Refinement Database

Database on Refinement of Housing, Husbandry, Care, and Use of Animals in Research

This database, created in 2000, is updated every four months with newly published scientific articles, books, and other publications related to improving or safeguarding the welfare of animals used in research.

Tips for using the database:

  • This landing page displays all of the publications in the database.
  • Use the drop-down menus to filter these publications by Animal Type, Setting, and/or Topic.
  • Clicking on a parent category (e.g., Rodent) will include publications relating to all the items in that category (e.g., Chinchilla, Gerbil, Guinea Pig, etc.).
  • You may also add a keyword to further narrow your search.
  • Please note that at this time, only publications dated 2010 or later (with some exceptions) can be filtered by Animal Type and Topic, and only publications dated 2020 or later (with some exceptions) can be filtered by Setting. Most publications older than 2010 can only be searched by keyword. 
Mauthe von Degerfeld, M., Serpieri, M., Bonaffini, G. et al. 2023. Intranasal atomization of ketamine, medetomidine and butorphanol in pet rabbits using a mucosal atomization device. Animals 13(13), 2076.

A non-invasive method of drug delivery, intranasal atomization, has shown positive results in human medicine and in some animal species. The objective of this study was to evaluate the effects of intranasal atomization, compared to...

Chakravarty, S., Donoghue, J., Waite, A. S. et al. 2023. Closed-loop control of anesthetic state in nonhuman primates. PNAS Nexus 2(10), 293.

Research in human volunteers and surgical patients has shown that unconsciousness under general anesthesia can be reliably tracked using real-time electroencephalogram processing. Hence, a closed-loop anesthesia delivery (CLAD) system that maintains precisely specified levels of...

Costea, R., Ene, I., Pavel, R. 2023. Pig sedation and anesthesia for medical research. Animals 13(24), 3807.

In clinical veterinary practice, proper training and expertise in anesthesia administration and monitoring are essential. Pigs are suitable experimental animals for many surgical techniques because they are similar in size to humans and have a...

Imboden, T. J., Pownall, W. R., Rubin, S. et al. 2023. Determination of a safe sedative combination of dexmedetomidine, ketamine and butorphanol for minor procedures in dogs by use of a stepwise optimization method. Acta Veterinaria Scandinavica 65(1), 41.

In veterinary practice, most minor procedures such as radiographs, skin biopsies, and wound treatments require sedation. The combination of butorphanol, ketamine, and dexmedetomidine is commonly used, but the ideal dosages for this combination have not...

Jones, B. L., McClain, A. M., Sportelli, J. J. et al. 2023. Return of sound production as a biomarker of bottlenose dolphin emergence from anesthesia. Animals 13(15), 2531.

(1) Background: When a human or animal is recovering from general anesthesia, their medical team uses several behavioral and physiological parameters to assess their emergence from the unconscious state to complete wakefulness. However, the return...

Marangoni, S., Beatty, J., Steagall, P. V. 2023. An ethogram of acute pain behaviors in cats based on expert consensus. PLOS ONE 18(9), e0292224.

An improved understanding of behaviors reflecting acute pain in cats is a priority for feline welfare. The aim of this study was to create and validate a comprehensive ethogram of acute pain behaviors in cats...

Ruíz-López, P., Cuypers, C., Schauvliege, S. 2023. Xylazine infusion during equine colic anesthesia with isoflurane and lidocaine: A retrospective study. Animals 13(18), 2902.

This retrospective study investigated the effect of a xylazine infusion on heart rate; mean arterial pressure; blood gases; anesthetic and dobutamine requirements; recovery quality and duration; percentage of death/survival; and days to die/discharge in horses...

Benato, L., Murrell, J., Rooney, N. 2023. Determining a cut-off point for intervention analgesia in rabbits using the Bristol Rabbit Pain Scale. Veterinary Record 193(5), e2995.

Background: The objective of this study was to determine the threshold of the Bristol Rabbit Pain Scale (BRPS) indicating the need for intervention analgesia. Methods: Fourteen members of veterinary staff were recruited to rate rabbits...

Costa, R. S., Ciotti-McClallen, M., Tilley, R. et al. 2023. Intramuscular alfaxalone with or without buprenorphine or hydromorphone provides sedation with minimal adverse effects in healthy rabbits (Oryctolagus cuniculus) in a randomized blinded controlled trial. Journal of the American Veterinary Medical Association 261(2), 223–228.

OBJECTIVE To evaluate the effects of alfaxalone administered IM with or without buprenorphine or hydromorphone in healthy rabbits (Oryctolagus cuniculus). ANIMALS 24 male rabbits undergoing elective orchiectomy between August 21, 2021, and November 6, 2021...

Martin-Flores, M., Nugen, S. A., Boesch, J. M. et al. 2023. Low-dose epidural anesthesia decreases the use of intraoperative systemic analgesics in goats undergoing lower urinary tract surgery. Journal of the American Veterinary Medical Association 261(8), 1147–1151.

OBJECTIVE To test whether the use of low-dose epidural anesthesia (EA) in goats undergoing lower urinary tract surgery reduces the requirements of perioperative analgesics, contributes to intraoperative hypotension, and improves postoperative comfort during the first...

Mercier, P., Honeckman, L., Jokela, F. et al. 2023. Using standardized scales to assess fear at veterinary visits: Intra- and inter-rater reliability. Journal of Veterinary Behavior 62, 12–17.

Behavioral, emotional, and physical signs of distress are increasingly recognized in veterinary patients during routine care. Fear and distress are humane and welfare concerns themselves, but such behavior may also result in deferred veterinary care...

Trindade, P. H. E., Barreto da Rocha, P., Driessen, B. et al. 2023. Predictive modeling toward refinement of behavior-based pain assessment in horses. Applied Animal Behaviour Science 267, 106059.

After 25 years of studies on methodologies for behavioral assessment of equine pain, the Unesp-Botucatu Horse Acute Pain Scale (UHAPS) and the Orthopedic Composite Pain Scale (CPS) were recently considered suboptimal instruments to assess pain...

Webb, J. K., Keller, K. A., Chinnadurai, S. K. et al. 2023. Use of alfaxalone in bearded dragons (Pogona vitticeps): Optimizing pharmacodynamics and evaluating cardiogenic effects via echocardiography. Journal of the American Veterinary Medical Association 261(1), 126–131.

OBJECTIVE Bearded dragons (Pogona vitticeps), a popular zoological companion species, frequently require sedation for procedures. A novel formulation of alfaxalone with preservatives was FDA approved for 28-day use after the vial is breached. Research has...

Malkani, R., Paramasivam, S., Wolfensohn, S. 2022. Preliminary validation of a novel tool to assess dog welfare: The Animal Welfare Assessment Grid. Frontiers in Veterinary Science 9, 940017.

Animal welfare monitoring is a vital part of veterinary medicine and can be challenging due to a range of factors that contribute to the perception of welfare. Tools can be used, however; there are few...

Feighelstein, M., Shimshoni, I., Finka, L. R. et al. 2022. Automated recognition of pain in cats. Scientific Reports 12(1), 9575.

Facial expressions in non-human animals are closely linked to their internal affective states, with the majority of empirical work focusing on facial shape changes associated with pain. However, existing tools for facial expression analysis are...

Malkani, R., Paramasivam, S., Wolfensohn, S. 2022. Preliminary validation of a novel tool to assess dog welfare: The Animal Welfare Assessment Grid. Frontiers in Veterinary Science 9, 940017.

Animal welfare monitoring is a vital part of veterinary medicine and can be challenging due to a range of factors that contribute to the perception of welfare. Tools can be used, however; there are few...

Álvarez, E. R., Solé, L. V., Mateo, A. G. de C. 2022. Comparison of subcutaneous sedation with alfaxalone or alfaxalone-midazolam in pet guinea pigs (Cavia porcellus) of three different age groups. Journal of the American Veterinary Medical Association 260(9), 1024–1030.

OBJECTIVE To compare the cardiorespiratory effects, quality and duration of sedation of 2 subcutaneous sedation protocols for noninvasive procedures in guinea pigs (GPs). ANIMALS 24 pet GPs (15 females, 9 males) of 3 different age...

Mumm, L. E., Mans, C. 2022. Evaluation of dexmedetomidine-midazolam sedation in budgerigars (Melopsittacus undulatus). Journal of the American Veterinary Medical Association 260(10), 1194–1199.

OBJECTIVE To evaluate the sedative effects of IM administration of a high or low dose of dexmedetomidine in combination with midazolam in budgerigars (Melopsittacus undulatus). ANIMALS 20 healthy adult budgerigars. PROCEDURES In a prospective, randomized...

Oliveira, A. R., Gozalo-Marcilla, M., Ringer, S. K. et al. 2021. Development, validation, and reliability of a sedation scale in horses (EquiSed). Frontiers in Veterinary Science 8, 611729.

The lack of standardization of sedation scales in horses limits the reproducibility between different studies. This prospective, randomized, blinded, horizontal and controlled trial aimed to validate a scale for sedation in horses (EquiSed). Seven horses...

Evangelista, M. C., Steagall, P. V. 2021. Agreement and reliability of the Feline Grimace Scale among cat owners, veterinarians, veterinary students and nurses. Scientific Reports 11(1), 5262.

This study aimed to evaluate the agreement and reliability of the Feline Grimace Scale (FGS) among cat owners, veterinarians, veterinary students and nurses/technicians. Raters (n = 5/group) scored 100 images using the FGS (ear position, orbital tightening...

van Loon, J. P. A. M., Macri, L. 2021. Objective assessment of chronic pain in horses using the Horse Chronic Pain Scale (HCPS): A scale-construction study. Animals 11(6), 1826.

The objective assessment of chronic pain is of utmost importance for improving welfare and quality of life in horses. Freedom from disease and pain is one of the ‘five freedoms’ that are necessary for animal...

Pearson, G., Waran, N., Reardon, R. J. M. et al. 2021. A Delphi study to determine expert consensus on the behavioural indicators of stress in horses undergoing veterinary care. Applied Animal Behaviour Science 237, 105291.

Horses undergoing veterinary care may perceive the experience to be stressful and their behavioural responses can result in injuries to people involved in their care. Being able to accurately measure the stress response in horses...

Benato, L., Murrell, J., Knowles, T. G. et al. 2021. Development of the Bristol Rabbit Pain Scale (BRPS): A multidimensional composite pain scale specific to rabbits (Oryctolagus cuniculus). PLOS ONE 16(6), e0252417.

A species-specific composite pain scale is a prerequisite for adequate pain assessment. The aim of this study was to develop a multidimensional pain scale specific to rabbits (Oryctolagus cuniculus) called the Bristol Rabbit Pain Scale...

Dalla Costa, E., Dai, F., Lecchi, C. et al. 2021. Towards an improved pain assessment in castrated horses using facial expressions (HGS) and circulating miRNAs. Veterinary Record 188(9), e82.

Background: Pain in horses is an emergent welfare concern, and its assessment represents a challenge for equine clinicians. This study aimed at improving pain assessment in horses through a convergent validation of existing tools: we...

Argüelles, J., Echaniz, M., Bowen, J. et al. 2021. The impact of a stress-reducing protocol on the quality of pre-anaesthesia in cats. Veterinary Record 188(12), e138.

Introduction: Transport to the clinic is a major source of stress for cats. The process involves being put into a carrier, driven in a car and handled. Cats are therefore removed from the safe-haven of...