Pain and Analgesia Feline

Kate begins the discussion …
An RTA cat presents, mouth breathing, pulses weak, tachy, unable to stand… what do you want to do next?

Good point made from Lucy – remember ABC!

Great! O2 and triage, good start…

http://twitter.com/Seh_Fid/status/449275968302358528

Some good answers here. So while stabilising the cat, what can we do for pain?

So opioid is a good option here – methodone great choice. Anything else?

http://twitter.com/Seh_Fid/status/449278170739789824

Correct!

We’ve got a joker over here…

Excellent. So we establish IV assess and begin replacing fluid loss, run biochemistry and haematology and attempt conscious X-rays…

http://twitter.com/Seh_Fid/status/449280558619979776

http://twitter.com/CharlotteBanks0/status/449281953599344642

Great. Anything else?

Awesome. Good options for anaesthesia here – inducing with alfaxalone or Ketamine/midazolam are appropriate.

So we manage to take an x-ray. Take a look. Ouch!

http://twitter.com/CharlotteBanks0/status/449283789915959296

Anything else?

http://twitter.com/CharlotteBanks0/status/449283960179556352

http://twitter.com/Seh_Fid/status/449286032308326400

Nailed it!

Great first case. Let’s move onto bunnies now…

Not forgetting…!

Great work! Useful resource on rabbit analgesia and anaesthesia by IVIS:  http://www.ivis.org/proceedings/scivac/2005/Harcourt6_en.pdf?LA=1 

Excellent. Remember the pneumonic for rabbit pain…
Rabbits
Appetite, Aggression
Bruxism
Behaviour change

Ileus

Tensing

Squint
🙂

Lastly, have a look at the following pic…

http://twitter.com/CharlotteBanks0/status/449289166069968896

Useful paper on use of soaker catheters post op:  http://www.ncbi.nlm.nih.gov/pubmed/19845933 

Thank you Kate for a really useful and interesting #vetfinals.