Pain management in the neonatal piglet during routine management procedures. Part 2: Grading the quality of evidence and the strength of recommendations

A O'Connor, R Anthony, L Bergamasco, J Coetzee, S Gould, AK Johnson, LA Karriker, JN Marchant-Forde, GS Martineau, J McKean, ST Millman, S Niekamp, EA Pajor, KMD Rutherford, M Sprague, M Sutherland, E von Borell, RS Dzikamunhenga

Research output: Contribution to journalReview article

18 Citations (Scopus)
3 Downloads (Pure)

Abstract

Piglets reared in swine production in the USA undergo painful procedures that include castration, tail docking, teeth clipping, and identification with ear notching or tagging. These procedures are usually performed without pain mitigation. The objective of this project was to develop recommendations for pain mitigation in 1- to 28-day-old piglets undergoing these procedures. The National Pork Board funded project to develop recommendations for pain mitigation in piglets. Recommendation development followed a defined multi-step process that included an evidence summary and estimates of the efficacies of interventions. The results of a systematic review of the interventions were reported in a companion paper. This manuscript describes the recommendation development process and the final recommendations. Recommendations were developed for three interventions (CO2/O2 general anesthesia, non-steroidal anti-inflammatory drugs (NSAIDs), and lidocaine) for use during castration. The ability to make strong recommendations was limited by low-quality evidence and strong certainty about variation in stakeholder values and preferences. The panel strongly recommended against the use of a CO2/O2 general anesthesia mixture, weakly recommended for the use of NSAIDs and weakly recommended against the use of lidocaine for pain mitigation during castration of 1- to 28-day-old piglets.
Original languageEnglish
Pages (from-to)39 - 62
Number of pages24
JournalAnimal Health Research Reviews
Volume15
Issue number1
DOIs
Publication statusFirst published - 13 Jun 2014

Fingerprint

piglets
pain
castration
lidocaine
anesthesia
tail docking
pork
ears
teeth

Keywords

  • Systematic review
  • Animal welfare
  • Swine
  • Pain
  • Castration
  • GRADE
  • Piglets

Cite this

O'Connor, A ; Anthony, R ; Bergamasco, L ; Coetzee, J ; Gould, S ; Johnson, AK ; Karriker, LA ; Marchant-Forde, JN ; Martineau, GS ; McKean, J ; Millman, ST ; Niekamp, S ; Pajor, EA ; Rutherford, KMD ; Sprague, M ; Sutherland, M ; von Borell, E ; Dzikamunhenga, RS. / Pain management in the neonatal piglet during routine management procedures. Part 2: Grading the quality of evidence and the strength of recommendations. In: Animal Health Research Reviews. 2014 ; Vol. 15, No. 1. pp. 39 - 62.
@article{f2b6f619ccfc4c098c205126a85a362b,
title = "Pain management in the neonatal piglet during routine management procedures. Part 2: Grading the quality of evidence and the strength of recommendations",
abstract = "Piglets reared in swine production in the USA undergo painful procedures that include castration, tail docking, teeth clipping, and identification with ear notching or tagging. These procedures are usually performed without pain mitigation. The objective of this project was to develop recommendations for pain mitigation in 1- to 28-day-old piglets undergoing these procedures. The National Pork Board funded project to develop recommendations for pain mitigation in piglets. Recommendation development followed a defined multi-step process that included an evidence summary and estimates of the efficacies of interventions. The results of a systematic review of the interventions were reported in a companion paper. This manuscript describes the recommendation development process and the final recommendations. Recommendations were developed for three interventions (CO2/O2 general anesthesia, non-steroidal anti-inflammatory drugs (NSAIDs), and lidocaine) for use during castration. The ability to make strong recommendations was limited by low-quality evidence and strong certainty about variation in stakeholder values and preferences. The panel strongly recommended against the use of a CO2/O2 general anesthesia mixture, weakly recommended for the use of NSAIDs and weakly recommended against the use of lidocaine for pain mitigation during castration of 1- to 28-day-old piglets.",
keywords = "Systematic review, Animal welfare, Swine, Pain, Castration, GRADE, Piglets",
author = "A O'Connor and R Anthony and L Bergamasco and J Coetzee and S Gould and AK Johnson and LA Karriker and JN Marchant-Forde and GS Martineau and J McKean and ST Millman and S Niekamp and EA Pajor and KMD Rutherford and M Sprague and M Sutherland and {von Borell}, E and RS Dzikamunhenga",
year = "2014",
month = "6",
day = "13",
doi = "10.1017/S1466252314000073",
language = "English",
volume = "15",
pages = "39 -- 62",
journal = "Animal Health Research Reviews",
issn = "1466-2523",
publisher = "Cambridge University Press",
number = "1",

}

O'Connor, A, Anthony, R, Bergamasco, L, Coetzee, J, Gould, S, Johnson, AK, Karriker, LA, Marchant-Forde, JN, Martineau, GS, McKean, J, Millman, ST, Niekamp, S, Pajor, EA, Rutherford, KMD, Sprague, M, Sutherland, M, von Borell, E & Dzikamunhenga, RS 2014, 'Pain management in the neonatal piglet during routine management procedures. Part 2: Grading the quality of evidence and the strength of recommendations', Animal Health Research Reviews, vol. 15, no. 1, pp. 39 - 62. https://doi.org/10.1017/S1466252314000073

Pain management in the neonatal piglet during routine management procedures. Part 2: Grading the quality of evidence and the strength of recommendations. / O'Connor, A; Anthony, R; Bergamasco, L; Coetzee, J; Gould, S; Johnson, AK; Karriker, LA; Marchant-Forde, JN; Martineau, GS; McKean, J; Millman, ST; Niekamp, S; Pajor, EA; Rutherford, KMD; Sprague, M; Sutherland, M; von Borell, E; Dzikamunhenga, RS.

In: Animal Health Research Reviews, Vol. 15, No. 1, 13.06.2014, p. 39 - 62.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Pain management in the neonatal piglet during routine management procedures. Part 2: Grading the quality of evidence and the strength of recommendations

AU - O'Connor, A

AU - Anthony, R

AU - Bergamasco, L

AU - Coetzee, J

AU - Gould, S

AU - Johnson, AK

AU - Karriker, LA

AU - Marchant-Forde, JN

AU - Martineau, GS

AU - McKean, J

AU - Millman, ST

AU - Niekamp, S

AU - Pajor, EA

AU - Rutherford, KMD

AU - Sprague, M

AU - Sutherland, M

AU - von Borell, E

AU - Dzikamunhenga, RS

PY - 2014/6/13

Y1 - 2014/6/13

N2 - Piglets reared in swine production in the USA undergo painful procedures that include castration, tail docking, teeth clipping, and identification with ear notching or tagging. These procedures are usually performed without pain mitigation. The objective of this project was to develop recommendations for pain mitigation in 1- to 28-day-old piglets undergoing these procedures. The National Pork Board funded project to develop recommendations for pain mitigation in piglets. Recommendation development followed a defined multi-step process that included an evidence summary and estimates of the efficacies of interventions. The results of a systematic review of the interventions were reported in a companion paper. This manuscript describes the recommendation development process and the final recommendations. Recommendations were developed for three interventions (CO2/O2 general anesthesia, non-steroidal anti-inflammatory drugs (NSAIDs), and lidocaine) for use during castration. The ability to make strong recommendations was limited by low-quality evidence and strong certainty about variation in stakeholder values and preferences. The panel strongly recommended against the use of a CO2/O2 general anesthesia mixture, weakly recommended for the use of NSAIDs and weakly recommended against the use of lidocaine for pain mitigation during castration of 1- to 28-day-old piglets.

AB - Piglets reared in swine production in the USA undergo painful procedures that include castration, tail docking, teeth clipping, and identification with ear notching or tagging. These procedures are usually performed without pain mitigation. The objective of this project was to develop recommendations for pain mitigation in 1- to 28-day-old piglets undergoing these procedures. The National Pork Board funded project to develop recommendations for pain mitigation in piglets. Recommendation development followed a defined multi-step process that included an evidence summary and estimates of the efficacies of interventions. The results of a systematic review of the interventions were reported in a companion paper. This manuscript describes the recommendation development process and the final recommendations. Recommendations were developed for three interventions (CO2/O2 general anesthesia, non-steroidal anti-inflammatory drugs (NSAIDs), and lidocaine) for use during castration. The ability to make strong recommendations was limited by low-quality evidence and strong certainty about variation in stakeholder values and preferences. The panel strongly recommended against the use of a CO2/O2 general anesthesia mixture, weakly recommended for the use of NSAIDs and weakly recommended against the use of lidocaine for pain mitigation during castration of 1- to 28-day-old piglets.

KW - Systematic review

KW - Animal welfare

KW - Swine

KW - Pain

KW - Castration

KW - GRADE

KW - Piglets

U2 - 10.1017/S1466252314000073

DO - 10.1017/S1466252314000073

M3 - Review article

VL - 15

SP - 39

EP - 62

JO - Animal Health Research Reviews

JF - Animal Health Research Reviews

SN - 1466-2523

IS - 1

ER -