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Pain Management in Veterinary Practice

Christine M. Egger (Editor), Lydia Love (Editor), Tom Doherty (Editor)
ISBN: 978-0-8138-1224-3
464 pages
December 2013, Wiley-Blackwell
Pain Management in Veterinary Practice (0813812240) cover image

Pain Management in Veterinary Practice provides veterinary practitioners with the information needed to recognize and manage pain in a wide range of large, small, and exotic animal species. Encompassing acute, adaptive, and chronic, maladaptive pain, the book provides an up-to-date review of the physiology and pathophysiology of pain. Pain Management in Veterinary Practice offers specific strategies for addressing pain in animals, including local and regional analgesia, continuous rate infusions, and novel methods of analgesic drug delivery.

With comprehensive information on the pharmacokinetic and pharmacodynamic characteristics of analgesic drugs, the book goes beyond pharmaceutical options to incorporate scientific information on techniques for complementary treatment, including physical therapy, acupuncture, chiropractic techniques, and nutritional strategies. Pain Management in Veterinary Practice is a valuable resource for developing pain management protocols in the veterinary clinic.

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Contributors ix

Preface xiii

Section 1: Introduction and Anatomy, Physiology, and Pathophysiology of Pain 1

1 Introduction: Pain: An Issue of Animal Welfare 3
Alice Crook

2 Anatomy, Physiology, and Pathophysiology of Pain 9
Yael Shilo and Peter J. Pascoe

3 Mechanisms of Cancer Pain 29
Cholawat Pacharinsak and Alvin J. Beitz

Section 2: Pharmacology of Analgesic Drugs 39

4 Opioids 41
Tanya Duke-Novakovski

5 Nonsteroidal Anti-Inflammatory Drugs and Corticosteroids 69
Stuart Clark-Price

6 Local Anesthetics 85
Kip A. Lemke

7 α-2 Adrenoceptor Agonists 93
Reza Seddighi

8 Nontraditional Analgesic Agents 105
Lydia Love and Dave Thompson

9 Novel Methods of Analgesic Drug Delivery 115
Lesley J. Smith

10 Pharmacokinetic Principles for the Design of Intravenous Infusions 125
Bruno H. Pypendop

Section 3: Nonpharmacological Pain Therapy 131

11 Canine Rehabilitation 133
Lowri Davies

12 Equine Rehabilitation 147
Lowri Davies

13 Custom External Coaptation as a Pain Management Tool: Veterinary Orthotics and Prosthetics 155
Martin W. Kaufmann and Patrice M. Mich

14 Myofascial Pain Syndrome in Dogs 161
Rick Wall

15 Traditional Chinese Herbal Medicine and Homeopathy in Pain Management 171
Lynelle Graham, Mona Boudreaux, and Steve Marsden

16 Mechanisms of Acupuncture Analgesia 177
Shauna Cantwell

17 Equine Acupuncture 183
Arthur I. Ortenburger

18 Canine Chiropractic and Pain Management 189
Robin Downing

19 Equine Chiropractic 195
Henry S. Adair

Section: 4 Management of Pain in Veterinary Species 199

20 Recognition and Assessment of Acute Pain in the Dog 201
Kate L. White

21 Treatment of Acute Pain in the Dog 209
Kate L. White

22 Recognition and Assessment of Chronic Pain in Dogs 227
Anna Hielm-Bj¨orkman

23 Treatment of Chronic Pain in Dogs 239
Anna Hielm-Bj¨orkman

24 The Recognition and Assessment of Pain in Cats 269
Kersti Seksel

25 Treatment of Acute Pain in Cats 275
Jacob A. Johnson

26 Treatment and Assessment of Chronic Pain in Cats 289
Bonnie Wright and Jessica K. Rychel

27 Cancer-associated Pain and its Management 299
Lydia Love and Lisa DiBernardi

28 Recognition and Treatment of Pain in the Small Animal Critical Care Patient 311
Jane Quandt

29 Recognition and Assessment of Pain in Horses 317
Emma Love

30 Treatment of Acute and Chronic Pain in Horses 323
Bernd Driessen and Laura Zarucco

31 Recognition and Assessment of Pain in Ruminants 349
Kevin J. Stafford

32 Treatment of Acute and Chronic Pain in Ruminants 359
Alexander Valverde

33 Recognition and Treatment of Pain in Camelids 373
Tamara Grubb

34 Recognition and Treatment of Pain in Pet Pigs 383
Kristie Mozzachio and Valarie V. Tynes

35 Recognition and Assessment of Pain in Small Exotic Mammals 391
Lesa Thompson

36 Treatment of Pain in Small Exotic Mammals 399
Cheryl B. Greenacre

37 Recognition and Treatment of Pain in Birds 407
Karen L. Machin

38 Recognition and Treatment of Pain in Reptiles, Amphibians, and Fish 417
Lysa Pam Posner and Sathya K. Chinnadurai

Section 5: Incorporating Pain Management into Your Practice and Hospice and Palliative Care 425

39 Integrating Pain Management into Veterinary Practice 427
Robin Downing

40 Pain Management in Hospice and Palliative Care 431
Keri Jones

Index 437

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Christine M. Egger, DVM, MVSc, CVH, CVA, Diplomate ACVAA, is a Professor of Anesthesiology and Pain Management at the University of Tennessee in Knoxville, Tennessee, USA.

Lydia Love, DVM, Diplomate ACVAA, practices anesthesia and pain management at Animal Emergency and Referral Associates in Fairfield, New Jersey, USA.

Tom Doherty, MVB, MSc, Diplomate ACVAA, is a Professor of Anesthesiology at the University of Tennessee in Knoxville, Tennessee, USA.

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  • Provides clinicians with essential information on identifying and treating pain in animals
  • Covers pain management in a variety of species, including dogs, cats, birds, reptiles, small mammals, ruminants, camelids, pigs, and horses
  • Offers practical methods for managing pain, including pharmaceutical and complementary options
  • Presents two chapters specifically covering cancer pain and its treatment
  • Includes advice on integrating pain management into your veterinary practice
  • Discusses palliative and hospice care for veterinary patients
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“‘The veterinary profession has begun to make pain management a priority’ is the opening line to the chapter ‘Integrating pain management into veterinary practice’, and I couldn’t agree more. The publication of a textbook dedicated to all aspects of pain management presented in an easily accessible format will be an excellent addition to any practice’s library.”  (Veterinary Record, 16 August 2014)

“It is practical, well-illustrated, and gives information on analgesia in a variety of species.”  (Vets Today, 1 August 2014)

“Overall, the text is well written; the chapters are logically organized, and information is easily accessible.  The book is reasonably priced and will be an excellent addition to any veterinarian’s library and very useful to veterinary students and technicians as well.”  (Journal of the American Veterinary Medical Association, 15 June 2014)

“Benefitting from the contribution of more than 40 international expert authors, this excellent book provides a huge amount of up to date, evidence-based theoretical and practical information on pain management in veterinary practice and should definitely find its place on the bookshelf of all practitioners interested in better understanding and treating pain in their patients (aren’t we all??).”  (European Journal of Companion Animal Practice, 1 July 2014)

“The result is a fine survey highly recommended for any working with animals.”  (Midwest Book Review, 1 June 2014)

“Pain Management in Veterinary Practice is a reference for veterinary offices and practitioners and considers the physiology and pathophysiology of all kinds of animal pain, from large to exotic species. Expect more from this than an overview of pain medications and their administration and management: chapters cover techniques for complimentary treatments from acupuncture to massage and physical therapy, consider nutrition's role in pain management, and provide specific advice for specific kinds of pain. The result is a veterinary handbook recommended for any practitioner.”  (Midwest Book Review, 1 April 2014)

 

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