Page 184 - BSAVA Guide to Pain Management in Small Animal Practice
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7   |  Pain in birds



        VetBooks.ir  should not be used concurrently. Selection is   References and further
             often determined by ease of administration  e.g.
                                                   reading
             in ection at the time of surgery followed by oral
             medication during the recovery period . P  and   Brenner   , Larsen RS,  ickinson P  et al.    1    evelopment
             P  studies are also lacking across multiple   of  an  avian  brachial  plexus  nerve  block  techni ue  for
             species and allometric scaling is shown to be   perioperative analgesia in mallard ducks  Anas platyrhynchos .
                                                   Journal of Avian Medicine and Surgery 24,  4  4
             ine ective at predicting an accurate dose for   Concannon    ,   odam   R  and   ellyer  P    199    In uence
             di erent bird species.  he most common   of  a  mu   and  kappa opioid  agonist  on  iso urane  minimal
             problem with NSAI s in birds is an adverse   anesthetic  concentration  in  chickens.  American Journal of
                                                   Veterinary Research 56, 8 6 811
             e ect on renal tissue and function, as    awkins      and  Paul  urphy        11   Avian  Analgesia.
             manifested by the deaths of vultures in Asia   Veterinary Clinics of North America: Exotic Animals 14, 61 8
             which led to the banning of diclofenac in hoof    awkins    ,  Paul  urphy     and   u man   S     16
             stock   aks et al.,    4;  eteyer et al.,     ;   Recognition, assessment, and management of pain in birds. In
             Naidoo and Swan,    8 .               Current Therapy in Avian Medicine and Surgery, ed. B Speer, pp.
                                                   616 6  . Elsevier,  issouri
             Regional anaesthesia and               ughes  RA   199    Strain dependent  morphine induced
                                                   analgesic  and  hyperalgesic  e ects  on  thermal  nociception
             analgesia                             in domestic fowl  Gallus gallus . Behavioral Neuroscience 104,
                                                   619 6 4
              here used, local line blocks or splash blocks    ansour  A,   hachaturian   ,  Lewis   E,  Akil     and   atson
             are most common, although the thin    S    1988   Anatomy  of  CNS  opioid  receptors.  Trends in
                                                   Neuroscience 11,   8  14
             subcutaneous space in most avian species    athonnet  , Lalloue  ,  anty E, Comte I and Li vre CA     1
             makes accurate placement a challenge.   Cyclo oxygenase     tissue  distribution  and  developmental
             Regional blocks  such as a brachial plexus   pattern of expression in the chicken. Clinical and Experimental
             block  have not been shown to be particularly   Pharmacology and Physiology 28, 4   4
             e ective  Brenner et al.,   1  . Systemic uptake    eteyer  CU,  Rideout  BA,   ilbert   ,  Shivaprasad   L  and
                                                    aks   L          Pathology  and  proposed  pathophysiology
             of the local anaesthetics can be rapid in birds,   of  diclofenac  poisoning  in  free living  and  experimentally
             and metabolism can be prolonged, leading to   exposed  oriental  white backed  vultures   Gyps bengalensis .
             increased risk of toxicity.  his risk, and lack of   Journal of Wildlife Diseases 41, 7 7 716
             proven e cacy in some studies, makes local   Naidoo  V  and  Swan   E      8    iclofenac  toxicity  in  Gyps
                                                   vulture is associated with decreased uri c acid excretion and
             anaesthesia controversial and more research is   not  renal  portal  vasoconstriction.  Comparative  Biochemistry
             re uired.  oxic e ects reported in birds include   and  Physiology Part  C   Toxicology and Pharmacology  149,
                                                    69  74
              ne tremors, ataxia, recumbency, sei ures,    aks  L,  ilbert  , Virani    et al.     4   iclofenac residues
             cardiovascular e ects and death.  or smaller   as the cause of vulture population decline in Pakistan. Nature
             birds, dilution may be re uired to produce a   427, 6   6
             useful volume for the block but it is unknown    Papich          8   An  update  on  nonsteroidal  anti
             if dilution alters the action of the drug or   in ammatory  drugs   NSAI s   in  small  animals.  Veterinary
                                                   Clinics of North America: Small Animal Practice 38, 1 4  1 66
             reduces the tissue concentration below
             e ective levels. Local anaesthetics in the form   Useful websites
             of transdermal patches and creams, epidural
             infusions, spinal blocks, and intravenous blocks    he Veterinary  edicines  irectorate Cascade
                                                   https   www.gov.uk guidance the cascade prescribing
             have not been reported.               unauthorised medicines











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