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BSAVA Guide to Pain Management in Small Animal Practice



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                 e ex  p e    Bilateral lower lid entropion
              correction


             HISTORY AND PRESENTATION             ANALGESIC PLAN
             A   year old male Bulldog was presented for   ■    pioid  methadone  .  mg kg i.m.
             anaesthesia for correction of bilateral lower lid   ■    opical anaesthesia  proxymetacaine.
             entropion.  he dog had a history of chronic,   ■   NSAI   administered following blood
             intermittent con unctivitis and moderate   pressure measurement   AP  6  mm g .
             upper respiratory tract noise with stridor   ■    etamine infusion  1   g kg min i.v.
             consistent with signs of brachycephalic   during surgical procedure.
             obstructive airway syndrome  B AS .  ■   In ltration of lidocaine  volume  .  ml per
                                                     lid, maximum   4 mg kg  into lids
                                                     following surgical procedure, followed by
             CLINICAL SIGNS                          cold packing of the area.
              cular discharge, marked upper respiratory
             tract noise and poor exercise tolerance.  POSTOPERATIVE CARE
                                                  ■   Continue methadone  .  mg kg i.m.
             SIGNS OF PAIN                           every 4 hours.
                                                  ■   Sedation anxiolysis should be
             Blepharospasm, con unctival hyperaemia,   considered to reduce stress during
             head shyness and excess tearing.        hospitali ation.


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