Analgesia and Anesthesia for the Ill or Injured Dog and Cat

Karol A. Mathews, DVM, DVSc, DACVECC, is Professor Emerita, Emergency and Critical Care Medicine at the Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

Melissa Sinclair, DVM, DVSc, DACVAA, is Associate Professor in Anesthesiology at the Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

Andrea M. Steele, MSc, RVT (VTS ECC), is an ICU Technician at the Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

Tamara Grubb, DVM, PhD, DACVAA, is Associate Clinical Professor of Anesthesia and Analgesia at Washington State University's College of Veterinary Medicine in Pullman, Washington, USA.

List of Contributors viii


Preface ix Acknowledgements x


1 General Considerations for Pain Management upon Initial Presentation and during Hospital Stay
Karol Mathews


2 Physiology and Pathophysiology of Pain 8
Tamara Grubb


3 Physiologic and Pharmacologic Applications to Manage Neuropathic Pain 17
Karol Mathews


4 Physiology and Pharmacology: Clinical Application to Abdominal and Pelvic Visceral Pain 51
Karol Mathews


5 Physiology and Management of Cancer Pain 64
Karol Mathews and Michelle Oblak


6 Movement?Evoked and Breakthrough Pain 68
Karol Mathews


7 Pain: Understanding It 70
Karol Mathews


8 Recognition, Assessment and Treatment of Pain in Dogs and Cat 81
Karol Mathews


9 Pharmacologic and Clinical Application of Sedatives 112
Melissa Sinclair


10 Pharmacologic and Clinical Application of Opioid Analgesics 119
Melissa Sinclair


11 Pharmacologic and Clinical Application of Non?Steroidal Anti?Inflammatory Analgesics 134
Karol Mathews


12 Pharmacologic and Clinical Principles of Adjunct Analgesia 144
Karol Mathews and Tamara Grubb


13 Pharmacologic and Clinical Application of General Anesthetics 165
Melissa Sinclair


14 Local Anesthetic Techniques 171
Alexander Valverde


15 Integrative Techniques for Pain Management 204
Cornelia Mosley and Shauna Cantwell


16 The Veterinary Technician/Nurse's Role in Pain Management 217
Andrea Steele


17 Optimal Nursing Care for the Management of Pain 219
Andrea Steele


18 Preparation and Delivery of Analgesics 230
Andrea Steele


19 Cardiovascular Disease as a Co?Morbidity for Anesthesia and Analgesia of Non?Related Emergencies 244
Tamara Grubb


20 Kidney Disease as a Co?Morbidity for Anesthesia and Analgesia of Non?Related Emergencies 255
Melissa Sinclair


21 Liver Disease as a Co?Morbidity for Anesthesia and Analgesia of Non?Related Emergencies 263
Melissa Sinclair


22 Managing the Aggressive Patient 270
Andrea Steele and Tamara Grubb


23 Analgesia and Anesthesia for Pregnant Cats and Dogs 279
Karol Mathews and Melissa Sinclair


24 Analgesia and Anesthesia for Nursing Cats and Dogs 294
Karol Mathews, Tamara Grubb, Melissa Sinclair and Andrea Steele


25 Physiologic and Pharmacologic Application of Analgesia and Anesthesia for the Pediatric Patient 308
Karol Mathews, Tamara Grubb and Andrea Steele


26 Analgesia and Anesthesia for the Geriatric Patient 328
Karol Mathews, Melissa Sinclair, Andrea Steele and Tamara Grubb


27 Analgesia and Anesthesia for Head and Neck Injuries or Illness 336
Karol Mathews, Melissa Sinclair, Andrea Steele and Tamara Grubb


28 Torso, Thorax and Thoracic Cavity: Illness and Injury 356
Karol Mathews, Tamara Grubb and Andrea Steele


29 Torso and Abdomen: Illness and Injuries 375
Karol Mathews, Tamara Grubb and Andrea Steele


30 Pelvic Cavity/Abdomen, Perineum and Torso: Illness and Injuries Urogenital System and Perineum 391
Karol Mathews, Tamara Grubb and Andrea Steele


31 Musculoskeletal Injuries and Illness 409
Karol Mathews, Melissa Sinclair, Andrea Steele and Tamara Grubb


32 Vertebral Column (Vertebrae and Spinal Cord) 423
Karol Mathews, Tamara Grubb and Andrea Steele


33 Integument Injuries and Illness 439
Karol Mathews, Tamara Grubb and Andrea Steele


34 Environmental Injuries 454
Karol Mathews, Tamara Grubb and Andrea Steele


Index 465