Anesthesiology & Pain Management

"It's an adjunct for pain management," says Fetch dvm360 Conference speaker Dr. Matthew Brunke.

While nonsteroidal anti-inflammatory drugs are important to control pain and inflammation in patients, Daniel Edge, DVM, MBA, manager of veterinary operations at Zoetis, says their use may not always be appropriate.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Sheilah Robertson, BVMS, PhD, DACVAA, DACAW; Mark Epstein, DVM, DABVP, CVPP; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; and Margaret Gruen, DVM, MVPH, PhD, DACVB, discuss complementary therapies, such as acupuncture and massage, to decrease pain in companion animals.

As people, we can anticipate relief for the physical pain we feel. Animals dont have this luxury. Heres how to deal with pain coupled with fear, and how pet owners help you heal the hurt.

Side by side in your anesthetic monitoring arena, these parameters are the tops for this anesthesia technician.

Are your veterinary clients curious about why you recommend joint supplements for their pets with this painful condition? Here are the answers they're looking for.

Mark Epstein, DVM, DABVP (Canine/Feline), CVPP, medical director of TotalBond Veterinary Hospitals and Carolinas Animal Pain Management in Gastonia, North Carolina, talks about the domain in human recognition assessment of pain that has translated best into veterinary medicine.

Daniel Edge, DVM, MBA, manager of veterinary operations at Zoetis, explains the broad use of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; Margaret Gruen, DVM, MVPH, PhD, DACVB; Mark Epstein, DVM, DABVP, CVPP; and Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, debate the multimodal approach to osteoarthritis management, including the current recommendations for pain management.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; Mark Epstein, DVM, DABVP, CVPP; and Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, provide insight on monitoring companion animals on pain medication and identify timelines for follow-up.

Acute pain control is best accomplished by using a combination of pharmacologic and nonpharmacologic modalities, including temperature-related therapies.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, DECAW; Margaret Gruen, DVM, MVPH, PhD, DACVB; and Mark Epstein, DVM, DABVP, CVPP, share their views about different non-COX inhibitory drugs for the treatment of osteoarthritis in companion animals.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Mark Epstein, DVM, DABVP, CVPP; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; and Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, provide insight on treating canine and feline osteoarthritis with nonsteroidal anti-inflammatory drugs and discuss dosing strategies.

The patient is young and healthywhat could possibly go wrong? Plenty, say Drs. Jennifer Wardlaw and Andrew Claude. Heed their tips

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Mark Epstein, DVM, DABVP, CVPP; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; Margaret Gruen, DVM, MVPH, PhD, DACVB; and Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, discuss different approaches to treating dogs and cats with osteoarthritis in early versus advanced disease.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Mark Epstein, DVM, DABVP, CVPP; Sheilah Robertson, BVMS, PhD, DACVAA, DACAW; Margaret Gruen, DVM, MVPH, PhD, DACVB; and Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR, survey the difference in osteoarthritis prevalence data between veterinary literature and clinical practice.

Mark Epstein, DVM, DABVP (Canine/Feline), CVPP, medical director of TotalBond Veterinary Hospitals and Carolinas Animal Pain Management in Gastonia, North Carolina, explains that changing the culture and awareness of local anesthetics in veterinary medicine will come through several different avenues.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; Margaret Gruen, DVM, MVPH, PhD, DACVB; Mark Epstein, DVM, DABVP, CVPP; and Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, review different questionnaires available to assess pain in companion animals and the importance of validation of these questionnaires.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Mark Epstein, DVM, DABVP, CVPP; Margaret Gruen, DVM, MVPH, PhD, DACVB; Sheilah Robertson, BVMS, PhD, DACVAA, DACAW; and Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR, share their views of practical assessment tools to determine pain level in companion animals, including the use of diary, video, and photo documentation to assess quality of life.

At the 2017 Western Veterinary Conference in Las Vegas, Lori Bidwell, DVM, DACVA, CVA, CVTP, presented an update on analgesia in geriatric horses.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Mark Epstein, DVM, DABVP, CVPP; Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR; Sheilah Robertson, BVMS, PhD, DACVAA, DACAW; and Margaret Gruen, DVM, MVPH, PhD, DACVB, outline the importance of early diagnosis of osteoarthritis in companion animals, as well as pet owner education about lifestyle changes, such as diet and exercise, to help with pain management.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Mark Epstein, DVM, DABVP, CVPP; and Bryan T. Torres, DVM, PhD, DACVS-SA, DACVSMR, discuss strategies that veterinary staff can use to educate clients about identifying pain in their pets.

Following recommended pain management guidelines is vital to reducing the risk for adverse events when administering NSAIDs for chronic or surgical pain.

Bryan Torres, DVM, assistant professor of small animal orthopedic surgery and director of the Motion Analysis Laboratory at the University of Missouri, explains what breeds of dogs and cats are more likely to develop osteoarthritis.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS, and Margaret Gruen, DVM, MVPH, PhD, DACVB, provide insight on areas of veterinary pain management research that translate well to human research, and suggest future directions in this area of study.

Whose job is preventive health? How often do young pet owners turn to nutrition to solve their pet's pain problems? Dive into the new data from The Pet Owner Paths research.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Sheilah Robertson, BVMS, PhD, DACVAA, DACAW; Mark Epstein, DVM, DABVP, CVPP; and Margaret Gruen, DVM, MVPH, PhD, DACVB, share their views on other areas of research in pain management in small animals, including cannabis and nutraceuticals.

Traditional Chinese medicine provides Dr. Sally Barchman, CVA, an opportunity to create a unique pain management treatment plan for each veterinary patient.

Panelists B. Duncan X. Lascelles, BVSc, PhD, DACVS; Margaret Gruen, DVM, MVPH, PhD, DACVB; Mark Epstein, DVM, DABVP, CVPP; and Sheilah Robertson, BVMS, PhD, DACVAA, DACAW, review the most promising new therapies for treating pain in companion animals, including monoclonal antibodies.

Bryan Torres, DVM, assistant professor of small animal orthopedic surgery and director of the Motion Analysis Laboratory at the University of Missouri, describes the differences in treating household dogs with osteoarthritis versus working dogs with osteoarthritis.