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10 protocols using midazolam

1

Tissue and Blood Collection Protocol

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At termination, animals were fasted for six hours. Afterwards, mice were anesthetized with 0.1 ml/10 g BW with 25% Midazolam® (5 mg/ml Midazolam, B.Braun, Melsungen, Germany) and 25% Hypnorm® (0.315 mg/ml of fentanyl citrate and 10 mg/ml of fluanisone, Skanderborg Pharmacy, Denmark) diluted in saline. Retro-orbital blood was collected into an autoclaved 1.5 ml Safe-Lock Eppendorf® microcentrifuge tube (Buch & Holm A/S, Herlev, Denmark) and stored on ice for several hours, and later stored at 4 °C for 1 day to let the blood coagulate. The samples were then centrifuged for 10 min at 10,000 rpm at 4 °C. Supernatants were subsequently stored at − 80 °C. Animals were euthanized by cervical dislocation. Caecum contents were collected immediately after euthanizing into sterile Eppendorf® tubes and stored on dry ice during collection, with subsequent storage at − 80 °C. Before post-mortem sample collection mice were randomized, so all parameters were blinded to the reader.
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2

Anesthesia and Surgical Procedure for Pigs

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The pigs were premedicated with an intramuscular injection of 20 mg/kg ketamine (Pfizer AS, Oslo, Norway) and 1 mg of atropine (Nycomed Pharma, Oslo, Norway). Anesthesia was induced by intravenous injection of 10 mg/kg pentobarbital sodium (Abbott, Stockholm, Sweden) and 0.01 mg/kg fentanyl (Hameln Pharmaceuticals, Hameln, Germany). The animals were ventilated after intubation. Normal ventilation was defined as an PaCO2 of 40 ± 2 mmHg. A central venous catheter was placed through the left internal jugular vein and anesthesia was maintained throughout the experiment by a continuous infusion of 4 mg·kg−1·hr−1 pentobarbitone sodium, 0.02 mg·kg−1·hr−1 fentanyl, and 0.3 mg·kg−1·hr−1 midazolam (B. Braun, Melsungen, Germany). The circulating volume was maintained by a 20 ml·kg‐1·hr−1 continuous infusion of 0.9% NaCl supplemented with 1.25 g·L−1 glucose. Following sternotomy, the pericardium was removed, and the coronary arteries and pulmonary trunk were dissected free from connective tissue. The hemiazygos vein was then ligated.
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3

Bilateral Ovary Resection in Rodents

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Animals were anesthetized with 0.3 mL/100 g of bodyweight of Hypnorm (VetaPharma Ltd., Leeds, UK) and Midazolam (B. Braun, Melsungen, Germany) mixture subcutaneously. Initial analgesics were given, 0.2 mL/100 g of bodyweight of Temgesic (RB Pharmaceuticals Limited, Berkshire, UK). Once anesthetized, the animals were shaved on the lumbar part of the back. A midline dorsal skin incision was made. Blunt dissection of the connective tissue between skin and muscle layer gave access to the abdominal wall. The muscular layer was perforated 2 centimetres lateral of the dorsal midline to gain access to the abdominal cavity. The ovary, located surrounded by a large fat pad, was pulled out the incision and fixated. Two ligatures of absorbable 5.0 ethilon sutures were placed between the uterine horn and the ovary. The ovary was safely cut off and the uterine horn was placed back into the abdominal cavity. The muscle layer was closed with absorbable 5.0 sutures. Bilateral ovary resection was performed from the same initial median incision. After resection, the wound was carefully closed in layers with 4.0 ethilon sutures. After surgery, analgesic, Temgesic 0.2 mL/100 g of bodyweight, was administered subcutaneously three times a day for three days.
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4

Visualizing Piglet Brain Arteriolar Flow

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The methods and validation of CA assessment by direct visualization of pial arteriolar blood flow in the piglet brain have been described earlier.29 Twenty 6‐week‐old male piglets (domestic swine; Zootechnical Center, KU Leuven University) were anesthetized by continuous intravenous infusion of propofol (2–4 mg/kg per hour), midazolam (B. Braun) (0.3–0.7 mg/kg per hour), fentanyl (2 µg/kg per hour, adjusted to response to painful stimuli up to 20 µg/kg per hour), and pancuronium (Inresa) (0.3 mg/kg per hour). Only male animals were studied to avoid the potential confounding role of sex‐related differences.30 No inhalation anesthetics were used. Mechanical ventilation was adjusted to maintain an end‐tidal CO2 tension of 40 mm Hg, verified by arterial blood gas sampling.
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5

Isolation of Adipose-Derived Stromal Cells

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Subcutaneous fatty tissue was excised from left lumbar side of sheep. Analgosedation was initialized with midazolam (B. Braun Medical, Frederiksberg, Denmark) 1.0 mg/kg i.v. and maintained with ketamine (Intervet Danmark, Ballerup, Denmark) and midazolam i.v. in an 8 : 1 ratio, and local anaesthesia was achieved using 5 mL lidocaine s.c. (Amgros, Copenhagen, Denmark). A small incision was made through the skin, eight gram fatty tissue was excised, and the incision was closed in layers.
A-CEAC isolation was done as previously described [20 (link)]. Briefly, fatty tissue was washed and minced extensively. Tissue was digested with 0.35% Type II collagenase (Worthington, UK) at 37°C for 60 min, washed twice, and filtered through a 100 μm cell strainers to obtain a single cell suspension.
After red blood cell lysis, cells were cultured in DMEM supplemented with 10% foetal bovine serum (FBS; Sigma-Aldrich, Copenhagen, Denmark), 1% penicillin-streptomycin (PS; Sigma-Aldrich), and 4 mM L-Glutamine (Lonza, Copenhagen, Denmark) for two passages and pooled.
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6

Anesthesia Protocol for Feline Intravenous Catheterization

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After placing an intravenous catheter in the right cephalic vein, the cats were premedicated with 0.3 mg/kg MIDAzolame (MIDAzolam, B. Braun Melsungen AG, Melsungen, Germany) and 0.15 mg/kg levomethadone combined with 0.0075 mg/kg fenpipramide (L-Polamivet®, Intervet Deutschland GmbH, Unterschleißheim, Germany). Anaesthesia was then induced with propofol (Narcofol®, CP-Pharma GmbH, Burgdorf, Germany) to effect intravenously. The cats were intubated and connected to a breathing circuit. Maintenance was performed with isoflurane (Isofluran CP®, CP-Pharma GmbH, Burgdorf, Germany) in 100% oxygen. CO2 values were kept between 35 and 45 mmHg by mechanical ventilation.
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7

Endoscopy with Nurse-Administered Sedation

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Endoscopy was performed using standard flexible videogastroscopes (Fujinon EG Series, Fujifilm Holdings K.K., Tokyo, Japan and Olympus GIF series, Olympus K.K., Tokyo, Japan). Nurse-administered sedation (NAPS) was performed using propofol (Propofol 1%, Fresenius Kabi AG, Bad Homburg, Germany) with or without added Midazolam (Midazolam 1 mg/1 ml, B. Braun Melsungen AG, Melsungen, Germany) according to current national guidelines [22 (link)].
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8

Anesthesia Protocol for Animal Study

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Intramuscular ketamine 15 mg/kg (Narcetan; Véloquinol, Ittigen, Switzerland), 1 mg of atropine (Atropin; Nycomed Pharma, Asker, Norway) and Midazolam 1 mg/kg (Midazolam B. Braun, Melsungen, Germany) were used as premedication before the animal was cleaned and weighed. Mask inhalation of 4% Isofluran (Isofluran Baxter;Baxter, Irvine, CA) in 100% O2 was given before intubation. Gas anaesthesia throughout the experiment was maintained with Isoflurane and an alveolar concentration of 0.8–1.2% mixed with 45–65% oxygen. Deep anaesthesia was induced by an IV bolus of 0.1 mg/kg fentanyl (50 µg/ml Fentanyl-Hameln: Hameln Pharmaceuticals Gmbh, Hameln, Germany) and maintained with IV infusion of 0.02 mg/kg/h fentanyl and 0.3 mg/kg/h Midazolam. Respiratory rate was adjusted to achieve an Et CO2 between 3.5 and 6 KPa, monitored by a Capnomac Ultima (Datex, Helsinki, Finland). Mean arterial pressure and heart rate was monitored through a 20-gauge arterial catheter (BD Arterial Cannula with FloSwitch; Ohmeda, Swindon, UK) placed in the superficial femoral artery. Body temperature was maintained at 38.5 °C by a heating blanket. The urine production was monitored by a cystotomy and a 20 Ch Foley catheter.
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9

Stereotaxic Adeno-Associated Virus Injection

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Before surgery, each rat was anesthetized using subcutaneous injections of Hypnorm (Lundbeck), midazolam 5 mg/ml (B. Braun), and saline in a 2:1:1 ratio yielding an injection volume of 1.7 ml/kg. The rat was placed in a stereotaxic frame and 0.1 ml Marcain (2.5 mg/ml bupivacaine, AstraZeneca) was administered locally and subcutaneously before incision. A small craniotomy (Ø = 1 mm) was made over the SNc of the left hemisphere (AP: −5.5 mm; ML: +2.0 mm; DV: −7.2 mm relative to bregma; Paxinos and Watson, 1998 ) to allow for injection of 3 μl AAV 2/5 (3 × 1010 GC/ml; Vector biolabs), carrying human wild-type α-synuclein (hSNCA) using methodology as described previously (Andersen et al., 2018 (link)). Half of the animals acted as controls by having the empty viral vector injected. The animals were postoperatively treated with buprenorphine 0.05 mg/kg every eighth hour for 4 d. The rats were single-housed after the surgery.
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10

Anesthesia and Ventilation of Pigs

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At the farm, the animals were sedated with intramuscular 1000 mg of ketamine (Ketalar, Pfizer AS, Norway), 1 mg of atropine (G.L. Pharma GmbH, Lannach, Austria), and 5 mg of midazolam (B. Braun Melsungen AG, Germany) before being transported the laboratory. A 20-G peripheral venous catheter (BD Venflon™ Pro Safety Needle, Eysins, Switzerland) was inserted into both ears. Anesthesia was induced with intravenous (iv) midazolam and morphine (G.L. Pharma GmbH, Lannach, Austria) and maintained with iv morphine, midazolam, and thiopental (Pentocur Abcur AB, Sweden). Methods for sedation and anaesthesia were conducted as described in detail by Storm et al.24 (link) The animals were ventilated using a GE Engstøm Carestation Ventilator (GE Healthcare) with 21% FiO2, a tidal volume of 15–20 mL/kg, a respiratory rate of 13 –16 breaths per minute, and zero positive end-expiratory pressure. End-tidal CO2 (ETCO2) was continuously monitored, and minute ventilation was adjusted to maintain a normal pH and normocapnia. The pigs were kept normothermic (38.5–39.0 °C).
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