Mini Survey Series: Cat Acute Medical Pain

We appreciate your feedback.

We are interested in what type of analgesic protocol you would prescribe/suggest for each of the patients below with painful medical conditions. It can be assumed that all patients are healthy, young adults except for the condition described.

Question Title

Abdominal pain in a fully vaccinated female cat. The cat has been anorexic for 2 days with increasing lethargy and social isolation (hiding). Today the cat presented with vomiting/diarrhea of 24 hours duration. IV fluids have been delivered for 2 hours and the patient is now more alert. Physical exam is normal except the cat is very painful on abdominal palpation. Laboratory analysis confirms pancreatitis.

6-year old male cat with acute urethral obstruction. All serum chemistry is normal. The cat is alert, vocalizing repeatedly and difficult to handle, presumably because of pain and a high fear/anxiety/stress level.

Potential brachial plexus avulsion in a young male cat that reportedly was jumping from a high shelf and got its forelimb momentarily stuck on the shelf and hung by its forelimb for several seconds. The cat is not using his leg, is dragging his foot and is extremely painful on palpation. Deep pain and digital pulses are present and there are no radiographic changes. This owner wants to do everything possible to save the leg.

Question Title

* 1. Please choose the drugs/techniques that you would use as part of the analgesic protocol for the medical conditions listed above. The drug/technique can be used at any time during the procedure (pre-, intra- or post-operative) except for discharge, which is a separate question. This is a general question, more specific details on which drugs/treatments you would use will appear later in the survey.

	Pancreatitis	Urethral Obstruction	Soft Tissue Injury
NSAID's	NSAID's Pancreatitis	NSAID's Urethral Obstruction	NSAID's Soft Tissue Injury
Steroids	Steroids Pancreatitis	Steroids Urethral Obstruction	Steroids Soft Tissue Injury
Opioids	Opioids Pancreatitis	Opioids Urethral Obstruction	Opioids Soft Tissue Injury
Alpha-2 agonists	Alpha-2 agonists Pancreatitis	Alpha-2 agonists Urethral Obstruction	Alpha-2 agonists Soft Tissue Injury
Constant rate infusions	Constant rate infusions Pancreatitis	Constant rate infusions Urethral Obstruction	Constant rate infusions Soft Tissue Injury
Local/regional blocks	Local/regional blocks Pancreatitis	Local/regional blocks Urethral Obstruction	Local/regional blocks Soft Tissue Injury
Nonpharmacologic therapy	Nonpharmacologic therapy Pancreatitis	Nonpharmacologic therapy Urethral Obstruction	Nonpharmacologic therapy Soft Tissue Injury
No analgesia at this time	No analgesia at this time Pancreatitis	No analgesia at this time Urethral Obstruction	No analgesia at this time Soft Tissue Injury

Other (please specify)

Question Title

* 2. If administering infusions, which drugs would you infuse? Select all that apply.

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
Opioid (morphine, methadone, hydromorphone)
Opioid (morphine, methadone, hydromorphone) Pancreatitis	Opioid (morphine, methadone, hydromorphone) Urethral Obstruction	Opioid (morphine, methadone, hydromorphone) Soft Tissue Injury
Opioid (other)
Opioid (other) Pancreatitis	Opioid (other) Urethral Obstruction	Opioid (other) Soft Tissue Injury
Ketamine
Ketamine Pancreatitis	Ketamine Urethral Obstruction	Ketamine Soft Tissue Injury
Lidocaine
Lidocaine Pancreatitis	Lidocaine Urethral Obstruction	Lidocaine Soft Tissue Injury
Alpha-2 agonist
Alpha-2 agonist Pancreatitis	Alpha-2 agonist Urethral Obstruction	Alpha-2 agonist Soft Tissue Injury

Other (please specify)

Question Title

* 3. If using local/regional blocks which would you use?

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
Peritoneal lavage
Peritoneal lavage Pancreatitis	Peritoneal lavage Urethral Obstruction	Peritoneal lavage Soft Tissue Injury
Sacrococcygeal epidural
Sacrococcygeal epidural Pancreatitis	Sacrococcygeal epidural Urethral Obstruction	Sacrococcygeal epidural Soft Tissue Injury
Lumbosacral epidural
Lumbosacral epidural Pancreatitis	Lumbosacral epidural Urethral Obstruction	Lumbosacral epidural Soft Tissue Injury
Topical analgesia
Topical analgesia Pancreatitis	Topical analgesia Urethral Obstruction	Topical analgesia Soft Tissue Injury
Peripheral nerve block
Peripheral nerve block Pancreatitis	Peripheral nerve block Urethral Obstruction	Peripheral nerve block Soft Tissue Injury

Other (please specify)

Question Title

* 4. Based on your answer to the previous question, which of the following tools would you use to evaluate your intervention? Check all that apply.

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
Physical exam
Physical exam Pancreatitis	Physical exam Urethral Obstruction	Physical exam Soft Tissue Injury
Patient behavior
Patient behavior Pancreatitis	Patient behavior Urethral Obstruction	Patient behavior Soft Tissue Injury
Tachycardia/Tachypnea
Tachycardia/Tachypnea Pancreatitis	Tachycardia/Tachypnea Urethral Obstruction	Tachycardia/Tachypnea Soft Tissue Injury
PainTrace® Pain Monitoring System
PainTrace® Pain Monitoring System Pancreatitis	PainTrace® Pain Monitoring System Urethral Obstruction	PainTrace® Pain Monitoring System Soft Tissue Injury
Vocalization
Vocalization Pancreatitis	Vocalization Urethral Obstruction	Vocalization Soft Tissue Injury
Medical Thermal Imaging
Medical Thermal Imaging Pancreatitis	Medical Thermal Imaging Urethral Obstruction	Medical Thermal Imaging Soft Tissue Injury
Feline Grimace Scale
Feline Grimace Scale Pancreatitis	Feline Grimace Scale Urethral Obstruction	Feline Grimace Scale Soft Tissue Injury

Other (please specify)

Question Title

* 5. If using nonpharmacologic therapy, which treatments would you use at any time during the analgesic protocol?

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
Acupuncture
Acupuncture Pancreatitis	Acupuncture Urethral Obstruction	Acupuncture Soft Tissue Injury
Photobio-modulation
Photobio-modulation Pancreatitis	Photobio-modulation Urethral Obstruction	Photobio-modulation Soft Tissue Injury
Pulsed electromagnetic field therapy
Pulsed electromagnetic field therapy Pancreatitis	Pulsed electromagnetic field therapy Urethral Obstruction	Pulsed electromagnetic field therapy Soft Tissue Injury
Physical therapy/rehabilitation
Physical therapy/rehabilitation Pancreatitis	Physical therapy/rehabilitation Urethral Obstruction	Physical therapy/rehabilitation Soft Tissue Injury
Ice/cryotherapy
Ice/cryotherapy Pancreatitis	Ice/cryotherapy Urethral Obstruction	Ice/cryotherapy Soft Tissue Injury
Heat
Heat Pancreatitis	Heat Urethral Obstruction	Heat Soft Tissue Injury
Shock wave therapy
Shock wave therapy Pancreatitis	Shock wave therapy Urethral Obstruction	Shock wave therapy Soft Tissue Injury

Other (please specify)

Question Title

* 6. Based on your answer to the previous question, which of the following tools would you use to evaluate your intervention? Check all that apply.

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
Physical exam
Physical exam Pancreatitis	Physical exam Urethral Obstruction	Physical exam Soft Tissue Injury
Patient behavior
Patient behavior Pancreatitis	Patient behavior Urethral Obstruction	Patient behavior Soft Tissue Injury
Tachycardia/Tachypnea
Tachycardia/Tachypnea Pancreatitis	Tachycardia/Tachypnea Urethral Obstruction	Tachycardia/Tachypnea Soft Tissue Injury
PainTrace® Pain Monitoring System
PainTrace® Pain Monitoring System Pancreatitis	PainTrace® Pain Monitoring System Urethral Obstruction	PainTrace® Pain Monitoring System Soft Tissue Injury
Vocalization
Vocalization Pancreatitis	Vocalization Urethral Obstruction	Vocalization Soft Tissue Injury
Medical Thermal Imaging
Medical Thermal Imaging Pancreatitis	Medical Thermal Imaging Urethral Obstruction	Medical Thermal Imaging Soft Tissue Injury
Feline Grimace Scale
Feline Grimace Scale Pancreatitis	Feline Grimace Scale Urethral Obstruction	Feline Grimace Scale Soft Tissue Injury

Other (please specify)

Question Title

* 7. What drugs/treatments would be prescribed to control pain after discharge from the hospital?

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
NSAID's
NSAID's Pancreatitis	NSAID's Urethral Obstruction	NSAID's Soft Tissue Injury
Steroids
Steroids Pancreatitis	Steroids Urethral Obstruction	Steroids Soft Tissue Injury
Opioids
Opioids Pancreatitis	Opioids Urethral Obstruction	Opioids Soft Tissue Injury
Gabapentin
Gabapentin Pancreatitis	Gabapentin Urethral Obstruction	Gabapentin Soft Tissue Injury
Pregabalin
Pregabalin Pancreatitis	Pregabalin Urethral Obstruction	Pregabalin Soft Tissue Injury
Amantadine
Amantadine Pancreatitis	Amantadine Urethral Obstruction	Amantadine Soft Tissue Injury
Subcutaneous ketamine
Subcutaneous ketamine Pancreatitis	Subcutaneous ketamine Urethral Obstruction	Subcutaneous ketamine Soft Tissue Injury
Maropitant
Maropitant Pancreatitis	Maropitant Urethral Obstruction	Maropitant Soft Tissue Injury
Muscle relaxants
Muscle relaxants Pancreatitis	Muscle relaxants Urethral Obstruction	Muscle relaxants Soft Tissue Injury
Nonpharmacologic therapy
Nonpharmacologic therapy Pancreatitis	Nonpharmacologic therapy Urethral Obstruction	Nonpharmacologic therapy Soft Tissue Injury

Other (please specify)

Question Title

* 8. Based on your answer to the previous question, which of the following tools would you use to evaluate your intervention? Check all that apply.

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
Physical exam
Physical exam Pancreatitis	Physical exam Urethral Obstruction	Physical exam Soft Tissue Injury
Patient behavior
Patient behavior Pancreatitis	Patient behavior Urethral Obstruction	Patient behavior Soft Tissue Injury
Tachycardia/Tachypnea
Tachycardia/Tachypnea Pancreatitis	Tachycardia/Tachypnea Urethral Obstruction	Tachycardia/Tachypnea Soft Tissue Injury
PainTrace® Pain Monitoring System
PainTrace® Pain Monitoring System Pancreatitis	PainTrace® Pain Monitoring System Urethral Obstruction	PainTrace® Pain Monitoring System Soft Tissue Injury
Vocalization
Vocalization Pancreatitis	Vocalization Urethral Obstruction	Vocalization Soft Tissue Injury
Medical Thermal Imaging
Medical Thermal Imaging Pancreatitis	Medical Thermal Imaging Urethral Obstruction	Medical Thermal Imaging Soft Tissue Injury
Feline Grimace Scale
Feline Grimace Scale Pancreatitis	Feline Grimace Scale Urethral Obstruction	Feline Grimace Scale Soft Tissue Injury

Other (please specify)

Question Title

* 9. If discharging with NSAIDs, for approximately how many days?

Pancreatitis	Urethral Obstruction	Soft Tissue Injury
No NSAID's
No NSAID's Pancreatitis	No NSAID's Urethral Obstruction	No NSAID's Soft Tissue Injury
1-3 days
1-3 days Pancreatitis	1-3 days Urethral Obstruction	1-3 days Soft Tissue Injury
4-7 days
4-7 days Pancreatitis	4-7 days Urethral Obstruction	4-7 days Soft Tissue Injury
8-14 days
8-14 days Pancreatitis	8-14 days Urethral Obstruction	8-14 days Soft Tissue Injury
>14 days
>14 days Pancreatitis	>14 days Urethral Obstruction	>14 days Soft Tissue Injury

Other (please specify)

IVAPM and PainTrace thank you for contributing through these surveys and helping us understand how you manage acute pain in cats. Learning from you supports our goal to share knowledge and generate future education – stay tuned. We love to share information!

To learn more about IVAPM click here.
To learn more about PainTrace click here.
To take another short survey click here.