Effects of temperature and different doses of flumazenil on sedation induced by midazolam in bearded dragons (Pogona vitticeps)

To evaluate the effects of optimal versus suboptimal sedation/anesthesia temperature and two flumazenil doses, on sedation induced by subcutaneous (SC) midazolam in bearded dragons (Pogona vitticeps). A total of eight healthy bearded dragons (13–14 months old) received four treatments. All treatments involved SC midazolam (1 mg kg -1 ) injected cranial to a forelimb and occurred under optimal temperature (28–32 °C) (MO: midazolam + saline; MFL: midazolam + flumazenil 0.05 mg kg -1 ; MFH: midazolam + flumazenil 0.1 mg kg -1 ) or suboptimal temperature (18–20 °C) MS: midazolam + saline. Animals were video-recorded before (T0) and for 180 minutes post-injection (T10–T180). A blinded observer scored sedation (scale 0–12). Scores were compared within treatments (Friedman and Dunn’s test) and between treatments (Wilcoxon; Friedman with post hoc). Loss of righting reflex (LORR), heart rate (HR) and respiratory rate ( f R ) were reported descriptively. A median difference of up to 3 was observed between MO and MS, but all p values were > 0.08, though LORR occurred in 6/8 animals only during MS. Flumazenil reduced sedation, but median difference between MFL and MFH scores did not exceed 1, with all p > 0.63. The lowest median HR (beats minute -1 ) observed were 34 for MO, 40 for MFL, 44 for MFH, and 19 for MS. Midazolam (1 mg kg -1 SC) induces moderate sedation in bearded dragons. Suboptimal sedation/anesthesia temperature does not produce clinically relevant difference in sedation scores compared with optimal temperature and exacerbates bradycardia. Flumazenil (0.05 mg kg -1 ) reduces sedation scores. Increasing flumazenil from 0.05 mg kg -1 to 0.1 mg kg -1 does not add any benefit.

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Publication Details

Journal
Veterinary Anaesthesia and Analgesia
Published
2026-05-01
DOI
https://doi.org/10.1016/j.vaa.2026.101254
Primary Topic
Veterinary Pharmacology and Anesthesia
Type
article
Field-Weighted Citation Impact
0.00

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article

Effects of temperature and different doses of flumazenil on sedation induced by midazolam in bearded dragons (Pogona vitticeps)

Daniel Pang, Kelsey Chapman, Michael Teng, Maya Reed et al.
Veterinary Anaesthesia and Analgesia
Veterinary Pharmacology and Anesthesia
article

Effects of temperature and different doses of flumazenil on sedation induced by midazolam in bearded dragons (Pogona vitticeps)

Daniel Pang, Kelsey Chapman, Michael Teng, Maya Reed, Renata H. Pinho
article en

Abstract

To evaluate the effects of optimal versus suboptimal sedation/anesthesia temperature and two flumazenil doses, on sedation induced by subcutaneous (SC) midazolam in bearded dragons (Pogona vitticeps). A total of eight healthy bearded dragons (13–14 months old) received four treatments. All treatments involved SC midazolam (1 mg kg -1 ) injected cranial to a forelimb and occurred under optimal temperature (28–32 °C) (MO: midazolam + saline; MFL: midazolam + flumazenil 0.05 mg kg -1 ; MFH: midazolam + flumazenil 0.1 mg kg -1 ) or suboptimal temperature (18–20 °C) MS: midazolam + saline. Animals were video-recorded before (T0) and for 180 minutes post-injection (T10–T180). A blinded observer scored sedation (scale 0–12). Scores were compared within treatments (Friedman and Dunn’s test) and between treatments (Wilcoxon; Friedman with post hoc). Loss of righting reflex (LORR), heart rate (HR) and respiratory rate ( f R ) were reported descriptively. A median difference of up to 3 was observed between MO and MS, but all p values were > 0.08, though LORR occurred in 6/8 animals only during MS. Flumazenil reduced sedation, but median difference between MFL and MFH scores did not exceed 1, with all p > 0.63. The lowest median HR (beats minute -1 ) observed were 34 for MO, 40 for MFL, 44 for MFH, and 19 for MS. Midazolam (1 mg kg -1 SC) induces moderate sedation in bearded dragons. Suboptimal sedation/anesthesia temperature does not produce clinically relevant difference in sedation scores compared with optimal temperature and exacerbates bradycardia. Flumazenil (0.05 mg kg -1 ) reduces sedation scores. Increasing flumazenil from 0.05 mg kg -1 to 0.1 mg kg -1 does not add any benefit.

Veterinary Anaesthesia and Analgesia
University of Calgary (CA), VA Portland Health Care System (US), Université de Montréal (CA)
Faculty of Veterinary Medicine, University of Calgary
Openalex Percentile: Top 6%
Veterinary Pharmacology and Anesthesia
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