthesia and Analgesia, 44(4), 746–754.
Thurmon, J.C., & Short, C.E. (2007). History and overview of veterinary anesthesia. In W.J. Tranquilli (Ed.), Lumb and Jones’ Veterinary Anesthesia and Analgesia (4th ed., pp. 731–746). Blackwell Publishing Ltd, Iowa, USA.
Tonner, P.H. (2005). Balanced anaesthesia today. Best Practice & Research Clinical Anaesthesiology, 19(3), 475–484.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Indian Journal of Veterinary Sciences and Biotechnology

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

