EFPIA (the European Federation of Pharmaceutical Industries Associations) and ECVAM (the European Center for the Validation of Alternative Methods).

Feb 2000 Draft Document

A Good Practice Guide to the Administration of Substances and
Removal of Blood, Including Routes and Volumes

ESLAV Home page

NOTE 
THIS IS AN INITIAL DRAFT OF THE PAPER WHICH HAS NOW BEEN PUBLISHED IN THE FOLLOWING JOURNAL
EFPIA/ECVAM paper on good practice in
administration of substances and removal of blood, 
J Appl Toxicol 21 15-23,
2001.

 

Preface

This publication is the result of an initiative between EFPIA (the European Federation of Pharmaceutical Industries Associations) and ECVAM (the European Center for the Validation of Alternative Methods). Its objectives are to provide the researcher in the safety evaluation laboratory with an up-to-date, easy to use set of data sheets to aid in the study design process whilst at the same time affording maximum welfare considerations to the experimental animals.

Although this publication is targeted at researchers in the European Pharmaceutical Industry it is considered that the principles underpinning the data sets and refinement proposals are equally applicable to all those who use these techniques on animals in their research whether in Research Institutes, Universities or other sectors of industry. The implications of this document may lead to discussion with Regulators such as those responsible for Pharmacopoeial testing.

There are numerous publications dealing with the administration of test substances and removal of blood samples and, additionally, many laboratories also have their own ‘in-house’ guidelines which have been developed by custom and practice over many years. Within the European Union Directive 86/609EEC (EU, 1986) we have an obligation to refine experiments to cause the minimum amount of stress. We hope this guide will provide background data useful to those responsible for protocol design and review.

This document is based on peer reviewed publications whenever possible, but, where that is not possible, we have used ‘in-house’ data and the experience of those on the working party (as well as helpful comments submitted by the industry) for a final opinion. The document also addresses the continuing need to refine the techniques associated with administration of substances and withdrawal of blood and suggests ways of doing so. Data sharing between laboratories should be encouraged to avoid duplication of animal work, as well as sharing practical skills concerning animal welfare and scientific problems caused by ‘overdosing’ some way or another. The recommendations in this document refer to the ‘normal’ animal and special consideration is needed, for instance, during pregnancy and lactation. Interpretation of studies may be confounded when large volumes are administered or excessive sampling employed, particularly if anaesthetics are used.

 

  1. Good Practice Guide for Administration of Substances

Introduction

Dosing of experimental animals is necessary for a variety of scientific investigations and to meet regulatory demands. The pharmaceutical industry, in particular, has investigated the levels of dosing compatible with animal welfare and valid science (Hull 1995).

In the preclinical stage of the safety evaluation of new drugs it is normal practice to use multiples of the ‘effective dose’ in order to attempt to establish the necessary safety margins. Where chemicals are of low toxicity or are only poorly soluble in acceptable formulations, a large volume may be required to be given to individual animals to satisfy both scientific and regulatory requirements. The intended clinical use may also impact on the acceptability of larger than usual dose volumes, eg imaging agents or plasma expanders for intravenous application.

The objectives of the Working Group were as follows:

  1. To provide a guide on administration volumes for use in common laboratory species used in toxicity studies required by regulatory authorities.
  2. To provide consensus dosage levels for routine use which represent good practice in terms of animal welfare and practicality.
  3. To produce a guide to dosage levels representing the upper limit of common practice. This leaves scope to make the case for special investigations.

Administration volumes

Table 1 presents administration volumes for the commonly employed routes in the most frequently used species. They are consensus figures based on published literature and internal guidelines. The marmoset and minipig are now considered within this category since they are being used increasingly in Europe.

Table 1 Administration Volumes Considered Good Practice

(and possible maximal dose volumes)

 

 

Species

Route and Volumes (ml/kg except *ml/site)

 

Oral

sc

ip

im

iv

bolus

iv

(slow inj)

Mouse

10 (50)

10 (40)

20 (80)

0.05* (0.1)*

5

(25)

Rat

10 (40)

5 (10)

10 (20)

0.1* (0.2)*

5

(20)

Rabbit

10 (15)

1 (2)

5 (20)

0.25 (0.5)

2

(10)

Dog

5 (15)

1 (2)

1 (20)

0.25 (0.5)

2.5

(5)

Macaque

5 (15)

2 (5)

- (10)

0.25 (0.5)

2

(-)

Marmoset

10 (15)

2 (5)

- (20)

0.25 (0.5)

2.5

(10)

Minipig

10 (15)

1 (2)

1 (20)

0.25 (0.5)

2.5

(5)

Notes to be used in conjunction with table:

(-) data not available

For non-aqueous injectates consideration must be given to time of absorption before re-dosing.

No more than 2 intramuscular sites should be used per day.

Subcutaneous sites should be limited to 2 to 3 sites per day.

The subcutaneous site does not include Freund’s adjuvant administration

Two sets of figures are shown in each column. Figures in the left side of columns are intended as a guide to ‘good practice’ dose volumes for single or multiple dosing. The second bracketed set of figures, where given, are the possible maximal values. If exceeded, animal welfare or scientific implications may result and reference to the responsible veterinary surgeon should be made. In some instances figures are there to accommodate Pharmacopoeial requirements.

Some of these suggested maximum values have been obtained from recent literature (Flecknell 1996; Wolfensohn & Lloyd 1998), but appear high when compared with ‘good practice’ values. The need for careful attention to animal welfare, and formulation of material used at high dose volumes, is emphasised, particularly if repeat dosing is intended. Study duration could be restricted and scientific validity compromised by physiological reaction to high dose volumes. It is therefore essential from an ethical standpoint that these issues are fully considered, eg by inspectorate or ethical committee, before protocols are finalised and work commences. It is also strongly recommended for ethical as well as scientific reasons that physicochemical compatibility studies (in vitro) and small scale pilot studies (small groups of animals) are carried out on any new formulation before committing to larger scale studies. Dose volumes should be the minimum compatible with compound formulation and accuracy of administration.

Administrative Routes

Oral Route

On occasions, it may be necessary to restrict the animals’ food intake before dosing. This factor may affect absorption. Large dose volumes (40 ml/kg) have been shown to overload the stomach capacity and pass immediately into the small bowel (Hejgaard et al 1999). Larger volumes may also reflux into the oesophagus. The duration of fasting will depend upon the feeding pattern of the species, the starting time for food restriction, physiology of the species, length of time of dosing, diet and light cycle (Vermeulen et al 1997). It is recommended that for accuracy of dosing, and to avoid dosing accidents, that liquids are administered by gavage.

Parenteral Routes

For substances administered parenterally, the dose volume used, stability of the formulation before and after administration, the pH, viscosity, osmolality, buffering capacity, sterility and biocompatibility of the formulation are factors to consider. This is particularly important for multiple dose studies. These factors are reviewed in some detail by Claassen (1994). The smallest needle size should be used taking into account the dose volume, viscosity of injection material, speed of injection and species.

  1. Subcutaneous
    This route is frequently used. The rate and extent of absorption depend on formulation.
  2. Intraperitoneal
    This route is used infrequently for multiple dose studies because of possible complications. There is a possibility of injecting into the intestinal tract and irritant materials may cause peritonitis. Drug absorption from the peritoneal cavity after the administration of the compound as a suspension is dependent on the properties of the drug particles and the vehicle, and may be absorbed into both systemic and portal circulations.
  3. Intramuscular
    Intramuscular injections may be painful, because muscle fibres are necessarily placed under tension by the injected material. Sites need to be chosen to minimise the possibility of nerve damage. Sites should be rotated for multiple dose studies. A distinction needs to be made between aqueous and oily formulations (speed of absorption, oily formulations likely to remain as a depot for > 24 hours). With multiple dose studies there is a need to consider the occurrence of inflammation and its sequelae.
  4. Intravenous administration
    For this route, distinctions are made between bolus injection, slow intravenous injection, and intravenous infusion. The values in Table 1 relate to bolus injection and slow intravenous injection.

    Bolus injection: In most studies using the intravenous route the test substance is given over a short period, approximately 1 minute. Such relatively rapid injections require the test substance to be compatible with blood and not too viscous. When large volumes are required to be given the injection material should be warmed to body temperature. The rate of injection is an important factor in intravenous administration and it is suggested that, for rodents, the rate should not exceed 3 ml/min. No detectable changes in haematocrit or heart rate were observed in dogs following rapid intravenous injection of 6 ml/kg saline, but 20 ml/kg was associated with 15% haemodilution and a transient tachycardia (up 46% over 1 min) (Zeoli et al 1998).

    Slow intravenous injection. Because of the expected clinical application of the compound, or because of limiting factors such as solubility or irritancy, it may be necessary to consider administering substances by slow intravenous injection. Typically, different techniques would be applied for slow injection to minimise the possibility of extravascular injection of material. For slow intravenous injection over the course of 5 – 10 minutes a standard or butterfly needle might be used, or better still an intravenous cannula may be taped in place in a superficial vein (short term), or surgically placed some time prior to use (longer term, or multiple injections).

    It has been shown that rats may be given daily intravenous injections of isotonic saline at dosages up to 80 ml/kg at 1 ml/min for 4 days without significant signs of distress or pulmonary lesions (Morton et al 1997a). However, pulmonary lesions increased in incidence and severity when the duration of treatment increased to 30 days and the injection was administered at either 0.25, 0.5 or 1.0 ml/min (Morton et al 1997b). There may well have been adverse effects at an earlier time point but the pathology had not had time to develop.

    Continuous infusion. For similar reasons of solubility or clinical indication it may be necessary to consider continuous infusion, but careful consideration is needed if infusions are prolonged. The volume and rate of administration will depend on the substance being given and take account of fluid therapy practice. As a guide, the volume administered on a single occasion will be less than 10% of the circulating blood volume over two hours. Information on circulating blood volumes is available in

Table 3 of this guide. Minimal effective restraint of animals with least stress is a key factor to consider for prolonged infusions.

The total duration of an infusion is also a factor. Table 2 presents recommended dose rates and volumes for discontinuous (4 hour per day) and continuous (24 hour) infusion. (Further data are required to complete this table.)

Table 2 Repeated Intravenous Infusion -

Dose Volumes/Rates (and possible maximal volumes/rates)

Daily

Infusion

Period

Mouse

Rat

Rabbit*

Dog

Macaque

Minipig

Total Daily Volumes (ml/kg)

4 Hour

-

20

-

20

-

-

24 Hour

96(192)

60(96)

24(72)

24(96)

60

24

Rate (ml/kg/h)

4 Hour

-

5

-

5

-

-

24 Hour

4(8)

2.5(4)

1(3)

1(4)

2.5

1

(-) data not available

*based on teratology studies

For non aqueous injectates see text

In some cases, two sets of figures are shown in a column. The second bracketed set of figures are the possible maximal values.

Volumes and rates for the rabbit are based on data derived from embryotoxicity studies which showed no effects on the foetus but perivascular granular leukocyte cuffing and proliferative endocarditis in dams receiving 2 ml/kg/h and above (McKeon et al 1998). Infusion rates in rats are typically in the range of 1 to 4 ml/kg/h (Cave et al 1995; Barrow & Heritier 1995; Loget et al 1997) but ideally should not exceed 2 ml/kg/h in embryotoxicity studies. Values for the mouse (van Wijk 1997), dog and macaque (Perkin & Stejskal 1994)and minipig (unpublished data) are based on repeated dose studies of one month duration.

Other limits, indicating the importance of the vehicle formulation at high dose volumes are highlighted in four publications (Cornelius et al 1978; Concannon
et al 1992; Manenti et al 1992; Mann & Kinter 1993). These data indicate that there are large differences in tolerated volume by iv infusion, dependent upon the vehicle used. The long-term effects on other physiological systems have not been investigated.

 

  1. Intradermal

    This site is typically used for assessment of immune, inflammatory, or sensitisation response (Leenaars 1997; Leenaars et al 1998). Material may be formulated with an adjuvant. Volumes of 0.05 to 0.1 ml can be used dependent upon the thickness of skin.

Vehicles for Administration

Vehicle selection is an important consideration in all animal investigations. Vehicles themselves should offer optimal exposure but should not influence the results obtained for the compound under investigation and, as such, they should ideally be biologically inert, have no effect on the biophysical properties of the compound and have no toxic effects on the animals. If a component of the vehicle has biological effects, the dose should be limited such that these effects are minimised or not produced. Simple vehicles used to administer compounds include aqueous isotonic solutions, buffered solutions, co-solvent systems, suspensions and oils. For non-aqueous injectates consideration should be given for time of absorption before re-dosing. When administering suspensions the viscosity, pH and osmolality of the material needs to be considered. The use of co-solvent systems needs careful attention since the vehicles themselves have dose limiting toxicity. Laboratories are encouraged to develop a strategy to facilitate selection of the most appropriate vehicle based on the animal study being performed and the properties of the substance under investigation.

2. Good Practice Guide for Blood Sampling

Introduction

Blood removal is one of the most common procedures performed on laboratory animals and methods for laboratory mammals and birds were reviewed in the first report of the BVA/FRAME/RSPCA/UFAW Joint Working Group on Refinement (1993). This current publication aims to provide an easy to use guide based on the latest available information, and addresses the needs of toxicokinetic (pharmacokinetic) and toxicology studies. The practice of blood sampling from a variety of rodents using the retrobulbar venous plexus technique is still in common use and suggestions for alternative routes are described because of concerns over the sequelae of using this method.

Circulating blood volumes

The calculation of limit volumes for blood sampling relies on accurate data on circulating blood volumes. Review of the literature indicates that there is considerable variation in these values, probably relating to the techniques used, the strain and sex of animal, etc. The techniques most frequently cited are radio-labelled erythrocytes (Smith 1970; Sluiter et al 1984; Fujii et al 1993), radiolabelled transferrin (Argent et al 1994), radiolabelled serum albumin (Carvalho 1989; Gillen et al 1994; Callahan et al 1995), marker dyes (Schad et al 1987) enzyme dilution ( Visser et al 1982; Holmes & Weiskopf 1987); fibre optics (Kisch et al 1995) and dextran-70 (Van Kreel et al 1998).

Table 3 gives the circulating blood volumes of the species commonly used in safety evaluation studies. Data on the marmoset and minipig, which are becoming more frequently used in toxicology, have now been included. The values shown have been adapted from different sources assuming the animal is mature, healthy and on an adequate plane of nutrition (Altman & Dittmer 1974; Swenson 1977; Jain 1986; McGuill & Rowan 1989; First report of the BVA/FRAME/RSPCA/UFAW 1993)

Table 3: Circulating blood volume in laboratory animals

 

Blood volume (ml/kg)

Species

Recommended mean*

Range of means

Mouse

72

63-80

Rat

64

58-70

Rabbit

56

44-70

Dog (Beagle)

85

79-90

Macaque (Rhesus )

56

44-67

Macaque (Cynomolgus )

65

55-75

Marmoset

70

- 82

Minipig

65

61-68

*The recommended mean corresponds to the mid-point of the range of means.

Blood Sampling Volumes

Our recommendations are based on published work , recent work carried out to inform the working party about certain issues and which is being submitted for publication, and information from ‘in-house’ standard operating procedures.

Animal welfare is a prime consideration when blood sampling is approaching limits but the scientific impact of an animal’s physiological response must also be considered as this may affect data interpretation and validity. Assessment of clinical signs shown by the animals, with referral to supervisory or veterinary staff in doubtful cases, prior to sampling, is an expected prerequisite.

Work of Scipioni et al (1997) indicated that removal of up to 40% of a rat’s total blood volume over 24 hours and repeated 2 weeks later caused no gross ill effects. By and large there is little data on critical aspects of animal wellbeing after removal of blood such as heart rate, respiratory patterns, various hormonal levels, and behavioural aspects such as activities and time spent carrying them out. All these may change in response to excessive blood removal but it would require considerable effort and resource to investigate them. However, haematological parameters can be easily measured and in a small project (Nahas et al submitted) red blood cell count (RBC), haemoglobin level (HGB), haematocrit (HCT), mean corpuscular volume (MCV), and red cell distribution width(RDW) were measured after the removal of varying blood volumes. Volumes of 7.5%, 10%, 15% and 20% of circulating blood volumes (as 0.3 ml aliquots) were removed from male and female Sprague Dawley rats (N=7) weighing approximately 250 g over a 24 hour period to mimic a kinetic study. Animals were then followed for up to 29 days.

The results showed that there was considerable variation in the times taken for all these parameters to return to baseline levels (and in the 15% and 20% groups, some of the parameters (MCV, RDW) did not return to baseline even after 29 days). The recovery time recommended in this paper for multiple sampling, therefore, is the time taken for ALL rats in a ‘volume’ group to return to ‘normal’ (the starting level for each animal plus or minus 10%). Single sampling (such as that required for routine toxicity studies) beyond 15% is not recommended since hypovolaemic shock may ensue if it is not done very slowly. Multiple small samples are unlikely to produce such acute effects.

The following guide for limit volumes and adequate recovery period takes into account the stress of multiple sampling in addition to other procedures in assessing overall severity. The table addresses both single and multiple sampling regimes. Additional recovery time is proposed for animals on toxicity studies since a critical evaluation of haematological parameters is required in such studies.

Table 4: Limit volumes and recovery periods

Single sampling
(eg toxicity study)

Multiple sampling
(eg toxicokinetic study)

% circulatory blood volume removed

Approximate recovery period

% circulatory blood volume removed in
24 h

Approximate recovery period

7.5%

1 week

7.5%

1 week

10%

2 weeks

10-15%

2 weeks

15%

4 weeks

20%

3 weeks

The higher volume (20%) is intended to facilitate serial blood sampling for toxico- or pharmacokinetic purposes where multiple, small samples are usually required. However, it should be remembered that the consequential haemodynamic effect of taking such large volumes may well affect the calculated half-life. Assessment of terminal half-life should be possible if final samples are taken within 24 hours of the killing of an animal. These figures do not include a terminal sample which can be taken when the animal is terminally anaesthetised. Blood replacement has not been considered since the volumes proposed do not warrant such intervention.

Using the values from Table 4, an easy reference guide for the volumes which can be removed without significant disturbance to an animal’s normal physiology is presented in Table 5.

Table 5: Total blood volumes and recommended maximum blood sample volumes for species of given bodyweight

Species
(Weight)

Blood volume
(ml)

7.5 %
(ml)

10 %
(ml)

15 %
(ml)

20 %
(ml)

Mouse (25 g)

 

1.8

0.1

0.2

0.3

0.4

Rat (250 g)

 

16


1.2


1.6


2.4


3.2

Rabbit (4 kg)

 

224


17


22


34


45

Dog (10 kg)

 

850

64

85

127

170

Macaque (Rhesus) (5 kg)

 

280

21

28

42

56

Macaque (Cynomolgus)

(5 kg)

 

325

24

32

49

65

Marmoset (350 g)

 

25

2.0

2.5

3.5

5

Mini pig (15 kg)

 

975

73

98

146

195

Sampling sites

Sites for venepuncture and venesection have been considered mainly in rodents and rabbit (First Report of the BVA/FRAME/RSPCA/UFAW 1993). This information has been reviewed in the light of technical advances in blood sampling procedures and the advantages and disadvantages of sites for each species are shown in Table 6 with the recommended ones for repeated sampling summarised in Table 7.

 

 

Table 6: Summary of the advantages and disadvantages of the various methods of blood sampling

ROUTE/

VEIN

General Anaesthesia

Tissue(1)
damage

Repeat

bleeds

Volume

Species

Jugular

no

low

yes

+++

rat, dog, rabbit

Cephalic

no

low

yes

+++

macaque, dog

Saphenous/lateral tarsal

no

low

yes

++(+)

mouse/rat marmoset/macaque
dog

Marginal ear

no (local)

low

yes

++
+

rabbit
minipig

Femoral

no

low

yes

+++

marmoset/macaque

Sub-lingual

yes

low

yes

+++

rat

Lateral tail

no

low

yes

++(+)
+

rat
mouse/marmoset

Central ear artery

no (local)

low

yes

+++

rabbit

Cranial vena cava

no

low

yes

+++

minipig

Tail tip amputation (<1 to 3mm)

yes

mod

limited

+

mouse/rat

Retrobulbar plexus

yes

mod/high

yes

+++

mouse/rat

Cardiac (2)

yes

mod

no

+++

mouse/rat/rabbit

(1) The potential for tissue damage is based on the likely incidence of it occurring and the severity of any sequelae eg inflammatory reaction, histological damage
(2) Only carried out as terminal procedure under general anaesthesia

Table 7: Recommended sites for repeated blood sampling

Species

Recommended site

Mouse

Saphenous, lateral tail

Rat

Saphenous, lateral tail, sub-lingual

Rabbit

Marginal ear, central ear artery,jugular

Dog

Cephalic, jugular, saphenous

Macaque

Cephalic, saphenous, femoral

Marmoset

Femoral, saphenous

Minipig

Cranial vena cava

 

It is important to note that samples taken from different sites may show differences in clinical pathology values and have implications for historical databases.

For the more traditional routes, a description of the methodology can be obtained from the standard literature. However, other methods require a special mention and have been reviewed below:

Lateral tarsal (saphenous) vein

This technique has been used in many laboratory animals including rats, mice, hamster, gerbil, guinea pig, ferret, mink (Hem et al 1998), as well as larger animals, and volumes such as 5% of circulating blood volume may be taken. It does not require an anaesthetic and so is particularly suitable for repeated blood sampling as in pharmacokinetic studies. The saphenous vein is on the lateral aspect of the tarsal joint and is easier to see when the fur is shaved and the area wiped with alcohol. The animal is placed in a suitable restrainer, such as a plastic tube, and the operator extends the hind leg. The vein is raised by gentle pressure above the joint and the vessel punctured using the smallest gauge needle that enables sufficiently rapid blood withdrawal without haemolysis (eg 25g to 27g for rats and mice). For small volumes, a simple stab leads to a drop of blood forming immediately at the puncture site and a microhaematocrit tube can be used to collect a standard volume. After blood has been collected, pressure over the site is sufficient to stop further bleeding. Removal of the scab will enable serial sampling.

There appear to be no complications reported other than persistent (minor) bleeding and the method has the advantage that anaesthesia is not required. Even though no studies have been done on animal welfare in terms of bodyweight gain, diurnal rhythm, behaviour etc, it seems unlikely that this route will seriously affect an animal’s wellbeing.

Marginal ear vein/central ear artery

Blood sampling from marginal ear vein is commonly used in rabbits and guinea-pigs. This route may also be chosen in minipigs, often combined with the use of an intravenous cannula. Good restraint is necessary and the application of local anaesthetic cream some 20 to 30 minutes before bleeding helps prevent an animal shaking its head as the needle is pushed through the skin. Bleeds may also be taken by smearing the surface over the vein with petroleum jelly and then puncturing the vein and collecting the blood into a tube. For the removal of larger amounts of blood the central artery in rabbits can be used but afterwards it must be compressed for at least two minutes to prevent continuing bleeding and haematoma. The animal should be checked for persistent bleeding at 5 and 10 minutes later. Repeated samples can be taken from this artery using an indwelling cannula, thus facilitating a kinetic regimen over 8 hours.

 

Sublingual vein

This technique is easy to perform in rodents such as rats and is suitable for the removal of large volumes of blood (eg 0.2 to 1ml) at frequent intervals, limited only by the blood volume to be removed and by the necessary repeated anaesthesia . A refined method (Zeller et al, 1998) avoids some of the disadvantages previously seen and can be used for repeated sampling. Rats are anaesthetised and held by an assistant in a supine position. The loose skin at the nape of the neck is gathered up in order to produce partial stasis in the venous return from the head. A second person gently pulls out the tongue with a cotton-tipped applicator stick and grasps it with thumb and forefinger and one of the sublingual veins (there is one each side of the midline) is punctured with a 23 – 25g hypodermic needle as near to the tip of the tongue as possible. The rat is turned over to allow blood to drip into a tube and after the requisite volume of blood has been obtained, the compression at the scruff of the neck is released and the animal placed in a supine position. The tongue is again extended in order to stem the flow of blood with a dry cotton-tipped applicator stick; usually there is no need to use any haemostatic agent.

With this technique, rats do not show any significant differences in food or water consumption or bodyweight gain compared with untreated anaesthetised control animals. Moreover, there appear to be fewer pathological changes than with retrobulbar sampling (Mahl et al, submitted). However, anaesthesia may still be a limiting factor.

Lateral tail vein

In principle this route is similar to the lateral tarsal vein but tends to yield smaller blood volumes (0.1 to 0.15ml in mice, up to 2 ml in warmed rats). Blood is removed either by syringe/needle or stab puncture of a lateral tail vein. Anaesthesia is unnecessary which makes this route particularly suited for repeated blood sampling. Vasodilatation may be necessary to promote bleeding and can be caused by exposing an animal to 37°C for 5 to 8 minutes or by local warming of the tail. There appear to be few disadvantages which affect animal wellbeing, but animals must be closely monitored for signs of distress if heat exposure is used.

Cranial vena cava

Minipigs may be restrained in a sling or on their backs with the forelegs retracted caudally. Other methods, sometimes used in agricultural settings (snout tying, hog tying, suspending animals by their rear legs), are stressful and are inappropriate for laboratory animals because of the potential adverse effects on the science. In order to avoid injury to the vagus nerve, the needle is inserted into the right side of the neck, lateral to the manubrium sterni, and directed at a 30-45 degree angle toward the left shoulder. A popping sensation will be felt by the sampler when the needle enters the vein, and then blood can be readily withdrawn. This method can also be utilised for sequential venipuncture, but haematomas form in the area after the needle is withdrawn; therefore, it is best reserved for procedures that do not require withdrawal more often than weekly (Swindle, 1998).

Amputation of the tail tip

This technique is commonly used in rats and mice, with sample volumes of 0.1 to 0.2ml being obtained. Amputation should be restricted to the tail tip 0.5 to 1mm should be adequate, and over time a maximum of 5mm being removed) and repeat bleeding is feasible in the short term by removing the clot. Serial amputations resulting in a significant shortening of the tail (ie >5mm) are not acceptable. The technique may not be suitable for older animals. Anaesthesia is recommended.

Cardiac puncture

This should always be carried out under general anaesthesia and in the past it has been used with recovery in small rodents due to the lack of alternative routes. However, other methods are now available and because of potentially painful and fatal sequelae such as pericardial bleeding and cardiac tamponade, this technique should only be used for terminal bleeds.

Retrobulbar plexus

The retrobulbar route has been commonly used by researchers in the past but has been observed to cause adverse effects. Concern has therefore arisen because of these effects and because of their potential severity. Recently, however, other methods have been developed which meet the scientific requirements and also improve the welfare of the animals. Nevertheless, the Technical Subgroup felt it worth reviewing in detail some of the advantages and disadvantages of retrobulbar bleeding in the context of the new methods.

Bleeding from this plexus should always be carried out under general anaesthesia in all species and anaesthesia is a requirement in some national regulations. The method has been described in detail by a number of workers (Stone 1954; Waynforth & Flecknell 1992; Van Herck 1999).

There is little published work on refining the method. The approach (lateral or access via the dorsal or upper aspect of the eye in rats) as the optimal way to penetrate the conjunctiva in order to minimise tissue damage has been discussed (First Report of the BVA/FRAME/RSPCA/UFAW 1993). An interval of two weeks between bleeds at the same site should allow damaged tissue to repair in most cases (van Herck et al 1992), but this does not mean that the animals do not experience some discomfort during the early stages before healing is complete; there are, however, concerns over repeated retrobulbar punctures. Whereas some studies have shown that repeated orbital bleeds do not affect the animals’ diurnal rhythm (Beynen et al 1988; van Herck et al 1997) nor the histology of the orbital tissue long term (Krinke et al 1988; van Herck, 1992) (i.e. both showed that any tissue damage healed), other studies have found histological changes, abnormal clinical signs, and evidence of discomfort (McGee & Maronpot, 1979; Beynen et al 1988; Le Net et al 1994; van Herck et al 1998; van Herck et al (a) submitted; van Herck et al (b) in press) which has led to animals having to be killed on humane grounds and so lost from the study. There are also other serious potential adverse effects:

Many of these unwanted sequelae may stay undetected being located deep within the orbit. The incidence of unwanted side effects appears to vary between 1 and 2% (Krinke et al 1988) but may be far higher in the hands of some technicians, even though they were experienced (see Table 1 in van Herck et al 1998).

Frequency of Needle Punctures

It is important to carry out the minimum number of needle punctures consistent with obtaining good scientific data. The same puncture site should not be used, ie use different points along a vein.

Cannulation

This is an important technique for repeated bleeds. Temporary cannulae such as butterfly needles and over-the-needle cannulae can be used in the short-term (working day), whereas for long-term use, surgical implantation of biocompatible cannulae is required. These methods allow repeated blood sampling with minimal distress and discomfort for the animal. The use of subcutaneous venous access ports is also useful as it allows an implanted animal to stay with its peers but there are a number of potential problems that must be addressed:

Anaesthesia

Some comments on how various anaesthetics affect the muscle cells in the splenic capsule (if present) are given in the First Report of the BVA/FRAME/RSPCA/UFAW 1993, as well as other aspects of promoting blood withdrawal. In relation to the removal of blood from small laboratory mammals it is worth noting that the combination of fentanyl and fluanisone (Hypnorm) with or without midazolam (Hypnovel) causes a significant peripheral vasodilatation in all species. While this makes taking blood samples easier it also makes post-sampling haemorrhage more likely, and so particular attention must be paid to ensuring haemostasis. Consideration should be given to the use of local anaesthetics.

Conclusion and Recommendations

There is now a range of alternative methods for the removal of blood from all species of animals, particularly the smaller rodents where in the past it has not been easy. Furthermore, some methods require an anaesthetic or have a higher incidence of unwanted side effects which may seriously affect an animal’s welfare, particularly when repeat bleeding is required. We therefore recommend that:

Finally, we wish to emphasise that as in all experimental procedures involving animals, thorough training and competence of personnel is crucial for successful bleeding, minimising tissue damage and also for the health and welfare of the animals.

 

 

Members of Technical Subgroup of EFPIA/ECVAM

Dr Karl-Heinz Diehl

Dr Robin Hull

Prof David Morton

Dr Rudolf Pfister
Dr Yvon Rabemampianina

Dr David Smith

Dr Jean-Marc Vidal

Dr Cor van de Vorstenbosch

Hoechst Marion Roussel

N I B S C

Birmingham University

Novartis Pharma AG

Pfizer

AstraZeneca R&D Charnwood

Hoechst Marion Roussel

N V Organon

Germany

UK

UK

Switzerland

France

UK

France

Netherlands

 

Acknowledgement

The Technical Subgroup wishes to thank those who responded to this document with valuable comments. These have been incorporated where possible.

 

 

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