Hewson Caroline J, Dohoo Ian R, Lemke Kip A, Barkema Herman W
Sir James Dunn Animal Welfare Centre, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island.
Can Vet J. 2007 Feb;48(2):155-64. doi: 10.4141/cjas68-021.
Anecdotal evidence suggests that many veterinarians may not use analgesics in livestock for routine surgical procedures or painful disease states. To investigate this, we conducted a national mail survey of a random sample of 1431 Canadian veterinarians (response rate, 50.1%). Questions primarily concerned veterinarians' analgesic usage for common surgeries and medical conditions in beef and dairy cattle, pigs, and horses, and attitudes toward pain management. More than 90% of veterinarians used analgesic drugs for equine surgeries, for cesarean section in sows and cows, and for bovine claw amputation and omentopexy. However, in these and other categories, the analgesics used were often inadequate, and many veterinarians did not give analgesics to young animals. When castrated, < 0.001% of piglets received analgesia, compared with 6.9% of beef calves and 18.7% of dairy calves < or = 6 mo of age, 19.9% of beef calves and 33.2% of dairy calves > 6 mo of age, and 95.8% of horses. Respondents largely agreed that there are no long-acting, cost-effective analgesics available for use in livestock (median rating 8/10; interquartile range 4-9), and that the long or unknown withdrawal periods of some drugs outweighed the benefits of using them (median rating 7/10; interquartile range 4-9). The results indicate an urgent need for veterinarians to manage pain in livestock better. Continuing education would help, as would an increase in the number of approved, cost-effective analgesic drugs with known withdrawal periods.
轶事证据表明,许多兽医在对家畜进行常规外科手术或治疗疼痛性疾病时可能不使用镇痛药。为了对此进行调查,我们对1431名加拿大兽医进行了全国性的邮寄调查(随机抽样,回复率为50.1%)。问题主要涉及兽医对肉牛、奶牛、猪和马常见手术及疾病的镇痛药使用情况,以及对疼痛管理的态度。超过90%的兽医在马手术、母猪和奶牛的剖宫产、牛蹄截肢术和网膜固定术时使用镇痛药。然而,在这些及其他类别中,所使用的镇痛药往往不足,而且许多兽医不给幼畜使用镇痛药。阉割时,<0.001%的仔猪接受了镇痛,而6月龄及以下的肉牛犊中有6.9%、奶牛犊中有18.7%,6月龄以上的肉牛犊中有19.9%、奶牛犊中有33.2%,以及95.8%的马接受了镇痛。受访者大多认为,没有长效、经济有效的镇痛药可用于家畜(中位数评分8/10;四分位间距4 - 9),而且一些药物的停药期长或不确定,这超过了使用它们的益处(中位数评分7/10;四分位间距4 - 9)。结果表明,迫切需要兽医更好地管理家畜的疼痛。继续教育会有所帮助,增加已批准的、经济有效的且停药期已知的镇痛药数量也会有帮助。