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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...
zeropainphilosophy
5 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...
zeropainphilosophy
2 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...
zeropainphilosophy
1 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...
zeropainphilosophy
3 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...
zeropainphilosophy
3 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...
zeropainphilosophy
1 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...
zeropainphilosophy
3 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...
zeropainphilosophy
2 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...
zeropainphilosophy
3 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...
zeropainphilosophy
5 min read


Easy enucleation block
Enucleation is commonly carried out in veterinary practice. These patients can benefit hugely from local anaesthetic techniques to...
zeropainphilosophy
1 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...
zeropainphilosophy
11 min read


zeropainphilosophy
0 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....
zeropainphilosophy
3 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...
zeropainphilosophy
3 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....
zeropainphilosophy
2 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...
zeropainphilosophy
4 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...
zeropainphilosophy
4 min read


Wound catheters know-how
Wound catheters are a perfect method of delivering local anaesthetic directly to the surgical site. Local anaesthetics are a key...
zeropainphilosophy
2 min read


Analgesia for the trauma cat
With feline trauma we need to provide analgesia during the initial triage stage of assessment, although it is not until we have spent...
zeropainphilosophy
3 min read
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