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.
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.
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 -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-Bjorkman
23 Treatment of Chronic Pain in Dogs 239
Anna Hielm-Bjorkman
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
