Multimodal Acute Pain Management in Cats and Dogs: A Scoping Review

Authors : Mehmet Cem Kolbaşı, Yalçın Alper Özturan, İbrahim Akın

Pages : 36-44

View : 2 | Download : 1

Publication Date : 2024-11-05

Article Type : Other

Abstract :Background: Multimodal analgesia (MMA) is a promising and scientifically proven method for effective pain management. By combining different pain-relief techniques to target multiple pain pathways, MMA has demonstrated superior efficacy compared to unimodal treatments. However, there\'s a crucial need to standardize studies in this field for better analysis and comparison. Thoroughly mapping the literature on MMA in veterinary medicine is vital for advancing our understanding and improving pain management for animals. Objective: The present scoping review aims to systematically examine the current literature on multimodal analgesia in dogs and cats, focusing on identifying gaps in reviews, case reports, and clinical trials. We aim to improve future MMA literature by giving suggestions, identifying gaps, and helping standardize case reports regarding analgesia. Thereby informing future studies aimed at improving multimodal analgesic strategies in veterinary medicine. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews guidelines, a literature search was conducted using PubMed. Search terms related to multimodal analgesia, pain management, cats, and dogs were combined using Boolean operators. Inclusion criteria focused on acute multimodal analgesia studies in cats and dogs, encompassing review articles, case reports, case series and clinical trials. Data extraction and synthesis were performed to analyze key characteristics and findings of the included studies. Results: The literature search yielded 63 articles, 19 reviews, 10 case reports and series, and 8 original article in total of 37 articles were met the inclusion criteria. The synthesis revealed a growing body of literature of the use of multimodal analgesia in veterinary medicine, with various study designs, use and combinations of drugs. Conclusion: This scoping review highlights the increasing adoption of multimodal analgesia in acute pain management for cats and dogs. While the evidence base for its effectiveness is expanding, further systematic investigations are needed to address gaps and uncertainties, particularly regarding standardized study designs and reporting guidelines. Multimodal analgesia proves effective, surpassing single pain-relieving methods.
Keywords : Analjezi, Kedi, Köpek, Multimodal Terapi, Multimodal Ağrı Yönetimi