Page 83 - BSAVA Guide to Pain Management in Small Animal Practice

BSAVA Guide to Pain Management in Small Animal Practice

VetBooks.ir Example regimens
Analgesia for an elderly Cocker Spaniel with
Lens luxation and glaucoma
Analgesia for enucleation in a healthy young chronic otitis externa for an ear ush outpatient
is detailed in igure .7.
Jack Russell Terrier due to lens luxation and
glaucoma is detailed in igure .6. Exploratory laparotomy
Analgesia for an uncooperative cat with triaditis
undergoing exploratory laparotomy for liver and
intestinal biopsies (inpatient) is detailed in
igure .8.

Perioperative Drugs and protocol Comments
period
Pre-anaesthetic ethadone . mg kg i.m., medetomidine ood analgesia from methadone possibly
medication g kg i.m., carprofen 4 mg kg s.c. enhanced by the medetomidine) and
carprofen. Moderate sedation, anti-
in ammatory e ect
Intraoperative entanyl g kg i.v. if there is reaction to May cause transient apnoea and
analgesia surgical stimulation, repeat as necessary bradycardia
Local anaesthetic Retrobulbar block or splash block using Excellent analgesia for 6 8 hours but
technique bupivacaine possibility of failure of block or patchy block
Postoperative Consider methadone . mg kg i.m. at the Additional opioid may not be required due
analgesia end of procedure if this is around 4 hours to the retrobulbar block and carprofen.
after pre-anaesthetic medication. Pain Retrobulbar block should wear o after 6 8
checks every hours initially, with hours, pain checks should be scheduled for
methadone repeated every 4 hours if this time
painful
Analgesia at home Carprofen mg kg orally 1 h for days
Recommended analgesic protocol for enucleation in a healthy young Jack Russell Terrier.

Perioperative period Drugs and protocol Comments
Pre-anaesthetic ethadone . mg kg i.m. ood analgesia from methadone, mild sedation
medication
Intraoperative analgesia etamine . mg kg i.v. as ood analgesia for chronic pain
co-induction or after induction May cause transient change in ventilation pattern
Local anaesthetic Consider auriculotemporal and Some dogs with otitis are very reactive during ear
technique great auricular nerve blocks procedures due to severe chronic pain and may
using lidocaine or bupivacaine shake their heads despite being deeply
anaestheti ed; nerve blocks will prevent this
Postoperative analgesia/ Non steroidal anti in ammatory Paracetamol can be used concurrently with
analgesia at home drugs or paracetamol 1 mg kg steroids
8 1 h
Recommended analgesic protocol for an ear ush in an elderly Cocker Spaniel with chronic otitis
externa.

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