THE ability to physically restrain primates depends on the size and condition of the animal, the handler’s skill and the available equipment. In animals weighing more than 12 kg, chemical restraint is considered necessary for safe handling (Joslin 2003). The drug should have a wide therapeutic index because the animal’s exact weight is often unknown. It should allow a quick recovery and be effective in small volumes, allowing fast injection and avoiding local tissue reactions (Sainsbury and others 1989). Administration routes can be oral, intravenous, intramuscular or by inhalation. This short communication describes the anaesthesia of a Siamang monkey (Hylobates syndactylus), for the surgical correction of a hand injury. A seven-year-old female Siamang monkey from a public wildlife park, weighing 10 kg, was presented to the veterinary faculty of Ghent University. The animal had sustained an injury to its right hand one month previously under unknown conditions. Despite local antibiotic treatment, several fingers had became infected, and self-mutilation had resulted in the animal losing its distal phalanges in the central three fingers. As the condition of the monkey’s hand had deteriorated, the animal had started to lose weight. In order to perform a clinical and radiographic evaluation of the hand, the monkey was scheduled for general anaesthesia, and was fasted and deprived of water for 12 hours before surgery. It appeared to be in a poor general physical condition, and as the animal was difficult to handle, no thorough preanaesthetic evaluation was possible. A mixture of 10 mg/kg ketamine (Anesketin; Eurovet), 0·2 mg/kg midazolam (Dormicum; Roche) and 0·1 mg/kg methadone (Mephenon; Denolin) was prepared and administered into the biceps femoris muscle. After seven minutes, the animal was sufficiently anaesthetised to allow safe removal from its cage. It was positioned on the operating table, which was covered by a heated water blanket (K° thermia, RK 625; Gorman-Rupp Industries). Before intubation, the larynx was visualised with a laryngoscope and a 10 per cent lidocaine solution (Xylocaine 10 per cent Spray; Astra Pharmaceuticals) was used to desensitise the larynx. The trachea was intubated with a 4·5 mm internal diameter endotracheal tube and the animal was connected to a circle system (Spiromat 656; Drager). A 20 G catheter was placed in the left cephalic vein. The lungs were ventilated mechanically using a ventilator that was adjusted to maintain end-tidal carbon dioxide tension between 4·5 and 5·5 volume per cent. Maintenance of general anaesthesia was provided by administration of isoflurane in oxygen (Isoflo; Abott Laboratories). Vapouriser settings were between 1·5 and 0·7 volume per cent. Fentanyl (Fentanyl-Janssen; Janssen Cilag) was given as an initial bolus (2 μg/kg), followed by a continuous infusion at a rate of 2·5 μg/kg/hr, to obtain extra analgesia. Hartmann’s solution (Hartmann; Baxter) was infused at a rate of 10 ml/kg/hr. Carprofen (Rimadyl; Pfizer Animal Health) and amoxicillin (Clamoxyl; GlaxoSmithKline) were given subcutaneously and intramuscularly at respective dosages of 4 mg/kg and 10 mg/kg. Monitored parameters included body temperature (by an oesophageal probe), heart rate and rhythm (EKG; Hellige Servomed) and oxygen-haemoglobin saturation. A multianaesthetic gas analyser (Capnomac Ultima; Datex Engstrom Instrumentation) constantly measured the following parameters: inspiratory and end-tidal carbon dioxide concentration, inspiratory oxygen fraction, end-tidal carbon dioxide concentration and respiratory rate. Arterial blood pressure was monitored non-invasively every 15 minutes using an oscillometric device (NSAIS Memo Print; Matsushita Electric Works) with a cuff placed midway between the carpus and the elbow. Eyelid reflexes and jaw muscle tone were regularly checked at 15 minute intervals. The changes in haemodynamic variables and temperature are given in Table 1. On close inspection of the injured hand, the absence of the distal phalanges of the three central fingers was noted. The middle phalanx of the index finger was covered with dry, parchment-like necrotic skin, and its proximal phalanx was grossly swollen. The distal condyle of the middle phalanx protruded from the tip of the middle finger. The ring finger demonstrated a significant swelling of the middle phalanx. Radiographs revealed clear signs of osteomyelitis in the distal condyles of the three central fingers’ distal phalanges. Amputation in the nearest normal joint was considered the best treatment option. Dorsal and palmar skin flaps were created around the injured figures. After ligation of the different blood vessels, the appropriate flexor and extensor tendons were sectioned. The index finger was subsequently amputated at the proximal interphalangeal joint and the middle and ring fingers were amputated at the metacarpophalangeal joint. The distal condyles of the exposed proximal bones were removed with rongeurs. Wound closure was performed in two layers using resorbable suture material (Maxon 2-0; Synature). To avoid suture exposure, the skin was sutured using a continuous intradermal pattern. The hand was protected with a self-adhesive bandage (Vet-Flex; Kruuse). The monkey was anaesthetised for a total of 75 minutes. Buprenorphine (Temgesic; Schering-Plough) (5 μg/kg) was injected intramuscularly 15 minutes before the end of anaesthesia. Five minutes after administration of isoflurane and fentanyl ceased, the animal was breathing spontaneously. Recovery from anaesthesia was rapid and uneventful. The endotracheal tube was left in place until the animal was swallowing 25 minutes after the operation. The primate remained under a heated cover on the surgical table until it was moving, when it was placed in its cage under an infrared lamp for close monitoring over the following 12 hours. No signs of distress were observed. Postoperative antibiotic treatment was continued using an amoxicillin-clavulanic acid combination. The monkey was returned to its normal environment within 48 hours, and it removed the bandage by itself after 10 days. The amputation stumps of the middle and ring finTime (minutes) Parameter 0 15 30 45 60 75