This manual provides an easy guide to pain management for the veterinary practitioner. Beginning with pain terminology, it goes on to describe to physiology of pain, management strategies, various drugs and techniques, and the management of specific conditions and procedures. Strategies for the treatment of pain are reviewed, with an overview of the mechanisms by which pain is perceived and the principles of pain management. The drugs used in the treatment of acute and chronic pain are discussed as well as the specific techniques used to control intra- and post operative pain in dogs and cats. Published by Teton New Media USA and distributed by CRC Press outside of North America.

Section 1 Pain Terminology, Physiology, Recognition, and Clinical Strategiesfor Management Pain Terminology 2 Physiology of Pain The Sensory Nervous System and Pain 4 Nociception 6Consequences of Pain 8 Pain Recognition 8 Pain Assesment 9 Strategies for Pain Management Preemptive Analgesia 10 Multimodal Analgesia 11 Placebo Effect 12 Section 2 Analgesic Drugs Opioids 15 Local Anesthetics 17 Alpha2 Adrenergic Agonists 19 Nonsteroidal Anti-inflammatory Drugs 21Analgesic Adjuvant Agents 25 Preemptive Analgesic Drug Combinations 27 Transdermal Analgesic PreparationsFentanyl Patch 29 Buprenorphine Patch 29 Lidocaine Patch 30 Pluronic Gel Medications 30 Topical Local Anesthetic Preparations 31 Dispensable Oral MedicationsNSAID Preparations 32 Opioid Preparations 33 Opioid / Acetaminophen Preparations 33 Section 3 Analgesic TechniquesEpidural Analgesia/Anesthesia 35 Epidural Catheter Placement 38 Brachial Plexus Block 42Radial/Ulnar/Median Nerve Block 45Intra-articular Analgesia 48 Dental Nerve Blocks 50Infiltrative Blocks 54 Intravenous Regional Analgesia/Anesthesia 58 Intercostal Nerve Block 61Interpleural/Intraperitoneal/IntraincisionalAnalgesia/Anesthesia 63Intravenous Constant Rate Infusion 66 Transdermal Opioid Delivery 68 Adjunctive Analgesic Techniques 71 Section 4 Pain Management for Specific Conditions and ProceduresInitial Pain Management of the Trauma Patient 76 Head Trauma 78 Acute Pancreatitis 79 Canine Procedures Dental Cleaning with Extractions 81 Ovariohysterectomy 82 Castration 84 Exploratory Laparotomy 85 Forelimb Amputation/Fracture 88 Thoracotomy 90 Intervertebral Disc Disease 92 Cruciate Ligament Repair 94 Hind Limb