Martino-Boulton Joanna, Antonopoulou Iliana, Pinnock Hannah, Adami Chiara
Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Vet Med Sci. 2025 Jan;11(1):e70151. doi: 10.1002/vms3.70151.
In the United Kingdom, spay surgery is routinely performed in dogs and cats by general practitioners. Data from a decade ago showed that, despite an increased attentiveness of veterinarians to peri-operative pain compared to the past, analgesia could be further improved.
To investigate the current veterinary practice and attitude towards anaesthesia and analgesia for spay surgery in the United Kingdom.
An electronic questionnaire composed of 57 questions organised in 6 sections was designed using the Checklist for Reporting Results of Internet E-Surveys (CHERRIES guidelines) and distributed online via a hyperlink. Participants were recruited through both personalised email invitation and publication of the hyperlink on social media. Data were analysed with descriptive statistics, analysis of means and analysis of proportions, using commercially available software.
Entries from 150 participants were used for data analysis. The proportion of participants who were confident in treating pain did differ by decade of graduation, with a lower proportion of confident colleagues graduated before 2001 (6%) and from 2021 (14%), compared to those graduated in the decades 2001-2010 (43%) and 2011-2020 (37%) (p = 0.007). Colleagues reported to implement multimodal analgesia for spay procedures of cats and dogs in 43% and 44% of cases, respectively. The proportions of participants who reportedly used locoregional blocks, mostly with lidocaine, in dogs (82%), were higher than that in cats (43%) (p < 0.001). Post-spay surgery pain was perceived by the participants as more intense in dogs than in cats (p < 0.001).
Despite an overall good level of attentiveness of British veterinary professionals to feline and canine analgesia during and following spay surgery, this study identified as areas of improvements perception and assessment of feline pain and implementation of locoregional anaesthetic techniques, particularly in cats.
在英国,普通从业者通常会对犬猫进行绝育手术。十年前的数据显示,尽管与过去相比,兽医对围手术期疼痛的关注度有所提高,但镇痛效果仍有进一步改善的空间。
调查英国目前兽医对绝育手术麻醉和镇痛的实践及态度。
根据互联网电子调查结果报告清单(CHERRIES指南)设计了一份包含57个问题、分为6个部分的电子问卷,并通过超链接在线分发。通过个性化电子邮件邀请和在社交媒体上发布超链接招募参与者。使用商业软件对数据进行描述性统计、均值分析和比例分析。
150名参与者的条目用于数据分析。对疼痛治疗有信心的参与者比例因毕业年代而异,与2001 - 2010年毕业的同事(43%)和2011 - 2020年毕业的同事(37%)相比,2001年以前毕业的有信心的同事比例较低(6%),2021年毕业的比例为14%(p = 0.007)。同事们报告称,分别在43%的犬类和44%的猫类绝育手术中实施了多模式镇痛。据报道,在犬类中使用局部区域阻滞(主要使用利多卡因)的参与者比例(82%)高于猫类(43%)(p < 0.001)。参与者认为犬类绝育手术后的疼痛比猫类更强烈(p < 0.001)。
尽管英国兽医专业人员在绝育手术期间和术后对猫和犬的镇痛总体关注度较高,但本研究确定在猫科动物疼痛的感知和评估以及局部区域麻醉技术的应用方面仍有改进空间,尤其是在猫身上。