Pain Updates | Zero Pain Philosophy

6 min read

The quest to reduce volatile agent use

Optimising intra-operative analgesia Veterinary practitioners are currently facing a shortage of isoflurane, leading many to wonder how...

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5 min read

Basics of local anaesthesia

The first reported use of local anaesthetic for surgical purposes was by a Peruvian army surgeon, that drug being cocaine, derived from...

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4 min read

Low dose ketamine analgesia

The most common NMDA antagonist we use in every day practice is ketamine which we use as an infusion or bolus. Ketamine is a modulator of...

zeropainphilosophy

4 min read

Feline maladaptive pain

The recent publication of a review entitled ‘Chronic maladaptive pain in cats: A review of current and future drug treatment options’ by...

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4 min read

Grapiprant: need to know

Grapiprant is a novel analgesic licensed for managing pain associated with osteoarthritis (OA) in dogs. It launched in the UK early 2019,...

zeropainphilosophy

5 min read

Opioids in dogs and cats

Opioids are the mainstay of analgesia in veterinary practice and should be considered as first line for all animals in pain. Secondly, we...

Sedation for the painful behaviour case - dogs & cats

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5 min read

Sedation for the painful behaviour case - dogs & cats

Medication protocols for emotionally challenged dogs during veterinary visits and procedures from Zero Pain Philosophy and Behavioural...

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3 min read

September is chronic pain month

September is designated as pain month for the American Chronic Pain Association. The aim is to increase the awareness of painful...

zeropainphilosophy

3 min read

NSAIDs or multimodal for OA?

A common question I am asked is should I go multimodal from day one in osteoarthritis with my analgesics? Let's be clear - NSAIDs are...

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11 min read

So what is neuropathic pain?

The International Association for the Study of Pain (IASP) definition of neuropathic pain is; 'Pain initiated or caused by a primary...

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4 min read

Amantadine for chronic pain

Amantadine is an oral NMDA antagonist used for the management of chronic pain in dogs and cats. Amantadine has pharmacological actions as...

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5 min read

Pain recognition & scoring

What is pain? The International Association for the Study of Pain (IASP) definition of pain is; Pain is a complex sensory and emotional...

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3 min read

How does acupuncture work?

There are two approaches to the teaching and theory of acupuncture (AP), traditional chinese medicine (TCM) and the western scientific...

zeropainphilosophy

3 min read

Paracetamol for long term use

Paracetamol is useful as an alternative to NSAIDs in dogs that will not tolerate an NSAID or as an adjunct to NSAIDs in chronic pain....

zeropainphilosophy

4 min read

Intra-articular Analgesia

Options for peri-operative intra-articular (IA) analgesics are opioids or local anaesthetics. Over recent years concerns have been raised...

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4 min read

Regional Anaesthesia for Stifle Surgery

With the latest evidence showing the superiority of local anaesthetics over opioids for patient comfort, the following discussion focuses...

zeropainphilosophy

4 min read

Epidural Analgesia

Epidural analgesia (or more anatomically, extradural) is used to provide analgesia to the pelvic limbs but will also afford analgesia to...

zeropainphilosophy

4 min read

Moving on from Pre-emptive Analgesia

Pre-emptive analgesia has been defined as ‘an antinociceptive treatment that prevents establishment of altered central processing of...