• 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 Practiceoffers 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.

  • 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 α-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-Bj¨orkman

    23 Treatment of Chronic Pain in Dogs 239
    Anna Hielm-Bj¨orkman

    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

  • 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.

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