1. Agreement between veterinary students and anesthesiologists regarding postoperative pain assessment in dogs
- Author
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Courtni N. Young, Erik H. Hofmeister, Jane E. Quandt, and Michele Barletta
- Subjects
Adult ,Male ,Veterinary medicine ,Students, Medical ,040301 veterinary sciences ,Visual analogue scale ,Postoperative pain ,education ,Video Recording ,Anesthesia, General ,law.invention ,0403 veterinary science ,Young Adult ,Dogs ,Anesthesiology ,Pain assessment ,law ,Animals ,Humans ,Medicine ,0501 psychology and cognitive sciences ,050102 behavioral science & comparative psychology ,Pain Measurement ,Observer Variation ,Pain, Postoperative ,General Veterinary ,business.industry ,05 social sciences ,04 agricultural and veterinary sciences ,Pain scale ,Surgical procedures ,Intensive care unit ,Anesthesia ,Female ,Clinical Competence ,business - Abstract
To determine the levels of agreement among first- and second-year veterinary students and experienced anesthesiologists in assessing postoperative pain in dogs from video-recordings.Cross-sectional study.Twenty-seven veterinary students, five anesthesiologists and 13 canine clinical patients.Prior to their enrolment in a core anesthesia course, veterinary students volunteered to watch 13 90 second videos of dogs. Dogs were hospitalized in an intensive care unit after a variety of surgical procedures. Students were asked to score the level of the dogs' pain using the Dynamic Interactive Visual Analog Scale and the Short Form of the Glasgow Composite-Measure Pain Scale. The same videotapes were scored by five board-certified anesthesiologists. The differences and agreement between the ratings of anesthesiologists and students, and first- and second-year students were determined with Mann-Whitney U-tests and Fleiss' or Cohen's kappa, respectively.Pain scores assigned by students and anesthesiologists differed significantly (p0.01). Students assigned higher pain scores to dogs that were given low pain scores by anesthesiologists, and lower pain scores to dogs deemed to be in more pain by anesthesiologists. On average, students assigned higher scores on both scales.Veterinary students early in their training assigned pain scores to dogs that differed from scores assigned by experienced anesthesiologists.
- Published
- 2016
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