Page 17 - BSAVA Guide to Pain Management in Small Animal Practice
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BSAVA Guide to Pain Management in Small Animal Practice
VetBooks.ir around the surgical site. he scale has a cut o comfort, activity, attitude, miscellaneous
behaviours, reaction to palpation of the surgical
score above which it is suggested analgesia
wound, reaction to palpation of the abdomen
should be administered. he maximum score
for all categories is 4, or if mobility is ank, arterial blood pressure, appetite and
omitted e.g. in patients that can not ambulate . vocali ation. he score indicating the need for
he recommended analgesic intervention level analgesia is 7 points out of the total points.
is 6 4 total score or no mobility he scale has been used both clinically and in
score . his is currently the only validated dog research. he scale, along with the information
acute pain scale available for use in veterinary on its validation, instructions on its use and
practice Reid et al., 7 . It has been widely videos of cats in pain for practice scoring, can
used both clinically and in research and is be downloaded at http www.animalpain.com.
translated into several languages. he S of the br en us avaliacao da dor em gatos.php. See
scale, along with the information on validation also Appendix 1.
of the scale and instructions on how to use the
scale, can be downloaded at http www. Other pain scales
newmetrica.com wp content ther scales to consider include the Colorado
uploads 16 9 Reid et al 7.pdf. See State Scale see Appendix 1 and the
also Appendix 1. elbourne Pain Scale, both of which are
he C PS eline is only available as the multidimensional composite scales. he
S . he easy to use scale includes vocali ation, Colorado State Scale is available for dogs, cats
body posture tension location in the cage, and horses. he scale uses psychological and
attention to painful area, response to palpation behavioural signs of pain, caricatures of facial
of the painful area, response to stroking, and a expressions and body posture and palpation
feline grimace scale with caricature diagrams of responses to create a numerical score.
ear and whisker position olden et al., 14 . Although not yet validated, validation studies
he cut o score for analgesic administration is are in progress for the cat scale Shipley et al.,
points out of points total. his scale has 18 . he feline scale can be downloaded at
been recently validated Calvo et al., 14; Reid http csu cvmbs.colostate.edu ocuments
et al., 17 and its use is rapidly increasing in anesthesia pain management pain score
clinics and in research studies. he scale, along feline.pdf and the canine scale at http
with the information on validation of the scale csu cvmbs.colostate.edu ocuments
and instructions on how to use the scale, can be anesthesia pain management pain score
downloaded at http www.newmetrica.com canine.pdf. See also Appendix 1. he
wp content uploads 16 9 Calvo elbourne scale for dogs uses physiological
et al 14.pdf. See also Appendix 1. heart and respiratory rates and behavioural
responses response to palpation, activity,
UNESP-Botucatu mental status, posture, and vocali ation and
multidimensional composite has been validated irth and aldane, 1999 .
pain scale
he UNESP Botucatu scale see Appendix 1 is Chronic pain scales and quality
also a multidimensional composite scale of life assessments
validated to identify acute pain in cats. he It should be noted that the pain scales
scale also focuses on the presence or absence mentioned here are designed for recognition of
of speci c behaviours. he scale was originally acute pain and are likely inaccurate for
validated in Bra ilian Portuguese Brondani et recognition of chronic pain, which may be
al., 11 but is now validated in English manifest by the patient in a very di erent way
Brondani et al., 1 , rench Steagall et al., than it would manifest acute pain. owever,
17 and Italian ella Rocca et al., 18 . he chronic pain scales do exist and these scales
English scale includes 1 items posture, are covered in the chapter on chronic pain.
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