List of Contributors viii Preface ix Acknowledgements x 1 General Considerations for Pain Management upon Initial Presentation and during Hospital Stay Karol Mathews 2 Physiology and Pathophysiology of Pain 8 Tamara Grubb 3 Physiologic and Pharmacologic Applications to Manage Neuropathic Pain 17 Karol Mathews 4 Physiology and Pharmacology: Clinical Application to Abdominal and Pelvic Visceral Pain 51 Karol Mathews 5 Physiology and Management of Cancer Pain 64 Karol Mathews and Michelle Oblak 6 Movement?Evoked and Breakthrough Pain 68 Karol Mathews 7 Pain: Understanding It 70 Karol Mathews 8 Recognition, Assessment and Treatment of Pain in Dogs and Cat 81 Karol Mathews 9 Pharmacologic and Clinical Application of Sedatives 112 Melissa Sinclair 10 Pharmacologic and Clinical Application of Opioid Analgesics 119 Melissa Sinclair 11 Pharmacologic and Clinical Application of Non?Steroidal Anti?Inflammatory Analgesics 134 Karol Mathews 12 Pharmacologic and Clinical Principles of Adjunct Analgesia 144 Karol Mathews and Tamara Grubb 13 Pharmacologic and Clinical Application of General Anesthetics 165 Melissa Sinclair 14 Local Anesthetic Techniques 171 Alexander Valverde 15 Integrative Techniques for Pain Management 204 Cornelia Mosley and Shauna Cantwell 16 The Veterinary Technician/Nurse's Role in Pain Management 217 Andrea Steele 17 Optimal Nursing Care for the Management of Pain 219 Andrea Steele 18 Preparation and Delivery of Analgesics 230 Andrea Steele 19 Cardiovascular Disease as a Co?Morbidity for Anesthesia and Analgesia of Non?Related Emergencies 244 Tamara Grubb 20 Kidney Disease as a Co?Morbidity for Anesthesia and Analgesia of Non?Related Emergencies 255 Melissa Sinclair 21 Liver Disease as a Co?Morbidity for Anesthesia and Analgesia of Non?Related Emergencies 263 Melissa Sinclair 22 Managing the Aggressive Patient 270 Andrea Steele and Tamara Grubb 23 Analgesia and Anesthesia for Pregnant Cats and Dogs 279 Karol Mathews and Melissa Sinclair 24 Analgesia and Anesthesia for Nursing Cats and Dogs 294 Karol Mathews, Tamara Grubb, Melissa Sinclair and Andrea Steele 25 Physiologic and Pharmacologic Application of Analgesia and Anesthesia for the Pediatric Patient 308 Karol Mathews, Tamara Grubb and Andrea Steele 26 Analgesia and Anesthesia for the Geriatric Patient 328 Karol Mathews, Melissa Sinclair, Andrea Steele and Tamara Grubb 27 Analgesia and Anesthesia for Head and Neck Injuries or Illness 336 Karol Mathews, Melissa Sinclair, Andrea Steele and Tamara Grubb 28 Torso, Thorax and Thoracic Cavity: Illness and Injury 356 Karol Mathews, Tamara Grubb and Andrea Steele 29 Torso and Abdomen: Illness and Injuries 375 Karol Mathews, Tamara Grubb and Andrea Steele 30 Pelvic Cavity/Abdomen, Perineum and Torso: Illness and Injuries Urogenital System and Perineum 391 Karol Mathews, Tamara Grubb and Andrea Steele 31 Musculoskeletal Injuries and Illness 409 Karol Mathews, Melissa Sinclair, Andrea Steele and Tamara Grubb 32 Vertebral Column (Vertebrae and Spinal Cord) 423 Karol Mathews, Tamara Grubb and Andrea Steele 33 Integument Injuries and Illness 439 Karol Mathews, Tamara Grubb and Andrea Steele 34 Environmental Injuries 454 Karol Mathews, Tamara Grubb and Andrea Steele Index 465.