The dvm360® anesthesiology and pain management page is a comprehensive resource for clinical news and insights on the latest in veterinary anesthesia and pain management. This page consists of videos, interviews, articles, podcasts, and research on the advancements and developments of therapies for anesthesiology, pain management, and more.
Postsurgical pain management: Take a pre-emptive approach
July 1st 2008While this review will focus on postoperative pain management, it is important that we acknowledge the critical perioperative elements that lay the foundation for ideal patient pain management. Pain control needs to be in place before the surgeon's blade contacts skin in order to minimize central and peripheral sensitization. Without adequate pre-emptive analgesia, the nociceptive process ramps up unabated by general anesthesia. Receptor sensitivity increases and structural rewiring can occur.
ACVS Surgery STAT: Tips for reducing the pain of amputations in dogs
June 1st 2008Amputation is a painful procedure, so aggressive, multimodal analgesia is necessary. The patient should receive a premedication that includes a pure mu agonist opioid such as morphine, fentanyl, oxymorphone or hydromorphone.
Nutritional support for hospitalized patients
June 1st 2008Nutritional needs often play a secondary role to medical and surgical intervention. Critically ill veterinary patients are at high risk for malnutrition because of physical impediments, as well as physiologic and metabolic abnormalities. Protein and/or calorie malnutrition results in decreased immune competence, decreased tissue synthesis, increased protein degradation (especially that of the lymphatic system), altered drug metabolism and is known to increase morbidity and mortality in human patients. Although veterinary studies are lacking, it is generally accepted that early enteral nutrition decreases complications from malnutrition.
Anesthesia for neurologic disease and procedures (Proceedings)
April 1st 2008The primary concerns for anesthesia for dogs with spinal neurologic disease are the need to prevent pulmonary aspiration of gastric fluid if food has not been withheld, to maintain a low intracranial pressure (ICP) and therefore a low spinal cord pressure, and the provision for pain management.