Postoperative use of analgesics in dogs and cats by Canadian veterinarians.
Postoperative use of analgesics in dogs and cats by Canadian veterinarians.
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加拿大兽医对狗和猫术后使用镇痛药。
DOI：
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发表时间：
1996
期刊：
影响因子：
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通讯作者：
I. Dohoo
中科院分区：
文献类型：
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作者：
S. Dohoo;I. Dohoo
对417名加拿大兽医进行了调查，以确定他们在6次外科手术后在犬和猫中术后使用镇痛剂的情况，并确定他们对疼痛感知和术后使用强效阿片类镇痛剂相关并发症的看法。317人（76%）返回了调查问卷。术后接受镇痛剂的动物百分比范围为骨科手术后84%的犬和70%的猫至去势后10%的犬和9%的猫。一般来说，除了骨科手术外，大约相同百分比的狗和猫接受术后镇痛剂。阿片类药物几乎专门用于提供术后镇痛，布托啡诺是犬和猫最常用的药物。术后通常给予一次或两次镇痛药。关于强效阿片受体激动剂的给药，3个主要问题包括犬的呼吸抑制、心动过缓和镇静，以及猫的兴奋、呼吸抑制和心动过缓。77%的兽医认为他们对识别和控制术后疼痛的知识不足。实践经验目前是知识的主要来源，兽医学院本科生和期刊上的研究文章被列为最不重要的来源。在区域一级举办讲座或研讨会是继续教育的首选形式。
Four hundred and seventeen Canadian veterinarians were surveyed to determine their postoperative use of analgesics in dogs and cats following 6 surgical procedures, and to determine their opinions toward pain perception and perceived complications associated with the postoperative use of potent opioid analgesics. Three hundred and seventeen (76%) returned the questionnaire. The percentage of animals receiving analgesics postoperatively ranged from 84% of dogs and 70% of cats following orthopedic surgery to 10% of dogs and 9% of cats following castration. In general, with the exception of orthopedic surgery, roughly equal percentages of dogs and cats received postoperative analgesics. Opioids were used almost exclusively to provide postoperative analgesia, with butorphanol the most commonly administered drug to both dogs and cats. Analgesics were usually administered either once or twice postoperatively. With regard to the administration of potent opioid agonists, the 3 major concerns included respiratory depression, bradycardia, and sedation in dogs, and excitement, respiratory depression, and bradycardia in cats. Seventy-seven percent of veterinarians considered their knowledge of issues related to the recognition and control of postoperative pain to be inadequate. Experience in practice is currently the major source of knowledge, with undergraduate veterinary school and research articles in journals ranked as the least important sources. Lectures or seminars delivered at the regional level were the preferred format for continuing education.