Читать книгу Pet-Specific Care for the Veterinary Team - Группа авторов - Страница 190

 Underrecognized and undermanaged pain inflicts very real physiological and medical consequences, resulting in significant patient morbidity and in the extreme can contribute to mortality.

 Through the process of peripheral and central hypersensitization (“wind‐up”), pain becomes maladaptive, exaggerated in scope, severity, character, duration, and field; a number of factors will place a patient at risk for maladaptive pain, including (but not limited to) nerve injury, severe trauma, chronic inflammation, heritable tendency.

 Assessment of both acute postsurgical and chronic OA‐related pain is possible with validated CMIs.

 Evidence‐based industry guidelines and consensus statements are available to direct veterinary clinicians to the highest, wisest, safest multimodal strategies for acute and chronic pain.

 Veterinarians are advised to adopt the emerging trend of reducing, full mu agonist opioid usage, insofar as possible and still maintain patient comfort, in favor of buprenorphine and butorphanol along with multiple opioid‐sparing modalities and strategies.