Page 185 - BSAVA Guide to Pain Management in Small Animal Practice

BSAVA Guide to Pain Management in Small Animal Practice

VetBooks.ir e ex p e Fracture repair

re ect hypovitaminosis A and obesity from a
HISTORY AND PRESENTATION high fat, low nutrient diet. Clinical
examination revealed a mid shaft fracture of
An 8 year old female NA sexed pet African
grey parrot was presented with sudden onset her tibiotarsus bone, presumed to be from
non weight bearing on her left leg for the trauma sustained at home. She otherwise
past 4 hours. appeared stable so the main concern was
he bird had been owned for 7 years, fed control of pain.
Immediate pain relief is provided with
a seed mix with a high percentage of opioids e.g. butorphanol as it is relatively
sun ower seeds, plus various fruits, uick acting . Non steroidal anti in ammatory
vegetables and human food treats. She was drugs NSAI s could also be considered but
kept in cage at night but allowed free range if the bird is likely to be anaestheti ed or may
of the house during the day. here are no be in early circulatory shock, there is a risk of
other birds or pets in the house and no hypoperfusion and renal problems when
previous health problems. he owner heard using NSAI s. nce the bird is stable for
s uawking in the other room and found the surgery, pain relief can be continued with
bird on the oor, standing on one leg. butorphanol, and additional analgesia with a
continuous rate infusion or local anaesthesia
CLINICAL SIGNS may be attempted although there is limited
evidence of e cacy and safe dosing . he
No previously reported health problems. he limb should be immobili ed to stabili e the
bird was overweight with a body condition fractured bone ends to reduce further pain
score of 4 . She had a small area of plucked and soft tissue damage ; this may be with a
feathers around the neck and a build up of splint prior to surgery.
dry crusted deposits in the nares. Postoperatively, continue with
butorphanol and NSAI s assuming good
SIGNS OF PAIN hydration and then the parenteral opioids
can be reduced in favour of tramadol if opioid
olding the leg up, not using the foot, pain relief is re uired in the days following
u ed up appearance, aggressive when surgery. Cold therapy may aid reduction of
approached. swelling and hot therapy may increase blood
ow and healing. NSAI s meloxicam can be
TREATMENT continued at home until the bird exhibits
fewer signs of pain.
he general clinical signs are typical for a Photobiomodulation therapy may also
seed fed bird that is kept indoors and likely help to increase the speed of bone healing.

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