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MILITARY WORKING DOG (MWD)

MWD Analgesia and Sedation

Sedation Protocols in the Military Working Dog

MWDs may become fractious during flight and chemical restraint by intramuscular injection will
likely be required to facilitate IV catheter placement and treatment of a conscious MWD

MILD SEDATION
- INDICATION: Relax MWD for examination, handling, reducing anxiety
- PROTOCOL: Midazolam 0.3mg/kg IM AND Hydromorphone 0.2mg/kg IM
o Hydromorphone 0.2mg/kg IM may be substituted for morphine
- EXPECTATION: MWD will be calm, but reactive and noise sensitive
DEEP SEDATION
- INDICATION: First line protocol for fractious MWD
- PROTOCOL: Midazolam 0.3mg/kg AND Ketamine 5mg/kg AND Hydromorphone 0.1mg/kg IM
o Hydromorphone 0.1mg/kg may be substituted for morphine IM
- EXPECTATION: The MWD will not be able to walk but cannot be intubated. MWD may be aroused with
significant stimulation and maintains laryngeal and palpebral reflexes
If MWD is suspected of having PAIN or PAIN is
anticipated, please provide analgesia

Intermittent IV or IM supplementation Continuous Infusion

Or Or Or
Hydromorphone Morphine Sulfate Fentanyl Morphine Hydromorphone
0.1–0.2mg/kg 0.2–0.5mg/kg 2–10mcg/kg/hr 0.1–0.25mg/kg/hr 0.02–0.05mg/kg/hr
q2–4hr q4–6 hr

- IV catheter (discretional) - Place IV catheter once the MWD is controlled
- Give Midazolam 0.3mg/kg IM & - Give Midazolam 0.3mg/kg IM & Ketamine 2mg/kg IM &
Hydromorphone 0.2mg/kg IM q2-4hr Hydromorphone 0.1mg/kg IM
- Can also use Propofol in 1mg/kg boluses IV as needed
to allow catheterization or intubation

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