Pain management for laminitis in the horse. (23rd March 2018)

• Record Type: Journal Article
• Authors: Hopster, K.; van Eps, A. W.
• Is Part Of: Equine veterinary education. Volume 31:Number 7(2019)
• Page Start: 384
• Page End: 392
• Publication Date: 2018-03-23
• Subjects: horse -- laminitis -- analgesia -- pain -- neuropathic; Horses -- Diseases -- Periodicals; Horses -- Diseases -- Treatment -- Periodicals; 636.108905
• DOI: 10.1111/eve.12910
• Languages: English
• ISSNs: 0957-7734

Abstract

Summary: The inability to control pain is the most common reason for cessation of treatment and euthanasia in cases of laminitis, yet pain also serves a unique protective function in these cases, particularly in the acute phase when lamellar integrity is weakened. Successful analgesia requires an understanding of the disease pathophysiology, the sources of pain in laminitis, methods of serial pain evaluation, and methods of analgesia including systemic and regional techniques. This review discusses the approach to analgesia including detail of traditional and novel analgesic medications and techniques with specific reference to the laminitis case.