“While at Washington State University our team performed TPLO's along with PainTrace and found it to be an effective pain measure. Reviewing PainTrace data we were able to remotely monitor dogs during overnight recovery, monitored pain, and even saw exactly when they began weight bearing after surgery. PainTrace is an important tool to improve patient care by measuring and monitoring both acute and chronic pain."
- Dr. Tammy Grubb, DVM, PhD, DACVAA
PainTrace® Objectively Quantifies Pain for Accurate Evaluation of Anaesthesia and Analgesia Efficacy
- PainTrace offers qualitative and quantitative monitoring of acute and chronic pain in multiple species including canine, feline, equine, and bovine.
- PainTrace differentiates acute and chronic pain, measuring both magnitude and duration of the pain experience. Understanding the individual experience of pain supports targeted treatment leading the path to wellness.
How can PainTrace benefit veterinarians and their patients?
When to apply PainTrace
The initial trace is used to establish baseline pain levels prior to surgery to help guide medication choices and illustrate to pet owners the need for surgical intervention
The second trace is run during surgery and can be used to evaluate analgesic efficacy and anesthetic techniques
The third trace is run after surgery and can be used to determine when a patient is ready to go home. All traces following can be used to monitor recovery, evaluate pain management, and communicate outcomes with the pet owner
Prepare the skin and apply sensors
- Shave all fur from the species-specific location
- Clean thoroughly with isopropanol
- Place sensors on completely shaven, clean, and dry skin
- Use SkinTac™ to better adhere sensors to the skin, if necessary
- Attach the PainTrace device and start a trace
Establish pre-operative pain levels
- Perform an exam while annotating to give context to the PainTrace graph
- Annotate using speech to text or tap to text on the PainTrace app
- Quantify acute and chronic pain by determining the Chronic PainTrace Baseline Values and Acute PainTrace Peak deltas
- In post-op visits, this trace can act as a reference point to ensure the patient has fully recovered
Perform surgery while collecting PainTrace data
- Use the real-time PainTrace graph while performing the surgery to continuously evaluate analgesic efficacy including the success of local and regional anesthetic techniques
Monitor recovery with PainTrace
- Run a PainTrace during the recovery process.
- Use the PainTrace graph to determine with certainty that the patient is comfortable and able to go home or to intervene and change direction accordingly
Evaluate pain management in following visits
- Use the pre-operative PainTrace as a benchmark to compare to following PainTraces to ensure the patient is recovering
- Compare the Chronic PainTrace baseline value and the acute PainTrace deltas to evaluate the efficacy of pain management, and rehabilitation post-operatively
Communicate recovery progress with client
- Communicate patient pain with the pet owner by using acute PainTrace peak deltas and chronic PainTrace baselines to communicate the need for treatments
- Visualize improvement by using overlay reporting to depict mitigation of chronic and acute pain overtime
- Assure pet owners that treatments are efficacious or adjust rehabilitation if you and the pet owner are not seeing the desired improvements
- Accurately determine necessity for pain management or further rehabilitation
Visit 1 with PainTrace Post-Op: Severe & Moderate Acute Pain
Patient is a very sweet Blue Heeler that is very attached to the owner. The dog was previously hit by a car and brought to the humane society, where he was quickly adopted and brought to a veterinarian for FHO surgery. Post-operatively, the dog was brought to this veterinary clinic to begin rehabilitation. During this visit, the dog was non-weight bearing. The PainTrace graph illustrated the absence of chronic pain but the presence of severe acute PainTrace Peaks associated with sit, scoot to sit, lunging forward to sit, and standing from sit. Mild acute PainTrace peaks were seen during examination of the right elbow as well. Rehabilitation and physiotherapy was started.
Visit 2 with PainTrace Post-Rehabilitation: Mild Acute Pain
Two months later, the dog presented for a recheck exam and PainTrace. Only mild acute PainTrace peaks were observed during previously severely painful exercises.
This is an example of using PainTrace to monitor the recovery and pain management, post-operatively.