Condition reference

Pain

Medical (non-surgical) pain

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WSAVA guideline

Guidelines for the Recognition, Assessment and Treatment of Pain

Reference summary — consult the linked guideline for full context

Opioids are first-choice for severe or moderate medical (non-surgical) visceral pain, combined with an NSAID once the patient is hemodynamically stable, with ketamine or lidocaine infusions added for severe cases. For mild-to-moderate pain, an NSAID with or without buprenorphine is suggested — gabapentin is noted as better suited to chronic/neuropathic-component pain than acute cases.

Monteiro BP, et al. 2022 WSAVA guidelines for the recognition, assessment and treatment of pain. J Small Anim Pract. 2023;64:177–254. Medical Pain protocol PDF (wsava.org).

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