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Multimodal analgesia for postoperative pain relief

MULTIMODAL or balanced analgesia is a technique that is suitable for both large and small animals experiencing pain that may be difficult to control with a single analgesic agent. The effect is easily achievable using a combination of licensed (in some cases) and unlicensed (in some cases) analgesic products, and may only require a small modification of the analgesia regimen already used within veterinary practice. This article defines multimodal analgesia and describes some of the combinations that can be employed in practice.

Louisa Slingsby graduated from Bristol in 1994. After a year in small animal practice, she returned to Bristol to undertake a PhD in perioperative analgesia in dogs, cats and rats. She is now a research fellow and her interests are analgesia in dogs and cats. She has been involved in many industry-sponsored clinical studies that have led to the introduction of a number of popular analgesics into general veterinary practice.