ottoluv
Posted : 4/13/2007 9:06:00 AM
No, I think you misunderstand the reasoning lori, the pain patch takes 12 to 24 hours to work so they put in on about 12-24 hours before surgery. It works for about three days so you leave it on for 72 hours after. It is pretty standard practice here in southern california at every vet I've been to as an option for elective surgery like spay/neuter. Epithelialization is proliferation of the skin cells to "seal" the wound. There have been lots of studies in surgery in regards to when this is most likely to be done. Ever hear you can't shower for 48 hours after surgery

? The reason we say this is the studies show that at 24 hours about 85% of people/dogs (since most studies are done in dogs) have re-epithelialized the wound and at 48 hours greater then 93% have. So if you wait 48 hours or so you are most likely to have sealed the wound making it safe to shower (not bathe or soak of course). Now for healing you need optimal conditions without lablile blood pressure and undue pressure or movement of the wound. People/dogs in pain move around alot, don't eat well, etc. In addition, young beings tend to arise from anesthesia a little "wild", especially young men for some reason. This also can be dangerous for the wound, ahhh. I've actually had a wound Pop open in the or before when a young man was waking up wild and had to put them back to sleep and re-suture the wound. Pain control is important for a variety of reasons as you can see I'm sure. JHACHO has made it the "fifth" vital for people (along with BP/HR/RR/Temp) because it is that important. Plus it's just the nice thing to do. As for the patch it's self, I am a people doc not animals, I don't prescribe for otto and I wouldn't even if I could. I especially wouldn't prescrive a narcotic like that for anyone I knew, was friends with, myself. I'm not sure why you would think that I did it myself since I said in the OP I said I took him to have it put on? That's a great way to get yourself targeted and maybe even loose your DEA number or licence. In general, it's not good to be too involved or take over care of your family as you can't see clearly like you can if you are objective and removed. I've seen a lot of people hurt their family members with good intentions but being too "close" too see what was really going on. Hope that explains it better

I really hope people get away from that whole, animals don't feel pain thinking, it's pretty clear in my mind after evaluating the literature that that is a false and in many ways cruel assumption.
Edit: usually with meds you aren't really groggy, just comfortable, they tend not to make you as sleepy if you actually are in pain for some reason. Otto unfortunately felt the patch on the early side and since he it was before surgery he was loopy. How he is acting totally normal, with his little patch on his back leg. The pain patch the day before surgery is kinda en vogue with the plastic surgery community now, patients like it because they don't have to worry about pain meds after, no up's and down's in pain control, nice constant levels mean constant control. It's actually quite nice for them, a little too expensive for my "real" surgery patients though.