2022 AAHA Pain Management Guidelines for Dogs and Cats

Author:

Gruen Margaret E.1,Lascelles B. Duncan X.2,Colleran Elizabeth3,Gottlieb Alison4,Johnson Jennifer5,Lotsikas Peter6,Marcellin-Little Denis7,Wright Bonnie8

Affiliation:

1. North Carolina State University, Department of Clinical Sciences (M.E.G.)

2. North Carolina State University, Translational Research in Pain, Department of Clinical Sciences (B.D.X.L.)

3. Chico Hospital for Cats (E.C.)

4. Crown Veterinary Specialist (A.G.)

5. International Veterinary Academy of Pain Management (J.J.)

6. Skylos Sports Medicine (P.L.)

7. University of California, Davis, Department of Surgical and Radiological Sciences (D.M-L.)

8. MistralVet (B.W.)

Abstract

ABSTRACT These updated guidelines present a practical and logical approach to the assessment and management of acute and chronic pain in canine and feline patients. Recognizing pain is fundamental to successful treatment, and diagnostic guides and algorithms are included for assessment of both acute and chronic pain. Particularly for chronic pain, capturing owner evaluation is important, and pain-assessment instruments for pet owners are described. Expert consensus emphasizes proactive, preemptive pain management rather than a reactive, “damage control” approach. The guidelines discuss treatment options centered on preemptive, multimodal analgesic therapies. There is an extensive variety of pharmacologic and nonpharmacologic therapeutic options for the management of acute and chronic pain in cats and dogs. The guidelines include a tiered decision tree that prioritizes the use of the most efficacious therapeutic modalities for the treatment of acute and chronic pain.

Publisher

American Animal Hospital Association

Subject

Small Animals

Reference136 articles.

1. 2015 AAHA/AAFP pain management guidelines for dogs and cats;Epstein;J Feline Med Surg,2015

2. Osteoarthritis. Joint anatomy, physiology, and pathobiology;Johnston;Vet Clin North Am Small Anim Pract,1997

3. Cross-sectional study of the prevalence of radiographic degenerative joint disease in domesticated cats;Lascelles;Vet Surg,2010

4. Diagnosis and treatment rates of osteoarthritis in dogs using a health risk assessment (HRA) or health questionnaire for osteoarthritis in general veterinary practice;Wright

5. Post-operative central hypersensitivity and pain: the pre-emptive value of pethidine for ovariohysterectomy;Lascelles;Pain,1997

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