REVISTA

Influencia del comportamiento felino perioperatorio en los puntajes de dos escalas validadas de evaluación del dolor

Descripción: Se evaluaron Escala de dolor de medidas compuestas-Felino (rCMPS-F) y escala de dolor compuesta multidimensional UNESP-Botucatu (subescalas psicomotoras y de expresión del dolor; UB MCPS-psych y -painex), y una escala de comportamiento. El comportamiento afectó la evaluación del dolor con las escalas UB UNESP-psych y rCMPS-F, pero no con la escala UB UNESP-painex

TITULO FUENTE ORIGINAL:

The influence of demeanor on scores from two validated feline pain assessment scales during the perioperative period

AUTORES:

Mandy Buisman, Michelle M M Hasiuk, Marta Gunn, Daniel S J Pang

REVISTA ABREV.:

Vet Anaesth Analg

AÑO:

2017

REFERENCIA:

44(3):646-655

DOI:

10.1016/j.vaa.2016.09.001

RESUMEN ORIGINAL:

Objective: To evaluate the effects of demeanor on validated pain assessment scales. Study design: Prospective, blind, clinical trial. Animal population: Thirty three adult domestic cats scheduled for orchiectomy. Methods: Cats were assessed for pain pre (baseline) and 1, 2, 4 hours postoperatively using two validated pain scales [Composite Measures Pain Scale-Feline... + Leer más

Objective: To evaluate the effects of demeanor on validated pain assessment scales.

Study design: Prospective, blind, clinical trial.

Animal population: Thirty three adult domestic cats scheduled for orchiectomy.

Methods: Cats were assessed for pain pre (baseline) and 1, 2, 4 hours postoperatively using two validated pain scales [Composite Measures Pain Scale-Feline (rCMPS-F) and UNESP-Botucatu multidimensional composite pain scale (psychomotor and pain expression subscales; U-B MCPS-psych and -painex)], and a demeanor scale. Return of sternal recumbency and postoperative feeding were recorded. Anesthesia consisted of a single intramuscular injection of dexmedetomidine-ketamine-hydromorphone with intratesticular lidocaine and atipamezole and meloxicam postoperatively. Following data collection, cats were assigned to two groups based on baseline demeanor scores (LO ≤ 5/21, 18 cats; HI ≥ 6/21, 15 cats) and data from each group compared.

Results: Baseline demeanor predicted pain scores with the U-B MCPS-psych scale: baseline [LO 0 (0-0), HI 2 (0-6), p = 0.0005], 1 hour [LO 1 (0-5), HI 3 (1-5), p = 0.02], and 4 hours [LO 0 (0-2), HI 1 (0-6), p = 0.01]. A similar pattern was observed with the rCMPS-F. This resulted in more crossings of the analgesic intervention threshold in the HI group: U-B UNESP-psych (9 versus 1, p = 0.005) and rCMPS-F (23 versus 3, p < 0.0001). In contrast, U-B MCPS-painex scores did not differ between LO/HI groups: baseline (p > 0.99), 1 hour (p = 0.34), 2 hours (p > 0.99) and 4 hours (p = 0.31). LO cats ate sooner (61% versus 33% by 1 hour, p < 0.0001) despite similar times to sternal recumbency (p = 0.48).

Conclusions and clinical relevance: Demeanor affected pain assessment with U-B UNESP-psych and rCMPS-F scales, but not U-B UNESP-painex scale. Demeanor had a significant effect on postoperative feeding. These data highlight the potential for demeanor to confound pain assessment

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