oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 27.4 kg
Birth date: 2014-10-24 00:00:00
Primary diagnosis: Mandibular neoplasia with osteolysis and fracture, mandibular lymphadenopathy, bilateral medial coronoid disease and joint osteoarthritis
Situation: consultation
Medical history: Referral to a private vet 3 weeks ago for teeth extractions. Multiple teeth findings, lytic mandibula with big cyst. Antibiotic cure and control consultation after 2 weeks with worsening of the symptoms and massive pain. Referral for a CT scan.
Medication: Robenacoxib 1.5 mg/kg PO SID, Antirobe 10 mg/kg PO SID
Pain type: chronic, inflammatory
Pain origin: head
Pain duration: more than 7 days
Estimated pain severity: 65
Species: dog
Breed: Crossbreed
Sex: m, neutered
Weight: 36.3 kg
Birth date: 2012-11-01 00:00:00
Primary diagnosis: N. ischiadicus compression
Situation: consultation
Medical history: The dog has a lipom that compresses the N. ischiadicus on the right. The first infiltration helped for 4 months, since 4-6 weeks he started to walk lame again, even under Gabapentin and Ortoton therapy. He is now here for another infiltration (Kenakort 10mg, Dexmedetomidin, Ropivacain) of the nerve.
Medication: Gabapentin 300mg/kg PO TID, Methocarbamol (Ortoton) 15.5 mg/kg PO BID
Pain type: chronic, nociceptive
Pain origin: back, hind legs
Pain duration: more than 7 days
Estimated pain severity: 60
Species: dog
Breed: Great Dane
Sex: f, not neutered (neutered during surgery)
Weight: 53.6 kg
Birth date: 2022-09-16 00:00:00
Primary diagnosis: Bitch castration & gastropexy
Situation: pre surgery
Medical history: The dog came for a laparoscopic castration and gastropexy. She had a surgery 1 year agp because of a cyst in the spinal cord. One forelimb trembles when she puts her head up. Otherwise healthy.
Medication: After surgery: 1x Buprenorphine 0.01 mg/kg IV, 1x Carprofen 4 mg/kg IV
Anesthesia: Intervention on 28.05.2024: laparoscopic ovariectomy and gastropexy. Premedication: Methadon 0.1 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Wake up phase: Bolus Buprenorphine 0.01 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Anaesthesia duration: 165 min.
Pain type: no pain
Species: dog
Breed: Great Dane
Sex: f, not neutered (neutered during surgery)
Weight: 53.6 kg
Birth date: 2022-09-17 00:00:00
Primary diagnosis: Bitch castration & gastropexy
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: no
Medical history: The dog came for a laparoscopic castration and gastropexy. She had a surgery 1 year agp because of a cyst in the spinal cord. One forelimb trembles when she puts her head up. Otherwise healthy.
Medication: After surgery: 1x Buprenorphine 0.01 mg/kg IV, 1x Carprofen 4 mg/kg IV
Anesthesia: Intervention on 28.05.2024: laparoscopic ovariectomy and gastropexy. Premedication: Methadon 0.1 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Wake up phase: Bolus Buprenorphine 0.01 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Anaesthesia duration: 165 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: Abdomen
Estimated pain severity: 30
Species: dog
Breed: Great Dane
Sex: f, not neutered (neutered during surgery)
Weight: 53.6 kg
Birth date: 2022-09-18 00:00:00
Primary diagnosis: Bitch castration & gastropexy
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: no
Medical history: The dog came for a laparoscopic castration and gastropexy. She had a surgery 1 year agp because of a cyst in the spinal cord. One forelimb trembles when she puts her head up. Otherwise healthy.
Medication: After surgery: 1x Buprenorphine 0.01 mg/kg IV, 1x Carprofen 4 mg/kg IV
Anesthesia: Intervention on 28.05.2024: laparoscopic ovariectomy and gastropexy. Premedication: Methadon 0.1 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Wake up phase: Bolus Buprenorphine 0.01 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Anaesthesia duration: 165 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: Abdomen
Estimated pain severity: 10
Species: dog
Breed: Great Dane
Sex: f, not neutered (neutered during surgery)
Weight: 53.6 kg
Birth date: 2022-09-19 00:00:00
Primary diagnosis: Bitch castration & gastropexy
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: yes
Medical history: The dog came for a laparoscopic castration and gastropexy. She had a surgery 1 year agp because of a cyst in the spinal cord. One forelimb trembles when she puts her head up. Otherwise healthy.
Medication: After surgery: 1x Buprenorphine 0.01 mg/kg IV, 1x Carprofen 4 mg/kg IV
Anesthesia: Intervention on 28.05.2024: laparoscopic ovariectomy and gastropexy. Premedication: Methadon 0.1 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Wake up phase: Bolus Buprenorphine 0.01 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Anaesthesia duration: 165 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: Abdomen
Estimated pain severity: 20
Species: dog
Breed: Bernese Mountain Dog
Sex: f, neutered
Weight: 42 kg
Birth date: 2014-05-24 00:00:00
Primary diagnosis: Cervical bone and disc spondylomyelopathy
Situation: consultation follow-up
Medical history: The dog was presented 10 days ago to the clinic in the emergency department with a general ataxia that was more pronounced in the rear limbs and questionable limping in all four limbs. Ally's known osteoarthritis was also detected during the orthopaedic examination. As she had marked neurological deficits she was referred to neurology for today with plan of doing an MRI. They took X-rays to exclude thoracical metastasis -> diagnosis: Multifocal thoracic spondylosis deformans of thoracic vertebrae 4-7. Cervical MRI (as neuroanatomical location C1-C5): Chronic and compressive C6-7 intervertebral disc protrusion with a focal myelopathy. Enlarged facet joints C3-6 with laterolateral spinal cord compression at C4-5 and possible mild myelopathy. Generalised degenerative intervertebral disc disease. Multifocal fat conversion of the bone marrow, incidental.
Medication: Before presentation: Meloxicam PO.
Neurologic exam: Mentation: normal. Gait: very pronounced ataxia, hindlimbs > forelimbs. Neuroanatomical localisation: C1-C5
Pain type: chronic, orthopedic, somatic
Pain origin: back, hind legs
Pain duration: more than 7 days
Estimated pain severity: 45
Species: dog
Breed: Miniature Poodle
Sex: f, neutered
Weight: 7.2 kg
Birth date: 2020-03-03 00:00:00
Primary diagnosis: Bilateral medial coronoid processes fissures and osteomalacia
Situation: consultation first
Medical history: Since 1.5 months, Rosie started going lame with her left front leg when she wakes up. This lameness disappears when Rosie warms up. She has also always stood with her elbows turned outwards. She was treated for 1 week with NSAIDs which slightly improved the lameness. A lateral x-ray of the left elbow showed a slight incongruity at the elbow. She was referred to take a CT scan of the ellbows. CT report: Suspected small bilateral medial coronoid processes (L>R) fissures and osteomalacia.
Medication: No medication
Orthopedic exam: Gait: external rotation of the elbows (left > right), slight unloading of the left foreleg, no visible lameness at walk or trot. Orientating and specific palpation: physiologic.
Pain type: chronic, orthopedic, somatic
Pain origin: hind legs
Pain duration: more than 7 days
Estimated pain severity: 30
Species: dog
Breed: Miniature Poodle
Sex: f, neutered
Weight: 7.2 kg
Birth date: 2020-03-04 00:00:00
Primary diagnosis: Bilateral medial coronoid processes fissures and osteomalacia
Situation: pre surgery
Medical history: Since 1.5 months, Rosie started going lame with her left front leg when she wakes up. This lameness disappears when Rosie warms up. She has also always stood with her elbows turned outwards. She was treated for 1 week with NSAIDs which slightly improved the lameness. A lateral x-ray of the left elbow showed a slight incongruity at the elbow. She was referred to take a CT scan of the ellbows. CT report: Suspected small bilateral medial coronoid processes (L>R) fissures and osteomalacia.
Medication: No medication
Orthopedic exam: Gait: external rotation of the elbows (left > right), slight unloading of the left foreleg, no visible lameness at walk or trot. Orientating and specific palpation: physiologic.
Pain type: chronic, orthopedic, somatic
Pain origin: hind legs
Pain duration: more than 7 days
Estimated pain severity: 20
Species: dog
Breed: Miniature Poodle
Sex: f, neutered
Weight: 7.2 kg
Birth date: 2020-03-05 00:00:00
Primary diagnosis: Bilateral medial coronoid processes fissures and osteomalacia
Situation: pre surgery
Medical history: Since 1.5 months, Rosie started going lame with her left front leg when she wakes up. This lameness disappears when Rosie warms up. She has also always stood with her elbows turned outwards. She was treated for 1 week with NSAIDs which slightly improved the lameness. A lateral x-ray of the left elbow showed a slight incongruity at the elbow. She was referred to take a CT scan of the ellbows. CT report: Suspected small bilateral medial coronoid processes (L>R) fissures and osteomalacia.
Medication: No medication
Orthopedic exam: Gait: external rotation of the elbows (left > right), slight unloading of the left foreleg, no visible lameness at walk or trot. Orientating and specific palpation: physiologic.
Pain type: chronic, orthopedic, somatic
Pain origin: hind legs
Pain duration: more than 7 days
Estimated pain severity: 20
Species: dog
Breed: German Sheperd
Sex: m, not neutered
Weight: 38 kg
Birth date: 2021-11-18 00:00:00
Primary diagnosis: Foraminal stenosis L7/S1 left
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog was presented because of persisting pain after surgery for foraminal stenosis L7-S1. After surgery a month ago the dog still doesn't put any weight on the left hindlimb when standing. Kurzbrief 02.05.2024: The operation went well, but adhesions of the nerve were detected intraoperatively, which is why there may initially be a temporary worsening of symptoms postoperatively; On the following day, he still had some difficulty standing up and sitting down as well as passing urine; Proprioception and the flexor reflex were still slightly delayed on the left hind limb. The dog went home with Rinadyl 100 mg PO SID for 10 days, Gabapentin 300 mg PO SID for 10 days and BID for another 10 days. Now the dog is here for a CT scan and second foraminotomy.
Medication: Before surgery: Gabapentin 7.9 mg/kg PO, Paracteamol 13 mg/kg PO, Pantoprazol 1 mg/kg PO SID. After surgery: Paracetamol 13 mg/kg PO TID, Gabapentin 7.9 mg/kg PO TID, 1x Methadon 0.1 mg/kg IV (given after the first postoperative filming) and then switch to Buprenorphine 0.015 mg/kg IV TID. 05.06: Gabapentin & Paracetamol & Buprenorphine same as on 04.06.
Anesthesia: Intervention on 04.06.2024: L7-S1 foraminal stenosis re-operation, control CT. Premedication: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Ketamin 1 mg/kg IM. Induction Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Ropivacvain 2 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.01 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV, Paracetamol 13 mg/kg PO, Gabapentin 7.9 mg/kg PO.
Pain type: acute, chronic, nociceptive, inflammatory, somatic
Pain origin: back
Pain duration: unsure
Estimated pain severity: 40
Species: dog
Breed: German Sheperd
Sex: m, not neutered
Weight: 39 kg
Birth date: 2021-11-19 00:00:00
Primary diagnosis: Foraminal stenosis L7/S1 left
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog was presented because of persisting pain after surgery for foraminal stenosis L7-S1. After surgery a month ago the dog still doesn't put any weight on the left hindlimb when standing. Kurzbrief 02.05.2024: The operation went well, but adhesions of the nerve were detected intraoperatively, which is why there may initially be a temporary worsening of symptoms postoperatively; On the following day, he still had some difficulty standing up and sitting down as well as passing urine; Proprioception and the flexor reflex were still slightly delayed on the left hind limb. The dog went home with Rinadyl 100 mg PO SID for 10 days, Gabapentin 300 mg PO SID for 10 days and BID for another 10 days. Now the dog is here for a CT scan and second foraminotomy.
Medication: Before surgery: Gabapentin 7.9 mg/kg PO, Paracteamol 13 mg/kg PO, Pantoprazol 1 mg/kg PO SID. After surgery: Paracetamol 13 mg/kg PO TID, Gabapentin 7.9 mg/kg PO TID, 1x Methadon 0.1 mg/kg IV (given after the first postoperative filming) and then switch to Buprenorphine 0.015 mg/kg IV TID. 05.06: Gabapentin & Paracetamol & Buprenorphine same as on 04.06.
Anesthesia: Intervention on 04.06.2024: L7-S1 foraminal stenosis re-operation, control CT. Premedication: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Ketamin 1 mg/kg IM. Induction Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Ropivacvain 2 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.01 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV, Paracetamol 13 mg/kg PO, Gabapentin 7.9 mg/kg PO.
Pain type: acute, chronic, nociceptive, inflammatory, somatic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 15
Species: dog
Breed: German Sheperd
Sex: m, not neutered
Weight: 40 kg
Birth date: 2021-11-20 00:00:00
Primary diagnosis: Foraminal stenosis L7/S1 left
Situation: post surgery
Time since surgery: 4-6 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented because of persisting pain after surgery for foraminal stenosis L7-S1. After surgery a month ago the dog still doesn't put any weight on the left hindlimb when standing. Kurzbrief 02.05.2024: The operation went well, but adhesions of the nerve were detected intraoperatively, which is why there may initially be a temporary worsening of symptoms postoperatively; On the following day, he still had some difficulty standing up and sitting down as well as passing urine; Proprioception and the flexor reflex were still slightly delayed on the left hind limb. The dog went home with Rinadyl 100 mg PO SID for 10 days, Gabapentin 300 mg PO SID for 10 days and BID for another 10 days. Now the dog is here for a CT scan and second foraminotomy.
Medication: Before surgery: Gabapentin 7.9 mg/kg PO, Paracteamol 13 mg/kg PO, Pantoprazol 1 mg/kg PO SID. After surgery: Paracetamol 13 mg/kg PO TID, Gabapentin 7.9 mg/kg PO TID, 1x Methadon 0.1 mg/kg IV (given after the first postoperative filming) and then switch to Buprenorphine 0.015 mg/kg IV TID. 05.06: Gabapentin & Paracetamol & Buprenorphine same as on 04.06.
Anesthesia: Intervention on 04.06.2024: L7-S1 foraminal stenosis re-operation, control CT. Premedication: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Ketamin 1 mg/kg IM. Induction Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Ropivacvain 2 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.01 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV, Paracetamol 13 mg/kg PO, Gabapentin 7.9 mg/kg PO.
Pain type: acute, chronic, nociceptive, inflammatory, somatic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 10
Species: dog
Breed: German Sheperd
Sex: m, not neutered
Weight: 41 kg
Birth date: 2021-11-21 00:00:00
Primary diagnosis: Foraminal stenosis L7/S1 left
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented because of persisting pain after surgery for foraminal stenosis L7-S1. After surgery a month ago the dog still doesn't put any weight on the left hindlimb when standing. Kurzbrief 02.05.2024: The operation went well, but adhesions of the nerve were detected intraoperatively, which is why there may initially be a temporary worsening of symptoms postoperatively; On the following day, he still had some difficulty standing up and sitting down as well as passing urine; Proprioception and the flexor reflex were still slightly delayed on the left hind limb. The dog went home with Rinadyl 100 mg PO SID for 10 days, Gabapentin 300 mg PO SID for 10 days and BID for another 10 days. Now the dog is here for a CT scan and second foraminotomy.
Medication: Before surgery: Gabapentin 7.9 mg/kg PO, Paracteamol 13 mg/kg PO, Pantoprazol 1 mg/kg PO SID. After surgery: Paracetamol 13 mg/kg PO TID, Gabapentin 7.9 mg/kg PO TID, 1x Methadon 0.1 mg/kg IV (given after the first postoperative filming) and then switch to Buprenorphine 0.015 mg/kg IV TID. 05.06: Gabapentin & Paracetamol & Buprenorphine same as on 04.06.
Anesthesia: Intervention on 04.06.2024: L7-S1 foraminal stenosis re-operation, control CT. Premedication: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.01 mg/kg IM, Ketamin 1 mg/kg IM. Induction Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Ropivacvain 2 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.01 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Buprenorphine 0.015 mg/kg IV, Paracetamol 13 mg/kg PO, Gabapentin 7.9 mg/kg PO.
Pain type: acute, chronic, nociceptive, inflammatory, somatic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 40
Species: dog
Breed: Giant Schnauzer
Sex: m, neutered
Weight: 35 kg
Birth date: 2023-04-03 00:00:00
Primary diagnosis: SRMA
Situation: consultation follow-up
Medical history: The dog was presented to the clinic on the 24.02.2024 with apathia, anorexia and pain in the neck and hips region. SRMA was diagnosed. He was put under Prednisolon therapy, first with 2 mg/kg PO SID then after a week reduction to 1 mg/kg PO SID. The dog had a neuroloigical and dermatologic control on the 30.04 because of hypotrichosis, alopecia and itching mainly on the thighs, along the sides and hind legs, elbows, outer ear flaps, and also on the flank -> therapy with Chlorhexidine desinfectant wipes and itraconazole. Today (11.06.2024) the dog is here for a liquor punction for his SRMA, Prednisolon 1 mg/kg PO SID was changed for Hedylone 1 mg/kg PO SID. He is doing well, yesterday he screamed but it was unclear if he was painful (the owner gave Gabapentin 2x and after he was doing well again). Also a dermatological control was done, bacterial folliculitis was diagnosed and therapy with Cephalexin 20-30 mg/kg BID was started.
Medication: Before presentation: Prednisolon 1 mg/kg PO SID.
Pain type: chronic, nociceptive, inflammatory, somatic
Pain origin: neck, back
Pain duration: More than 7 days
Estimated pain severity: 55
Species: dog
Breed: Shih Tzu
Sex: m, neutered
Weight: 7.8 kg
Primary diagnosis: Complete prolaps of right Bulbus oculi
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: On the 10.06.2024 the dog was left alone for 10 minutes in the garden with two other dogs, no fight or howling were heard, then the owner searched for dog and found her with her right eye hanging out and went straight to the clinic. The same day an enucleation was performed.
Medication: 11.06: Buprenorphine IV 0.01 mg/kg TID, Ondansetron 0.3 mg/kg IV TID, Carprofen IV 4 mg/kg SID, Ampicillin 30 mg/kg IV TID, Coldpacks right eye TID. 12.06: Carprofen PO 4 mg/kg SID, Cylanic (dose unclear, 0.5 Tablet probably of the 250 mg + 62.5 mg) PO BID. 13:06: Carprofen IV 4 mg/kg SID, Cylanic same as 12.06.
Anesthesia: Intervention on 10.06.2024: right eye enucleation.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: eyes, Site of enucleation
Pain duration: 24 hours to 7 days
Estimated pain severity: 25
Species: dog
Breed: Shih Tzu
Sex: m, neutered
Weight: 7.8 kg
Primary diagnosis: Complete prolaps of right Bulbus oculi
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: On the 10.06.2024 the dog was left alone for 10 minutes in the garden with two other dogs, no fight or howling were heard, then the owner searched for dog and found her with her right eye hanging out and went straight to the clinic. The same day an enucleation was performed.
Medication: 11.06: Buprenorphine IV 0.01 mg/kg TID, Ondansetron 0.3 mg/kg IV TID, Carprofen IV 4 mg/kg SID, Ampicillin 30 mg/kg IV TID, Coldpacks right eye TID. 12.06: Carprofen PO 4 mg/kg SID, Cylanic (dose unclear, 0.5 Tablet probably of the 250 mg + 62.5 mg) PO BID. 13:06: Carprofen IV 4 mg/kg SID, Cylanic same as 12.06.
Anesthesia: Intervention on 10.06.2024: right eye enucleation.
Pain type: acute, inflammatory, somatic
Pain origin: eyes, Enucleation site
Pain duration: 24 hours to 7 days
Estimated pain severity: 20
Species: dog
Breed: Shih Tzu
Sex: m, neutered
Weight: 7.8 kg
Primary diagnosis: Complete prolaps of right Bulbus oculi
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: On the 10.06.2024 the dog was left alone for 10 minutes in the garden with two other dogs, no fight or howling were heard, then the owner searched for dog and found her with her right eye hanging out and went straight to the clinic. The same day an enucleation was performed.
Medication: 11.06: Buprenorphine IV 0.01 mg/kg TID, Ondansetron 0.3 mg/kg IV TID, Carprofen IV 4 mg/kg SID, Ampicillin 30 mg/kg IV TID, Coldpacks right eye TID. 12.06: Carprofen PO 4 mg/kg SID, Cylanic (dose unclear, 0.5 Tablet probably of the 250 mg + 62.5 mg) PO BID. 13:06: Carprofen IV 4 mg/kg SID, Cylanic same as 12.06.
Anesthesia: Intervention on 10.06.2024: right eye enucleation.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: Enucleation site
Estimated pain severity: 25
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 3.9 kg
Birth date: 2021-05-10 00:00:00
Primary diagnosis: Portosystemic shunt (left gastrophrenic shunt)
Situation: pre surgery
Medical history: Mia had her first epileptic seizure (tonic-clonic, loss of consciousness, lasting around 3 minutes) in March. She was then taken to her private vet, who took a blood sample showing increased liver values. An ultrasound scan of the abdomen was then performed and a suspected porto-systemic shunt was diagnosed. Until 07.05 she was receiving no therapy. Since then, Mia has not had any further epileptic seizures. She is in good general condition and has no symptoms (vomiting, diarrhoea etc). According to her owners, she has never had any stunted growth compared with her brothers and sisters. She sometimes vomits bile irregularly, about once a month. After the consult at the clinic o nthe 07.05.2024 she started therapy with: Liver food, Lactulose: 2ml PO BID (the dose may be reduced in the event of diarrhoea), Levetiracetam 0.8 ml PO TID (20 mg/kg PO TID). Today (18.06) the dog is here to close the shunt and take liver biopsy.
Medication: Before presentation and surgery: Lactulose 2 ml PO BID, Levetiracetam 20 mg/kg PO TID. After surgery (18.06): Lactulose & Levetiracetam same, Ampicilin 30mg/kg IV TID, Methadon 0.1 mg/kg IV q4h -> only Levetiracetam given before fiming obstervation 2. 19.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.02 mg/kg IV TID. 20.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.01 mg/kg IV TID.
Anesthesia: Intervention on 18.06.2024: portosystemic shunt + liver biopsy. Premedication at 11:00: Pethidin 4 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 4 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Remifentanil 0.01-0.02 mg/kg/h, local anaesthesia TAP Ropivacain 2 mg/kg & LS epidural 0.1 mg/kg Morphin. Antibiotica: Ampicillin/Sulbactam 22 mg/kg IV. Complications: hypotension, bradycardia, hypothermia -> Atropin 0.01 mg/kg IV (for bradycardia), 2x Ephedrin Bolus 0.1 mg/kg IV (for hypotension). Wake up phase: Bolus Pethidin 4 mg/kg IM. Intervention duration: 105 min. Anaesthesia duration: 240 min.
Pain type: no pain
Estimated pain severity: 0
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 3.9 kg
Birth date: 2021-05-11 00:00:00
Primary diagnosis: Portosystemic shunt (left gastrophrenic shunt)
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Mia had her first epileptic seizure (tonic-clonic, loss of consciousness, lasting around 3 minutes) in March. She was then taken to her private vet, who took a blood sample showing increased liver values. An ultrasound scan of the abdomen was then performed and a suspected porto-systemic shunt was diagnosed. Until 07.05 she was receiving no therapy. Since then, Mia has not had any further epileptic seizures. She is in good general condition and has no symptoms (vomiting, diarrhoea etc). According to her owners, she has never had any stunted growth compared with her brothers and sisters. She sometimes vomits bile irregularly, about once a month. After the consult at the clinic o nthe 07.05.2024 she started therapy with: Liver food, Lactulose: 2ml PO BID (the dose may be reduced in the event of diarrhoea), Levetiracetam 0.8 ml PO TID (20 mg/kg PO TID). Today (18.06) the dog is here to close the shunt and take liver biopsy.
Medication: Before presentation and surgery: Lactulose 2 ml PO BID, Levetiracetam 20 mg/kg PO TID. After surgery (18.06): Lactulose & Levetiracetam same, Ampicilin 30mg/kg IV TID, Methadon 0.1 mg/kg IV q4h -> only Levetiracetam given before fiming obstervation 2. 19.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.02 mg/kg IV TID. 20.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.01 mg/kg IV TID.
Anesthesia: Intervention on 18.06.2024: portosystemic shunt + liver biopsy. Premedication at 11:00: Pethidin 4 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 4 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Remifentanil 0.01-0.02 mg/kg/h, local anaesthesia TAP Ropivacain 2 mg/kg & LS epidural 0.1 mg/kg Morphin. Antibiotica: Ampicillin/Sulbactam 22 mg/kg IV. Complications: hypotension, bradycardia, hypothermia -> Atropin 0.01 mg/kg IV (for bradycardia), 2x Ephedrin Bolus 0.1 mg/kg IV (for hypotension). Wake up phase: Bolus Pethidin 4 mg/kg IM. Intervention duration: 105 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 15
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 3.9 kg
Birth date: 2021-05-12 00:00:00
Primary diagnosis: Portosystemic shunt (left gastrophrenic shunt)
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Mia had her first epileptic seizure (tonic-clonic, loss of consciousness, lasting around 3 minutes) in March. She was then taken to her private vet, who took a blood sample showing increased liver values. An ultrasound scan of the abdomen was then performed and a suspected porto-systemic shunt was diagnosed. Until 07.05 she was receiving no therapy. Since then, Mia has not had any further epileptic seizures. She is in good general condition and has no symptoms (vomiting, diarrhoea etc). According to her owners, she has never had any stunted growth compared with her brothers and sisters. She sometimes vomits bile irregularly, about once a month. After the consult at the clinic o nthe 07.05.2024 she started therapy with: Liver food, Lactulose: 2ml PO BID (the dose may be reduced in the event of diarrhoea), Levetiracetam 0.8 ml PO TID (20 mg/kg PO TID). Today (18.06) the dog is here to close the shunt and take liver biopsy.
Medication: Before presentation and surgery: Lactulose 2 ml PO BID, Levetiracetam 20 mg/kg PO TID. After surgery (18.06): Lactulose & Levetiracetam same, Ampicilin 30mg/kg IV TID, Methadon 0.1 mg/kg IV q4h -> only Levetiracetam given before fiming obstervation 2. 19.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.02 mg/kg IV TID. 20.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.01 mg/kg IV TID.
Anesthesia: Intervention on 18.06.2024: portosystemic shunt + liver biopsy. Premedication at 11:00: Pethidin 4 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 4 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Remifentanil 0.01-0.02 mg/kg/h, local anaesthesia TAP Ropivacain 2 mg/kg & LS epidural 0.1 mg/kg Morphin. Antibiotica: Ampicillin/Sulbactam 22 mg/kg IV. Complications: hypotension, bradycardia, hypothermia -> Atropin 0.01 mg/kg IV (for bradycardia), 2x Ephedrin Bolus 0.1 mg/kg IV (for hypotension). Wake up phase: Bolus Pethidin 4 mg/kg IM. Intervention duration: 105 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 30
Species: dog
Breed: Miniature Schnauzer
Sex: f, neutered
Weight: 3.9 kg
Birth date: 2021-05-13 00:00:00
Primary diagnosis: Portosystemic shunt (left gastrophrenic shunt)
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Mia had her first epileptic seizure (tonic-clonic, loss of consciousness, lasting around 3 minutes) in March. She was then taken to her private vet, who took a blood sample showing increased liver values. An ultrasound scan of the abdomen was then performed and a suspected porto-systemic shunt was diagnosed. Until 07.05 she was receiving no therapy. Since then, Mia has not had any further epileptic seizures. She is in good general condition and has no symptoms (vomiting, diarrhoea etc). According to her owners, she has never had any stunted growth compared with her brothers and sisters. She sometimes vomits bile irregularly, about once a month. After the consult at the clinic o nthe 07.05.2024 she started therapy with: Liver food, Lactulose: 2ml PO BID (the dose may be reduced in the event of diarrhoea), Levetiracetam 0.8 ml PO TID (20 mg/kg PO TID). Today (18.06) the dog is here to close the shunt and take liver biopsy.
Medication: Before presentation and surgery: Lactulose 2 ml PO BID, Levetiracetam 20 mg/kg PO TID. After surgery (18.06): Lactulose & Levetiracetam same, Ampicilin 30mg/kg IV TID, Methadon 0.1 mg/kg IV q4h -> only Levetiracetam given before fiming obstervation 2. 19.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.02 mg/kg IV TID. 20.06: Lactulose & Levetiracetam & Ampicillin same, Buprenorphine 0.01 mg/kg IV TID.
Anesthesia: Intervention on 18.06.2024: portosystemic shunt + liver biopsy. Premedication at 11:00: Pethidin 4 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 4 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Remifentanil 0.01-0.02 mg/kg/h, local anaesthesia TAP Ropivacain 2 mg/kg & LS epidural 0.1 mg/kg Morphin. Antibiotica: Ampicillin/Sulbactam 22 mg/kg IV. Complications: hypotension, bradycardia, hypothermia -> Atropin 0.01 mg/kg IV (for bradycardia), 2x Ephedrin Bolus 0.1 mg/kg IV (for hypotension). Wake up phase: Bolus Pethidin 4 mg/kg IM. Intervention duration: 105 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 30
Species: dog
Breed: Crossbreed
Sex: f, neutered
Birth date: 2017-07-01 00:00:00
Primary diagnosis: Degenerative lumbosacral disc disease with ventral-lateral spondylosis deformans, multifocal degenerative disc disease T12 to L3, multifocal spondylosis deformans and mild L3-4 spondyloarthrosis (see medical history)
Situation: consultation first
Medical history: The dog was already presented to the clinic on 04.10.2023. He gradually showed ataxia and pain in the lumbar spine, delayed rear position ration. No trauma observed. It got worse, the PTA gave Carprofen for 4d, that fixed it. The case was referred for MRI. MRI report (04.10.2023): Degenerative lumbosacral disc disease associated with severe bilateral foraminal stenosis, sciatic neuropathy (R>L) resulting in a mild cauda equina compression, and ventral-lateral spondylosis deformans with inflammatory changes of the regional soft tissues; Multifocal degenerative disc disease with multiple mildly compressive chronic intervertebral disc protrusions (from T12 to L3), multifocal spondylosis deformans and mild L3-4 spondyloarthrosis; Focal incidental fat conversion of the bone marrow, L3. After doing the MRI they performed an ultrasound guided perineural injection of 5 mg of triamcinolone on each sciatic nerve. Today the dog was presented again for a perineural injection. Leni has been showing increased lameness in her hind limbs for a few weeks now, especially in the left hindlimb The lameness occurs particularly after increased weight-bearing. After the first injection, it had a good effect for about 6-7 months and the symptoms were significantly less severe. The dog has also been receiving Carprofen as a long-term therapy for months. On the 18.06.2024 the dog came for a perineural Triamcinolone injection of the sciatic nerves. Ultrasound report 18.06: Ultrasound guided perineural injection of 5 mg Triamcinolone to the left and right sciatic nerves respectively, ventral to the L7-S1 foramina.
Medication: Carprofen (unknown doasge, how often,...)
Orthopedic exam: Gait: no lameness visible. Palpation: painful on extension of both hip joints, palpation in the lumbar region and lifting of the tail.
Pain type: chronic, orthopedic, somatic, nociceptive
Pain origin: back
Pain duration: unsure
Estimated pain severity: 45
Species: dog
Breed: Crossbreed
Sex: m, not neutered
Weight: 21.9 kg
Birth date: 2011-08-01 00:00:00
Primary diagnosis: Spinal cord neoplasia (T8-10), thoracic epaxial paraspinal myopathy, L2-L3 intervertebral disc herniation
Situation: hospitalized
Medical history: Originally from Spain, owned by these owners for 8 years. The dog has always had problems with his hind extremities. He gets ab Librela injection every month for six months due to osteoarthritis, he doesn't walk perfectly but he walks better. 10 days before presentation on 18.06: walking extremely slowly with his hind legs. 1 week before presentation: Dragged back his right limb, then it got worse every day until he wasn't putting any weight on the leg at all, but he generally hardly shows any pain. Presentation to the private vet: suspected back problem, but could not find cause. The day before presentatin the dog was referred to another private vet. There, a large popliteal lump on the right was noticed, which was punctured and came back reactively. No imaging procedures were carried out. As of this morning, Mirco is no longer bearing weight on either side. Because the dog went from being able to walk without any problems to paraparetic within 10 days without any recognisable cause, the private referred him directly to the clinic. The private vet gave Carprofen as analgesia, which seemed to have no effect. When the owner picked him up, some urine dripped out, presumably because she was putting pressure on the bladder., but otherwise the dog did not urinate the day of presentation. At the clinic a physical and neurological examination were done, blood was taken, the dog was put under Methadon therapy and a urinary catheter was placed. The day after a neruologist did a neurlogical examination and an MRI was done. MRI report (19.06): Singular intramedullary lesion T8-T10 with possible association to the central canal; Extensive diffuse myelopathy cranially and caudally to the lesion; Multifocal thoracic epaxial paraspinal myopathy, accentuated on the right; L2-L3 intervertebral disc herniation with mild left ventrolateral myelocompression.
Medication: 19.06: Methadon 0.2 mg/kg IV q4h (not given before filming Observation 1)
Neurologic exam: Mentation: normal. Posture: sternal recumbency. Gait: paraplegic. Postural reactios: no proprioception in the hindlimbs, present in the forelimbs. Spinal reflexes: hindlimbs flexor reflex and patellar reflex present (to increased), forelimbs present. Anal reflex present. Caudal panniculus reduced from T6, absent from T8 onwards. Sensitivity: Painful on palpation of the back, no deep pain on both hindlimbs. Neuroanatomical localisation: T3-L3 (tends to be at the level of T8).
Pain type: acute, chronic, nociceptive, orthopedic, somatic
Pain origin: back, arthrotic joints
Estimated pain severity: 15
Species: dog
Breed: Dachshund
Sex: m, not neutered
Weight: 11.1 kg
Birth date: 2016
Primary diagnosis: Chronic C4-C5 and C5-C6 intervertebral disc protrusions, focal myelopathies dorsal to C4-5 and C5-6, generalised intervertebral disc degeneration, C3-C4 non-compressive intervertebral disc protrusion
Situation: hospitalized
Medical history: On the 11.07.2024 the dog started crying out and going intermittently lame on the right forelimb. On the 12.07 the dog was presented to the private vet, where he was clinically completely unremarkable, ne showed no lameness, he was neurologically and orthopaedically unremarkable. The dog was sent home with Onsior (Robenacoxib) therapy when needed. On the 24th he was presented again at the private vet, because the day before he started being strange, he starded going lame again, he started being more cautious, sleeping a lot and not moving much. The owner gave Robenacoxib 1.8 mg/kg p.o. in the evening. At the vet the cervical spine extension in the caudal region was very uncomfortable, the neck flexion on the right when lying in lateral position was also painful, part of the spinal reflexes in the forelimbs were reduced. The vet gave Buprenorphine 0.01 mg/kg IV and sent the dog home under Gabapentin therapy but after a few hours the symptoms got worse, so the owner took him to our clinic. The day after an MRI was done, and the dog was sent home under Robenacoxib and Gabapentin therapy. MRI report: Mild chronic C4-C5 and C5-C6 intervertebral disc protrusions with mild deformity of the spinal cord and subtle lateral displacement of the left C5-C6 nerve root at the level of the neuroforamen; Focal myelopathies dorsal to C4-5 and C5-6; Generalised intervertebral disc degeneration; C3-C4 non-compressive intervertebral disc protrusion; Small soft tissue nodule dorsal cervical spine. 2022 with a herniated disc and foraminal stenosis T11/T12 with subsequent surgery. Recovery after the operation was unproblematic and has been very good so far.
Neurologic exam: Mentation: very friendly, calm, withdrawn. Posture: slightly low head carriage. Gait: Lameness left forelimb, the dog puts weight on the limb but the lameness is throughout recognisable. Postural reactions: prompt in all four limbs. Cranial nerves: unremarkable, intermittent questionable mild strabismus on the left. Spinal reflexes: Flexor left significantly reduced (compared to right). Sensitivity: neck bending pain to the left and right, continued slight muscle fasciculation in the shoulder region, palpation of plexus not really increased dolent. Neuroanatomical localisation: C6-Th2, C4-5 also possible.
Pain type: acute, nociceptive, somatic
Pain origin: neck
Pain duration: more than 7 days
Estimated pain severity: 25
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-01 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Pre-surgery
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: no pain
Pain origin: No pain
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-02 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: acute, nociceptive, inflammatory
Pain origin: Trachea
Estimated pain severity: 15
Species: dog
Breed: Pomeranian
Sex: m, not neutered
Weight: 6.6 kg & 5.9 kg
Birth date: 2021-02-03 00:00:00
Primary diagnosis: Tracheal collaps (C3, C6), BOAS (elongated soft palate)
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Pamuk was presented to the private vet on 26 July due to massive dyspnoea/coughing. The owner had had the dog for a few days now days from her ex-partner, so she didn't know exactly how long the rattling and dyspnoea had been present. The dog already had rattling and reverse sneezing before. At the presentation the dog was very stressed, showed massive dyspnoea, stertorous breathing. The vet had suspicion of tracheal collapse, which was confirmed radiologically. The dog improved under therapy with steroids, atussin and codeine, he also received antibiotics (Amoxicillin / Clavulanic acid) for a few days, in addition as little exertion as possible, especially in the heat. At the time of the referral he was getting following medication: 2.5 mg Prednisolon BID, Atussin Mite TID, Codeine 12.5 mg BID. On the 08.08.2024 the dog was presented to our clinic, where a CT was performed and a tracheal collaps grade 1/2 cranially and grade 2/3 caudally was diagnosed. CT report (08.08): Moderate to severe multifocal tracheal collapse with axial rotation in the cervical region and at the thoracic inlet; Chronic discopathies C6/C7 and T11/T12; Multifocal spondylosis deformans. The following day a trecheal stent was placed and the dog went home the same day. On the 22.08.2024 the dog came back to check the stent position and to undergo a staphylectomy.
Medication: Before presentation and observation 1 (unclear exactly when the last time): Prednisolon 0.4 mg/kg PO BID, Atussin Mite syrup PO TID, Codeine 1.9 mg/kg PO BID. After observation 2: Butorphanol 0.2 mg/kg IV, Acepromazin 0.01 mg/kg IV. Before presentation for surgery: Omeprazol 1.5 mg/kg PO BID, Prednisolon 0.4 mg/kg PO SID, Hydrocodon 0.4 mg/kg PO BID. After surgery (before observation 7): 0.01 mg/kg IV.
Anesthesia: Intervention on 09.08: Intra-tracheal stent placement. Premedication: Butorphanol 0.2 mg/kg IM, Dexmedetomidin 0.007 mg/kg IM. Induction: Propofol 1.5 mg/kg IV, Lidocain 2 mg/kg IV. Maintenance: FiO2 (100%), Propofol CRI 6-8 mg/kg/h. Analgesia: IV Infusion (Dex)medetomidin 0.001 mg/kg IV, IV Infusion Lidocain 1.8 mg/kg/h. Wake up phase: postoperative sedation Acepromazin 0.01 mg/kg IV & Butorphanol 0.2 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 90 min. Intervention on 22.08: Stent control + Staphylectomy. Premedication at 10:12: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.005 mg/kg IM. Induction (ca. 1h after premedication): Ketamin 1 mg/kg IV, Propofol 1.7 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Local Anaesthesia Lidocain infiltration. Intervention duration: 15 min. Anaesthesia duration: 30 min.
Pain type: acute, nociceptive, inflammatory
Pain origin: Trachea
Estimated pain severity: 30