Pain Management

Authors: Daniel Almeida , Erin Wendt-Hornickle , Michael G. Conzemius

Objective Pain management is an essential component of perioperative patient care. Multimodal pain management strategies have the potential to provide more effective analgesia than a single drug. The objective of this study was to evaluate the use of gabapentin as an adjuvant to carprofen for the management of postoperative pain following tibial plateau levelling osteotomy surgery.

Authors: R S Costa, R L Hassur, T Jones, A Stein

Objectives: Pain assessment in veterinary medicine is challenging. Uncertainty in the ability to recognise pain in animals contributes to suboptimal analgesia. Pain scales have been developed to aid in pain recognition. It is unknown if such scales are routinely utilised in veterinary practices.

Category: Pain Management
Authors: Anna R Tellegen et al.

Objective: Drug delivery platforms that allow for gradual drug release after intra-articular administration have become of much interest as a treatment strategy for OA. The aim of this study was to investigate the safety and efficacy of an intra-articular sustained release formulation containing celecoxib (CXB), a COX-2 selective inhibitor.

Authors: B. P. Monteiro, B. D. X. Lascelles, J. Murrell, S. Robertson, P. V. M. Steagall, B. Wright

Animal sentience refers to the capacity of animals to feel both positive and negative emotions including that of pain. As veterinary health professionals, we have a medical and ethical duty to mitigate suffering from pain to the best of our ability. In 2014, the first Global Pain Council World Small Animal Veterinary Association (WSAVA) Guidelines for the Recognition, Assessment and Treatment of Pain was published and remains to this day one of the most relevant and widespread documents of its kind.

Category: Pain Management
Authors: C Thomson, C L Gordon, R M Greer, N Webster, R Mitchell

Introduction: The sesamoid disease is a cause of lameness in dogs, and there is limited literature relating to diagnosis, treatment and outcome of treatment in dogs with the sesamoid disease. Our aim was to compare the efficacy of intra-articular metacarpophalangeal/metatarsophalangeal joint injection with methylprednisolone and bupivacaine (IMPB) or conservative management with nonsteroidal anti-inflammatories and rest (CMNR) for treatment of this disease.

Category: Pain Management
Authors: Alexandra B Kalamaras, Turi K Aarnes, Sarah A Moore, Stephen C Jones, Carolina Ricco Pereira, Juan Peng, Nina R Kieves

Objective: To compare the quality of postoperative analgesia and sedation after preoperative saphenous and sciatic nerve blockade, preoperative lumbosacral epidural injection and perioperative intravenous (IV) morphine, lidocaine and ketamine infusions in dogs undergoing stifle arthroscopy and tibial plateau leveling osteotomy (TPLO) under general anesthesia.

Study design: Prospective, blinded, randomized, clinical comparison study.

Authors: Steven W Frederick, Alan R Cross

Objective: To determine the effect of extracorporeal shock wave (ESWT) on liposomal bupivacaine in a tibial-plateau-leveling osteotomy model.

Study design: In vitro study.

Sample population: Ten samples per group.

Authors: Schmierer PA, Tünsmeyer J, Tipold A, Hartnack-Wilhelm S, Lesczuk P, Kästner SBR

OBJECTIVE: To assess the effect of perioperative pregabalin on pain behavior in dogs after intervertebral disc surgery.

STUDY DESIGN: Prospective, randomized, controlled clinical trial with a blinded observer.

Category: Pain Management
Authors: Reader RC, McCarthy RJ, Schultz KL, Volturo AR, Barton BA, O'Hara MJ, Abelson AL.

OBJECTIVE: To compare liposome-encapsulated bupivacaine (LEB) and (nonliposomal) 0.5% bupivacaine hydrochloride (0.5BH) for control of postoperative pain in dogs undergoing tibial plateau

Authors: Kawarai Y, Orita S, Nakamura J, Miyamoto S, Suzuki M, Inage K, Hagiwara S, Suzuki T, Nakajima T, Akazawa T, Ohtori S.

We investigated the efficacy of duloxetine on hyperalgesia, histopathological and radiographic findings, pain-related sensory innervation of dorsal-root ganglia (DRG), and spinal changes in a rat model of induced hip osteoarthritis (OA).

Category: Hip - Pain Management