Table 1 Postoperative nociceptive evolution scale (adapted from Malm et al. [13])
From: Surgical stress and postoperative complications related to regional and radical mastectomy in dogs
Patient: | Record number: | Date: | Time: |
|---|---|---|---|
Category | Observer | Score | |
• Behavior data: | |||
Mental state/Temperament | Similar to state before surgery | 0 | |
Changed, but submissive | 1 | ||
Changed but slightly friendly | 1 | ||
Changed, but distrustful | 2 | ||
Changed, but aggressive | 3 | ||
Activity level/disposition | Similar to level before surgery/feeding | 0 | |
Resting (in recumbency or standing) or sleeping | 1 | ||
Restless | 2 | ||
Rolling or self-mutilating | 3 | ||
Posture | Recumbency, but rising when stimulated, seating, or standing with the head up | 0 | |
Moving, seated, or standing with the head down | 1 | ||
Recumbency, but not rising when stimulated | 2 | ||
Protecting affected area (including fetal position) | 2 | ||
Standing in prayer or arched posture | 3 | ||
Vocalization | Does not vocalize | 0 | |
Slight vocalization when touched or changing position | 1 | ||
Exaggerated vocalization when touched or changing position | 2 | ||
Spontaneous vocalization, stops when touched | 2 | ||
Continuous spontaneous vocalization | 3 | ||
Response to surgical wound area palpation (2 cm) | No alteration | 0 | |
Slight discomfort, watchful to palpation, and looking at manipulated area, but relaxed abdominal wall | 1 | ||
Moderate discomfort, watchful to palpation, and looking at manipulated area, but rigid abdominal wall | 2 | ||
Immediate response with movement and attempt to evade painful stimulus | 2 | ||
Immediate response with vocalization, attempt to evade painful stimulus, may act aggressively | 3 | ||
• Physiological data: | |||
Heart rate | 0 to 20 % above preoperative value | 0 | |
20 to 50 % above preoperative value | 1 | ||
50 to 100 % above preoperative value | 2 | ||
100 % above preoperative value | 3 | ||
Respiratory rate | 0 to 20 % above preoperative value | 0 | |
20 to 50 % above preoperative value | 1 | ||
50 to 100 % above preoperative value | 2 | ||
100 % above preoperative value | 3 | ||
Body temperature | Normal temperature | 0 | |
Temperature below reference values | 1 | ||
Temperature above reference values | 1 | ||
Pupils | Normal | 0 | |
Dilated | 2 | ||
Excessive drooling | Absent | 0 | |
Present | 2 | ||