Case Report

O'Hagan, BJ

doi:10.1111/j.1751-0813.2006.tb12233.x

Cited by 24 publications

(2 citation statements)

References 23 publications

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“…The prevalence of long-term phantom limb pain in dogs is not known and reports of self-mutilation and behavioural changes post-nerve transection have only been made in rats [24] and one cat [37]. There was no report in this dog of persisting clinical signs which would indicate phantom limb pain.…”

Section: Discussionmentioning

confidence: 96%

Analgesic management of an eight-year-old Springer Spaniel after amputation of a thoracic limb

et al. 2009

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Analgesic agents were administered perioperatively to an eight-year-old Springer Spaniel undergoing amputation of its right thoracic limb. The amputation was carried out due to a painful, infiltrative and poorly differentiated sarcoma involving the nerves of the brachial plexus. A combination of pre-emptive and multimodal perioperative analgesic strategies was used; including intravenous (IV) infusions of fentanyl, morphine, lidocaine and ketamine.

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Section: Discussionmentioning

confidence: 96%

Analgesic management of an eight-year-old Springer Spaniel after amputation of a thoracic limb

et al. 2009

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“…Neuropathic pain has been described in dogs after correction of perineal hernia, 7 in humans after inguinal herniorrhaphy and in cats post-amputation. 8,9 Neuropathic pain is manifested by allodynia, hyperalgesia, hyperesthesia, dysesthesias, expanded field and intermittent spontaneous pain and is frequently unresponsive to conventional analgesic drugs. 10 Table 1 shows some simple tests that can be performed to identify allodynia and hyperalgesia in humans.…”

Section: Discussionmentioning

confidence: 99%

Multimodal analgesia for treatment of allodynia and hyperalgesia after major trauma in a cat

Goich

Bascuñán

Faúndez

et al. 2019

Journal of Feline Medicine and Surgery Open Reports

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Case summary A 2-year-old polytraumatized male cat was admitted to a teaching hospital for correction of a defective inguinal herniorrhaphy. Upon arrival, the cat showed signs of neuropathic pain, including allodynia and hyperalgesia. Analgesic therapy was initiated with methadone and metamizole; however, 24 h later, the signs of pain continued. Reparative surgery was performed, and a multimodal analgesic regimen was administered (methadone, ketamine, wound catheter and epidural anesthesia). Postoperatively, the cat showed signs of severe pain, assessed using the UNESP-Botucatu multidimensional composite pain scale. Rescue analgesia was initiated, which included methadone, bupivacaine (subcutaneous wound-diffusion catheter) and transversus abdominis plane block. Because the response was incomplete, co-adjuvant therapy (pregabalin and electroacupuncture) was then implemented. Fourteen days after admission, the patient was discharged with oral tramadol and pregabalin for at-home treatment. Relevance and novel information Neuropathic pain is caused by a primary lesion or dysfunction in the nervous system and is a well-described complication following trauma, surgical procedures such as hernia repair, and inadequate analgesia. The aims of this report are to: (1) describe a presentation of neuropathic pain to highlight the recognition of clinical signs such as allodynia and hyperalgesia in cats; and (2) describe treatment of multi-origin, severe, long-standing, ‘mixed’ pain (acute inflammatory with a neuropathic component). The patient was managed using multiple analgesic strategies (multimodal analgesia), including opioids, non-steroidal anti-inflammatory drugs, locoregional anesthesia, co-adjuvant drugs and non-pharmacological therapy (electroacupuncture).

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Anatomy, Physiology, and Pathophysiology of Pain

Shilo

Pascoe

2013

Pain Management in Veterinary Practice

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Case Report

Cited by 24 publications

References 23 publications

Analgesic management of an eight-year-old Springer Spaniel after amputation of a thoracic limb

Analgesic management of an eight-year-old Springer Spaniel after amputation of a thoracic limb

Multimodal analgesia for treatment of allodynia and hyperalgesia after major trauma in a cat

Anatomy, Physiology, and Pathophysiology of Pain

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