| Urethane
(ethyl carbamate)
Guidelines
from the U
of Minn.:
"Urethane- is a long-acting (8-10h) anesthetic with minimal
cardiopulmonary depression. The drug is used for long procedures
in rodents. However, it is carcinogenic and is only allowed to be
used with special justification and only for terminal (acute) procedures."
The following guidelines
are from UC-Davis:
Urethane
is used alone or in combination with other drugs to produce anesthesia
in laboratory animals. It is known to provide long periods of anesthesia
with minimal physiological changes. However, due to the potential
health risks of urethane, it should be used with care.
Urethane
has demonstrated carcinogenic properties when administered to rats
and mice as well as mutagenic properties in mice, when administered
at anesthetic dosages.
Urethane
is well absorbed across the skin, shows multiple organ effects,
suppresses the bone marrow, readily crosses the placenta, induces
tumor formation in fetuses exposed in utero, and initiates preneoplastic
changes in the skin.
It
is therefore important that when using urethane,
certain precautions be taken to promote safe handling and use of
the compound. The following are procedures on should follow to minimize
the risk of exposure.
- When
handling urethane in the crystalline or powdered
form and when mixing urethane into aqueous solutions, always wear
a face mask, protective eye-wear, and chemical resistant gloves.
- In order
to prevent inhaling the volatized drug, mix urethane
in a fume hood. Urethane should only be heated if mixing takes
place in a fume hood.
- Gloves should
be worn if the user is to come in contact with blood or serum
from an animal anesthetized with urethane.
- Open containers
of urethane should never be permitted.
Once mixed into an aqueous solution, urethane
should then be transferred into a sealed bottle. This will prevent
volatilization, spillage, and accidental contamination of the
environment.
- If accidental
contact of the skin., eyes, or other mucous membranes occurs,
the area of contamination should be washed thoroughly with water.
Repeated transdermal exposure could result in bone marrow suppression.
- Pregnant
women should avoid working with urethane.
- Due to its
long term carcinogenic effects in laboratory animals, urethane
should be limited in use to non-recovery procedures.
Comments below are taken from internet discussions
among researchers and veterinarians regarding Urethane usage.
These are not articles, but personal comments regarding the
use of urethane in research settings.
Comment:
Urethane alone is the anesthetic of choice for many rodent respiratory
physiologists due to its minimal effect on respiratory frequency.
Might expect a similar effect on cardiac dynamics. Only potential
problem is that it is a carcinogen.
Comment:
Urethane is a convenient one shot method of providing surgical anaesthesia
in a range of species, for non-recovery studies , but its a carcinogen
- there are a number of reviews dealing with this aspect, so I won't
dwell on it. The point worth noting is that urethane appears to
maintain its CV stability by a continued stimulation of the sympathetic
system - catecholamine levels rise steadily throughout the period
of anaesthesia. We could , therefore, suggest that an alternative
is isolfurane coupled with
an adrenalin infusion.
Comment:
Urethane is a carcinogen AND it is volatile. While there are times
and places when it's an appropriate research anesthetic,in my opinion
it would NEVER be appropriate for use in a class. You are
just putting too much reliance on the students to recognize the
hazard, make certain they don't let the animal's blood get on their
skin, and make certain that all the workstations in the class are
well enough ventilated.
Picture
your OSHA inspector, walking into your class, and then going down
the rows and asking each student if they had seen the MSDS for methyl-carbamate.
How do you think they'd do?
Question:
I need your help and/or advice on the use of urethane anesthesia
in Dutch-belted rabbits. I have a researcher who needs to keep the
animal completely still for at least two hours. He has found two
published papers that used 1 to 2 mg/kg acepromazine administered
subcutaneously in a baseline procedure followed by 2 mg/kg xylazine
administered intramuscularly to relax the rabbit prior to intraperitoneally
administered urethane.
Response:
Since urethane admin IV is considered to have a long duration of
action (5-6hr or longer) & perivascular injection is reported
to cause tissue necrosis, what's the rationale for IP administration?
One of the refs cited in the ACLAM anes book reported postop
death following IP urethane anesthesia. I haven't read the article,
but you might want to look at it.
Response:
Urethane anesthesia is associated with respiratory & hemodynamic
stability, the latter attributed to increased sympathetic activity
(high circulating levels of 'norepi' & 'epi' - see ref in Flecknell's
anes book). Therefore, it seems logical that xylazine might have
undesirable effects when combined with urethane, since alpha2
agonists inhibit 'norepi' release at presynaptic alpha2 receptors.
One of the reasons that alpha2 agonists are of interest in human
anesthesia is their "stress reduction" effect in reducing
circulating catecholamine levels.
Response:
The ACLAM information doesn't mention the use of alpha2 agonists
with urethane. The statement regarding urethane 1.5 g/kg says
that it's administered "slowly IV to effect" and no other
drugs were included in the description of Bree & Cohen's work.
You might want to read Bree & Cohen's paper for details.
Question:
I was wondering about the following anesthesia protocol for the
mouse.
urethane
750-1000mg/kg
etomidate 20-25 mg/kg
morphine 1-2 mg/kg
Response:
An interesting mix! Should work, but remember that one reason
that the blood pressure and heart rate are up with urethane is that
it stimulates endogenous catecholamine release, so this background
activity may not be ideal - nevertheless, if I were doing Cardiovascular
work I'd prefer this to anything with xylazine. An etomidate/fentanyl
or metomidate/fentanyl mix might be even better - see Colin Green's
paper.
Comment:
Having done some investigating into this subject, with regard to
pulmonary function, it seems that the general feeling about urethane
is that it produces far fewer respiratory effects than either gas
or barbiturate anesthesia. A number of pulmonary pharmacologists
I am in contact with have suggested that, in the rat for pulmonary
assessments, this is the only really useful anesthetic.
References:
- Field
and Lang, Laboratory Animals (1988), 22, 255-262
- Buelke-Sam
et al., Laboratory Animal Science (1978), 28, 157-162
- Field
et al., Laboratory Animals (1993), 27, 258-269
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