oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: English Springer Spaniel
Sex: m, not neutered
Weight: 22 kg
Birth date: 2022-06-15 00:00:00
Primary diagnosis: Right cranial cruciate ligament rupture, operated left cranial ligament rupture, Gonarthritis (R>L)
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Moderate sedation (2)
Medical history: Riko was operated on his left knee with a TPLO on 26.03.2024. X-rays report (06.03.2024): Gonarthritis (right > left); Bilateral medial buttress (right > left); Moderate osteoarthritis of the stifle (right > left); Poor coverage of the femur heads bilateral -> The radiological signs of both stifles are most likely due to cranial crucial rupture on the right and suspected cranial crucial rupture on the left stifle; The underlying cause of the poor coverage of both femur heads is most likely due to hip dysplasia; The position of the left patella can be positional vs mild medial patella luxation. Postoperatively, strict rest was maintained for 8 weeks. The Gabapentin had no effect and Riko did not tolerate the neck collar well. After the control x-ray, the owner started working with Riko again. He shows no lameness or pain from the left hind limb. He is in a good general condition and is currently not on any medication. On the 23.07.2024 the dog was presented to perform a TPLO of the other stifle (the right one).
Medication: No medication before presentation (and before observation 1). 23.07: at 17 & 21 Trazodon 2.4 mg/kg PO. 24.07 (after surgery): Methadon 0.2 mg/kg IV q4h, Carprofen 4 mg/kg IV SID, Trazodon 2.4 mg/kg PO, Paracetamol 15 mg/kg IV TID, Cerenia 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID. 25.07: Carprofen 4 mg/kg IV SID, Trazodon 5 mg/kg PO, Buprenorphine 0.02 mg/kg IV TID, Gabapentin 10 mg/kg PO BID (started after filming observation 4).
Orthopedic exam: Gait: Lameness 1/4 right hindlimb, stretches leg outwards in sitting position. Palpation left knee: stable. Orienting palpation right knee: filled. Specific palpation right knee: positive drawer and tibial compression test.
Pain type: acute, chronic, inflammatory, orthopedic, somatic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 35
Species: dog
Breed: English Springer Spaniel
Sex: m, not neutered
Weight: 23 kg
Birth date: 2022-06-16 00:00:00
Primary diagnosis: Right cranial cruciate ligament rupture, operated left cranial ligament rupture, Gonarthritis (R>L)
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Riko was operated on his left knee with a TPLO on 26.03.2024. X-rays report (06.03.2024): Gonarthritis (right > left); Bilateral medial buttress (right > left); Moderate osteoarthritis of the stifle (right > left); Poor coverage of the femur heads bilateral -> The radiological signs of both stifles are most likely due to cranial crucial rupture on the right and suspected cranial crucial rupture on the left stifle; The underlying cause of the poor coverage of both femur heads is most likely due to hip dysplasia; The position of the left patella can be positional vs mild medial patella luxation. Postoperatively, strict rest was maintained for 8 weeks. The Gabapentin had no effect and Riko did not tolerate the neck collar well. After the control x-ray, the owner started working with Riko again. He shows no lameness or pain from the left hind limb. He is in a good general condition and is currently not on any medication. On the 23.07.2024 the dog was presented to perform a TPLO of the other stifle (the right one).
Medication: No medication before presentation (and before observation 1). 23.07: at 17 & 21 Trazodon 2.4 mg/kg PO. 24.07 (after surgery): Methadon 0.2 mg/kg IV q4h, Carprofen 4 mg/kg IV SID, Trazodon 2.4 mg/kg PO, Paracetamol 15 mg/kg IV TID, Cerenia 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID. 25.07: Carprofen 4 mg/kg IV SID, Trazodon 5 mg/kg PO, Buprenorphine 0.02 mg/kg IV TID, Gabapentin 10 mg/kg PO BID (started after filming observation 4).
Orthopedic exam: Gait: Lameness 1/4 right hindlimb, stretches leg outwards in sitting position. Palpation left knee: stable. Orienting palpation right knee: filled. Specific palpation right knee: positive drawer and tibial compression test.
Pain type: acute, chronic, inflammatory, orthopedic, somatic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 70
Species: dog
Breed: English Springer Spaniel
Sex: m, not neutered
Weight: 24 kg
Birth date: 2022-06-17 00:00:00
Primary diagnosis: Right cranial cruciate ligament rupture, operated left cranial ligament rupture, Gonarthritis (R>L)
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Riko was operated on his left knee with a TPLO on 26.03.2024. X-rays report (06.03.2024): Gonarthritis (right > left); Bilateral medial buttress (right > left); Moderate osteoarthritis of the stifle (right > left); Poor coverage of the femur heads bilateral -> The radiological signs of both stifles are most likely due to cranial crucial rupture on the right and suspected cranial crucial rupture on the left stifle; The underlying cause of the poor coverage of both femur heads is most likely due to hip dysplasia; The position of the left patella can be positional vs mild medial patella luxation. Postoperatively, strict rest was maintained for 8 weeks. The Gabapentin had no effect and Riko did not tolerate the neck collar well. After the control x-ray, the owner started working with Riko again. He shows no lameness or pain from the left hind limb. He is in a good general condition and is currently not on any medication. On the 23.07.2024 the dog was presented to perform a TPLO of the other stifle (the right one).
Medication: No medication before presentation (and before observation 1). 23.07: at 17 & 21 Trazodon 2.4 mg/kg PO. 24.07 (after surgery): Methadon 0.2 mg/kg IV q4h, Carprofen 4 mg/kg IV SID, Trazodon 2.4 mg/kg PO, Paracetamol 15 mg/kg IV TID, Cerenia 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID. 25.07: Carprofen 4 mg/kg IV SID, Trazodon 5 mg/kg PO, Buprenorphine 0.02 mg/kg IV TID, Gabapentin 10 mg/kg PO BID (started after filming observation 4).
Orthopedic exam: Gait: Lameness 1/4 right hindlimb, stretches leg outwards in sitting position. Palpation left knee: stable. Orienting palpation right knee: filled. Specific palpation right knee: positive drawer and tibial compression test.
Pain type: acute, chronic, inflammatory, orthopedic, somatic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 60
Species: dog
Breed: Golden Retriever
Sex: m, neutered
Weight: 43.3 kg
Birth date: 2013-05-15 00:00:00
Primary diagnosis: Removed melanoma of the inner left lip with metastasis in the left mandibular lymph node
Situation: Pre-surgery
Medical history: Django had a melanoma on the left lip, that was previously removed (unclear when). At the beginning of july the dog went to a clinic to do a staging. There cytology of the right and left mandibular and retropharyngeal lymph nodes was performed, and metastasis were found in the left mandibular lymph node. This lymph node is also clinically enlarged. At that clinic also a CT was done -> Known melanoma of the left lip; Left-sided mandibular lymphadenopathy most likely metastatic; Slight splenomegaly due to anaesthesia, less likely reactive or infiltrative neoplasia; Nonspecific splenomegaly and skin nodules; Incidental finding of chronic non-compressive lumbosacral disc protrusion and S3/Cd1 discopathy. The dog was then presented to our clinic on the 07.80.2024 to remove the mandibular and retropharyngeal lymph nodes on the left. The dog was released the same day.
Medication: No medication before presentation. Before surgery (after observation 1): Maropitant 1 mg/kg IV. After surgery: Dexmedetomidin 0.001 mg/kg IV, Atipamezol 0.08 ml IM, Carprofen 4 mg/kg IV, Buprenorphin 0.02 mg/kg IV.
Anesthesia: Intervention on 07.08.2024: Mandibular and retropharyngeal lymph nodes excision left. Premedication at 14:25: Dexmedetomin 0.002 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia splash block surgery wound Ropivacain 5 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: postoperative sedation Dexmedetomidin 0.001 mg/kg IV, postoperative antagonisation Atipamezol 0.08 ml IM, Bolus Buprenorphin 0.02 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 55 min. Anaesthesia duration: 125 min.
Pain type: subacute, inflammatory, somatic
Pain origin: Inner lip, mandibular lymphnode
Pain duration: More than 7 days
Estimated pain severity: 10
Species: dog
Breed: Golden Retriever
Sex: m, neutered
Weight: 43.3 kg
Birth date: 2013-05-16 00:00:00
Primary diagnosis: Removed melanoma of the inner left lip with metastasis in the left mandibular lymph node
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Django had a melanoma on the left lip, that was previously removed (unclear when). At the beginning of july the dog went to a clinic to do a staging. There cytology of the right and left mandibular and retropharyngeal lymph nodes was performed, and metastasis were found in the left mandibular lymph node. This lymph node is also clinically enlarged. At that clinic also a CT was done -> Known melanoma of the left lip; Left-sided mandibular lymphadenopathy most likely metastatic; Slight splenomegaly due to anaesthesia, less likely reactive or infiltrative neoplasia; Nonspecific splenomegaly and skin nodules; Incidental finding of chronic non-compressive lumbosacral disc protrusion and S3/Cd1 discopathy. The dog was then presented to our clinic on the 07.80.2024 to remove the mandibular and retropharyngeal lymph nodes on the left. The dog was released the same day.
Medication: No medication before presentation. Before surgery (after observation 1): Maropitant 1 mg/kg IV. After surgery: Dexmedetomidin 0.001 mg/kg IV, Atipamezol 0.08 ml IM, Carprofen 4 mg/kg IV, Buprenorphin 0.02 mg/kg IV.
Anesthesia: Intervention on 07.08.2024: Mandibular and retropharyngeal lymph nodes excision left. Premedication at 14:25: Dexmedetomin 0.002 mg/kg IV, Methadon 0.2 mg/kg IV. Induction: Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: local anaesthesia splash block surgery wound Ropivacain 5 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: postoperative sedation Dexmedetomidin 0.001 mg/kg IV, postoperative antagonisation Atipamezol 0.08 ml IM, Bolus Buprenorphin 0.02 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 55 min. Anaesthesia duration: 125 min.
Pain type: acute, subacute, inflammatory, somatic
Pain origin: Inner left lip and mandibular & retropharyngeal lymph nodes
Pain duration: More than 7 days
Estimated pain severity: 30
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 32.2 kg
Birth date: 2009-06-28 00:00:00
Primary diagnosis: Total bilateral laryngeal paralysis
Situation: Pre-surgery
Medical history: The dog had been under treated by a veterinan for respiratory difficulties since December. Haematobiochemical examinations with thyroid values and chest x-rays were carrieds out and were found to be normal. An endoscopy revealed inflammation of the vocal cords, so she was put on cortisone therapy for 15 days with clinical worsening. The dog was assessed by another veteriarian in first consultation in mid-June for severe stridor and inspiratory dyspnoea. Upper airway obstruction was suspected, so it was recommended to repeat endoscopy, which showed bilateral total laryngeal paralysis. The colleagues who performed the investigation set therapy with Fortyron 400, 1 tablet PO BID but at the check-up the thyroid values suggested gradual discontinuation of therapy. The case was referred for lateralisation of the arytenoid cartilage, which was performed at our clinic on the 08.08.2024.
Medication: Before presentation: Levothyroxin 3.1 mg/kg PO BID. After surgery (after observation 2): Carprofen 4 mg/kg IV SID, 1x Methadon 0.2 mg/kg IV then switch to Buprenorphin 0.01 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID, Levothyroxin 3.1 mg/kg PO BID.
Anesthesia: Intervention on 08.08.2024: Left-sided cricoarytenoid lateralization. Premedication at 08:50: Dexmedetomidin 0.004 mg/kg IM, Methadon 0.2 mg/kg IM, Acepromazin 0.005 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl 0.003 mg/k IV, IV Infusion Fentanyl 0.005 mg/kg IV (90 min), local anaesthesia splash block Ropivacan 2 mg/kg. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: reflux -> suction used. Wake up phase: Bolus Methadon 0.2 mg/kg IM, Bolus Carprofen 4 mg/kg IV. Intervention duration: 160 min. Anaesthesia duration: 190 min.
Pain type: no pain
Pain origin: No pain
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 32.2 kg
Birth date: 2009-06-29 00:00:00
Primary diagnosis: Total bilateral laryngeal paralysis
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog had been under treated by a veterinan for respiratory difficulties since December. Haematobiochemical examinations with thyroid values and chest x-rays were carrieds out and were found to be normal. An endoscopy revealed inflammation of the vocal cords, so she was put on cortisone therapy for 15 days with clinical worsening. The dog was assessed by another veteriarian in first consultation in mid-June for severe stridor and inspiratory dyspnoea. Upper airway obstruction was suspected, so it was recommended to repeat endoscopy, which showed bilateral total laryngeal paralysis. The colleagues who performed the investigation set therapy with Fortyron 400, 1 tablet PO BID but at the check-up the thyroid values suggested gradual discontinuation of therapy. The case was referred for lateralisation of the arytenoid cartilage, which was performed at our clinic on the 08.08.2024.
Medication: Before presentation: Levothyroxin 3.1 mg/kg PO BID. After surgery (after observation 2): Carprofen 4 mg/kg IV SID, 1x Methadon 0.2 mg/kg IV then switch to Buprenorphin 0.01 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID, Levothyroxin 3.1 mg/kg PO BID.
Anesthesia: Intervention on 08.08.2024: Left-sided cricoarytenoid lateralization. Premedication at 08:50: Dexmedetomidin 0.004 mg/kg IM, Methadon 0.2 mg/kg IM, Acepromazin 0.005 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl 0.003 mg/k IV, IV Infusion Fentanyl 0.005 mg/kg IV (90 min), local anaesthesia splash block Ropivacan 2 mg/kg. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: reflux -> suction used. Wake up phase: Bolus Methadon 0.2 mg/kg IM, Bolus Carprofen 4 mg/kg IV. Intervention duration: 160 min. Anaesthesia duration: 190 min.
Pain type: acute, inflammatory, somatic
Pain origin: Larynx and operative site left neck
Estimated pain severity: 20
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 32.2 kg
Birth date: 2009-06-30 00:00:00
Primary diagnosis: Total bilateral laryngeal paralysis
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog had been under treated by a veterinan for respiratory difficulties since December. Haematobiochemical examinations with thyroid values and chest x-rays were carrieds out and were found to be normal. An endoscopy revealed inflammation of the vocal cords, so she was put on cortisone therapy for 15 days with clinical worsening. The dog was assessed by another veteriarian in first consultation in mid-June for severe stridor and inspiratory dyspnoea. Upper airway obstruction was suspected, so it was recommended to repeat endoscopy, which showed bilateral total laryngeal paralysis. The colleagues who performed the investigation set therapy with Fortyron 400, 1 tablet PO BID but at the check-up the thyroid values suggested gradual discontinuation of therapy. The case was referred for lateralisation of the arytenoid cartilage, which was performed at our clinic on the 08.08.2024.
Medication: Before presentation: Levothyroxin 3.1 mg/kg PO BID. After surgery (after observation 2): Carprofen 4 mg/kg IV SID, 1x Methadon 0.2 mg/kg IV then switch to Buprenorphin 0.01 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID, Levothyroxin 3.1 mg/kg PO BID.
Anesthesia: Intervention on 08.08.2024: Left-sided cricoarytenoid lateralization. Premedication at 08:50: Dexmedetomidin 0.004 mg/kg IM, Methadon 0.2 mg/kg IM, Acepromazin 0.005 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl 0.003 mg/k IV, IV Infusion Fentanyl 0.005 mg/kg IV (90 min), local anaesthesia splash block Ropivacan 2 mg/kg. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: reflux -> suction used. Wake up phase: Bolus Methadon 0.2 mg/kg IM, Bolus Carprofen 4 mg/kg IV. Intervention duration: 160 min. Anaesthesia duration: 190 min.
Pain type: acute, inflammatory, somatic
Pain origin: Larynx and operative site left neck
Estimated pain severity: 20
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 32.2 kg
Birth date: 2009-07-01 00:00:00
Primary diagnosis: Total bilateral laryngeal paralysis
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog had been under treated by a veterinan for respiratory difficulties since December. Haematobiochemical examinations with thyroid values and chest x-rays were carrieds out and were found to be normal. An endoscopy revealed inflammation of the vocal cords, so she was put on cortisone therapy for 15 days with clinical worsening. The dog was assessed by another veteriarian in first consultation in mid-June for severe stridor and inspiratory dyspnoea. Upper airway obstruction was suspected, so it was recommended to repeat endoscopy, which showed bilateral total laryngeal paralysis. The colleagues who performed the investigation set therapy with Fortyron 400, 1 tablet PO BID but at the check-up the thyroid values suggested gradual discontinuation of therapy. The case was referred for lateralisation of the arytenoid cartilage, which was performed at our clinic on the 08.08.2024.
Medication: Before presentation: Levothyroxin 3.1 mg/kg PO BID. After surgery (after observation 2): Carprofen 4 mg/kg IV SID, 1x Methadon 0.2 mg/kg IV then switch to Buprenorphin 0.01 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID, Levothyroxin 3.1 mg/kg PO BID.
Anesthesia: Intervention on 08.08.2024: Left-sided cricoarytenoid lateralization. Premedication at 08:50: Dexmedetomidin 0.004 mg/kg IM, Methadon 0.2 mg/kg IM, Acepromazin 0.005 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl 0.003 mg/k IV, IV Infusion Fentanyl 0.005 mg/kg IV (90 min), local anaesthesia splash block Ropivacan 2 mg/kg. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: reflux -> suction used. Wake up phase: Bolus Methadon 0.2 mg/kg IM, Bolus Carprofen 4 mg/kg IV. Intervention duration: 160 min. Anaesthesia duration: 190 min.
Pain type: acute, inflammatory, somatic
Pain origin: Larynx and operative site left neck
Estimated pain severity: 20
Species: dog
Breed: Labrador Retriever
Sex: f, neutered
Weight: 32.2 kg
Birth date: 2009-07-02 00:00:00
Primary diagnosis: Total bilateral laryngeal paralysis
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog had been under treated by a veterinan for respiratory difficulties since December. Haematobiochemical examinations with thyroid values and chest x-rays were carrieds out and were found to be normal. An endoscopy revealed inflammation of the vocal cords, so she was put on cortisone therapy for 15 days with clinical worsening. The dog was assessed by another veteriarian in first consultation in mid-June for severe stridor and inspiratory dyspnoea. Upper airway obstruction was suspected, so it was recommended to repeat endoscopy, which showed bilateral total laryngeal paralysis. The colleagues who performed the investigation set therapy with Fortyron 400, 1 tablet PO BID but at the check-up the thyroid values suggested gradual discontinuation of therapy. The case was referred for lateralisation of the arytenoid cartilage, which was performed at our clinic on the 08.08.2024.
Medication: Before presentation: Levothyroxin 3.1 mg/kg PO BID. After surgery (after observation 2): Carprofen 4 mg/kg IV SID, 1x Methadon 0.2 mg/kg IV then switch to Buprenorphin 0.01 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Ampicillin 30 mg/kg IV TID, Levothyroxin 3.1 mg/kg PO BID.
Anesthesia: Intervention on 08.08.2024: Left-sided cricoarytenoid lateralization. Premedication at 08:50: Dexmedetomidin 0.004 mg/kg IM, Methadon 0.2 mg/kg IM, Acepromazin 0.005 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl 0.003 mg/k IV, IV Infusion Fentanyl 0.005 mg/kg IV (90 min), local anaesthesia splash block Ropivacan 2 mg/kg. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: reflux -> suction used. Wake up phase: Bolus Methadon 0.2 mg/kg IM, Bolus Carprofen 4 mg/kg IV. Intervention duration: 160 min. Anaesthesia duration: 190 min.
Pain type: acute, inflammatory, somatic
Pain origin: Larynx and operative site left neck
Estimated pain severity: 23
Species: dog
Breed: Bloodhound
Sex: f, not neutered (neutered during surgery)
Weight: 41 kg
Birth date: 2023-02-16 00:00:00
Primary diagnosis: Elective laparoscopic castraction and gastropexy
Situation: Pre-surgery
Medical history: Healthy dog, came for laparoscopic castration and gastropexy on 17.092024 and went home the same day.
Medication: Before presentation no medication. Day before surgery (16.09): Trittico 4 mg/kg PO at 00, Gabapentin 10 mg/kg PO at 17 and 00. Before surgery (after observation 1): Trittico 4 mg/kg PO, Gabapentin 10 mg/kg PO. After surgery & before observation 2 (as postoperative sedation): Medetomidin 0.001 (or 0.0005 mg/kg, unclear) mg/kg IV, Acepromazin 0.005 mg/kg IV. After surgery & after observation 2: Carprofen 4 mg/kg IV, Buprenorphin 0.01 mg/kg IV.
Anesthesia: Intervention on 17.09.2024: laparoscopic castration and gastropexy. Premedication at 08:40: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Fentanyl 0.002 mg/kg IV. Antibiotics: Cefazolin 20 mg/kg IV. Wake up phase: postoperative sedation Medetomidin 0.001 (or 0.0005 mg/kg, unclear) mg/kg IV & later Acepromazin 0.005 mg/kg IV. Intervention duration: 120 min. Anaesthesia duration: 180 min.
Pain type: no pain
Species: dog
Breed: Bloodhound
Sex: f, not neutered (neutered during surgery)
Weight: 42 kg
Birth date: 2023-02-17 00:00:00
Primary diagnosis: Elective laparoscopic castraction and gastropexy
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: Healthy dog, came for laparoscopic castration and gastropexy on 17.092024 and went home the same day.
Medication: Before presentation no medication. Day before surgery (16.09): Trittico 4 mg/kg PO at 00, Gabapentin 10 mg/kg PO at 17 and 00. Before surgery (after observation 1): Trittico 4 mg/kg PO, Gabapentin 10 mg/kg PO. After surgery & before observation 2 (as postoperative sedation): Medetomidin 0.001 (or 0.0005 mg/kg, unclear) mg/kg IV, Acepromazin 0.005 mg/kg IV. After surgery & after observation 2: Carprofen 4 mg/kg IV, Buprenorphin 0.01 mg/kg IV.
Anesthesia: Intervention on 17.09.2024: laparoscopic castration and gastropexy. Premedication at 08:40: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Fentanyl 0.002 mg/kg IV. Antibiotics: Cefazolin 20 mg/kg IV. Wake up phase: postoperative sedation Medetomidin 0.001 (or 0.0005 mg/kg, unclear) mg/kg IV & later Acepromazin 0.005 mg/kg IV. Intervention duration: 120 min. Anaesthesia duration: 180 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 21
Species: dog
Breed: Bloodhound
Sex: f, not neutered (neutered during surgery)
Weight: 43 kg
Birth date: 2023-02-18 00:00:00
Primary diagnosis: Elective laparoscopic castraction and gastropexy
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Moderate sedation (2)
Medical history: Healthy dog, came for laparoscopic castration and gastropexy on 17.092024 and went home the same day.
Medication: Before presentation no medication. Day before surgery (16.09): Trittico 4 mg/kg PO at 00, Gabapentin 10 mg/kg PO at 17 and 00. Before surgery (after observation 1): Trittico 4 mg/kg PO, Gabapentin 10 mg/kg PO. After surgery & before observation 2 (as postoperative sedation): Medetomidin 0.001 (or 0.0005 mg/kg, unclear) mg/kg IV, Acepromazin 0.005 mg/kg IV. After surgery & after observation 2: Carprofen 4 mg/kg IV, Buprenorphin 0.01 mg/kg IV.
Anesthesia: Intervention on 17.09.2024: laparoscopic castration and gastropexy. Premedication at 08:40: Methadon 0.2 mg/kg IM, Medetomidin 0.007 mg/kg IM. Induction: Propofol 1 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Fentanyl 0.002 mg/kg IV. Antibiotics: Cefazolin 20 mg/kg IV. Wake up phase: postoperative sedation Medetomidin 0.001 (or 0.0005 mg/kg, unclear) mg/kg IV & later Acepromazin 0.005 mg/kg IV. Intervention duration: 120 min. Anaesthesia duration: 180 min.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Estimated pain severity: 30
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 30.1 kg
Birth date: 2013-10-06 00:00:00
Primary diagnosis: Mass at the right ileosacral joint with invasion into the vertebral canal and osteolysis, multiple disc degeneration and protrusion.
Situation: hospitalized
Medical history: Alba was presented to the emergency department in thew night between 23 & 24 September. Three weeks ago, Alba stopped lifting her tail and stopped urinating. The vet took an X-ray of her pelvis: L7-S1 spondyloarthrosis and suspected transitional lumbosacral vertebrae. He prescribed Firoxib, Tramadol, Gabapentin and Bethanechol for the bladder atony and Prednisolone. Alba didn't react so well to the tramadol and bethanechol (salivation, nervous, diarrhoea) -> tramadol stopped and replaced with prednisolone, dose of bethanechol was reduced. Alba's condition worsened despite the treatment and the day before presentation she had difficulty walking. She could only stand up with difficulty and then after a few steps she fell down again. She hardly put any weight on her right hind leg and kept it slightly off the ground. However, she was still able to pass urine. According to her owner, she was in pain during the night and in the morning she couldn't walk at all. Faeces were normal the day before presentation, but she shows slight faecal incontinence. She is eating a little less well and is also drinking less. She was hospitalized and on the 24.09 an MRI was done. MRI report: Single mass at the right ileosacral joint with invasion into the vertebral canal and osteolysis; Multiple disc degeneration and protrusion -> Due to the polyostotic affection and cortical lysis the most plausible nature of the mass lesion is a Histiocytic sarcoma; Ddx: fibrosarcom, chondrosarcoma. (In 2020, Alba was diagnosed with hypothyroidism and is currently being treated with levothyroxine. In July 2024, she had a mastectomy and castration because premalignant tumours were found in her breast. She has recovered well, although the suture has become infected in the meantime and she was given antibiotics (amoxicillin-clavulanic acid).).
Medication: 24.09 before MRI: Gabapentin 6mg/kg PO TID, Levothyroxin 7.8mg/kg PO BID, Methadon 0.1mg/kg IV q4h. 24.09 after MRI & before observation 1: Paracetamol 15 mg/kg IV. Between observation 1& 2: Dexmedetomidin 0.001 mg/kg IV.
Pain type: subacute, nociceptive, inflammatory, orthopedic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 30
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 30.1 kg
Birth date: 2013-10-07 00:00:00
Primary diagnosis: Mass at the right ileosacral joint with invasion into the vertebral canal and osteolysis, multiple disc degeneration and protrusion.
Situation: hospitalized
Medical history: Alba was presented to the emergency department in thew night between 23 & 24 September. Three weeks ago, Alba stopped lifting her tail and stopped urinating. The vet took an X-ray of her pelvis: L7-S1 spondyloarthrosis and suspected transitional lumbosacral vertebrae. He prescribed Firoxib, Tramadol, Gabapentin and Bethanechol for the bladder atony and Prednisolone. Alba didn't react so well to the tramadol and bethanechol (salivation, nervous, diarrhoea) -> tramadol stopped and replaced with prednisolone, dose of bethanechol was reduced. Alba's condition worsened despite the treatment and the day before presentation she had difficulty walking. She could only stand up with difficulty and then after a few steps she fell down again. She hardly put any weight on her right hind leg and kept it slightly off the ground. However, she was still able to pass urine. According to her owner, she was in pain during the night and in the morning she couldn't walk at all. Faeces were normal the day before presentation, but she shows slight faecal incontinence. She is eating a little less well and is also drinking less. She was hospitalized and on the 24.09 an MRI was done. MRI report: Single mass at the right ileosacral joint with invasion into the vertebral canal and osteolysis; Multiple disc degeneration and protrusion -> Due to the polyostotic affection and cortical lysis the most plausible nature of the mass lesion is a Histiocytic sarcoma; Ddx: fibrosarcom, chondrosarcoma. (In 2020, Alba was diagnosed with hypothyroidism and is currently being treated with levothyroxine. In July 2024, she had a mastectomy and castration because premalignant tumours were found in her breast. She has recovered well, although the suture has become infected in the meantime and she was given antibiotics (amoxicillin-clavulanic acid).).
Medication: 24.09 before MRI: Gabapentin 6mg/kg PO TID, Levothyroxin 7.8mg/kg PO BID, Methadon 0.1mg/kg IV q4h. 24.09 after MRI & before observation 1: Paracetamol 15 mg/kg IV. Between observation 1& 2: Dexmedetomidin 0.001 mg/kg IV.
Pain type: subacute, nociceptive, inflammatory, orthopedic
Pain origin: back
Pain duration: More than 7 days
Estimated pain severity: 30
Species: dog
Breed: Icelandic Sheepdog
Sex: m, not neutered
Weight: 13.0 kg
Birth date: 2023-12-29 00:00:00
Primary diagnosis: Left eye mature cataract, lens resorption, lens induced uveitis and ocular hypertension; right eye immature cataract
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: Oslo was presented to out clinic on the 03.10.2024. A week before the owners noticed a sudden roundish white clouding of the left eye. Oslo was presented to the private vet and sent home without any special therapy. Three days before they went to a clinic in St Immier where probably a fluorescein test was carried out and was negative. Oslo has been given Maxitrol drops for local treatment (1 drop BID in the left eye). He seemed to twitch his eye and has been scratching it since the morning of presentation, on 03.10.2014. In general, his symptoms have worsened the day of presentation. A piece of wood was seen in his eye 3 weeks before and removed immediately by the owner. He showed no symptoms afterwards. Otherwise he is a young, fit dog with no previous illness. An ophthalmologic examination was carried out at out clinic and the dog went home the same day.
Medication: Before presentation: Maxitrol 1 drop BID in left eye for 3 days before presentation. Before observation 1: Gabapentine 15 mg/kg PO.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: eyes
Pain duration: 24 hours to 7 days
Estimated pain severity: 25
Species: dog
Breed: French Bulldog
Sex: f, neutered
Weight: 10.7 kg
Birth date: 2019-07-01 00:00:00
Primary diagnosis: Acute intervertebral disc extrusion T13/L1 and secundary epidural hemorrhage from T13/L1 to L2
Situation: emergency initial
Medical history: Funny was presented on 03.10.2024. The day before presentation Funny was slower than usual on her walk. Otherwise she was normal until the morning of presentation. That morning she was stiff in the forelimbs and lame behind. She had balance problems and stretched her head backwards. She was only dragging her hind limbs. No falls/accidents/sudden cries were observed. She was also dyspnoeic, which the owner concluded was due to pain. After examination an MRI was performed, and afterwards the dog went into surgery. MRI report (03.10.2024): Acute intervertebral disc extrusion T13/L1 with moderate compression of the spinal cord (right lateralization); Secondary epidural hemorrhage from T13/L1 extending to cranial aspect of L2 mainly right; Chronic mild compressive disc extrusion L2/3, left lateralized; Multifocal degenerative disc disease; Vertebral malformation with hemivertebra T5, T6, scoliosis and vertebral canal stenosis; Butterfly vertebra T10.
Medication: No medication before filming.
Pain type: acute, nociceptive, somatic
Pain origin: back
Pain duration: Less than 24 hours
Estimated pain severity: 55
Species: dog
Breed: Tibet Terrier
Sex: f, neutered
Weight: 11.3 kg
Birth date: 2019-03-01 00:00:00
Primary diagnosis: Chylothorax and abdominal transudate
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: The dog pas presented to us on the 07.10.2024. She had been having acute watery diarrhea, inappetence, cough and dyspnoea for 1 week. The dog had Giardia in spring --> successfully treated. Otherwise no previous illness or medication. The private vet only gave Butorphanol and referred the case to us. Nala had had dyspnoe with pleural and abdominal effusion when she arrived. The dog was stabilized and hospitalised but the owners decided for a euthanasia on the 08.10.2024.
Medication: At the private vet on 07.10 at 11:45: Butorphanol 0.09 mg/kg. Before observation 1: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. Directly after observation 1: Butorphanol 0.2 mg/kg IV. Before observation 2: Buprenorphin 0.015 mg/kg IV, Pro-Kolin PO. 08.10.2024: Methadon 0.2 mg/kg IV (1x at 08), Ondansetron 0.3 mg/kg IV TID, Pro-Kolin PO SID (at 17).
Pain type: visceral
Pain origin: thorax, abdomen
Estimated pain severity: 70
Species: dog
Breed: Tibet Terrier
Sex: f, neutered
Weight: 11.3 kg
Birth date: 2019-03-02 00:00:00
Primary diagnosis: Chylothorax and abdominal transudate
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog pas presented to us on the 07.10.2024. She had been having acute watery diarrhea, inappetence, cough and dyspnoea for 1 week. The dog had Giardia in spring --> successfully treated. Otherwise no previous illness or medication. The private vet only gave Butorphanol and referred the case to us. Nala had had dyspnoe with pleural and abdominal effusion when she arrived. The dog was stabilized and hospitalised but the owners decided for a euthanasia on the 08.10.2024.
Medication: At the private vet on 07.10 at 11:45: Butorphanol 0.09 mg/kg. Before observation 1: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. Directly after observation 1: Butorphanol 0.2 mg/kg IV. Before observation 2: Buprenorphin 0.015 mg/kg IV, Pro-Kolin PO. 08.10.2024: Methadon 0.2 mg/kg IV (1x at 08), Ondansetron 0.3 mg/kg IV TID, Pro-Kolin PO SID (at 17).
Pain type: visceral
Pain origin: thorax, abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 35
Species: dog
Breed: Tibet Terrier
Sex: f, neutered
Weight: 11.3 kg
Birth date: 2019-03-03 00:00:00
Primary diagnosis: Chylothorax and abdominal transudate
Situation: hospitalized
Medical history: The dog pas presented to us on the 07.10.2024. She had been having acute watery diarrhea, inappetence, cough and dyspnoea for 1 week. The dog had Giardia in spring --> successfully treated. Otherwise no previous illness or medication. The private vet only gave Butorphanol and referred the case to us. Nala had had dyspnoe with pleural and abdominal effusion when she arrived. The dog was stabilized and hospitalised but the owners decided for a euthanasia on the 08.10.2024.
Medication: At the private vet on 07.10 at 11:45: Butorphanol 0.09 mg/kg. Before observation 1: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. Directly after observation 1: Butorphanol 0.2 mg/kg IV. Before observation 2: Buprenorphin 0.015 mg/kg IV, Pro-Kolin PO. 08.10.2024: Methadon 0.2 mg/kg IV (1x at 08), Ondansetron 0.3 mg/kg IV TID, Pro-Kolin PO SID (at 17).
Pain type: acute, nociceptive
Pain origin: thorax, abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 25
Species: dog
Breed: Yorkshire Terrier
Sex: m, not neutered
Weight: 3.47 kg
Birth date: 1905-07-14 00:00:00
Primary diagnosis: Multiple bite wounds
Situation: emergency initial
Medical history: Roki was presented to our clinic on the 07.10.2024. The owner was walking his dog in the woods and briefly lost sight of the dog. Then he heard barking and noises from dogs and Roki came back with slightly bleeding wounds. He was also lame on the front right side. The owner came to us immediately afterwards. Roki had not been pre-treated, was not on any medication and had no known previous illnesses. The dog was hospitalized, the wounds were flushed and treated, and he was sent home on the 08.10.
Medication: No medication before presentation. Before observation 2: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. 07.10 after observation 2: Methadon 0.2mg/kg IV q4h and switched to Buprenorphin 0.015mg/kg IV TID at midnight, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 mg/kg IV TID. 08.10: Buprenorphin 0.015mg/kg IV TID, Meloxicam 0.05 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30mg/kg IV TID.
Orthopedic exam: 08.10.2024: no abnormalities
Pain type: acute, inflammatory, somatic
Pain origin: abdomen, front legs, hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 40
Species: dog
Breed: Yorkshire Terrier
Sex: m, not neutered
Weight: 3.47 kg
Birth date: 1905-07-15 00:00:00
Primary diagnosis: Multiple bite wounds
Situation: emergency initial
Medical history: Roki was presented to our clinic on the 07.10.2024. The owner was walking his dog in the woods and briefly lost sight of the dog. Then he heard barking and noises from dogs and Roki came back with slightly bleeding wounds. He was also lame on the front right side. The owner came to us immediately afterwards. Roki had not been pre-treated, was not on any medication and had no known previous illnesses. The dog was hospitalized, the wounds were flushed and treated, and he was sent home on the 08.10.
Medication: No medication before presentation. Before observation 2: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. 07.10 after observation 2: Methadon 0.2mg/kg IV q4h and switched to Buprenorphin 0.015mg/kg IV TID at midnight, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 mg/kg IV TID. 08.10: Buprenorphin 0.015mg/kg IV TID, Meloxicam 0.05 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30mg/kg IV TID.
Orthopedic exam: 08.10.2024: no abnormalities
Neurologic exam: Multiple bite wounds
Pain type: acute, inflammatory, somatic
Pain origin: abdomen, front legs, hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 40
Species: dog
Breed: Yorkshire Terrier
Sex: m, not neutered
Weight: 3.47 kg
Birth date: 1905-07-16 00:00:00
Primary diagnosis: Multiple bite wounds
Situation: hospitalized
Medical history: Roki was presented to our clinic on the 07.10.2024. The owner was walking his dog in the woods and briefly lost sight of the dog. Then he heard barking and noises from dogs and Roki came back with slightly bleeding wounds. He was also lame on the front right side. The owner came to us immediately afterwards. Roki had not been pre-treated, was not on any medication and had no known previous illnesses. The dog was hospitalized, the wounds were flushed and treated, and he was sent home on the 08.10.
Medication: No medication before presentation. Before observation 2: Methadon 0.2 mg/kg IV, Ondansetron 0.3 mg/kg IV. 07.10 after observation 2: Methadon 0.2mg/kg IV q4h and switched to Buprenorphin 0.015mg/kg IV TID at midnight, Meloxicam 0.1 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30 mg/kg IV TID. 08.10: Buprenorphin 0.015mg/kg IV TID, Meloxicam 0.05 mg/kg IV SID, Ondansetron 0.3 mg/kg IV TID, Ampicillin 30mg/kg IV TID.
Orthopedic exam: 08.10.2024: no abnormalities
Neurologic exam: Multiple bite wounds and hematomas
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: thorax, abdomen, front legs
Pain duration: Less than 24 hours
Estimated pain severity: 20
Species: dog
Breed: Miniature Schnauzer
Sex: m, not neutered
Weight: 11.3 kg
Birth date: 2024-10-24 00:00:00
Primary diagnosis: Suspicion of intermittent disc herniation, suspicion of hyperadrenocortisism, suspicion of pancreatitis
Situation: emergency initial
Medical history: Punky was presented to the private vet at the beginning of October with acute ambulatory paraparesis associated with back pain. He was treated symptomatically with NSAIDs (Meloxicam), Buprenorphine and Gabapentin. His general condition improved with treatment until the NSAIDs were discontinued. Prednisolon, replacing Meloxicam, was added to the symptomatic treatment on 12.10 until 25.10.2024 inclusive. A new pain attack was observed on 27.10.2024. On the 28.10 they went again to the private vet, Methadon 0.36 mg/kg IV were admistered and also Gabapentin 14 mg/kg PO.He was presented to our clinic on the 29.10. Punky appeared prostrate, most of the time in a sternal decubitus position. The dog showed no big abnormalities during our orthopedic and neurologic examinations. An IVDE at the cervical level could not be excluded, but no further examinations were performed as the dog wasn't symptomatic at the time of presentation. Because of the suspect of hyperadrenocorticism, an abdominal ultrasound was performed --> report (29.10): Diffuse hepatopathy; Patchy pancreatopathy; Diffuse hyperechoic spleen; Cholelith with mild cholecystopathy. Further examinations for cushing were iniciated. The dog was sent home under symptomatik therapy with Gabapentin and Metamizol.
Medication: Day before presentation (28.10): Methadon 0.36 mg/kg IV, Gabapentin 14 mg/kg PO. (Probably) no medication given the day of presentation (29.10). At our clinic: no medication given before observation 1.
Pain type: acute, inflammatory, visceral
Pain origin: abdomen
Pain duration: More than 7 days
Estimated pain severity: 53
Species: dog
Breed: Pug
Sex: f, neutered
Weight: 7.1 kg
Birth date: 2013-08-19 00:00:00
Primary diagnosis: Left sided acute and compressive intervertebral disc extrusion T12/13
Situation: emergerncy initial
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: nociceptive, somatic
Pain origin: back
Pain duration: Less than 24 hours
Estimated pain severity: 47
Species: dog
Breed: Pug
Sex: f, neutered
Weight: 7.1 kg
Birth date: 2013-08-20 00:00:00
Primary diagnosis: Left sided acute and compressive intervertebral disc extrusion T12/14
Situation: emergency follow-up
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: 28