Perret-Gentil F, Doherr M G, Spadavecchia C, Levionnois O L
Department of Clinical Veterinary Sciences, Vetsuisse Faculty, University of Berne, Switzerland.
Veterinary Public Health Institute, Vetsuisse Faculty, University of Berne, Switzerland.
Schweiz Arch Tierheilkd. 2014 Mar;156(3):111-7. doi: 10.1024/0036-7281/a000560.
A survey was performed to evaluate the use of perioperative analgesia in dogs and cats by veterinary practitioners. Questions were grouped in seven sections recording personal data, education in veterinary analgesia, general ideology regarding treatment of perioperative pain, personal experience, assessment, and use of main analgesics to treat perioperative pain. A total of 258 received forms were analyzed. Based on 5 questions, 88 % showed excellent motivation to use perioperative pain therapy. The main reason declared for the use of analgesics was to relieve the patient from pain (64.1 %). Most veterinarians reported to routinely administer analgesics before (71 - 96 %) or after (2 - 23 %) surgery. The most used analgesics were non-steroidal anti-inflammatory drugs (carprofen, meloxicam) and opioids (butorphanol, buprenorphine). Animals were routinely evaluated for pain after recovery. Only 43.8 % of veterinarians declared to use loco-regional anaesthesia. Swiss veterinarians appear to recognize well the need for perioperative pain treatment. However, weakness was shown in evaluating pain severity, distinguishing between opioid classes, and using loco-regional anaesthesia.
开展了一项调查,以评估兽医从业者对犬猫围手术期镇痛的使用情况。问题分为七个部分,记录个人数据、兽医镇痛方面的教育、围手术期疼痛治疗的总体理念、个人经验、评估以及治疗围手术期疼痛的主要镇痛药的使用情况。共分析了258份回收的表格。基于5个问题,88%的人表现出使用围手术期疼痛治疗的强烈动机。宣称使用镇痛药的主要原因是减轻患者疼痛(64.1%)。大多数兽医报告说,他们通常在手术前(71 - 96%)或手术后(2 - 23%)常规给予镇痛药。最常用的镇痛药是非甾体抗炎药(卡洛芬、美洛昔康)和阿片类药物(布托啡诺、丁丙诺啡)。动物恢复后会定期进行疼痛评估。只有43.8%的兽医宣称使用局部麻醉。瑞士兽医似乎很好地认识到围手术期疼痛治疗的必要性。然而,在评估疼痛严重程度、区分阿片类药物类别以及使用局部麻醉方面存在不足。