oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: American Bulldog
Sex: f, not neutered
Weight: 22.6 kg
Birth date: 2023-04-11 00:00:00
Primary diagnosis: Bilateral medial coronoid disease
Situation: pre surgery
Medical history: The dog has been going lame on multiple limbs since november 2023. It started with the right hindlimb. In february she was still lame on that limb, a medial luxation of the left patella was diagnosed and therapy with Meloxicam was started. X-rays of the hips were taken but they were not remarkable. In march the dog fell a few times on the backhand, and a few days after she started gong lame also on the left hindlimb. Then also a patellar luxation on the right was diagnosed. A few weeks later the lameness still didn't get better, and she also started going lame on the left forelimb. In may she then arterded going lame on the right forelimb. At the beginning of this month (june) she started not being so fit, she lays down a lot, the lameness got worse, she vomited a few times. NSAIDs were stopped. Today (24.06.2024) the dog came for consultation and CT. CT report: Bilateral medial coronoid disease -> fragmented coronoid process left, medial coronoid sclerosis right; Bilateral radioulnar incongruency; Suspected humeral kissing lesions bilateral. Plan: Arthroscopy of the left elbow joint with X-ray images of the left knee on 01.07, followed by at least 4 weeks of rest and then planning of the operation for the left patellar luxation grade 2-3, followed by 6-8 weeks of rest and then control x-rays and castration as part of the castration project.
Medication: Trazodone 5.5 mg/kg PO (ca. 30 min before filming obervation 1). No medication between consultation and surgery. After surgery: Carprofen 4 mg/kg IV (before observation 4), Buprenorphine 0.01 mg/kg IV (before observation 5).
Anesthesia: Intervention on 01.07.2024: Arthroscopy ellbow left. Premedication at 09:50: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM, Acepromazine 0.007 mg/kg IM. Induction: Propofol 4 mg/kg IV. Maintenance: Isofluran. Analgesia: Bolus Carprofen 4 mg/kg IV, local anaesthesia Morphin 0.1 mg/kg. Complications: hypotension -> Bolus RA 10 ml/kg. Wake up phase: postoperative sedation Acepromazine 0.035 mg/kg IM, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 145 min.
Orthopedic exam: Right hindlimb: toe joints unremarkable, tasal joint unremarkable, patellar luxation grade 1/3, knee stable, hip unremarkable. Left hindlimb: toe joints unremarkable, tarsal joint unremarkable, patellar luxation grade 2-3/3, knee slightly swollen but stable, hip unremarkable. Right forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint unremarkable, shoulder joint unremarkable. Left forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint in extension dolent and coronoid test positive, shoulder joint unremarkable.
Pain type: chronic, orthopedic, somatic
Pain duration: More than 7 days
Estimated pain severity: 65
Species: dog
Breed: American Bulldog
Sex: f, not neutered
Weight: 22.6 kg
Birth date: 2023-04-12 00:00:00
Primary diagnosis: Bilateral medial coronoid disease
Situation: pre surgery
Medical history: The dog has been going lame on multiple limbs since november 2023. It started with the right hindlimb. In february she was still lame on that limb, a medial luxation of the left patella was diagnosed and therapy with Meloxicam was started. X-rays of the hips were taken but they were not remarkable. In march the dog fell a few times on the backhand, and a few days after she started gong lame also on the left hindlimb. Then also a patellar luxation on the right was diagnosed. A few weeks later the lameness still didn't get better, and she also started going lame on the left forelimb. In may she then arterded going lame on the right forelimb. At the beginning of this month (june) she started not being so fit, she lays down a lot, the lameness got worse, she vomited a few times. NSAIDs were stopped. Today (24.06.2024) the dog came for consultation and CT. CT report: Bilateral medial coronoid disease -> fragmented coronoid process left, medial coronoid sclerosis right; Bilateral radioulnar incongruency; Suspected humeral kissing lesions bilateral. Plan: Arthroscopy of the left elbow joint with X-ray images of the left knee on 01.07, followed by at least 4 weeks of rest and then planning of the operation for the left patellar luxation grade 2-3, followed by 6-8 weeks of rest and then control x-rays and castration as part of the castration project.
Medication: Trazodone 5.5 mg/kg PO (ca. 30 min before filming obervation 1). No medication between consultation and surgery. After surgery: Carprofen 4 mg/kg IV (before observation 4), Buprenorphine 0.01 mg/kg IV (before observation 5).
Anesthesia: Intervention on 01.07.2024: Arthroscopy ellbow left. Premedication at 09:50: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM, Acepromazine 0.007 mg/kg IM. Induction: Propofol 4 mg/kg IV. Maintenance: Isofluran. Analgesia: Bolus Carprofen 4 mg/kg IV, local anaesthesia Morphin 0.1 mg/kg. Complications: hypotension -> Bolus RA 10 ml/kg. Wake up phase: postoperative sedation Acepromazine 0.035 mg/kg IM, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 145 min.
Orthopedic exam: Right hindlimb: toe joints unremarkable, tasal joint unremarkable, patellar luxation grade 1/3, knee stable, hip unremarkable. Left hindlimb: toe joints unremarkable, tarsal joint unremarkable, patellar luxation grade 2-3/3, knee slightly swollen but stable, hip unremarkable. Right forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint unremarkable, shoulder joint unremarkable. Left forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint in extension dolent and coronoid test positive, shoulder joint unremarkable.
Pain type: chronic, orthopedic, somatic
Pain duration: More than 7 days
Estimated pain severity: 65
Species: dog
Breed: American Bulldog
Sex: f, not neutered
Weight: 22.6 kg
Birth date: 2023-04-13 00:00:00
Primary diagnosis: Bilateral medial coronoid disease
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Moderate sedation (2)
Medical history: The dog has been going lame on multiple limbs since november 2023. It started with the right hindlimb. In february she was still lame on that limb, a medial luxation of the left patella was diagnosed and therapy with Meloxicam was started. X-rays of the hips were taken but they were not remarkable. In march the dog fell a few times on the backhand, and a few days after she started gong lame also on the left hindlimb. Then also a patellar luxation on the right was diagnosed. A few weeks later the lameness still didn't get better, and she also started going lame on the left forelimb. In may she then arterded going lame on the right forelimb. At the beginning of this month (june) she started not being so fit, she lays down a lot, the lameness got worse, she vomited a few times. NSAIDs were stopped. Today (24.06.2024) the dog came for consultation and CT. CT report: Bilateral medial coronoid disease -> fragmented coronoid process left, medial coronoid sclerosis right; Bilateral radioulnar incongruency; Suspected humeral kissing lesions bilateral. Plan: Arthroscopy of the left elbow joint with X-ray images of the left knee on 01.07, followed by at least 4 weeks of rest and then planning of the operation for the left patellar luxation grade 2-3, followed by 6-8 weeks of rest and then control x-rays and castration as part of the castration project.
Medication: Trazodone 5.5 mg/kg PO (ca. 30 min before filming obervation 1). No medication between consultation and surgery. After surgery: Carprofen 4 mg/kg IV (before observation 4), Buprenorphine 0.01 mg/kg IV (before observation 5).
Anesthesia: Intervention on 01.07.2024: Arthroscopy ellbow left. Premedication at 09:50: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM, Acepromazine 0.007 mg/kg IM. Induction: Propofol 4 mg/kg IV. Maintenance: Isofluran. Analgesia: Bolus Carprofen 4 mg/kg IV, local anaesthesia Morphin 0.1 mg/kg. Complications: hypotension -> Bolus RA 10 ml/kg. Wake up phase: postoperative sedation Acepromazine 0.035 mg/kg IM, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 145 min.
Orthopedic exam: Right hindlimb: toe joints unremarkable, tasal joint unremarkable, patellar luxation grade 1/3, knee stable, hip unremarkable. Left hindlimb: toe joints unremarkable, tarsal joint unremarkable, patellar luxation grade 2-3/3, knee slightly swollen but stable, hip unremarkable. Right forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint unremarkable, shoulder joint unremarkable. Left forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint in extension dolent and coronoid test positive, shoulder joint unremarkable.
Pain type: acute, chronic, inflammatory, orthopedic, somatic
Pain duration: More than 7 days
Estimated pain severity: 50
Species: dog
Breed: American Bulldog
Sex: f, not neutered
Weight: 22.6 kg
Birth date: 2023-04-14 00:00:00
Primary diagnosis: Bilateral medial coronoid disease
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: no sedation (0)
Medical history: The dog has been going lame on multiple limbs since november 2023. It started with the right hindlimb. In february she was still lame on that limb, a medial luxation of the left patella was diagnosed and therapy with Meloxicam was started. X-rays of the hips were taken but they were not remarkable. In march the dog fell a few times on the backhand, and a few days after she started gong lame also on the left hindlimb. Then also a patellar luxation on the right was diagnosed. A few weeks later the lameness still didn't get better, and she also started going lame on the left forelimb. In may she then arterded going lame on the right forelimb. At the beginning of this month (june) she started not being so fit, she lays down a lot, the lameness got worse, she vomited a few times. NSAIDs were stopped. Today (24.06.2024) the dog came for consultation and CT. CT report: Bilateral medial coronoid disease -> fragmented coronoid process left, medial coronoid sclerosis right; Bilateral radioulnar incongruency; Suspected humeral kissing lesions bilateral. Plan: Arthroscopy of the left elbow joint with X-ray images of the left knee on 01.07, followed by at least 4 weeks of rest and then planning of the operation for the left patellar luxation grade 2-3, followed by 6-8 weeks of rest and then control x-rays and castration as part of the castration project.
Medication: Trazodone 5.5 mg/kg PO (ca. 30 min before filming obervation 1). No medication between consultation and surgery. After surgery: Carprofen 4 mg/kg IV (before observation 4), Buprenorphine 0.01 mg/kg IV (before observation 5).
Anesthesia: Intervention on 01.07.2024: Arthroscopy ellbow left. Premedication at 09:50: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM, Acepromazine 0.007 mg/kg IM. Induction: Propofol 4 mg/kg IV. Maintenance: Isofluran. Analgesia: Bolus Carprofen 4 mg/kg IV, local anaesthesia Morphin 0.1 mg/kg. Complications: hypotension -> Bolus RA 10 ml/kg. Wake up phase: postoperative sedation Acepromazine 0.035 mg/kg IM, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 75 min. Anaesthesia duration: 145 min.
Orthopedic exam: Right hindlimb: toe joints unremarkable, tasal joint unremarkable, patellar luxation grade 1/3, knee stable, hip unremarkable. Left hindlimb: toe joints unremarkable, tarsal joint unremarkable, patellar luxation grade 2-3/3, knee slightly swollen but stable, hip unremarkable. Right forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint unremarkable, shoulder joint unremarkable. Left forelimb: toe joints unremarkable, carpal joint unremarkable, elbow joint in extension dolent and coronoid test positive, shoulder joint unremarkable.
Pain type: acute, chronic, inflammatory, orthopedic, somatic
Pain duration: More than 7 days
Estimated pain severity: 40
Species: dog
Breed: Australian Kelpie
Sex: m, not neutered
Weight: 23 kg
Birth date: 2015-06-09 00:00:00
Primary diagnosis: Perineal hernia left and right
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: no sedation (0)
Medical history: Coober was presented to the clinic on 11.06.2024 due to constipation and tenesmus. He was operated on 31.10.2023 for a perineal hernia (left side) and had recovered well afterwards. The same symptoms started again around a month ago. Therapy with lactulose and metamizol was started and today (24.06.2024) he got an internal obturator muscle flap on the right and a revision on the left.
Medication: Before presentation: Lactulose 10 ml PO BID, Metamizol 21.7 mg/kg PO BID. After surgery: Methadone 0.2 mg/kg q4h, Trittico 5 mg/kg PO SID (after observation 1), Gabapentin 10 mg/kg PO TID (after observation 1), Carprofen 4 mg/kg IV SID, Lactulose 10 ml PO SID (after observation 1). 25.06: Trittico & Gabapentin & Lactulose same as 24.06, Buprenorphine 0.02 mg/kg IV, Ondansetron 0.3 mg PO, Maropitant 0.9 mg PO.
Anesthesia: Intervention on 24.06: perineal hernia surgery right (internal obturator muscle flap) and revision left. Premedication: Dexmedetomidin 0.007 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 2.6 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 3 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 130 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, somatic
Pain origin: Perineal
Estimated pain severity: 65
Species: dog
Breed: Australian Kelpie
Sex: m, not neutered
Weight: 24 kg
Birth date: 2015-06-10 00:00:00
Primary diagnosis: Perineal hernia left and right
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: no sedation (0)
Medical history: Coober was presented to the clinic on 11.06.2024 due to constipation and tenesmus. He was operated on 31.10.2023 for a perineal hernia (left side) and had recovered well afterwards. The same symptoms started again around a month ago. Therapy with lactulose and metamizol was started and today (24.06.2024) he got an internal obturator muscle flap on the right and a revision on the left.
Medication: Before presentation: Lactulose 10 ml PO BID, Metamizol 21.7 mg/kg PO BID. After surgery: Methadone 0.2 mg/kg q4h, Trittico 5 mg/kg PO SID (after observation 1), Gabapentin 10 mg/kg PO TID (after observation 1), Carprofen 4 mg/kg IV SID, Lactulose 10 ml PO SID (after observation 1). 25.06: Trittico & Gabapentin & Lactulose same as 24.06, Buprenorphine 0.02 mg/kg IV, Ondansetron 0.3 mg PO, Maropitant 0.9 mg PO.
Anesthesia: Intervention on 24.06: perineal hernia surgery right (internal obturator muscle flap) and revision left. Premedication: Dexmedetomidin 0.007 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 2.6 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 3 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 130 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, somatic
Pain origin: Perineal
Estimated pain severity: 60
Species: dog
Breed: Australian Kelpie
Sex: m, not neutered
Weight: 25 kg
Birth date: 2015-06-11 00:00:00
Primary diagnosis: Perineal hernia left and right
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: no sedation (0)
Medical history: Coober was presented to the clinic on 11.06.2024 due to constipation and tenesmus. He was operated on 31.10.2023 for a perineal hernia (left side) and had recovered well afterwards. The same symptoms started again around a month ago. Therapy with lactulose and metamizol was started and today (24.06.2024) he got an internal obturator muscle flap on the right and a revision on the left.
Medication: Before presentation: Lactulose 10 ml PO BID, Metamizol 21.7 mg/kg PO BID. After surgery: Methadone 0.2 mg/kg q4h, Trittico 5 mg/kg PO SID (after observation 1), Gabapentin 10 mg/kg PO TID (after observation 1), Carprofen 4 mg/kg IV SID, Lactulose 10 ml PO SID (after observation 1). 25.06: Trittico & Gabapentin & Lactulose same as 24.06, Buprenorphine 0.02 mg/kg IV, Ondansetron 0.3 mg PO, Maropitant 0.9 mg PO.
Anesthesia: Intervention on 24.06: perineal hernia surgery right (internal obturator muscle flap) and revision left. Premedication: Dexmedetomidin 0.007 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Propofol 2.6 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia epidural Ropivacain 3 ml. Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: postoperative sedation Acepromazine 0.005 mg/kg IV, Bolus Methadon 0.2 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 130 min. Anaesthesia duration: 240 min.
Pain type: acute, inflammatory, somatic
Pain origin: Perineal
Estimated pain severity: 60
Species: dog
Breed: Yorkshire Terrier
Sex: m, neutered
Weight: 5.4 kg
Birth date: 2020-10-11 00:00:00
Primary diagnosis: Paraphimosis
Situation: pre surgery
Medical history: Known paraphimosis for 2 years, the penis could initially be pushed back into the prepuce and remained that way for 3 days. For some time now, it has only remained there for 30 minutes at a time and has to be constantly pushed back. The owner uses Vaseline or KY ointment to keep the penis moist. The dog had a consultation in our surgery departement on the 19.06.2024 and a surgery was planned for the 01.07.2024.
Medication: No medication before surgery. After surgery (01.07): Meloxicam 0.2 mg/kg IV & Medetomidin 0.004 mg/kg IV before observation 2, Buprenorphine 0.02 mg/kg IV before observation 3. 02.07: Buprenorphine 0.02 mg/kg IV TID, Meloxicam 0.1 mg/kg IV/PO SID.
Anesthesia: Intervention on 01.07.2024: Paraphimosis surgery (V-shaped plastic of the aspect of the prepuce and triangle-shaped preputial advancement). Premedication at 12:17: Methadon 0.2 mg/kg IV, Medetomidin 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance? Isofluran?. Analgesia: 2x Bolus Methadon 0.2 mg/kg IV, 2x Bolus Fentanyl 0.003 IV, local anaesthesia epidural Ropivacain 0.01 mg/kg. Complications: hypotension -> Bolus Glycopyrrolate 0.01 mg/kg IV -> tachycardia. Wake up phase: postoperative sedation Medetomidin 0.004 mg/kg IV. Intervention duration: 85 min. Anaesthesia duration: 125 min.
Pain type: chronic, inflammatory, somatic
Pain origin: penis
Estimated pain severity: 15
Species: dog
Breed: Yorkshire Terrier
Sex: m, neutered
Weight: 5.4 kg
Birth date: 2020-10-12 00:00:00
Primary diagnosis: Paraphimosis
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Known paraphimosis for 2 years, the penis could initially be pushed back into the prepuce and remained that way for 3 days. For some time now, it has only remained there for 30 minutes at a time and has to be constantly pushed back. The owner uses Vaseline or KY ointment to keep the penis moist. The dog had a consultation in our surgery departement on the 19.06.2024 and a surgery was planned for the 01.07.2024.
Medication: No medication before surgery. After surgery (01.07): Meloxicam 0.2 mg/kg IV & Medetomidin 0.004 mg/kg IV before observation 2, Buprenorphine 0.02 mg/kg IV before observation 3. 02.07: Buprenorphine 0.02 mg/kg IV TID, Meloxicam 0.1 mg/kg IV/PO SID.
Anesthesia: Intervention on 01.07.2024: Paraphimosis surgery (V-shaped plastic of the aspect of the prepuce and triangle-shaped preputial advancement). Premedication at 12:17: Methadon 0.2 mg/kg IV, Medetomidin 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance? Isofluran?. Analgesia: 2x Bolus Methadon 0.2 mg/kg IV, 2x Bolus Fentanyl 0.003 IV, local anaesthesia epidural Ropivacain 0.01 mg/kg. Complications: hypotension -> Bolus Glycopyrrolate 0.01 mg/kg IV -> tachycardia. Wake up phase: postoperative sedation Medetomidin 0.004 mg/kg IV. Intervention duration: 85 min. Anaesthesia duration: 125 min.
Pain type: acute, chronic, inflammatory, somatic
Pain origin: penis
Estimated pain severity: 20
Species: dog
Breed: Yorkshire Terrier
Sex: m, neutered
Weight: 5.4 kg
Birth date: 2020-10-13 00:00:00
Primary diagnosis: Paraphimosis
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Known paraphimosis for 2 years, the penis could initially be pushed back into the prepuce and remained that way for 3 days. For some time now, it has only remained there for 30 minutes at a time and has to be constantly pushed back. The owner uses Vaseline or KY ointment to keep the penis moist. The dog had a consultation in our surgery departement on the 19.06.2024 and a surgery was planned for the 01.07.2024.
Medication: No medication before surgery. After surgery (01.07): Meloxicam 0.2 mg/kg IV & Medetomidin 0.004 mg/kg IV before observation 2, Buprenorphine 0.02 mg/kg IV before observation 3. 02.07: Buprenorphine 0.02 mg/kg IV TID, Meloxicam 0.1 mg/kg IV/PO SID.
Anesthesia: Intervention on 01.07.2024: Paraphimosis surgery (V-shaped plastic of the aspect of the prepuce and triangle-shaped preputial advancement). Premedication at 12:17: Methadon 0.2 mg/kg IV, Medetomidin 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance? Isofluran?. Analgesia: 2x Bolus Methadon 0.2 mg/kg IV, 2x Bolus Fentanyl 0.003 IV, local anaesthesia epidural Ropivacain 0.01 mg/kg. Complications: hypotension -> Bolus Glycopyrrolate 0.01 mg/kg IV -> tachycardia. Wake up phase: postoperative sedation Medetomidin 0.004 mg/kg IV. Intervention duration: 85 min. Anaesthesia duration: 125 min.
Pain type: acute, chronic, inflammatory, somatic
Pain origin: penis
Estimated pain severity: 40
Species: dog
Breed: Yorkshire Terrier
Sex: m, neutered
Weight: 5.4 kg
Birth date: 2020-10-14 00:00:00
Primary diagnosis: Paraphimosis
Situation: post surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Known paraphimosis for 2 years, the penis could initially be pushed back into the prepuce and remained that way for 3 days. For some time now, it has only remained there for 30 minutes at a time and has to be constantly pushed back. The owner uses Vaseline or KY ointment to keep the penis moist. The dog had a consultation in our surgery departement on the 19.06.2024 and a surgery was planned for the 01.07.2024.
Medication: No medication before surgery. After surgery (01.07): Meloxicam 0.2 mg/kg IV & Medetomidin 0.004 mg/kg IV before observation 2, Buprenorphine 0.02 mg/kg IV before observation 3. 02.07: Buprenorphine 0.02 mg/kg IV TID, Meloxicam 0.1 mg/kg IV/PO SID.
Anesthesia: Intervention on 01.07.2024: Paraphimosis surgery (V-shaped plastic of the aspect of the prepuce and triangle-shaped preputial advancement). Premedication at 12:17: Methadon 0.2 mg/kg IV, Medetomidin 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance? Isofluran?. Analgesia: 2x Bolus Methadon 0.2 mg/kg IV, 2x Bolus Fentanyl 0.003 IV, local anaesthesia epidural Ropivacain 0.01 mg/kg. Complications: hypotension -> Bolus Glycopyrrolate 0.01 mg/kg IV -> tachycardia. Wake up phase: postoperative sedation Medetomidin 0.004 mg/kg IV. Intervention duration: 85 min. Anaesthesia duration: 125 min.
Pain type: acute, chronic, inflammatory, somatic
Pain origin: penis
Estimated pain severity: 30
Species: dog
Breed: Dogo Argentino
Sex: m, not neutered (neutered during surgery)
Weight: 38 kg
Birth date: 2019-12-20 00:00:00
Primary diagnosis: Elective castration
Situation: post surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Moderate sedation (2)
Medical history: The dog came for elective surgery, in 2021 he underwent an operation at our clinic for a subcutaneous abscess that contaminated his abdomen. Jax made a good recovery and has not had any health problems since.
Medication: No medication before presentation. After surgery: Carprofen 4 mg/kg IV & Buprenorphine 0.01 mg/kg IV before obervation 1.
Anesthesia: Intervention on 02.07.2024: elective prescrotal castration. Premedication at 09:15: Acepromazine 0.05 mg/kg IM, Dexmedetomidin 0.02 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: Isofluran. Analgesia: local anaesthesia intratesticular Lidocain 6 mg/kg. Wake up phase: Bolus Carprofen 4 mg/kg IV, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 55 min. Anaesthesia duration: 95 min.
Pain type: acute, inflammatory, somatic
Pain origin: Prescrotal castration site
Estimated pain severity: 25
Species: dog
Breed: Dogo Argentino
Sex: m, not neutered (neutered during surgery)
Weight: 39 kg
Birth date: 2019-12-21 00:00:00
Primary diagnosis: Elective castration
Situation: post surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog came for elective surgery, in 2021 he underwent an operation at our clinic for a subcutaneous abscess that contaminated his abdomen. Jax made a good recovery and has not had any health problems since.
Medication: No medication before presentation. After surgery: Carprofen 4 mg/kg IV & Buprenorphine 0.01 mg/kg IV before obervation 1.
Anesthesia: Intervention on 02.07.2024: elective prescrotal castration. Premedication at 09:15: Acepromazine 0.05 mg/kg IM, Dexmedetomidin 0.02 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: Isofluran. Analgesia: local anaesthesia intratesticular Lidocain 6 mg/kg. Wake up phase: Bolus Carprofen 4 mg/kg IV, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 55 min. Anaesthesia duration: 95 min.
Pain type: acute, inflammatory, somatic
Pain origin: Prescrotal castration site
Estimated pain severity: 20
Species: dog
Breed: Dogo Argentino
Sex: m, not neutered (neutered during surgery)
Weight: 40 kg
Birth date: 2019-12-22 00:00:00
Primary diagnosis: Elective castration
Situation: post surgery
Time since surgery: 4-6 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog came for elective surgery, in 2021 he underwent an operation at our clinic for a subcutaneous abscess that contaminated his abdomen. Jax made a good recovery and has not had any health problems since.
Medication: No medication before presentation. After surgery: Carprofen 4 mg/kg IV & Buprenorphine 0.01 mg/kg IV before obervation 1.
Anesthesia: Intervention on 02.07.2024: elective prescrotal castration. Premedication at 09:15: Acepromazine 0.05 mg/kg IM, Dexmedetomidin 0.02 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: Isofluran. Analgesia: local anaesthesia intratesticular Lidocain 6 mg/kg. Wake up phase: Bolus Carprofen 4 mg/kg IV, Bolus Buprenorphine 0.01 mg/kg IV. Intervention duration: 55 min. Anaesthesia duration: 95 min.
Pain type: acute, inflammatory, somatic
Pain origin: Prescrotal castration site
Estimated pain severity: 20
Species: dog
Breed: Portuguese Water Dog
Sex: m, neutered
Weight: 23 kg
Birth date: 2012-04-15 00:00:00
Primary diagnosis: Pheochromocytoma on the right with invasion of the V. cava caudalis
Situation: Pre-surgery
Medical history: Cooper was refered to us on the 1st of July for the surgical treatment of a right adrenal mass. In september 2023, a cystotomy was perforemed to remove urinary calculi (Calcium oxalate) and a urinary diet was started. Cooper developped diarrhoea / soft faeces with the new diet and an ultrasound examination of the abdomen was performed to investigate possible causes for the diarreha. During this examination an incidental adrenal mass was found. A CT scan was performed on the 5th of june and showed invasion of the caudal vena cava. Cooper was then referred to us for furhter treatment. The dog also has arthrosis and is under Librela (Bedinvetmab) therapy. An adrenalectomy and cystotomy were performed on the 03.07.2024.
Medication: Before observation 2 (8-10 h before): Gabapentin 20 mg/kg PO. After surgery (03.07): before observation 3 Maropitant 1 mg/kg IV & Ondansetron 0.3 mg/kg IV & Meloxicam 0.2 mg/kg IV, before observation 4 Ampicillin 30 mg/kg IV. 04.07: Buprenorphine 0.02 mg/kg IV TID (not given before observation 5), Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 (?) mg/kg IV BID, Meloxicam 0.1 mg/kg IV SID. 05.07: Buprenorphine & Maropitant & Ondansetron & Meloxicam same as on 04.07.
Anesthesia: Intervention: Adrenalectomy & cystotomy. Premedication: Dexmedetomidin 0.003 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.005 mg/kg/h, local anaesthesia epidural Methadon 0.1 mg/kg & Morphin 0.1 mg/kg, local anaesthesia TAP block Bupivacain 2 mg/kg, local anaesthesia splash block (on the wound, in the end) Bupivacain. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia, tachycardia, arrhythmia -> Inititally rather high HR, so 10 ml/kg RA were administered; Then during surgery after the cut ventricular rhythm (idioventricular) for a few seconds; Then during manipulation of the mass the HR dropped from 68/min to 30/min and the BP went up to 180 syst; Mg 10 ml, Lido 2 mg/kg and Urapidil 0.35 mg/kg were administered; Afterwards it normalized. Wake up phase: postoperative analgesia Bolus Methadon 0.2 mg/kg IV. Intervention duration: 240 min. Anaesthesia duration: 300 min.
Pain type: no pain
Species: dog
Breed: Portuguese Water Dog
Sex: m, neutered
Weight: 24 kg
Birth date: 2012-04-16 00:00:00
Primary diagnosis: Pheochromocytoma on the right with invasion of the V. cava caudalis
Situation: Pre-surgery
Medical history: Cooper was refered to us on the 1st of July for the surgical treatment of a right adrenal mass. In september 2023, a cystotomy was perforemed to remove urinary calculi (Calcium oxalate) and a urinary diet was started. Cooper developped diarrhoea / soft faeces with the new diet and an ultrasound examination of the abdomen was performed to investigate possible causes for the diarreha. During this examination an incidental adrenal mass was found. A CT scan was performed on the 5th of june and showed invasion of the caudal vena cava. Cooper was then referred to us for furhter treatment. The dog also has arthrosis and is under Librela (Bedinvetmab) therapy. An adrenalectomy and cystotomy were performed on the 03.07.2024.
Medication: Before observation 2 (8-10 h before): Gabapentin 20 mg/kg PO. After surgery (03.07): before observation 3 Maropitant 1 mg/kg IV & Ondansetron 0.3 mg/kg IV & Meloxicam 0.2 mg/kg IV, before observation 4 Ampicillin 30 mg/kg IV. 04.07: Buprenorphine 0.02 mg/kg IV TID (not given before observation 5), Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 (?) mg/kg IV BID, Meloxicam 0.1 mg/kg IV SID. 05.07: Buprenorphine & Maropitant & Ondansetron & Meloxicam same as on 04.07.
Anesthesia: Intervention: Adrenalectomy & cystotomy. Premedication: Dexmedetomidin 0.003 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.005 mg/kg/h, local anaesthesia epidural Methadon 0.1 mg/kg & Morphin 0.1 mg/kg, local anaesthesia TAP block Bupivacain 2 mg/kg, local anaesthesia splash block (on the wound, in the end) Bupivacain. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia, tachycardia, arrhythmia -> Inititally rather high HR, so 10 ml/kg RA were administered; Then during surgery after the cut ventricular rhythm (idioventricular) for a few seconds; Then during manipulation of the mass the HR dropped from 68/min to 30/min and the BP went up to 180 syst; Mg 10 ml, Lido 2 mg/kg and Urapidil 0.35 mg/kg were administered; Afterwards it normalized. Wake up phase: postoperative analgesia Bolus Methadon 0.2 mg/kg IV. Intervention duration: 240 min. Anaesthesia duration: 300 min.
Pain type: no pain
Species: dog
Breed: Portuguese Water Dog
Sex: m, neutered
Weight: 25 kg
Birth date: 2012-04-17 00:00:00
Primary diagnosis: Pheochromocytoma on the right with invasion of the V. cava caudalis
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Cooper was refered to us on the 1st of July for the surgical treatment of a right adrenal mass. In september 2023, a cystotomy was perforemed to remove urinary calculi (Calcium oxalate) and a urinary diet was started. Cooper developped diarrhoea / soft faeces with the new diet and an ultrasound examination of the abdomen was performed to investigate possible causes for the diarreha. During this examination an incidental adrenal mass was found. A CT scan was performed on the 5th of june and showed invasion of the caudal vena cava. Cooper was then referred to us for furhter treatment. The dog also has arthrosis and is under Librela (Bedinvetmab) therapy. An adrenalectomy and cystotomy were performed on the 03.07.2024.
Medication: Before observation 2 (8-10 h before): Gabapentin 20 mg/kg PO. After surgery (03.07): before observation 3 Maropitant 1 mg/kg IV & Ondansetron 0.3 mg/kg IV & Meloxicam 0.2 mg/kg IV, before observation 4 Ampicillin 30 mg/kg IV. 04.07: Buprenorphine 0.02 mg/kg IV TID (not given before observation 5), Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 (?) mg/kg IV BID, Meloxicam 0.1 mg/kg IV SID. 05.07: Buprenorphine & Maropitant & Ondansetron & Meloxicam same as on 04.07.
Anesthesia: Intervention: Adrenalectomy & cystotomy. Premedication: Dexmedetomidin 0.003 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.005 mg/kg/h, local anaesthesia epidural Methadon 0.1 mg/kg & Morphin 0.1 mg/kg, local anaesthesia TAP block Bupivacain 2 mg/kg, local anaesthesia splash block (on the wound, in the end) Bupivacain. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia, tachycardia, arrhythmia -> Inititally rather high HR, so 10 ml/kg RA were administered; Then during surgery after the cut ventricular rhythm (idioventricular) for a few seconds; Then during manipulation of the mass the HR dropped from 68/min to 30/min and the BP went up to 180 syst; Mg 10 ml, Lido 2 mg/kg and Urapidil 0.35 mg/kg were administered; Afterwards it normalized. Wake up phase: postoperative analgesia Bolus Methadon 0.2 mg/kg IV. Intervention duration: 240 min. Anaesthesia duration: 300 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 30
Species: dog
Breed: Portuguese Water Dog
Sex: m, neutered
Weight: 26 kg
Birth date: 2012-04-18 00:00:00
Primary diagnosis: Pheochromocytoma on the right with invasion of the V. cava caudalis
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Cooper was refered to us on the 1st of July for the surgical treatment of a right adrenal mass. In september 2023, a cystotomy was perforemed to remove urinary calculi (Calcium oxalate) and a urinary diet was started. Cooper developped diarrhoea / soft faeces with the new diet and an ultrasound examination of the abdomen was performed to investigate possible causes for the diarreha. During this examination an incidental adrenal mass was found. A CT scan was performed on the 5th of june and showed invasion of the caudal vena cava. Cooper was then referred to us for furhter treatment. The dog also has arthrosis and is under Librela (Bedinvetmab) therapy. An adrenalectomy and cystotomy were performed on the 03.07.2024.
Medication: Before observation 2 (8-10 h before): Gabapentin 20 mg/kg PO. After surgery (03.07): before observation 3 Maropitant 1 mg/kg IV & Ondansetron 0.3 mg/kg IV & Meloxicam 0.2 mg/kg IV, before observation 4 Ampicillin 30 mg/kg IV. 04.07: Buprenorphine 0.02 mg/kg IV TID (not given before observation 5), Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 (?) mg/kg IV BID, Meloxicam 0.1 mg/kg IV SID. 05.07: Buprenorphine & Maropitant & Ondansetron & Meloxicam same as on 04.07.
Anesthesia: Intervention: Adrenalectomy & cystotomy. Premedication: Dexmedetomidin 0.003 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.005 mg/kg/h, local anaesthesia epidural Methadon 0.1 mg/kg & Morphin 0.1 mg/kg, local anaesthesia TAP block Bupivacain 2 mg/kg, local anaesthesia splash block (on the wound, in the end) Bupivacain. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia, tachycardia, arrhythmia -> Inititally rather high HR, so 10 ml/kg RA were administered; Then during surgery after the cut ventricular rhythm (idioventricular) for a few seconds; Then during manipulation of the mass the HR dropped from 68/min to 30/min and the BP went up to 180 syst; Mg 10 ml, Lido 2 mg/kg and Urapidil 0.35 mg/kg were administered; Afterwards it normalized. Wake up phase: postoperative analgesia Bolus Methadon 0.2 mg/kg IV. Intervention duration: 240 min. Anaesthesia duration: 300 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 20
Species: dog
Breed: Portuguese Water Dog
Sex: m, neutered
Weight: 27 kg
Birth date: 2012-04-19 00:00:00
Primary diagnosis: Pheochromocytoma on the right with invasion of the V. cava caudalis
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Cooper was refered to us on the 1st of July for the surgical treatment of a right adrenal mass. In september 2023, a cystotomy was perforemed to remove urinary calculi (Calcium oxalate) and a urinary diet was started. Cooper developped diarrhoea / soft faeces with the new diet and an ultrasound examination of the abdomen was performed to investigate possible causes for the diarreha. During this examination an incidental adrenal mass was found. A CT scan was performed on the 5th of june and showed invasion of the caudal vena cava. Cooper was then referred to us for furhter treatment. The dog also has arthrosis and is under Librela (Bedinvetmab) therapy. An adrenalectomy and cystotomy were performed on the 03.07.2024.
Medication: Before observation 2 (8-10 h before): Gabapentin 20 mg/kg PO. After surgery (03.07): before observation 3 Maropitant 1 mg/kg IV & Ondansetron 0.3 mg/kg IV & Meloxicam 0.2 mg/kg IV, before observation 4 Ampicillin 30 mg/kg IV. 04.07: Buprenorphine 0.02 mg/kg IV TID (not given before observation 5), Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 (?) mg/kg IV BID, Meloxicam 0.1 mg/kg IV SID. 05.07: Buprenorphine & Maropitant & Ondansetron & Meloxicam same as on 04.07.
Anesthesia: Intervention: Adrenalectomy & cystotomy. Premedication: Dexmedetomidin 0.003 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.005 mg/kg/h, local anaesthesia epidural Methadon 0.1 mg/kg & Morphin 0.1 mg/kg, local anaesthesia TAP block Bupivacain 2 mg/kg, local anaesthesia splash block (on the wound, in the end) Bupivacain. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia, tachycardia, arrhythmia -> Inititally rather high HR, so 10 ml/kg RA were administered; Then during surgery after the cut ventricular rhythm (idioventricular) for a few seconds; Then during manipulation of the mass the HR dropped from 68/min to 30/min and the BP went up to 180 syst; Mg 10 ml, Lido 2 mg/kg and Urapidil 0.35 mg/kg were administered; Afterwards it normalized. Wake up phase: postoperative analgesia Bolus Methadon 0.2 mg/kg IV. Intervention duration: 240 min. Anaesthesia duration: 300 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 55
Species: dog
Breed: Portuguese Water Dog
Sex: m, neutered
Weight: 28 kg
Birth date: 2012-04-20 00:00:00
Primary diagnosis: Pheochromocytoma on the right with invasion of the V. cava caudalis
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Cooper was refered to us on the 1st of July for the surgical treatment of a right adrenal mass. In september 2023, a cystotomy was perforemed to remove urinary calculi (Calcium oxalate) and a urinary diet was started. Cooper developped diarrhoea / soft faeces with the new diet and an ultrasound examination of the abdomen was performed to investigate possible causes for the diarreha. During this examination an incidental adrenal mass was found. A CT scan was performed on the 5th of june and showed invasion of the caudal vena cava. Cooper was then referred to us for furhter treatment. The dog also has arthrosis and is under Librela (Bedinvetmab) therapy. An adrenalectomy and cystotomy were performed on the 03.07.2024.
Medication: Before observation 2 (8-10 h before): Gabapentin 20 mg/kg PO. After surgery (03.07): before observation 3 Maropitant 1 mg/kg IV & Ondansetron 0.3 mg/kg IV & Meloxicam 0.2 mg/kg IV, before observation 4 Ampicillin 30 mg/kg IV. 04.07: Buprenorphine 0.02 mg/kg IV TID (not given before observation 5), Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 (?) mg/kg IV BID, Meloxicam 0.1 mg/kg IV SID. 05.07: Buprenorphine & Maropitant & Ondansetron & Meloxicam same as on 04.07.
Anesthesia: Intervention: Adrenalectomy & cystotomy. Premedication: Dexmedetomidin 0.003 mg/kg IV, Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Fentanyl CRI 0.005 mg/kg/h, local anaesthesia epidural Methadon 0.1 mg/kg & Morphin 0.1 mg/kg, local anaesthesia TAP block Bupivacain 2 mg/kg, local anaesthesia splash block (on the wound, in the end) Bupivacain. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: bradycardia, tachycardia, arrhythmia -> Inititally rather high HR, so 10 ml/kg RA were administered; Then during surgery after the cut ventricular rhythm (idioventricular) for a few seconds; Then during manipulation of the mass the HR dropped from 68/min to 30/min and the BP went up to 180 syst; Mg 10 ml, Lido 2 mg/kg and Urapidil 0.35 mg/kg were administered; Afterwards it normalized. Wake up phase: postoperative analgesia Bolus Methadon 0.2 mg/kg IV. Intervention duration: 240 min. Anaesthesia duration: 300 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 20
Species: dog
Breed: Maltese
Sex: m, neutered
Weight: 5.6 kg
Birth date: 2017-04-10 00:00:00
Primary diagnosis: Intervertebral disc herniation T3-L3
Situation: hospitalized
Medical history: The dog was first presented to the clinic in december 2023 with a chronic intervertebral disc extrusion L3-L4. Then an MRI was made -> report: Ventro-right-lateral disc extrusion at L3-4, causing a moderate to marked compression of the spinal cord; Multifocal chronic IVDD at T13-L1, L1-2, L2-3 and L3-4; Previous hemilaminectomy site T12-13 visible, mild amount of chronic extruded material remaining, which is slightly compressive. He has been doing well since February, but his general condition has been slowly deteriorating for about a month, he is much less active and hardly ever goes out into the garden, he has been trembling for about two weeks, similar to December, but not as much. For the last 4-5 days he has been going into the bathroom, for example, and starts barking until his owner picks him up. Since Saturday (29.06) he has been panting a lot and is sometimes restless. No trauma has been observed. Snooky was given Metacam for 10 days (last day on Sunday) and Metacam three times a day for 12 days and was still being treated at presentation on the 02.07.2024. The owner observed a slight improvement at first, then a gradual deterioration. Analgesic therapy with Meloxicam, Methadon and Gabapentin was started. At first it helped, then the dog started being painful again, so he was put under Ketamin CRI.
Medication: 03.07: Methadon 0.2 mg/kg IV q4h, Meloxicam 0.1 mg/kg IV SID, Gabaliquid 10 mg/kg PO TID, Ketamin CRI 2 mcg/kg/min, Ondansetron 0.2 mg/kg IV TID. 04.07: Buprenorphine 0.02 mg/kg IV TID, Pregabalin 4 mg/kg PO BID, Maropitant 1 mg/kg IV SID, Meloxicam 0.1 mg/kg IV SID.
Neurologic exam: On 03.07. Mentation: alert. Behaviour: normal. Posture: normal. Gait: normal. Cranial nerves: normal. Postural reactions: normal. Spinal reflexes: normal. Sensibility: painful on palpation of lumbar area. Neuroanatomical localization: T3-L3. On 04.07 the neurological examination was normal.
Pain type: subacute, nociceptive, neuropathic, somatic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 20
Species: dog
Breed: Maltese
Sex: m, neutered
Weight: 5.6 kg
Birth date: 2017-04-11 00:00:00
Primary diagnosis: Intervertebral disc herniation T3-L4
Situation: hospitalized
Medical history: The dog was first presented to the clinic in december 2023 with a chronic intervertebral disc extrusion L3-L4. Then an MRI was made -> report: Ventro-right-lateral disc extrusion at L3-4, causing a moderate to marked compression of the spinal cord; Multifocal chronic IVDD at T13-L1, L1-2, L2-3 and L3-4; Previous hemilaminectomy site T12-13 visible, mild amount of chronic extruded material remaining, which is slightly compressive. He has been doing well since February, but his general condition has been slowly deteriorating for about a month, he is much less active and hardly ever goes out into the garden, he has been trembling for about two weeks, similar to December, but not as much. For the last 4-5 days he has been going into the bathroom, for example, and starts barking until his owner picks him up. Since Saturday (29.06) he has been panting a lot and is sometimes restless. No trauma has been observed. Snooky was given Metacam for 10 days (last day on Sunday) and Metacam three times a day for 12 days and was still being treated at presentation on the 02.07.2024. The owner observed a slight improvement at first, then a gradual deterioration. Analgesic therapy with Meloxicam, Methadon and Gabapentin was started. At first it helped, then the dog started being painful again, so he was put under Ketamin CRI.
Medication: 03.07: Methadon 0.2 mg/kg IV q4h, Meloxicam 0.1 mg/kg IV SID, Gabaliquid 10 mg/kg PO TID, Ketamin CRI 2 mcg/kg/min, Ondansetron 0.2 mg/kg IV TID. 04.07: Buprenorphine 0.02 mg/kg IV TID, Pregabalin 4 mg/kg PO BID, Maropitant 1 mg/kg IV SID, Meloxicam 0.1 mg/kg IV SID.
Neurologic exam: On 03.07. Mentation: alert. Behaviour: normal. Posture: normal. Gait: normal. Cranial nerves: normal. Postural reactions: normal. Spinal reflexes: normal. Sensibility: painful on palpation of lumbar area. Neuroanatomical localization: T3-L3. On 04.07 the neurological examination was normal.
Pain type: subacute, nociceptive, neuropathic, somatic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 30
Species: dog
Breed: Norwich Terrier
Sex: m, neutered
Weight: 10.5 kg
Birth date: 2011-09-10 00:00:00
Primary diagnosis: Subcutaneous soft tissue sarcoma left ilium wing
Situation: Pre-surgery
Medical history: The owner reported that a mass within the lumbar area has been present for one year, but it has been growing over the last two months. On 29th May cytology of the mass was performed and consistent with a sarcoma. At the AOI center thrax and abdomen CT was performed. The dog is now here at our clinic to remove the mass surgically.
Medication: No medication before surgery. After surgery (09.07): Carprofen 4 mg/kg IV SID, Buprenorphine 0.01 mg/kg IV TID, Prokolin 3 ml PO. 10.07: Buprenorphine & Prokolin same.
Anesthesia: Intervention on 09.07: tumor resection (soft tissue sarcoma left flank). Premedication: Methadon 0.2 mg/kg IV, Acepromazine 0.01 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: IV Infusion Fentanyl 0.005 mg/kg/h, local anaesthesia Ropivacain 3 ml. Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Complications: hypothermia. Wake up phase: Bolus Carprofen 4 mg/kg IV, Bolus Buprenorphine 0.01 mg/kg IV. Anaesthesia duration: 85 min.
Pain type: chronic, inflammatory, somatic
Pain origin: pelvis, Flank (subcutaneous at the level of the left ilium)
Pain duration: More than 7 days
Estimated pain severity: 10