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2001年加拿大兽医对犬猫的围手术期镇痛药使用情况。

Perioperative use of analgesics in dogs and cats by Canadian veterinarians in 2001.

作者信息

Hewson Caroline J, Dohoo Ian R, Lemke Kip A

机构信息

Sir James Dunn Animal Welfare Centre, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown.

出版信息

Can Vet J. 2006 Apr;47(4):352-9.

Abstract

A random sample of 652 Canadian veterinarians was surveyed to determine perioperative use of analgesics in dogs and cats following common surgeries. The response rate was 57.8%. With the exception of taildocking in puppies, at least 85% of animals received preincisional analgesics, and 30% to 98.1% received postincisional analgesics. A similar survey was conducted in 1994; since then, analgesic usage has increased markedly, as have ratings of the pain caused by different surgeries. In 2001 most veterinarians (62%) used at least 2 classes of analgesic perioperatively. However, strong opioids, local anesthetics, and alpha-2 agonists were underused, and there was an overreliance on weak opioids (butorphanol, meperidine). Up to 12% of veterinarians did not use any analgesics. Nationally, this may have affected many animals monthly; for example, approximately 6000 dogs or cats undergoing ovariohysterectomy. Continuing education (provincial level) and review articles were considered effective ways to inform veterinarians about optimal analgesic practices.

摘要

对652名加拿大兽医进行了随机抽样调查,以确定犬猫常见手术后围手术期镇痛药的使用情况。回复率为57.8%。除了给幼犬断尾外,至少85%的动物接受了术前镇痛药,30%至98.1%的动物接受了术后镇痛药。1994年进行了类似的调查;从那时起,镇痛药的使用显著增加,不同手术引起的疼痛评分也有所增加。2001年,大多数兽医(62%)在围手术期至少使用了2类镇痛药。然而,强效阿片类药物、局部麻醉药和α-2激动剂使用不足,且过度依赖弱阿片类药物(布托啡诺、哌替啶)。高达12%的兽医不使用任何镇痛药。在全国范围内,这可能每月影响许多动物;例如,大约6000只犬猫接受卵巢子宫切除术。继续教育(省级)和综述文章被认为是向兽医宣传最佳镇痛方法的有效途径。

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