Pain Management for the Small Animal Practitioner (Book+CD)

William J. Tranquilli DVM, MS, Diplomate, ACVA, Kurt A. Grimm DVM, MS, PhD, Diplomate, ACVA, ACVCP, Leigh A. Lamont DVM, MS, Diplomate, ACVA

Contents Section 1 Pain Terminology, Physiology, Recognition, and Clinical Strategies for Management Pain Terminology 2 Physiology of Pain The Sensory Nervous System and Pain 4 Nociception 6 Consequences of Pain 8 Pain Recognition 8 Pain Assesment 9 Strategies for Pain Management Preemptive Analgesia 10 Multimodal Analgesia 10 Placebo Effect 12 Section 2 Analgesic Drugs Opioids 15 Local Anesthetics 17 Alpha2 Adrenergic Agonists 19 Nonsteroidal Anti-inflammatory Drugs 21 Analgesic Adjuvant Agents 25 Preemptive Analgesic Drug Combinations 27 Transdermal Analgesic Preparations Fentanyl Patch 29 Buprenorphine Patch 29 Lidocaine Patch 30 Pluronic Gel Medications 30 Topical Local Anesthetic Preparations 31 Dispensable Oral Medications NSAID Preparations 32 Opioid Preparations 33 Opioid / Acetaminophen Preparations 33 Section 3 Analgesic Techniques Epidural Analgesia/Anesthesia 35 Epidural Catheter Placement 38 Brachial Plexus Block 42 Radial/Ulnar/Median Nerve Block 45 Intra-articular Analgesia 48 Dental Nerve Blocks 50 Infiltrative Blocks 54 Intravenous Regional Analgesia/Anesthesia 58 Intercostal Nerve Block 61 Interpleural/Intraperitoneal/Intraincisional Analgesia/Anesthesia 63 Intravenous Constant Rate Infusion 66 Transdermal Opioid Delivery 68 Adjunctive Analgesic Techniques 71 Section 4 Pain Management for Specific Conditions and Procedures Initial Pain Management of the Trauma Patient 76 Head Trauma 78 Acute Pancreatitis 79 Canine Procedures Dental Cleaning with Extractions 81 Ovariohysterectomy 82 Castration 84 Exploratory Laparotomy 85 Forelimb Amputation/Fracture 88 Thoracotomy 90 Intervertebral Disc Disease 92 Cruciate Ligament Repair 94 Hind Limb Amputation/Fracture 96 Degloving Injury 98 Perianal Fistula 100 Ear Canal Ablation 101 Feline Procedures Declaw 104 Ovariohysterectomy 105 Castration 107 Section 5 Managing Chronic Pain in Dogs and Cats Chronic Pain 109 Treatment of Chronic Pain 111 Guidelines for Chronic Pain Management 114 Common Chronic Pain Syndromes Osteoarthritic Pain 115 Osteosarcoma-related Pain 117 Central Neuropathic Pain 118 Chronic Otitis Pain 119Section 6 Implementing a Pain Management Program in Clinical Practice Components of a Successful Pain Management Program 121 Recommendations for Assessment and Management of Pain in Clinical Practice 121 Appendix Drugs and Sources 123 Index 131 Recommended Readings 150