• Use for procedures that can be completed in <30 minutes and do not require general anesthesia, such as clipping of hair, wound cleansing, minor wound debridement, splinting of lower limb fractures, bandage application or removal, ear cleaning, or radiography. First-line protocol for fractious MWDs.
  • Protocol: MIDAZOLAM 0.3 mg/kg IM and KETAMINE 5 mg/kg IM and HYDROMORPHONE 0.1 mg/kg IM.
  • If deeper sedation or light anesthesia is necessary, or to allow general anesthesia induction, use PROPOFOL in 1 mg/kg boluses IV as needed.
  • Expectations: The MWD will not be able to walk, cannot be intubated, can be aroused with stimulation, and maintains laryngeal and palpebral reflexes.