Tacke Sabine, Gollwitzer Andrea, Grammel Lukas, Henke Julia
Prof. Dr. Sabine Tacke, Klinikum Veterinärmedizin, Klinik für Kleintiere, Chirurgie, Veterinärmedizinische Anästhesiologie, Schmerztherapie und perioperative Intensivmedizin, Justus-Liebig-Universität Gießen, Frankfurter Straße 108, 35392 Gießen, E-Mail:
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2017 Feb 9;45(1):53-60. doi: 10.15654/TPK-161188. Epub 2017 Jan 17.
Although many advances in pain therapy have been made in recent years, pain therapy is more difficult in the small domestic animal than in cats and dogs. However, there is the ethical obligation that these animals also receive adequate pain therapy. An analgesic is rarely authorized for use in small pets, with pharmacological investigations often lacking and dosages frequently only determined empirically. The small size of the animals often requires a higher dose per kilogram bodyweight compared to cats and dogs. The dosage itself is also difficult to apply in small animals, because many analgesics must be diluted before their use. In addition, frequent manipulation of small animals for analgesic administration induces stress in the patient, which can intensify the pain. In the present article, those analgesics suitable for use in the small domestic animal are described and the indications for the use of the various types of analgesics are explained. A specialized section concentrates on pain detection and algesimetry in the small domestic animal. The detection of pain is much more difficult in small domestic animals. In the last few years so-called "grimace scales" have been developed which are used to assess the facial expression of the animals.
尽管近年来疼痛治疗取得了许多进展,但小型家养动物的疼痛治疗比猫和狗更困难。然而,存在道德义务确保这些动物也能得到充分的疼痛治疗。镇痛药很少被批准用于小型宠物,药理学研究往往缺乏,剂量通常仅根据经验确定。与猫和狗相比,动物体型小往往需要每公斤体重更高的剂量。剂量本身在小动物中也难以应用,因为许多镇痛药在使用前必须稀释。此外,为给药而频繁操纵小动物会给患者带来压力,这可能会加剧疼痛。在本文中,描述了适用于小型家养动物的镇痛药,并解释了各种类型镇痛药的使用指征。一个专门的章节专注于小型家养动物的疼痛检测和痛觉测定。在小型家养动物中检测疼痛要困难得多。在过去几年里,已经开发出所谓的“鬼脸量表”来评估动物的面部表情。