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This manual provides an easy guide to pain management for the veterinary practitioner. Beginning with pain terminology, it goes on to describe to physiology of pain, management strategies, various drugs and techniques, and the management of specific conditions and procedures. Strategies for the treatment of pain are comprehensively reviewed, with an overview of the mechanisms by which pain is perceived and the principles of pain management. The drugs currently used in the treatment of acute and chronic pain are discussed as well as the specific techniques that can be used to control intra- and post operative pain in dogs and cats. The book covers a broad range of information on specific aspects of pain management from analgesic techniques to management of chronic pain to pain perception.
Published by Teton New Media USA and distributed by CRC Press outside of North America.
Table of 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 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
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