[Dexmedetomidine-Butorphanol] + Ketamine

1. Premedicate: Dexmedetomidine: X mg/kg, IV/IM and Butorphanol: 0.05–0.1 mg/kg IV/IM

2. Preoxygenate: Place in an oxygen chamber as sedation commences

3. Induce: Ketamine: 3–5 mg/kg IV 

4. Intubation: Subsequent use of a volatile agent (e.g. Isoflurane) with oxygen is recommended.

[Dexmedetomidine-Buprenorphine] + Ketamine

1. Premedicate: Dexmedetomidine: X mg/kg, IV/IM and Buprenorphine: 0.02–0.05 mg/kg IV/IM

2. Preoxygenate: Place in an oxygen chamber as sedation commences

3. Induce: Ketamine: 3–5 mg/kg IV 

4. Intubation: Subsequent use of a volatile agent (e.g. Isoflurane) with oxygen is recommended 

Reversal

• Atipamezole X mg/kg IM (? X Dexmedetomidine dose =  Medetomidine volume)