oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Pug
Sex: f, neutered
Weight: 7.1 kg
Birth date: 2013-08-21 00:00:00
Primary diagnosis: Left sided acute and compressive intervertebral disc extrusion T12/15
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Molly was presented to our clinic on 29.10.24 due to a suspected disc extrusion. Everything was normal when the owners took her for a walk the afternoon before. In the evening around 8.00 pm Molly jumped onto the bed and could no longer get down on her own. She went acutely lame, swayed with her hind limbs and was painful, but still put weight on all her limbs. Since then the lameness has remained the same. The morning of presentation at the private vet Molly was given medication (0.7 Carprofen, probably 0.7 ml). No difference has been noticed since then. Because of the acute symptomatic an MRI was directly done, and afterwards the dog went into surgery. MRI report (29.10): Acute and compressive intervertebral disc extrusion T12/13, left side; Secondary mild segmental myelopathy; Caudal articular process hypoplasia T11- T13; Generalized degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusions at T11/12, T13/L1.
Medication: 29.10 before presentation (around 09-10 am): Carprofen 5 mg/kg SC. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.5 mg/kg IV. Before observation 3: Methadon 0.1 mg/kg IV. Started/continued after observation 3: Methadon 0.1 mg/kg IV q4h, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID. 30.10 (nothing given before observation 4): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 29.10. 31.10 (nothing given before observation 5): Buprenorphin & Carprofen & Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 30.10. 01.11 (nothing given before observation 6): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID.
Anesthesia: Intervention on 29.10: Hemilaminectomy. Premedication at 13:49: Methadon 0.1 mg/kg IV, Acepromazin 0.01 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Bupivacain epidural (unknown dosis). Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV. Intervention duration: 80 min. Anaesthesia duration: 205 min.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 20
Species: dog
Breed: Pug
Sex: f, neutered
Weight: 7.1 kg
Birth date: 2013-08-22 00:00:00
Primary diagnosis: Left sided acute and compressive intervertebral disc extrusion T12/16
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Molly was presented to our clinic on 29.10.24 due to a suspected disc extrusion. Everything was normal when the owners took her for a walk the afternoon before. In the evening around 8.00 pm Molly jumped onto the bed and could no longer get down on her own. She went acutely lame, swayed with her hind limbs and was painful, but still put weight on all her limbs. Since then the lameness has remained the same. The morning of presentation at the private vet Molly was given medication (0.7 Carprofen, probably 0.7 ml). No difference has been noticed since then. Because of the acute symptomatic an MRI was directly done, and afterwards the dog went into surgery. MRI report (29.10): Acute and compressive intervertebral disc extrusion T12/13, left side; Secondary mild segmental myelopathy; Caudal articular process hypoplasia T11- T13; Generalized degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusions at T11/12, T13/L1.
Medication: 29.10 before presentation (around 09-10 am): Carprofen 5 mg/kg SC. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.5 mg/kg IV. Before observation 3: Methadon 0.1 mg/kg IV. Started/continued after observation 3: Methadon 0.1 mg/kg IV q4h, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID. 30.10 (nothing given before observation 4): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 29.10. 31.10 (nothing given before observation 5): Buprenorphin & Carprofen & Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 30.10. 01.11 (nothing given before observation 6): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID.
Anesthesia: Intervention on 29.10: Hemilaminectomy. Premedication at 13:49: Methadon 0.1 mg/kg IV, Acepromazin 0.01 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Bupivacain epidural (unknown dosis). Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV. Intervention duration: 80 min. Anaesthesia duration: 205 min.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 45
Species: dog
Breed: Pug
Sex: f, neutered
Weight: 7.1 kg
Birth date: 2013-08-23 00:00:00
Primary diagnosis: Left sided acute and compressive intervertebral disc extrusion T12/17
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Molly was presented to our clinic on 29.10.24 due to a suspected disc extrusion. Everything was normal when the owners took her for a walk the afternoon before. In the evening around 8.00 pm Molly jumped onto the bed and could no longer get down on her own. She went acutely lame, swayed with her hind limbs and was painful, but still put weight on all her limbs. Since then the lameness has remained the same. The morning of presentation at the private vet Molly was given medication (0.7 Carprofen, probably 0.7 ml). No difference has been noticed since then. Because of the acute symptomatic an MRI was directly done, and afterwards the dog went into surgery. MRI report (29.10): Acute and compressive intervertebral disc extrusion T12/13, left side; Secondary mild segmental myelopathy; Caudal articular process hypoplasia T11- T13; Generalized degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusions at T11/12, T13/L1.
Medication: 29.10 before presentation (around 09-10 am): Carprofen 5 mg/kg SC. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.5 mg/kg IV. Before observation 3: Methadon 0.1 mg/kg IV. Started/continued after observation 3: Methadon 0.1 mg/kg IV q4h, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID. 30.10 (nothing given before observation 4): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 29.10. 31.10 (nothing given before observation 5): Buprenorphin & Carprofen & Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 30.10. 01.11 (nothing given before observation 6): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID.
Anesthesia: Intervention on 29.10: Hemilaminectomy. Premedication at 13:49: Methadon 0.1 mg/kg IV, Acepromazin 0.01 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Bupivacain epidural (unknown dosis). Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV. Intervention duration: 80 min. Anaesthesia duration: 205 min.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 47
Species: dog
Breed: Pug
Sex: f, neutered
Weight: 7.1 kg
Birth date: 2013-08-24 00:00:00
Primary diagnosis: Left sided acute and compressive intervertebral disc extrusion T12/18
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Molly was presented to our clinic on 29.10.24 due to a suspected disc extrusion. Everything was normal when the owners took her for a walk the afternoon before. In the evening around 8.00 pm Molly jumped onto the bed and could no longer get down on her own. She went acutely lame, swayed with her hind limbs and was painful, but still put weight on all her limbs. Since then the lameness has remained the same. The morning of presentation at the private vet Molly was given medication (0.7 Carprofen, probably 0.7 ml). No difference has been noticed since then. Because of the acute symptomatic an MRI was directly done, and afterwards the dog went into surgery. MRI report (29.10): Acute and compressive intervertebral disc extrusion T12/13, left side; Secondary mild segmental myelopathy; Caudal articular process hypoplasia T11- T13; Generalized degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusions at T11/12, T13/L1.
Medication: 29.10 before presentation (around 09-10 am): Carprofen 5 mg/kg SC. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.5 mg/kg IV. Before observation 3: Methadon 0.1 mg/kg IV. Started/continued after observation 3: Methadon 0.1 mg/kg IV q4h, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID. 30.10 (nothing given before observation 4): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 29.10. 31.10 (nothing given before observation 5): Buprenorphin & Carprofen & Maropitant & Ondansetron & Cisaprid & Omeprazol & Gabapentin same as on 30.10. 01.11 (nothing given before observation 6): Buprenorphin 0.015 mg/kg IV TID, Carprofen 4 mg/kg IV SID, Maropitant 1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Cisaprid 0.35 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Gabapentin 10 mg/kg PO TID.
Anesthesia: Intervention on 29.10: Hemilaminectomy. Premedication at 13:49: Methadon 0.1 mg/kg IV, Acepromazin 0.01 mg/kg IV. Induction: Ketamin 1 mg/kg IV, Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia Bupivacain epidural (unknown dosis). Antibiotics: Cefazolin 22 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV. Intervention duration: 80 min. Anaesthesia duration: 205 min.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 53
Species: dog
Breed: Jack Russell Terrier
Sex: f, neutered
Weight: 7.7 kg
Birth date: 2023-02-12 00:00:00
Primary diagnosis: Gastropathy with gastric dilation and hypomotility
Situation: emergency initial
Medical history: The dog was presented to our clinic on the 04.11.2024. Mia is a healthy young dog that has a tendency to eat a lot of things she is not allowed to. The day before presentation she disappeared during a walk and was found 3 kilometres away an hour later. The evening of the same day she was still fit and she ate a little. At 00.00 she became painful, especially in her abdomen. From 2.00 that morning she started vomiting about every 20-30 minutes. It was only liquid. The day of presentation she did not eat or drink and no faeces were passed. She was seen by the private vet the day of presentation at 8:00 where Metacox and Morphasol were given. She was then referred to us. At our clinic abdominal x-rays and ultrasound were performed, she was put unter symptomatic therapy and she was released the day after. X-rays report (01.11): Unremarkable abdomen. Ultrasound report (01.11): Gastropathy with mild/moderate gastric dilation and mild gastric hypomotility.
Medication: Before presentation: Meloxicam 0.2 mg/kg (route of administration unknown), Butorphanol 0.2 mg/kg (route of administration unknown). Before observation 2: Ondansetron 0.5 mg/kg IV, Methadon 0.2 mg/kg IV. Before observation 4: Methadon 0.2 mg/kg IV.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 64
Species: dog
Breed: Jack Russell Terrier
Sex: f, neutered
Weight: 7.7 kg
Birth date: 2023-02-13 00:00:00
Primary diagnosis: Gastropathy with gastric dilation and hypomotility
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: The dog was presented to our clinic on the 04.11.2024. Mia is a healthy young dog that has a tendency to eat a lot of things she is not allowed to. The day before presentation she disappeared during a walk and was found 3 kilometres away an hour later. The evening of the same day she was still fit and she ate a little. At 00.00 she became painful, especially in her abdomen. From 2.00 that morning she started vomiting about every 20-30 minutes. It was only liquid. The day of presentation she did not eat or drink and no faeces were passed. She was seen by the private vet the day of presentation at 8:00 where Metacox and Morphasol were given. She was then referred to us. At our clinic abdominal x-rays and ultrasound were performed, she was put unter symptomatic therapy and she was released the day after. X-rays report (01.11): Unremarkable abdomen. Ultrasound report (01.11): Gastropathy with mild/moderate gastric dilation and mild gastric hypomotility.
Medication: Before presentation: Meloxicam 0.2 mg/kg (route of administration unknown), Butorphanol 0.2 mg/kg (route of administration unknown). Before observation 2: Ondansetron 0.5 mg/kg IV, Methadon 0.2 mg/kg IV. Before observation 4: Methadon 0.2 mg/kg IV.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 48
Species: dog
Breed: Jack Russell Terrier
Sex: f, neutered
Weight: 7.7 kg
Birth date: 2023-02-14 00:00:00
Primary diagnosis: Gastropathy with gastric dilation and hypomotility
Situation: emergency follow-up
Time since surgery: 2-4 hrs
Medical history: The dog was presented to our clinic on the 04.11.2024. Mia is a healthy young dog that has a tendency to eat a lot of things she is not allowed to. The day before presentation she disappeared during a walk and was found 3 kilometres away an hour later. The evening of the same day she was still fit and she ate a little. At 00.00 she became painful, especially in her abdomen. From 2.00 that morning she started vomiting about every 20-30 minutes. It was only liquid. The day of presentation she did not eat or drink and no faeces were passed. She was seen by the private vet the day of presentation at 8:00 where Metacox and Morphasol were given. She was then referred to us. At our clinic abdominal x-rays and ultrasound were performed, she was put unter symptomatic therapy and she was released the day after. X-rays report (01.11): Unremarkable abdomen. Ultrasound report (01.11): Gastropathy with mild/moderate gastric dilation and mild gastric hypomotility.
Medication: Before presentation: Meloxicam 0.2 mg/kg (route of administration unknown), Butorphanol 0.2 mg/kg (route of administration unknown). Before observation 2: Ondansetron 0.5 mg/kg IV, Methadon 0.2 mg/kg IV. Before observation 4: Methadon 0.2 mg/kg IV.
Pain type: acute, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 42
Species: dog
Breed: Jack Russell Terrier
Sex: f, neutered
Weight: 7.7 kg
Birth date: 2023-02-15 00:00:00
Primary diagnosis: Gastropathy with gastric dilation and hypomotility
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was presented to our clinic on the 04.11.2024. Mia is a healthy young dog that has a tendency to eat a lot of things she is not allowed to. The day before presentation she disappeared during a walk and was found 3 kilometres away an hour later. The evening of the same day she was still fit and she ate a little. At 00.00 she became painful, especially in her abdomen. From 2.00 that morning she started vomiting about every 20-30 minutes. It was only liquid. The day of presentation she did not eat or drink and no faeces were passed. She was seen by the private vet the day of presentation at 8:00 where Metacox and Morphasol were given. She was then referred to us. At our clinic abdominal x-rays and ultrasound were performed, she was put unter symptomatic therapy and she was released the day after. X-rays report (01.11): Unremarkable abdomen. Ultrasound report (01.11): Gastropathy with mild/moderate gastric dilation and mild gastric hypomotility.
Medication: Before presentation: Meloxicam 0.2 mg/kg (route of administration unknown), Butorphanol 0.2 mg/kg (route of administration unknown). Before observation 2: Ondansetron 0.5 mg/kg IV, Methadon 0.2 mg/kg IV. Before observation 4: Methadon 0.2 mg/kg IV.
Pain type: acute, visceral
Pain origin: back
Pain duration: Less than 24 hours
Estimated pain severity: 38
Species: dog
Breed: Pekingese
Sex: f, not neutered
Weight: 3.3 kg
Birth date: 2022-03-02 00:00:00
Primary diagnosis: Acute and compressive right sided intervertebral disc extrusion T11-12
Situation: emergency initial
Medical history: The dog was presented to our clinic on the 01.11.2024. The day before presentation she was hit with a slipper. Afterwards she had a pain crisis with urine/ faeces leakage and was no longer able to walk with the hindlimbs. Since then shows pain when lifting and no longer eats. She had already been showing slight lameness on both hind legs for 2 weeks. The private vet gave 2 ml Bupaq and referred the case to us. An MRI was performed the same day and afterwards the dog went into surgery (a hemilaminectomy was performed). MRI report (04.11): Acute and compressive intervertebral disc extrusion T11-12, right side, with possible mild haemorrhagic component and mild myelopathy; Generalised degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusion T12-13, T13-L1, L1-2, L2-3, L3-4, L4-5 , L5-6.
Medication: Before presentation (time unclear): Buprenorphin 0.18 mg/kg SC/IM. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.11: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.5 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Maropitant 1 mg/kg IV SID. 04.11: switch from Methadon 0.2 mg/kg IV q4h to Buprenorphin 0.015 mg/kg TID at 17, Ondansetron 0.3 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID. 05.11: Ondansetron & Meloxicam same as on 04.11.
Neurologic exam: Mentation : Within normal limits. Posture: sitting position, unable to stand. Gait: severe right-sided paraparesis, left-sided paraplegia. Cranial Nerves: Within normal limits. Postural Reactions: Absent in the hind limbs. Spinal Reflexes: Normal in both forelimbs and hind limbs; panniculus reflex negative from approximately T12; unremarkable perineal reflex. Sensibility: present deep pain sensation. Neuroanatomic Localisation: T3-L3 myelopathy.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 32
Species: dog
Breed: Pekingese
Sex: f, not neutered
Weight: 3.3 kg
Birth date: 2022-03-03 00:00:00
Primary diagnosis: Acute and compressive right sided intervertebral disc extrusion T11-13
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: The dog was presented to our clinic on the 01.11.2024. The day before presentation she was hit with a slipper. Afterwards she had a pain crisis with urine/ faeces leakage and was no longer able to walk with the hindlimbs. Since then shows pain when lifting and no longer eats. She had already been showing slight lameness on both hind legs for 2 weeks. The private vet gave 2 ml Bupaq and referred the case to us. An MRI was performed the same day and afterwards the dog went into surgery (a hemilaminectomy was performed). MRI report (04.11): Acute and compressive intervertebral disc extrusion T11-12, right side, with possible mild haemorrhagic component and mild myelopathy; Generalised degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusion T12-13, T13-L1, L1-2, L2-3, L3-4, L4-5 , L5-6.
Medication: Before presentation (time unclear): Buprenorphin 0.18 mg/kg SC/IM. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.11: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.5 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Maropitant 1 mg/kg IV SID. 04.11: switch from Methadon 0.2 mg/kg IV q4h to Buprenorphin 0.015 mg/kg TID at 17, Ondansetron 0.3 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID. 05.11: Ondansetron & Meloxicam same as on 04.11.
Neurologic exam: Mentation : Within normal limits. Posture: sitting position, unable to stand. Gait: severe right-sided paraparesis, left-sided paraplegia. Cranial Nerves: Within normal limits. Postural Reactions: Absent in the hind limbs. Spinal Reflexes: Normal in both forelimbs and hind limbs; panniculus reflex negative from approximately T12; unremarkable perineal reflex. Sensibility: present deep pain sensation. Neuroanatomic Localisation: T3-L3 myelopathy.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 27
Species: dog
Breed: Pekingese
Sex: f, not neutered
Weight: 3.3 kg
Birth date: 2022-03-04 00:00:00
Primary diagnosis: Acute and compressive right sided intervertebral disc extrusion T11-14
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented to our clinic on the 01.11.2024. The day before presentation she was hit with a slipper. Afterwards she had a pain crisis with urine/ faeces leakage and was no longer able to walk with the hindlimbs. Since then shows pain when lifting and no longer eats. She had already been showing slight lameness on both hind legs for 2 weeks. The private vet gave 2 ml Bupaq and referred the case to us. An MRI was performed the same day and afterwards the dog went into surgery (a hemilaminectomy was performed). MRI report (04.11): Acute and compressive intervertebral disc extrusion T11-12, right side, with possible mild haemorrhagic component and mild myelopathy; Generalised degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusion T12-13, T13-L1, L1-2, L2-3, L3-4, L4-5 , L5-6.
Medication: Before presentation (time unclear): Buprenorphin 0.18 mg/kg SC/IM. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.11: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.5 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Maropitant 1 mg/kg IV SID. 04.11: switch from Methadon 0.2 mg/kg IV q4h to Buprenorphin 0.015 mg/kg TID at 17, Ondansetron 0.3 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID. 05.11: Ondansetron & Meloxicam same as on 04.11.
Neurologic exam: Mentation : Within normal limits. Posture: sitting position, unable to stand. Gait: severe right-sided paraparesis, left-sided paraplegia. Cranial Nerves: Within normal limits. Postural Reactions: Absent in the hind limbs. Spinal Reflexes: Normal in both forelimbs and hind limbs; panniculus reflex negative from approximately T12; unremarkable perineal reflex. Sensibility: present deep pain sensation. Neuroanatomic Localisation: T3-L3 myelopathy.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 43
Species: dog
Breed: Pekingese
Sex: f, not neutered
Weight: 3.3 kg
Birth date: 2022-03-05 00:00:00
Primary diagnosis: Acute and compressive right sided intervertebral disc extrusion T11-15
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented to our clinic on the 01.11.2024. The day before presentation she was hit with a slipper. Afterwards she had a pain crisis with urine/ faeces leakage and was no longer able to walk with the hindlimbs. Since then shows pain when lifting and no longer eats. She had already been showing slight lameness on both hind legs for 2 weeks. The private vet gave 2 ml Bupaq and referred the case to us. An MRI was performed the same day and afterwards the dog went into surgery (a hemilaminectomy was performed). MRI report (04.11): Acute and compressive intervertebral disc extrusion T11-12, right side, with possible mild haemorrhagic component and mild myelopathy; Generalised degenerative intervertebral disc disease with moderate non-compressive intervertebral disc protrusion T12-13, T13-L1, L1-2, L2-3, L3-4, L4-5 , L5-6.
Medication: Before presentation (time unclear): Buprenorphin 0.18 mg/kg SC/IM. Before observation 2: Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV. 03.11: Methadon 0.2 mg/kg IV q4h, Ondansetron 0.5 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID, Maropitant 1 mg/kg IV SID. 04.11: switch from Methadon 0.2 mg/kg IV q4h to Buprenorphin 0.015 mg/kg TID at 17, Ondansetron 0.3 mg/kg IV TID, Meloxicam 0.1 mg/kg IV SID. 05.11: Ondansetron & Meloxicam same as on 04.11.
Neurologic exam: Mentation : Within normal limits. Posture: sitting position, unable to stand. Gait: severe right-sided paraparesis, left-sided paraplegia. Cranial Nerves: Within normal limits. Postural Reactions: Absent in the hind limbs. Spinal Reflexes: Normal in both forelimbs and hind limbs; panniculus reflex negative from approximately T12; unremarkable perineal reflex. Sensibility: present deep pain sensation. Neuroanatomic Localisation: T3-L3 myelopathy.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 24
Species: dog
Breed: Cocker Spaniel
Sex: m, not neutered
Weight: 17 kg
Birth date: 2014-01-01 00:00:00
Primary diagnosis: Prostatitis
Situation: emergency initial
Medical history: The dog was presented to our clinic on the 05.11.2024. In the night of 04.11 the dog was suddenly extremely restless, hte started vomiting a lot (yellow with food) but didn't have diarrhea. He was very tired and apathetic afterwards. Since the summer the dog is gaining a lot of weight. A few weeks ago the dog started showing tachypnoea but it was never a problem. On the 04.11 the owner took him to the private vet. Thorax x-rays and an abdominal ultrasound were performed at our clinic. X-rays report (05.11): Mild generalized bronchial lung pattern caudodorsal lung field; Moderate amorthrosis, possible thinned articular cartilage of the glenohumeral joint --> No radiographic sign of pulmonary metastasis; Mild bronchial lung pattern likely related to small thoracic volume, age and possibly chronic bronchitis. Ultrasound report (05.11): Severe prostatopathy with potential left sided prostatic abscess; Marked regional steatitis; Moderate urinary sediment and cystitis; Bilateral nephropathy with mild pylectasia; Moderate medial iliac lymphadenopathy; Mild caudal abdominal peritoneal effusion --> Findings are likely representing a severe prostatitis with abscess formation, underlying benign prostatic hyperplasia, cystitis, reactive lymphadenopathy and regional steatitis; The bilateral nephropathy could be indicative of age-related degenerative changes vs chronic real disease (glomerulonephritis); A bilateral pyelonephritis should also be considered due to the pylectasia in conjunction with the aforementioned findings. As the dog was doing much better after starting the therapy, he was sent home the same day.
Medication: No medication before presentation. Before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mg/kg IV. Before observation 3: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV. Before observation 4: Marbofloxacin 4 mg/kg IV, Gabapentin 10 mg/kg PO, Trazodon 3 mg/kg PO.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 63
Species: dog
Breed: Cocker Spaniel
Sex: m, not neutered
Weight: 18 kg
Birth date: 2014-01-02 00:00:00
Primary diagnosis: Prostatitis
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: The dog was presented to our clinic on the 05.11.2024. In the night of 04.11 the dog was suddenly extremely restless, hte started vomiting a lot (yellow with food) but didn't have diarrhea. He was very tired and apathetic afterwards. Since the summer the dog is gaining a lot of weight. A few weeks ago the dog started showing tachypnoea but it was never a problem. On the 04.11 the owner took him to the private vet. Thorax x-rays and an abdominal ultrasound were performed at our clinic. X-rays report (05.11): Mild generalized bronchial lung pattern caudodorsal lung field; Moderate amorthrosis, possible thinned articular cartilage of the glenohumeral joint --> No radiographic sign of pulmonary metastasis; Mild bronchial lung pattern likely related to small thoracic volume, age and possibly chronic bronchitis. Ultrasound report (05.11): Severe prostatopathy with potential left sided prostatic abscess; Marked regional steatitis; Moderate urinary sediment and cystitis; Bilateral nephropathy with mild pylectasia; Moderate medial iliac lymphadenopathy; Mild caudal abdominal peritoneal effusion --> Findings are likely representing a severe prostatitis with abscess formation, underlying benign prostatic hyperplasia, cystitis, reactive lymphadenopathy and regional steatitis; The bilateral nephropathy could be indicative of age-related degenerative changes vs chronic real disease (glomerulonephritis); A bilateral pyelonephritis should also be considered due to the pylectasia in conjunction with the aforementioned findings. As the dog was doing much better after starting the therapy, he was sent home the same day.
Medication: No medication before presentation. Before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mg/kg IV. Before observation 3: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV. Before observation 4: Marbofloxacin 4 mg/kg IV, Gabapentin 10 mg/kg PO, Trazodon 3 mg/kg PO.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 43
Species: dog
Breed: Cocker Spaniel
Sex: m, not neutered
Weight: 19 kg
Birth date: 2014-01-03 00:00:00
Primary diagnosis: Prostatitis
Situation: emergency follow-up
Time since surgery: 2-4 hrs
Medical history: The dog was presented to our clinic on the 05.11.2024. In the night of 04.11 the dog was suddenly extremely restless, hte started vomiting a lot (yellow with food) but didn't have diarrhea. He was very tired and apathetic afterwards. Since the summer the dog is gaining a lot of weight. A few weeks ago the dog started showing tachypnoea but it was never a problem. On the 04.11 the owner took him to the private vet. Thorax x-rays and an abdominal ultrasound were performed at our clinic. X-rays report (05.11): Mild generalized bronchial lung pattern caudodorsal lung field; Moderate amorthrosis, possible thinned articular cartilage of the glenohumeral joint --> No radiographic sign of pulmonary metastasis; Mild bronchial lung pattern likely related to small thoracic volume, age and possibly chronic bronchitis. Ultrasound report (05.11): Severe prostatopathy with potential left sided prostatic abscess; Marked regional steatitis; Moderate urinary sediment and cystitis; Bilateral nephropathy with mild pylectasia; Moderate medial iliac lymphadenopathy; Mild caudal abdominal peritoneal effusion --> Findings are likely representing a severe prostatitis with abscess formation, underlying benign prostatic hyperplasia, cystitis, reactive lymphadenopathy and regional steatitis; The bilateral nephropathy could be indicative of age-related degenerative changes vs chronic real disease (glomerulonephritis); A bilateral pyelonephritis should also be considered due to the pylectasia in conjunction with the aforementioned findings. As the dog was doing much better after starting the therapy, he was sent home the same day.
Medication: No medication before presentation. Before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mg/kg IV. Before observation 3: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV. Before observation 4: Marbofloxacin 4 mg/kg IV, Gabapentin 10 mg/kg PO, Trazodon 3 mg/kg PO.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 28
Species: dog
Breed: Cocker Spaniel
Sex: m, not neutered
Weight: 20 kg
Birth date: 2014-01-04 00:00:00
Primary diagnosis: Prostatitis
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was presented to our clinic on the 05.11.2024. In the night of 04.11 the dog was suddenly extremely restless, hte started vomiting a lot (yellow with food) but didn't have diarrhea. He was very tired and apathetic afterwards. Since the summer the dog is gaining a lot of weight. A few weeks ago the dog started showing tachypnoea but it was never a problem. On the 04.11 the owner took him to the private vet. Thorax x-rays and an abdominal ultrasound were performed at our clinic. X-rays report (05.11): Mild generalized bronchial lung pattern caudodorsal lung field; Moderate amorthrosis, possible thinned articular cartilage of the glenohumeral joint --> No radiographic sign of pulmonary metastasis; Mild bronchial lung pattern likely related to small thoracic volume, age and possibly chronic bronchitis. Ultrasound report (05.11): Severe prostatopathy with potential left sided prostatic abscess; Marked regional steatitis; Moderate urinary sediment and cystitis; Bilateral nephropathy with mild pylectasia; Moderate medial iliac lymphadenopathy; Mild caudal abdominal peritoneal effusion --> Findings are likely representing a severe prostatitis with abscess formation, underlying benign prostatic hyperplasia, cystitis, reactive lymphadenopathy and regional steatitis; The bilateral nephropathy could be indicative of age-related degenerative changes vs chronic real disease (glomerulonephritis); A bilateral pyelonephritis should also be considered due to the pylectasia in conjunction with the aforementioned findings. As the dog was doing much better after starting the therapy, he was sent home the same day.
Medication: No medication before presentation. Before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mg/kg IV. Before observation 3: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV. Before observation 4: Marbofloxacin 4 mg/kg IV, Gabapentin 10 mg/kg PO, Trazodon 3 mg/kg PO.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 22
Species: dog
Breed: Old English Bulldog
Sex: f, neutered
Weight: 32.5 kg
Birth date: 2019-05-25 00:00:00
Primary diagnosis: ANNPE/ FCE/ very lateralised IVDE vs. PNS L4-S1 problem on right hind limb
Situation: emergency initial
Medical history: The dog was presented to our clinic on 11.11.2024. She showed an acute not ambulatory paraparesis after climbing stairs on Sunday evening 10.11.2024. Achille cried out spontaneously and was very stressed afterwards. Afterwards for the owners she was not really painful but she kept her legs stretched backwards on both sides. The same evening they went to an emergency vet, that gave Methadon and started therapy with Onsior 40 mg SID. The morning after they went to their vet, that referred the case to us. The dog was hospitalized at our clinic and went home the day after (on 12.11). (The dog already had a mastocytoma on the chest and one on a front paw; the dog already had a lameness on the right front limb but with 3 days NSAIDs the sypmtoms disappeared; the dog already had a TPLO on the left in 2023).
Medication: Before presentation (unclear when exactly the last time): Robenacoxib 1 mg/kg PO SID. 11.11 (nothing given before observation 1): Gabapentin 20 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Cisaprid 0.5 mg/kg rectally/PO TID. 12.11 (nothing given before observation 2): Robenacoxib & Gabapentin & Omeprazol & Cisaprid same as on 11.11.
Neurologic exam: On 11.11.2024. Mentation: stressed, alert, friendly. Posture: Sitting. Gait: Monoparesis hind leg right, spontaneous motor skills present, good stepping motor skills on the left, no recognisable paresis. Postural reactions: Right hind limb absent, left hindlimb unremarkable. Cranial nerves: unremarkable. Spinal reflexes: right hind limb flexor highly reduced, patellar and tibialis cranialis within normal range. Sensitivity: no clear dolence can be triggered, questionable in the lumbar spine and on extension of the hip, but not severe. Perineal reflexes: unremarkable. Neuroanatomical localisation: L4-S3/ T3- L3 with spinal shock possible.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: Less than 24 hours
Estimated pain severity: 24
Species: dog
Breed: Old English Bulldog
Sex: f, neutered
Weight: 32.5 kg
Birth date: 2019-05-26 00:00:00
Primary diagnosis: ANNPE/ FCE/ very lateralised IVDE vs. PNS L4-S1 problem on right hind limb
Situation: hospitalized
Medical history: The dog was presented to our clinic on 11.11.2024. She showed an acute not ambulatory paraparesis after climbing stairs on Sunday evening 10.11.2024. Achille cried out spontaneously and was very stressed afterwards. Afterwards for the owners she was not really painful but she kept her legs stretched backwards on both sides. The same evening they went to an emergency vet, that gave Methadon and started therapy with Onsior 40 mg SID. The morning after they went to their vet, that referred the case to us. The dog was hospitalized at our clinic and went home the day after (on 12.11). (The dog already had a mastocytoma on the chest and one on a front paw; the dog already had a lameness on the right front limb but with 3 days NSAIDs the sypmtoms disappeared; the dog already had a TPLO on the left in 2023).
Medication: Before presentation (unclear when exactly the last time): Robenacoxib 1 mg/kg PO SID. 11.11 (nothing given before observation 1): Gabapentin 20 mg/kg PO TID, Omeprazol 1 mg/kg IV BID, Cisaprid 0.5 mg/kg rectally/PO TID. 12.11 (nothing given before observation 2): Robenacoxib & Gabapentin & Omeprazol & Cisaprid same as on 11.11.
Neurologic exam: On 11.11.2024. Mentation: stressed, alert, friendly. Posture: Sitting. Gait: Monoparesis hind leg right, spontaneous motor skills present, good stepping motor skills on the left, no recognisable paresis. Postural reactions: Right hind limb absent, left hindlimb unremarkable. Cranial nerves: unremarkable. Spinal reflexes: right hind limb flexor highly reduced, patellar and tibialis cranialis within normal range. Sensitivity: no clear dolence can be triggered, questionable in the lumbar spine and on extension of the hip, but not severe. Perineal reflexes: unremarkable. Neuroanatomical localisation: L4-S3/ T3- L3 with spinal shock possible.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: 24 hours to 7 days
Estimated pain severity: 32
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 22.8 kg
Birth date: 2012-01-01 00:00:00
Primary diagnosis: Epilepsy, insulinoma
Situation: Pre-surgery
Medical history: Alma was presented to our clinic on 09.11 because of epileptic seizures. She was hospitalized and antiepileptic therapy was started. She showed no seizures at our clinic. As she also had a persisting hypoglycemia, on 11.11 a CT was performed --> report: Pancreatic mass in the left limb, in close proximity with the splenic vein and cranial mesenteric vein, additional pancreatic nodules at the tip; Mild right otitis externa vs. ceruminous content --> Main differential is an insulinoma, other differentials like a pancreatic carcinoma are considered less likely; No structural brain changes that explain the reported seizures. The dog stayed hospitalized and on 14.11 a partial pancreatectomy was performed.
Medication: 13.11: Levetiracetam 20 mg/kg IV TID Phenobarbital 2 mg/kg IV BID . 14.11 (nothing given before observation 1): Levetiracetam 20 mg/kg IV TID, Phenobarbital 2 mg/kg IV BID, Fentanyl CRI (started after surgery). 17.11: Levetiracetam 20 mg/kg IV TID, Phenobarbital 1 mg/kg IV BID, Paracetamol 15 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV, Novorapid CRI IV. 18.11: Levetiracetam and Paracetamol same as 17.11, switch from Novorapid CRI to Caninsulin 5 UI s.c. BID, Maropitant 1 mg/kg IV SID (started at 21). 19.11: Levetiracetam 20 mg/kg PO TID, Paracetamol 15 mg/kg PO PO TID, Maropitant 1 mg/kg IV SID, Caninsulin 5 UI s.c. BID.
Anesthesia: Intervention on 14.11.2024: Partial pancreatectomy. Premedication: Medetomidin 0.005 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Sevofluran. Analgesia: Bolus Fentanyl 0.003 mg/kg IV, IV Infusion Fentanyl 0.01 mg/kg/h, local anaesthesia Quadratus Lumborum block Ropivacain 2.2 mg/kg IV. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: tachycardia --> better after Fentanyl CRI, then HR up and BP down so 15 ml/kg RA Bolus. Wake up phase: postoperative analgesia Fentanyl CRI.
Neurologic exam: Performed on 11.11. Mentation: Consciousness slightly variable, sometimes clearly alert, then strongly apathetic; Anxious behaviour, tries to hide. Posture: unremarkable. Gait: Tendency to walk to the right, slight proprioceptive ataxia. Postural reactions: Proprioception left-sided slightly prolonged, right-sided unremarkable. Cranial nerves: anisochoria (OD > OS), PLR present on both sides (direct and indirect) but OD less prompt and complete than OS, menace response OS slightly reduced compared to OD, facial sensitivity symmetrical on both sides, physiological nystagmus present, no pathological nystagmus present.
Pain type: no pain
Pain origin: no pain
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 22.8 kg
Birth date: 2012-01-02 00:00:00
Primary diagnosis: Epilepsy, insulinoma
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Moderate sedation (2)
Medical history: Alma was presented to our clinic on 09.11 because of epileptic seizures. She was hospitalized and antiepileptic therapy was started. She showed no seizures at our clinic. As she also had a persisting hypoglycemia, on 11.11 a CT was performed --> report: Pancreatic mass in the left limb, in close proximity with the splenic vein and cranial mesenteric vein, additional pancreatic nodules at the tip; Mild right otitis externa vs. ceruminous content --> Main differential is an insulinoma, other differentials like a pancreatic carcinoma are considered less likely; No structural brain changes that explain the reported seizures. The dog stayed hospitalized and on 14.11 a partial pancreatectomy was performed.
Medication: 13.11: Levetiracetam 20 mg/kg IV TID Phenobarbital 2 mg/kg IV BID . 14.11 (nothing given before observation 1): Levetiracetam 20 mg/kg IV TID, Phenobarbital 2 mg/kg IV BID, Fentanyl CRI (started after surgery). 17.11: Levetiracetam 20 mg/kg IV TID, Phenobarbital 1 mg/kg IV BID, Paracetamol 15 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV, Novorapid CRI IV. 18.11: Levetiracetam and Paracetamol same as 17.11, switch from Novorapid CRI to Caninsulin 5 UI s.c. BID, Maropitant 1 mg/kg IV SID (started at 21). 19.11: Levetiracetam 20 mg/kg PO TID, Paracetamol 15 mg/kg PO PO TID, Maropitant 1 mg/kg IV SID, Caninsulin 5 UI s.c. BID.
Anesthesia: Intervention on 14.11.2024: Partial pancreatectomy. Premedication: Medetomidin 0.005 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Sevofluran. Analgesia: Bolus Fentanyl 0.003 mg/kg IV, IV Infusion Fentanyl 0.01 mg/kg/h, local anaesthesia Quadratus Lumborum block Ropivacain 2.2 mg/kg IV. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: tachycardia --> better after Fentanyl CRI, then HR up and BP down so 15 ml/kg RA Bolus. Wake up phase: postoperative analgesia Fentanyl CRI.
Neurologic exam: Performed on 11.11. Mentation: Consciousness slightly variable, sometimes clearly alert, then strongly apathetic; Anxious behaviour, tries to hide. Posture: unremarkable. Gait: Tendency to walk to the right, slight proprioceptive ataxia. Postural reactions: Proprioception left-sided slightly prolonged, right-sided unremarkable. Cranial nerves: anisochoria (OD > OS), PLR present on both sides (direct and indirect) but OD less prompt and complete than OS, menace response OS slightly reduced compared to OD, facial sensitivity symmetrical on both sides, physiological nystagmus present, no pathological nystagmus present.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Pain duration: Less than 24 hours
Estimated pain severity: 29
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 22.8 kg
Birth date: 2012-01-03 00:00:00
Primary diagnosis: Epilepsy, insulinoma
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Alma was presented to our clinic on 09.11 because of epileptic seizures. She was hospitalized and antiepileptic therapy was started. She showed no seizures at our clinic. As she also had a persisting hypoglycemia, on 11.11 a CT was performed --> report: Pancreatic mass in the left limb, in close proximity with the splenic vein and cranial mesenteric vein, additional pancreatic nodules at the tip; Mild right otitis externa vs. ceruminous content --> Main differential is an insulinoma, other differentials like a pancreatic carcinoma are considered less likely; No structural brain changes that explain the reported seizures. The dog stayed hospitalized and on 14.11 a partial pancreatectomy was performed.
Medication: 13.11: Levetiracetam 20 mg/kg IV TID Phenobarbital 2 mg/kg IV BID . 14.11 (nothing given before observation 1): Levetiracetam 20 mg/kg IV TID, Phenobarbital 2 mg/kg IV BID, Fentanyl CRI (started after surgery). 17.11: Levetiracetam 20 mg/kg IV TID, Phenobarbital 1 mg/kg IV BID, Paracetamol 15 mg/kg IV TID, Buprenorphin 0.015 mg/kg IV, Novorapid CRI IV. 18.11: Levetiracetam and Paracetamol same as 17.11, switch from Novorapid CRI to Caninsulin 5 UI s.c. BID, Maropitant 1 mg/kg IV SID (started at 21). 19.11: Levetiracetam 20 mg/kg PO TID, Paracetamol 15 mg/kg PO PO TID, Maropitant 1 mg/kg IV SID, Caninsulin 5 UI s.c. BID.
Anesthesia: Intervention on 14.11.2024: Partial pancreatectomy. Premedication: Medetomidin 0.005 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Sevofluran. Analgesia: Bolus Fentanyl 0.003 mg/kg IV, IV Infusion Fentanyl 0.01 mg/kg/h, local anaesthesia Quadratus Lumborum block Ropivacain 2.2 mg/kg IV. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: tachycardia --> better after Fentanyl CRI, then HR up and BP down so 15 ml/kg RA Bolus. Wake up phase: postoperative analgesia Fentanyl CRI.
Neurologic exam: Performed on 11.11. Mentation: Consciousness slightly variable, sometimes clearly alert, then strongly apathetic; Anxious behaviour, tries to hide. Posture: unremarkable. Gait: Tendency to walk to the right, slight proprioceptive ataxia. Postural reactions: Proprioception left-sided slightly prolonged, right-sided unremarkable. Cranial nerves: anisochoria (OD > OS), PLR present on both sides (direct and indirect) but OD less prompt and complete than OS, menace response OS slightly reduced compared to OD, facial sensitivity symmetrical on both sides, physiological nystagmus present, no pathological nystagmus present.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 32