Handbook of Veterinary Pain Management

James S. Gaynor, William W. Muir

Description

• NEW! Eight new chapters include the latest information on:

• the human-animal bond
• local and regional techniques
• preventive and multimodal analgesia
• energy modalities
• acupuncture
• physical examination with emphasis on isolating and locating pain
• therapeutic goals
• pain in laboratory animals
• NEW! Completely updated drug information, with new agents, doseforms, and routes provides the most current pain management therapies for use in the clinical setting.
• NEW! Expanded sections on the cat and exotics address the growing popularity of these pets by providing additional species-specific information.

Sujets

• Veterinary Medicine
• Medical
• Médecine

Informations

• Publié par: Mosby
• Date de parution: 13 août 2014
• Nombre de lectures: 0
• EAN13: 9780323222143
• Langue: English
• Poids de l'ouvrage: 7 Mo

Extrait

Handbook of Veterinary Pain Management
Third Edition
James S. Gaynor, DVM, MS, Dipl. ACVAA, Dipl. AAPM, IVAS, IVAPM
President and Medical Director, Animal Emergency Care Centers, Peak Performance Veterinary Group, HemoSolutions, Breckenridge and Colorado Springs, Colorado
William W. Muir III, DVM, PhD, Dipl. ACVAA, Dipl. ACVECC, VCPCS
Columbus, Ohio
Table of Contents
Cover image
Title page
Copyright
Contributors
Dedication
Preface
Veterinarian's Oath
Part One: Basic Concepts
Chapter 1: Pain Management and the Human-Animal Bond
Chapter 2: Nociception and Pain Mechanisms
The Pain Phenotype
Nerve Injury
Clinical Pain
Chapter 3: Pain and Stress: Stress-Induced Hyperalgesia and Hypoalgesia
Sickness Syndrome
Defining Terms
Biologic Components of the Stress Response
Behavioral Indicators of Stress and Pain
Central Noradrenergic Effects
Neuroendocrine Axis
Metabolism
Immune System
Morphologic Changes
Stress-Induced Hypoalgesia and Hyperalgesia
Chapter 4: Definitions of Terms Describing Pain
Definitions
Chapter 5: Assessing Pain: Pain Behaviors
Spontaneous Pain Behaviors
Evoked Pain Behaviors
Physiologic Indicators of Pain
Factors Influencing the Assessment of Pain Behaviors
Chapter 6: Health-Related Quality of Life Measurement
The Importance of Measuring the Impact of Chronic Disease on HRQL in Animals
The Challenges Facing Veterinary Medicine
Health-Related Quality of Life Instruments
Questionnaire Design
Conclusion
Part Two: Pain Therapy
Chapter 7: Overview of Drugs Administered to Treat Pain
Serotonin Syndrome
Nonsteroidal Anti-inflammatory Drugs
Opioids
α2-Agonists
Local Anesthetics
Adjunct and Adjuvant Analgesics for the Treatment of Pain
Serotonin Syndrome
Chapter 8: Nonsteroidal Anti-inflammatory Drugs
Mechanism of Action
Clinical Applications
Potential Side Effects
Chapter 9: Opioids
Opioid Neurobiology
Side Effects and Toxicity
Special Issues
Injectable Opioid Classes and Members
Clinical Use of Opioids
Sustained-Release and Extended-Duration Parenteral Opioids
Oral Opioids
Oral Transmucosal Opioids
Chapter 10: α2-Agonists
Historical Background
Molecular Pharmacology of α2-Adrenoceptors
Mechanism of Analgesic Action
Clinical Pharmacology of α2-Agonists
Considerations for Veterinary Patient Selection
Clinical Use as Analgesic Adjuvants
Clinical Adverse Effects OF α2-Agonists
Chapter 11: Local Anesthetics
Physiology of Nerve Conduction
Pharmacology
Commonly Used Local Anesthetics
Combining Local Anesthetic Agents Before Use
Adjuvants Commonly Used to Enhance Locoregional Anesthesia and Analgesia
Local Anesthetic Toxicity
Chapter 12: Local and Regional Anesthetic Techniques
General Considerations and Veterinary Patient Preparation
Equipment
Peripheral Nerve Stimulators
Ultrasound
Infiltration and Wound Catheters
Incisional Line Block
Intratesticular Blocks
Wound Catheters
Head
Thoracic Limb
Trunk
Pelvic Limb
Intravenous Regional Anesthesia
Chapter 13: Glucocorticoids
Pharmacology of Glucocorticoids
Clinical Effects of Glucocorticoids
Adverse Effects of Glucocorticoids
Specific Clinical Applications
Chapter 14: Alternative Drugs and Novel Therapies Used to Treat Pain
Injectable Drugs
Oral Drugs
Acknowledgments
Chapter 15: Factors Influencing Analgesic Drug Selection, Dose, and Routes of Drug Administration
Choice of Analgesic Therapy
Factors That Determine Drug Dose
Routes of Drug Administration
Chapter 16: Drug Interactions, Analgesic Protocols and Their Consequences, and Analgesic Drug Antagonism
Drug Interactions
Techniques for Analgesic Drug Administration
Developing a Treatment Plan
What to Do When the Therapeutic Plan Does Not Work
Concerns Regarding Profoundly Effective Analgesic Therapies
Preventing Drug-Related Effects and Toxicity
Discontinuing Drug Administration
Pharmacokinetic Antagonism
Receptor Blockade (Drug Antagonists)
Physiologic Antagonism
Chapter 17: Energy Modalities: Therapeutic Laser and Pulsed Electromagnetic Field Therapy
Therapeutic Laser
Pulsed Electromagnetic Field Therapy
Acknowledgments
Part Three: Application of Concepts and Therapy
Chapter 18: Acupuncture
History
Evidence-Based Medicine
Mechanism of Action
Acupuncture Analgesia
Acupuncture for Specific Conditions
Forms of Acupuncture
Side Effects and Precautions
Acupuncture Training
Conclusion
Chapter 19: Physical Therapy and Rehabilitation in Dogs
Cryotherapy
Thermotherapy
Contrast Thermotherapy
Physical Rehabilitation and Therapeutic Exercises
Transcutaneous Electrical Nerve Stimulation
Therapeutic Laser Treatment
Extracorporeal Shock Wave Treatment
Therapeutic Ultrasound
Pulsed Electromagnetic Field Therapy
Chapter 20: Physical Examination With Emphasis on Isolating and Detecting Pain
Client Interview
Visual Analysis
Hands-on Examination
Computerized Gait Analysis
Cat Specifics
Chapter 21: Therapeutic Goals
Therapeutic Goals for Animals With Acute Pain
Therapeutic Goals for Animals With Chronic Pain
Therapeutic Goals for Animals Receiving Palliative Care
Conclusion
Chapter 22: Acute Pain Management: A Case-Based Approach
Case 1 Canine Ovariohysterectomy
Case 2 Canine Ovariohysterectomy 2
Case 3 Canine Castration
Case 4 Feline Ovariohysterectomy
Case 5 Feline Castration
Case 6 Declaw—Front Feet
Case 7 Incisor Extraction
Case 8 Maxillectomy
Case 9 Mandibulectomy
Case 10 Nasal Biopsy
Case 11 Shoulder Surgery
Case 12 Elbow Surgery
Case 13 Radial and Ulnar Fracture Repair
Case 14 Forelimb Amputation
Case 15 Thoracotomy—Sternotomy
Case 16 Thoracotomy—Intercostal
Case 17 Laparotomy—Intestinal Resection and Anastomosis
Case 18 Laparotomy—Cystotomy
Case 19 Pancreatitis
Case 20 Lumbosacral Disk Surgery
Case 21 Tail Amputation
Case 22 Rear Limb Amputation
Case 23 Bilateral Femoral Fracture Repair
Case 24 General Trauma
Case 25 Exercise-Induced Trauma
Chapter 23: Chronic Pain Cases
Case 1 Chronic Cranial Cruciate Ligament Disease
Case 2 Generalized Maladaptive Pain
Case 3 Intervertebral Disk Disease
Case 4 Hip and Spine Osteoarthritis
Case 5 Bilateral Hip Dysplasia
Case 6 Back Pain Resulting from Trauma
Case 7 Bilateral Canine Hip Dysplasia and Hip Replacement
Case 8 Degenerative Joint Disease of the Hips
Case 9 Degenerative Joint Disease
Case 10 Pain Related to Radiation Therapy
Case 11 Pain Related to Forelimb Amputation
Chapter 24: Cat-Specific Considerations
Recognition of Pain in Cats
Metabolism of Drugs
Analgesic Drugs
Multimodal Approach
Duration of Treatment
Complementary Methods for Treating Feline Pain
Acute Pain Case Studies
Treatment of Chronic Pain
Conclusion
Chapter 25: Rabbit- and Ferret-Specific Considerations
Recognition of Pain
Acute and Chronic Pain
Prevention of Pain
Nonpharmacologic Interventions for Analgesia
Pharmacologic Analgesic Agents
Chapter 26: Bird-Specific Considerations: Recognizing Pain Behavior in Pet Birds
Physiology of Avian Pain
Treatment of Pain
Regional Anesthesia and Analgesia
Opioids and Opioid-like Drugs
Nonsteroidal Anti-inflammatory Drugs
Chronic Pain
Conclusion
Chapter 27: Reptile-Specific Considerations
Evidence for Animal Pain in Reptiles
Assessing Pain in Reptiles
Analgesic Therapy in Reptiles
Route of Drug Administration
Drugs: Classes of Analgesic Drugs Commonly Used in Reptiles
Conclusion
Chapter 28: Regulations Regarding Pain and Distress in Laboratory Animals
Public Health Service Policy on Humane Care and Use of Laboratory Animals
Guide for the Care and Use of Laboratory Animals, Eighth Edition
Animal Welfare Act, Animal Welfare Act Regulations, and USDA Animal Care Policy Manual
American Veterinary Medical Association
Association for Assessment and Accreditation of Laboratory Animal Care International
Institute for Laboratory Animal Research
American Association for Laboratory Animal Science
Guide for the Care and Use of Agricultural Animals in Research and Teaching
American College of Laboratory Animal Medicine
Appendix: Drugs Used to Treat Pain, Pain-Related Anxiety, and Anesthesia-Related Side Effects as Described in This Handbook
Index
Copyright

3251 Riverport Lane
St. Louis, Missouri 63043
HANDBOOK OF VETERINARY PAIN MANAGEMENT, Third edition
978-0-323-08935-7
Copyright 2015 by Mosby, an imprint of Elsevier Inc.
Previous editions copyright 2009, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved. No part of this publication may be reprodu