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Thread: Pain medication after OVH?

  1. #1
    VETeLiB's Avatar
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    Small Animals Practice I'm from England

    Default Pain medication after OVH?

    Some people were using Morphine, but it may be not effective in dogs. I have been using Carprofen. Any other thoughts/rationale?
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    Veterinary Student I'm from Greece

    Default Re: Pain medication after OVH?

    there is no clear answer, the degree of pain has to do with many things, like lenght of incision or the characher ( or the breed)of the dog( some withstand better pain than others). W can better tak about aesthesia-pain management. The opoioids are a hole chapter, also a chapter alone is what y find in every country, strong onew i believe are too strong for just a ove. Also y have to inject them. nsaid are ok as you can give them po for some days. you inject before the procedure andd you give the same ( very important to be the same) po for some days 1 or 2 usually are enough. care for renal health nsaids. carprofen is a good choice as it is one of the most studied and proven to be quite safe and efective. Y have to study very well every substance before y use it. my favorite book is a bsava anesthesia it has very good chapters for every substance.
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    Small Animals Practice I'm from Hungary

    Default Re: Pain medication after OVH?

    Here in Hungary, we are routinely useing meloxicam, (first day 0,2mg/kgs, from the second day 0,1mg/kgs, SID), sometimes Metamizole, or Tramadol is needed in a low dose.
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    Veterinary Student I'm from Macedonia

    Default Re: Pain medication after OVH?

    In Macedonia we are also using meloxicam and tramadol, but rarely metamizole. So far we have good experience with meloxicam
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    Veterinary Student I'm from Canada

    Default Re: Pain medication after OVH?

    I use meloxicam
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    Veterinary Professor I'm from United States

    Default Re: Pain medication after OVH?

    Get my textbook Pain Management for Veterinary Technicians and Nurses. 2015, you can get it here on this website. You will find everything you need
    Mary Ellen
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    Small Animals Practice I'm from Venezuela

    Default Re: Pain medication after OVH?

    Hi,
    here you can review it, our dear Mary Ellen Goldberg's book.


    Pain Management for Veterinary Technicians and Nurses,


    Many thanks, we love your support,
    Hidden Content are to Keep VETeliB Tidy to be Efficient, Practical, Friendly and Appealing.
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    Small Animals Practice I'm from United States

    Default Re: Pain medication after OVH?

    Good evening,

    I am practicing in the US. You can give a single dose of meloxicam at 0.2mg/kg (always check renal values before giving any medication that can impact the kidneys). Continue pain management with buprenorphine which works very well in cats. While they are in the hospital you can use IV and then to go home use transmucosal through the mouth q 8 -12 hours for 3-4 days. Every animal is different however. I rarely use tramadol in cats, as buprenorphine seems to work better.

    I use stronger opioids like methadone for other medical problems (eg fractures).
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    Pre-Veterinary I'm from Poland

    Default Re: Pain medication after OVH?

    I have a question,
    why do you give analgesics for so long, bitches operated by me get meloxicam at once and often want to run after 24 hours,
    so long administration of painkillers in my opinion is contraindicated
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    Small Animals Practice I'm from Chile

    Default Re: Pain medication after OVH?

    I usualy use Meloxicam, Ketoprofeno, Metamizole or Carprofeno and in some cases I add tramadol in 2-4mg/kg BID for a few days.
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    Veterinary Professor I'm from United States

    Default Re: Pain medication after OVH?

    When I lecture, in reference to acute surgical pain, it is important to remember to continue pain medication throughout the inflammatory process to prevent chronic pain from forming. How long do we treat? Depends on the duration of inflammation. You want to treat throughout the inflammatory process. It is positively NOT contraindicated to treat and OHE for at least several days.
    Castration
    Preoperative:
    ■ Neuroleptanalgesia to include opioid + acepromazine (0.01–0.05 mg/kg) OR alpha2 +/– ketamine (5–10 mg/kg IM: the higher doses are selected for cats that
    are more dicult to handle)
    ■ Induction of anaesthesia: In some cats an opioid, an alpha2 adrenoceptor agonist and ketamine will provide sucient analgesia and anaesthesia for a castration
    • Intravenous: Propofol to eect (3–10 mg/kg), ketamine (3–5 mg/kg) + diazepam or midazolam (0.25 mg/kg), or alfaxalone (3–5 mg/kg). Note: if an alpha2
    adrenoceptor agonist has been used preoperatively these doses may be lower
    • Intramuscular: An alpha2 adrenoceptor agonist + ketamine (5–10 mg/kg) or tiletamine/zolazepam (3–4 mg/kg).
    Maintenance of anaesthesia: Inhalation anaesthesia or ketamine or propofol or alfaxalone IV to eect. Note: in many cases a castration can be completed without
    the need for maintenance anaesthesia drugs; however, there should be a plan for extending the anaesthesia time in the event the cat becomes responsive or
    complications arise. Equipment should also be available for endotracheal intubation.
    Local anaesthetic techniques: Intra-testicular block and pre- and/or post-surgery skin inltration with lidocaine.
    Postoperative analgesia: NSAID.

    Ovariohysterectomy/ovariectomy
    Preoperative:
    ■ Analgesia: Opioid ketamine (5–10 mg/kg IM: the higher doses are selected for cats that are more dicult to handle)
    ■ Sedation: Acepromazine (0.01–0.05 mg/kg IM) or alpha2 adrenoceptor agonist
    ■ Induction of anaesthesia:
    • Intravenous: Propofol to eect (3–10 mg/kg), ketamine (3–5 mg/kg) + diazepam or midazolam (0.25 mg/kg), or alfaxalone (3–5 mg/kg). Note: if an
    alpha2 adrenoceptor agonist has been used preoperatively these doses may be lower
    • Intramuscular: An alpha2 adrenoceptor agonist + ketamine (5–10 mg/kg) or tiletamine/zolazepam (3–4 mg/kg).
    Maintenance of anaesthesia: Inhalation anaesthesia or ketamine or propofol or alfaxalone IV to eect (1/3 or 1/2 of initial dose).
    Note: in many cases an ovariohysterectomy or ovariectomy can be completed without the need for maintenance anaesthesia drugs; however, there should be a plan
    for extending the anaesthesia time in the event the cat becomes responsive or complications arise; venous access is recommended.
    Local anaesthetic techniques: Incisional and intraperitoneal/ovarium ligament block with lidocaine.
    Postoperative analgesia: NSAID.

    These are directly from the WSAVA GPC Pain Treatise published in the Journal of Small Animal Practice and is available for open access at the GPC pages of www.wsava.org.
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