Analgesic practices for acute pain management in cats and dogs in Africa.

IF 1.9 2区 农林科学 Q2 VETERINARY SCIENCES
S S U H Bukhari, J C Murrell, N Lutevele, A R Ajadi, P V Steagall, B P Monteiro
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引用次数: 0

Abstract

Objectives: To understand perceptions and analgesic practices for acute pain management in cats and dogs by veterinarians in Africa.

Materials and methods: Data from small animal veterinarians were collected using an online questionnaire (English/French) and convenience sampling. Pain management practices and perceptions of veterinarians were analysed using multiple correspondence analysis.

Results: A total of 249 participants completed the survey from 20 countries. The readily available opioids, non-steroidal anti-inflammatory drugs and local anaesthetics were morphine (n = 90; 36.1%), meloxicam (n = 200; 80.3%) and lidocaine (n = 245; 98.4%), respectively. The majority of participants reported not using pain assessment instruments for perioperative pain in cats (n = 169; 67.9%) or dogs (n = 170; 68.3%). Feline Grimace Scale (n = 27; 10.8%) and Glasgow Composite Measure Pain Scale (n = 30; 12.0%) were the most commonly used instruments in cats and dogs, respectively. Multiple correspondence analysis identified one cluster representing high knowledge of pain assessment, use of peri-operative non-steroidal anti-inflammatory drugs and opioids, pain assessment instruments and recommendations of ongoing non-steroidal anti-inflammatory drug therapy after ovariohysterectomy. The second cluster represented low knowledge of pain assessment, non-use of peri-operative non-steroidal anti-inflammatory drugs and opioids, non-use of pain assessment instruments and no recommendations for ongoing non-steroidal anti-inflammatory drug therapy after ovariohysterectomy.

Clinical significance: Low knowledge and limited access to analgesics were associated with the non-use of perioperative non-steroidal anti-inflammatory drugs and opioids, pain assessment tools and non-steroidal anti-inflammatory drug therapy following ovariohysterectomy. Continuing education programs and improved drug availability are essential for improving pain management in cats and dogs.

非洲猫和狗急性疼痛管理的镇痛做法。
目的:了解非洲兽医对猫和狗急性疼痛管理的看法和镇痛做法。材料与方法:采用在线问卷(英文/法文)和方便抽样的方式收集小动物兽医资料。使用多重对应分析分析兽医的疼痛管理实践和认知。结果:共有来自20个国家的249名参与者完成了调查。易获得的阿片类药物、非甾体类抗炎药和局部麻醉剂分别为吗啡(90例,36.1%)、美洛昔康(200例,80.3%)和利多卡因(245例,98.4%)。大多数参与者报告没有使用疼痛评估工具来评估猫(n = 169; 67.9%)或狗(n = 170; 68.3%)的围手术期疼痛。猫鬼脸量表(n = 27, 10.8%)和格拉斯哥复合测量疼痛量表(n = 30, 12.0%)分别是猫和狗最常用的工具。多重对应分析确定了一个聚类,代表了对疼痛评估、围手术期非甾体抗炎药和阿片类药物的使用、疼痛评估工具和卵巢子宫切除术后持续非甾体抗炎药治疗的高认识。第二组患者对疼痛评估的认识较低,围手术期未使用非甾体抗炎药和阿片类药物,未使用疼痛评估工具,未建议卵巢子宫切除术后继续使用非甾体抗炎药治疗。临床意义:对镇痛药的了解程度低、获取途径有限与围手术期未使用非甾体类抗炎药和阿片类药物、疼痛评估工具和卵巢子宫切除术后非甾体类抗炎药治疗有关。继续教育计划和改善药物供应对于改善猫和狗的疼痛管理至关重要。
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来源期刊
Journal of Small Animal Practice
Journal of Small Animal Practice 农林科学-兽医学
CiteScore
3.30
自引率
6.20%
发文量
117
审稿时长
12-24 weeks
期刊介绍: Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery. In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world. The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher. The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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