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New guidelines on the safe use of analgesia in horses
Animal welfare can be significantly affected by pain.
Recommendations aimed at equine primary care in an ambulatory setting

Clinical guidelines for primary care vets on the safe use of analgesia in horses have been published in the January issue of the Equine Veterinary Journal (EVJ).

The guidelines have been produced by the British Equine Veterinary Association (BEVA) and can be downloaded at https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13198

In human medicine, clinical guidelines are standard practice and have proven to influence clinical decision making in clinical settings. BEVA’s set of clinical guidelines are the first to be aimed at equine primary care in an ambulatory setting.

Animal wefare can be significantly affected by pain and analgesia is considered to be key in helping to alleviate it. Put together by a panel combining clinicians and analgesia researchers, the guidelines summarise current evidence and combine it with expert opinion to provide best practice advice on common scenarios.

Key recommendations include:
  • Horses undergoing routine castration should receive intratesticular local anaesthesia irrespective of methods adopted and horses should receive NSAIDs before surgery. Butorphanol and buprenorphine should not be considered appropriate as sole analgesics for such procedures and analgesia should be continued for three days following castration.
  • For hoof pain/laminitis phenylbutazone provided superior analgesia to meloxicam and firocoxib but enhanced efficacy has not been demonstrated for joint pain.
  • In horses with colic, flunixin and firocoxib are considered to provide more effective analgesia than meloxicam or phenylbutazone.
  • A single properly validated composite pain score for horses should be developed, to allow accurate comparisons between medications in a robust manner.
“Given the risk of adverse events of all classes of analgesic, these agents should be used only under the control of a veterinary surgeon,” explained Professor Mark Bowen, lead author of the guidelines. “The horse must have been fully evaluated and the vet must have devised a therapeutic, analgesic plan that includes ongoing monitoring for such adverse events such as the development of right dorsal colitis with all classes of NSAID and spontaneous locomotor activity and potentially ileus with opiates.”

EVJ editor Professor Celia Marr added: “The BEVA primary care clinical guidelines provide up-to-date clarity on the fundamental aspects of equine pain management for the clinician and are essential reading for all those in first opinion ambulatory roles.”

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RCVS Knowledge appoints Veterinary Evidence editor-in-chief

News Story 1
 RCVS Knowledge has welcomed Professor Peter Cockcroft as editor-in-chief for Veterinary Evidence.

A world-renowned expert in evidence-based veterinary medicine, Prof Cockcroft will lead the strategic development and editorial quality of the open-access journal. He was previously in the role from 2017-2020.

Katie Mantell, CEO of RCVS Knowledge, said: "We are excited about the extensive knowledge of evidence-based veterinary medicine and clinical veterinary research that Peter brings, and we look forward to working with him over this next phase of the journal's development." 

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CVS Group hit by cyber attack

CVS Group, which owns more than 450 veterinary practices in the UK, has been hit by a cyber attack.

In a statement, the group said the incident involved unauthorised external access to a limited number of its IT systems. As soon as the attack was discovered, the group took its IT systems temporarily offline, causing 'considerable operational disruption'.

It has warned that the security steps taken and ongoing plans to move its operational systems and IT infrastructure to the Cloud are likely to have an ongoing impact over a number of weeks.

Due to the risk that personal information was accessed, CVS has informed the Information Commissioner's Office. The company is working with third party consultants to investigate the incident.