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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