Pain and Pain Management in Veterinary Medicine: A Review

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Authors

  • Endeg Alamrew, DVM School of Veterinary Medicine,Wolaita Sodo University, P. O. Box 138,Wolaita Sodo, Ethiopia
  • Haben Fesseha, MVSc, DVM School of Veterinary Medicine,Wolaita Sodo University, P. O. Box 138,Wolaita Sodo, Ethiopia

DOI:

https://doi.org/10.17140/VMOJ-5-151

Keywords:

Animal; Pain assessment; Pain; Pain management

Abstract

Pain is the distress feeling, most commonly encountered in diseases, which accompanies from an early age and it is one of the
important aspects of determining the level of well-being of animals. Pain is more complex in animals and it can rather difficult
to determine the seriousness and impact of painful events. Hence, we have to identify the signs of pain in animals consistent
with indirect markers which involve behavioral, physiological, and at last clinical responses. Moreover, specifically, the behavioral
changes related to pain will be together with the overall signs also species-specific and hardly recognizable especially for an inexperienced observer seemingly unimportant which makes pain assessment even more complicated. The veterinarians have an
ethical responsibility to assist in alleviate the animal pain. Although most veterinarians accept the actual fact that animals feel pain,
still, post-operative pain relief isn't a routine practice in veterinary hospitals and clinics today the feeling and assessment of pain
are subjective. The assessment of pain and also the documentation of the effectiveness of any interventions are fundamental
principles of successful pain management. The most important aim is pain management while efforts are made to spot and treat
the underlying disease and to reinforce healing and recovery. Adequate management of acute pain may additionally prevent the
event of chronic pain.

References

Mathews K, Kronen PW, Lascelles D, Nolan A, Robertson S, Vm Steagall P, et al. Guidelines for recognition, assessment and treatment of pain: WSAVA Global Pain Council members and co-authors of this document. J Small Anim Pract. 2014; 55(6): E10- E68. doi: 10.1111/jsap.12200

Wright A. A criticism of the International Association for the Study of Pain (IASP's) definition of pain. Journal of Consciousness Studies. 2011; 18(9-10): 19-44.

Walker KA, Duffield TF, Weary DM. Identifying and prevent-ing pain during and after surgery in farm animals. Applied Ani-mal Behaviour Science. 2011; 135(3): 259-265. doi: 10.1016/j.ap-planim.2011.10.021

Świeboda P, Filip R, Prystupa A, Drozd M. Assessment of pain: Types, mechanism and treatment. Ann Agric Environ Med. 2013; Spec no. 1: 2-7.

Wiese AJ. Assessing pain: Pain behaviors. In: Handbook of Veteri-nary Pain Management. NX Amsterdam, The Netherlands: Elsevier Publications; 2015: 67-97.

Gaynor JS, Muir W. Handbook of Veterinary Pain Management. 3rd ed. Oxford, UK: Elsevier Health Sciences; 2014.

Landa L. Pain in domestic animals and how to assess it: A review. Vet Med. 2012; 57(4): 185-192. doi: 10.17221/5915-VETMED

Richmond M. Should pain be the fourth vital sign? Vet Nurs J. 2016; 31(8): 249-252. doi: 10.1080/17415349.2016.1192966

Shaffran N. Pain Management for Veterinary Technicians and Nurses. NJ, USA: John Wiley & Sons; 2014.

Dinakar P, Stillman AM. Pathogenesis of pain. Semin Pediatr Neurol. 2016; 23: 201-208. doi: 10.1016/j.spen.2016.10.003

Maria Eugênia AC, João Augusto RB, Júlio Otávio JB. Attitudes of cattle veterinarians and animal scientists to pain and painful pro-Review | Volume 5 | Issue 3 | Fesseha H et al cedures in Brazil. Prev Vet Med. 2020; 177: 104909. doi: 10.1016/j. prevetmed.2020.104909

Anil SS, Anil L, Deen J. Challenges of pain assessment in do-mestic animals. J Am Vet Med Assoc. 2002; 220(3): 313-319. doi: 10.2460/javma.2002.220.313

Breivik H, Borchgrevink PC, Allen SM, Rosseland LA, Ro-mundstad L, Breivik Hals EK, et al. Assessment of pain. BJA: British Journal of Anaesthesia. 2008; 101(1): 17-24. doi: 10.1093/bja/ aen103

Viñuela-Fernández I, Jones E, Welsh EM, Fleetwood-Walker SM. Pain mechanisms and their implication for the management of pain in farm and companion animals. Vet J. 2007; 174(2): 227- 239. doi: 10.1016/j.tvjl.2007.02.002

Kitchell RL, Erickson HH. Animal Pain: Perception and Allevia-tion. NY, USA: Springer; 2013. doi: 10.1007/978-1-4614-7562-0

Żylicz Z, Krajnik MJ. Jak powstaje ból? Neurofizjologia bólu dla początkujących. Pol Med Paliat. 2003; 2(1): 49-56.

Helms J, Barone C. Physiology and treatment of pain. Critical Care Nurse. 2008; 28(6): 38-49. doi: 10.4037/ccn2008.28.6.38

Lamont LA, Tranquilli WJ, Grimm KA. Physiology of pain. Vet Clin North Am Small Anim Pract. 2000; 30(4): 703-728. doi: 10.1016/s0195-5616(08)70003-2

Apkarian A, Bushnell M, Treede R, Zubieta J. Human brain mechanisms of pain perception and regulation in health and dis-ease. Eur J Pain. 2005; 9: 463-484. doi: 10.1016/j.ejpain.2004.11.001

Cole EB. Pain management: Classifying, understanding, and treating pain. Hospital Physician. 2002: 23-30.

Coleman D, Slingsby L. Attitudes of veterinary nurses to the as-sessment of pain and the use of pain scales. Vet Rec. 2007; 160(16): 541-544. doi: 10.1136/vr.160.16.541

Lamont LA. Multimodal pain management in veterinary medi-cine: the physiologic basis of pharmacologic therapies. Vet Clin North Am Small Anim Pract. 2008; 38(6): 1173-1186. doi: 10.1016/j. cvsm.2008.06.005

Haanpää ML, Treede RD. Diagnosis and classification of neu-ropathic pain. Pain: Clinical Update. 2010; 18(7): 1-6.

Chapman CR, Nakamura Y. A passion of the soul: An intro-duction to pain for consciousness researchers. Consciousness and Cog-nition. 1999; 8(4): 391-422. doi: 10.1006/ccog.1999.0411

Cox F. Basic principles of pain management: assessment and intervention. Nurs Stand. 2010; 25(1): 36-39. doi: 10.7748/ ns2010.09.25.1.36.c7983

Hellyer P, Rodan I, Brunt J, Downing R, Hagedorn JE, Rob-ertson. AAHA/AAFP pain management guidelines for dogs and cats. J Feline Med Surg. 2007; 9(6): 466-480. doi: 10.1016/j. jfms.2007.09.001

Rayment C, Bennett MI. Definition and assessment of chronic pain in advanced disease. Oxf Textb Palliat Med. 2015: 519-524. doi: 10.1093/med/9780199656097.003.0093

Hansen BD. Assessment of pain in dogs. Vet Clin Stud. ILAR J. 2003; 44(3): 197-205. doi: 10.1093/ilar.44.3.197

Bufalari A, Adami C, Angeli G, Short C. Pain assessment in animals. Vet Res Commun. 2007; 31: 55-58. doi: 10.1007/s11259- 007-0084-6

Flecknell PA, Waterman-Pearson A. Pain Management in Animals. Philadelphia, USA: WB Saunders; 2000.

Robertson SA, Sanchez LC. Clinical application of equine analge-sics. Equine Pharmacology. 2015; 63-75. doi: 10.1002/9781118845110. ch4

Dunckley P, Wise RG, Fairhurst M, Hobden P, Aziz Q, Chang L, et al. A comparison of visceral and somatic pain processing in the human brainstem using functional magnetic resonance imag-ing. J Neurosci. 2005; 25(32): 7333-7341. doi: 10.1523/JNEURO-SCI.1100-05.2005

Barnett J. Measuring pain in animals. Aust Vet J. 1997; 75(12): 878-879. doi: 10.1111/j.1751-0813.1997.tb11256.x

Duncan IJ, Molony V. Assessing pain in farm animals. Direc-torate-General for Agriculture, Coordination of Agricultural Re-search; 1986.

Ashley F, Waterman-Pearson A, Whay H. Behavioural as-sessment of pain in horses and donkeys: Application to clinical practice and future studies. Equine Vet J. 2005; 37(6): 565-575. doi: 10.2746/042516405775314826

Stock ML, Baldridge SL, Griffin D, Coetzee JF. Bovine dehorn-ing: Assessing pain and providing analgesic management. Vet Clin North Am Food Anim Pract. 2013; 29(1): 103-133. doi: 10.1016/j. cvfa.2012.11.001

Zayan R. Assessment of pain in animals: Epistemological com-ments. Paper presented at: Assessing pain in farm animals, pro-ceedings of a workshop; 1986; Roslin, Scotland.

Egger CM, Love L, Doherty T. Pain Management in Veterinary Practice. NJ, USA: John Wiley & Sons; 2013.

Kopf A, Patel NB. Guide to pain management in low-resource settings. 2010: 13.

Hartrick CT. Multimodal postoperative pain management. Am J Health Syst Pharm. 2004; 61(suppl_1): S4-S10. doi: 10.1093/ ajhp/61.suppl_1.S4 Submit your article to this journal | https://openventio.org/submit-manuscript/

Stasiak KL, Maul D, French E, Hellyer PW, Vandewoude S. Species-specific assessment of pain in laboratory animals. Contemp Top Lab Anim Sci. 2003; 42(4): 13-20.

Wagner AE. Effects of stress on pain in horses and incorporat-ing pain scales for equine practice. Vet Clin North Am Equine Pract. 2010; 26(3): 481-492. doi: 10.1016/j.cveq.2010.07.001

Morton CM, Reid J, Scott EM, Holton LL, Nolan AM. Appli-cation of a scaling model to establish and validate an interval level pain scale for assessment of acute pain in dogs. Am J Vet Res. 2005; 66(12): 2154-2166. doi: 10.2460/ajvr.2005.66.2154

Gleerup KB, Andersen PH, Munksgaard L, Forkman B. Pain evaluation in dairy cattle. Appl Anim Behav Sci. 2015; 171: 25-32. doi: 10.1016/j.applanim.2015.08.023

Reid J, Scott M, Nolan A, Wiseman-Orr L. Pain assessment in animals. In Practice. 2013; 35(2): 51-56.

Cambridge AJ, Tobias KM, Newberry RC, Sarkar DK. Sub-jective and objective measurements of postoperative pain in cats. J Am Vety Med Assoc. 2000; 217(5): 685-690. doi: 10.2460/ javma.2000.217.685

Potter R. Chronic non-malignant pain: Time to take on the challenge. J R Coll Gen Pract. 1989; 39(329): 486-487.

Cohen SP, Mao J. Neuropathic pain: Mechanisms and their clin-ical implications. BMJ. 2014; 348: f7656. doi: 10.1136/bmj.f7656

Cox F. An overview of pharmacology and acute pain: Part two. Nurs Stand. 2010; 25(5): 35-39. doi: 10.7748/ns2010.10.25.5.35. c8022

Koneru A, Satyanarayana S, Rizwan S. Endogenous opioids: Their physiological role and receptors. Global J Pharmacol. 2009; 3(3): 149-153.

Harirforoosh S, Jamali F. Renal adverse effects of nonsteroidal anti-inflammatory drugs. Expert Opin Drug Saf. 2009; 8(6): 669-681. doi: 10.1517/14740330903311023

Byers M, Bonica J. Peripheral pain mechanisms and nociceptor plasticity. Bonica's Management of Pain. 2001; 3: 26-72.

Patil VRS, Campbell CJ, Yun YH, Slack SM, Goetz DJ. Par-ticle diameter influences adhesion under flow. Biophys J. 2001; 80(4): 1733-1743. doi: 10.1016/s0006-3495(01)76144-9

Ward CW. Non-pharmacologic methods of postoperative pain management. Med Surg Nursing. 2016; 25: 9-10.

El Geziry A, Toble Y, Al Kadhi F, Pervaiz M, Al Nobani M. Non-pharmacological pain management. IntechOpen. 2018. doi: 10.5772/intechopen.79689

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Published

2020-12-20

How to Cite

Endeg Alamrew, DVM, & Haben Fesseha, MVSc, DVM. (2020). Pain and Pain Management in Veterinary Medicine: A Review. Veterinary  Medicine, 5(3), 64–73. https://doi.org/10.17140/VMOJ-5-151

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