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zeropainphilosophy
Jan 14 min read
It starts with a pain score
Excellent analgesia management starts with pain assessment. If we understand how uncomfortable our patients are, we can start to tailor a...
3050


zeropainphilosophy
Nov 20, 20245 min read
Early detection of OA
The Importance of the GenPup-M Mobility Questionnaire in Veterinary Medicine Mobility problems in dogs are a significant health concern,...
3420

zeropainphilosophy
Oct 17, 20244 min read
Vetpain app - pain scales in one place
Most clinical problems and a significant number of scientific studies involve pain. Pain identification, followed by attitudes towards...
1,2210


zeropainphilosophy
Sep 16, 20244 min read
What is PEA?
PEA is short for palmitoylethanolamide. PEA is an N-acylethanolamine - naturally occurring lipid mediator molecules composed of a fatty...
1,2960


zeropainphilosophy
Sep 14, 20243 min read
Retrobulbar block - volume to use
Calculation of local anaesthetic volume required for retrobulbar block in dogs Enucleation is a routine salvage procedure performed in...
3670

zeropainphilosophy
Sep 4, 20241 min read
The Big Pain Survey 2024
September is Animal Pain Awareness Month . Our Big Pain Survey is now live! Open to all veterinary professionals worldwide. Pain...
9360

zeropainphilosophy
Jun 15, 20246 min read
Extending block duration
Now wouldn't it be great if we could extend the duration of action of our nerve block and offer extended comfort to our patients? In this...
5120


zeropainphilosophy
Mar 14, 20249 min read
Does mixing local anaesthetics confer an advantage?
Abstract Objective: To audit factors which influence nociception in dogs and cats undergoing dental extractions. To assess...
1,0390

zeropainphilosophy
Mar 8, 20245 min read
Methadone – the most versatile opioid
In our view, methadone is a really versatile opioid. That’s the reason we wrote a webinar on the topic entitled ‘Methadone, the most...
1,9890


zeropainphilosophy
Feb 24, 20246 min read
Pain Trials as a Tool
Pain trials are a valuable tool to use in managing your chronic pain cases. In this Pain Update we review how we use pain trials, what we...
1,6050


contact57056
Feb 16, 20245 min read
Nerve blocks or opioids for rhinoscopy in dogs?
Our latest Pain Update reviews the literature around controlling the response to rhinoscopy in dogs. The main paper we review (Kim et al...
3640

zeropainphilosophy
Nov 3, 20232 min read
Blocks for BOAS surgery
For a number of years now we have been performing a bilateral maxillary nerve block for our BOAS cases at Anderson Moores Vet...
8780


zeropainphilosophy
Sep 10, 20232 min read
Pain scoring systems - new resource
Over the 20 years that I have been a vet, we have seen remarkable steps taken towards our understanding of pain assessment in animals....
1,3270

zeropainphilosophy
Sep 3, 20231 min read
Our Big Pain Survey is live!
September is Animal Pain Awareness Month, and we are launching our first ever Big Pain Survey! It's your chance to share your thoughts...
3040


zeropainphilosophy
Aug 13, 20235 min read
Enhanced Recovery After Surgery
The need for a procedure-specific approach Enhanced recovery after surgery (ERAS) has been on the agenda of our medical colleagues since...
6251

zeropainphilosophy
Jul 22, 20235 min read
Let’s talk about feline osteoarthritis
How many cats suffer with osteoarthritis (OA)? At what age do cats begin to show signs of OA? How many cats with OA do you see each week?...
1,1340

zeropainphilosophy
Jun 25, 20234 min read
Epidural buprenorphine
Is it an alternative to morphine? From time to time the availability of preservative-free morphine for epidural use becomes challenging....
8080


zeropainphilosophy
May 6, 20232 min read
Questions around the infraorbital nerve block
Although this seems a popular block, there have always been doubts over the efficacy due to the anatomy of the nerves that are required...
1,1990


zeropainphilosophy
Jan 15, 20235 min read
Pain transition from acute to chronic – inflammation matters
For our latest pain update, Matt reviews this paper entitled; ‘Acute inflammatory response via neutrophil activation protects against the...
1,0010

zeropainphilosophy
Aug 20, 20221 min read
Intraperitoneal & incisional analgesia
In this WSAVA Global Pain Council capsule review, these simple and cost-effective techniques are covered. Read the capsule review here ....
1,9530


zeropainphilosophy
Jul 6, 20225 min read
Gabapentin doses for cats
Gabapentin has a variety of indications in cats, and the key recognition here is that dose differs with indication. We've taken a look at...
29,2740


zeropainphilosophy
Jun 4, 20222 min read
New thoughts on bone cancer pain
Dogs with bone cancer suffer with severe pain due to widespread somatosensory sensitivity. Through a combination of peripheral...
2,3480


zeropainphilosophy
May 7, 20223 min read
EU propose restricting amantadine from vets
There is an EU proposal out for consultation currently, looking at restricting amantadine for human use, the rationale being that it is...
1,7432


zeropainphilosophy
May 2, 20223 min read
Gabapentin in cats - podcast show notes
These are the show notes for our gabapentin in cats podcast. Our podcast is a subscriber benefit included in our monthly subscriptions....
4690

zeropainphilosophy
Nov 6, 20216 min read
The enigma of visceral pain
Visceral pain as a topic remains slightly enigmatic. We deal with these cases everyday. Like much of our pain practice, the theoretical...
1,5371

zeropainphilosophy
Oct 29, 20215 min read
Amitriptyline for neuropathic pain
Amitriptyline is one drug option that always appears in pain reviews. Should amitriptyline be part of your therapeutic options for...
5,7670


zeropainphilosophy
Jul 20, 20212 min read
NSAID prescribing considerations - cats
In our webinar reviewing the use of NSAIDs long term in cats, we focus on those cats suffering with chronic kidney disease. This...
9010


zeropainphilosophy
Jun 3, 20213 min read
The cats have been waiting!
Solensia (frunevetmab) is here! Solensia is a monoclonal antibody which targets nerve growth factor, a key mediator in the pain of...
5,7160


zeropainphilosophy
May 9, 20213 min read
Librela - quickfire 10!
Quickfire 10 is our firefighting approach to pain! 10 questions, bringing you right up to speed! What is the licence indication for...
19,3796


zeropainphilosophy
Feb 19, 20215 min read
Pain scoring & quality of life
As you read our pain updates and listen to our webinars you will realise we talk a lot about pain scoring! So I decided to expand a...
7,5160


zeropainphilosophy
Feb 19, 20213 min read
Ground breaking treatment for arthritis
Yesterday was a really exciting day for me! I used a totally new pain killer for arthritis for the first time at Anderson Moores...
46,86010


zeropainphilosophy
Jan 23, 20211 min read
Elevator pitch episode 1
The Zero Pain Philosophy Elevator Pitch. A 30 second opportunity to share pain priorities with Hannah Capon & Canine Arthritis Management.
2660

zeropainphilosophy
Jan 3, 20215 min read
Veterinary attitudes to chronic pain
In the month of new resolutions, I always think the best I can do for my painful patients is to understand how to look for pain! I’m...
1,2920


zeropainphilosophy
Dec 11, 20202 min read
One bag analgesia!
A common question for us is about using morphine lidocaine and ketamine as a combination infusion for analgesia. This is a great...
3,0150

zeropainphilosophy
Nov 22, 20201 min read
Grapiprant survey
We are gathering insight regarding grapiprant (Galliprant) and value your opinion as a prescriber. If you can spare 2 minutes we would be...
3850


zeropainphilosophy
Nov 1, 20203 min read
Analgesia for a pyometra
Pyometra is one of those often emergency surgeries where having a pre-determined plan can be a real help. Thinking along the lines of our...
3,1590

zeropainphilosophy
Sep 6, 20203 min read
What does pain mean to you?
It’s pain awareness month and we are feeling philosophical! Well of course we are, it’s part of what we do. So, for 5 minutes let’s...
3170

zeropainphilosophy
Jun 21, 20201 min read
NSAIDs the lowdown
NSAIDs are first line drugs in acute and chronic pain. Our infographic illustrates our 9 tips for using NSAIDs in chronic pain. Want to...
1,1730

zeropainphilosophy
Jun 9, 20203 min read
CRI masterclass catch up!
After last week’s CRI masterclass I received some questions I thought worth sharing. Rule – if someone if asking it, someone else is...
1,5941


zeropainphilosophy
Jun 9, 20202 min read
Is maropitant analgesic?
Maropitant is a neurokinin-1 (NK-1) receptor antagonist. The NK-1 receptor and its neurotransmitter substance P are involved in a number...
5,6561


zeropainphilosophy
May 22, 20203 min read
Subcutaneous ketamine for analgesia
The first case I used ketamine 0.5 mg/kg SQ on was a dog with lumbosacral degeneration, back in 2012. This poor dog was intolerant of a...
141,4180


zeropainphilosophy
May 22, 20205 min read
Paracetamol: it’s all about the dose
Paracetamol is one of the most under-used drugs in veterinary medicine. I’m talking here specifically about analgesia for dogs in the...
87,7916

zeropainphilosophy
Apr 13, 20201 min read
Easy enucleation block
Enucleation is commonly carried out in veterinary practice. These patients can benefit hugely from local anaesthetic techniques to...
8,8040


zeropainphilosophy
Mar 13, 202011 min read
The role of cannabinoids in pain
Can I use CBD for analgesia? This pain update explores the evolution of the targeting of the endocannabinoid system and reviews the...
2,3761



zeropainphilosophy
Jan 23, 20203 min read
Getting started with fentanyl as a CRI
Fentanyl is a short acting full mu opioid agonist which is used as a continuous rate infusion as well as a bolus for rescue analgesia....
4,3463


zeropainphilosophy
Nov 15, 20193 min read
Chronic pain & geriatrics
Providing effective pain management to the geriatric dog or cat is something that we are faced with on a day to day basis. This is the...
1,5360


zeropainphilosophy
Nov 15, 20192 min read
Four nerve blocks to start with
I gave a Lunch & Learn session this week at a local practice and we covered four nerve blocks that are great options for every day use....
4,1822


zeropainphilosophy
Oct 11, 20194 min read
Analgesia for caesarean section
Analgesia for the caesarean section is a hot topic which generates many questions. There are two recent references on this topic which I...
9,7920


zeropainphilosophy
Aug 14, 20194 min read
Analgesia for pancreatitis
Providing analgesia for the pancreatitis case always raises a few questions. Are we talking acute or chronic cases? Let’s look at both...
9,2831
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