oliveirabruno01/openfarm-dog-pain huggingface dataset:
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 22.8 kg
Birth date: 2012-01-04 00:00:00
Primary diagnosis: Epilepsy, insulinoma
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: 10
Species: dog
Breed: Crossbreed
Sex: f, neutered
Weight: 22.8 kg
Birth date: 2012-01-05 00:00:00
Primary diagnosis: Epilepsy, insulinoma
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: 10
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 2.93 kg
Birth date: 2022-04-13 00:00:00
Primary diagnosis: Multiple bite wounds, bilateral corneal lesion
Situation: emergency follow-up
Time since surgery: 2-4 hrs
Medical history: The dog was presented to our clinic on the 20.11.2024 in the afternoon. She was still seen around 09:30. Then the owners realised that they hadn't seen her for a while - she's usually always with her puppies (7 weeks old). They went looking for her and found her lying outside in the snow at around 10.30 am. The owner then had to drive home from work - and then still here; she was therefore hypothermic for about 2-3 hours in total and probably also hypotensive. The medical history abbreviated as far as everything else is concerned. No known previous illnesses. At our clinic she was warmed up and stabilized, and afterwards the wounds were cleaned (wounds: gluteal region both sides, both shoulders, around both eyes). The day after (21.11) a wound revision was performed. The dog stayed hospitalized until 25.11.
Medication: Before presentation: no medication. Before observation 1: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Maropitant 1 mg/kg IV, Tranexamic acid 20 mg/kg IV. Started before observation 2: Fentanyl CRI 5 µg/kg/h IV, Ketamin CRI 0.6 mg/kg/h IV. 20.11 started/continued after observation 2: Fentanyl CRI 5 µg/kg/h IV (augmented to 7.5 µg/kg/h?), Ketamin CRI 0.6 mg/kg/h IV, Maropitant 1 mg/kg IV SID, Ondansetron 0.5 mg/kg IV TID, Tranexamic acid 20 mg/kg IV at 01, Ampicillin Sulbactam 30 mg/kg IV TID, Galastop 5 µg/kg PO SID, Oxytetracycline eye ointment both eyes TID, Paracetamol 15 mg/kg IV at 02. 21.11 (nothing given before observation 3): Ketamin CRI & Ampicillin & Ondansetron & Maropitant & Galastop & Oxytetracycline eye ointment same as 20.11, Fentanyl CRI from 7.5 µg/kg/h IV to 5 µg/kg/h, Tranexamic acid 20 mg/kg IV at 10 then stopped, Paracetamol 15 mg/kg IV TID, Pregabalin 2 mg/kg PO BID. 22.11: Ampicillin & Ondansetron & Maropitant & Galastop & Paracetamol & Pregabalin & Oxytetracycline same as 21.11, Ketamin 1 mg/kg SC TID (started after observation 4), Carprofen 4 mg/kg IV SID (started after observation 4), Methadon 0.2 mg/kg IV q4h (started after observation 4). 24.11: Ampicillin 30 mg/kg IV 1x switched to Amoxicillin 50 mg and Clavulanic acid 12.5 mg PO BID (Amoxicillin 19 mg/kg & Clavulanic acid 4.7 mg/kg), Galastop PO 5µg/kg PO SID, Paracetamol 15 mg/kg from IV to PO TID, Pregabalin 2 mg/kg PO BID, Carprofen 4 mg/kg PO SID, Oxytetracyclin eye ointment both eyes TID. 25.11 (everything given before observation 5): Amoxicillin and Clavulanic acid & Galastop & Paracetamol & Pregabalin & Carprofen & Oxytetracyclin eye ointment same as 24.11.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: head, front legs, hind legs, eyes
Pain duration: Less than 24 hours
Estimated pain severity: 56
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 2.93 kg
Birth date: 2022-04-14 00:00:00
Primary diagnosis: Multiple bite wounds, bilateral corneal lesion
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was presented to our clinic on the 20.11.2024 in the afternoon. She was still seen around 09:30. Then the owners realised that they hadn't seen her for a while - she's usually always with her puppies (7 weeks old). They went looking for her and found her lying outside in the snow at around 10.30 am. The owner then had to drive home from work - and then still here; she was therefore hypothermic for about 2-3 hours in total and probably also hypotensive. The medical history abbreviated as far as everything else is concerned. No known previous illnesses. At our clinic she was warmed up and stabilized, and afterwards the wounds were cleaned (wounds: gluteal region both sides, both shoulders, around both eyes). The day after (21.11) a wound revision was performed. The dog stayed hospitalized until 25.11.
Medication: Before presentation: no medication. Before observation 1: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Maropitant 1 mg/kg IV, Tranexamic acid 20 mg/kg IV. Started before observation 2: Fentanyl CRI 5 µg/kg/h IV, Ketamin CRI 0.6 mg/kg/h IV. 20.11 started/continued after observation 2: Fentanyl CRI 5 µg/kg/h IV (augmented to 7.5 µg/kg/h?), Ketamin CRI 0.6 mg/kg/h IV, Maropitant 1 mg/kg IV SID, Ondansetron 0.5 mg/kg IV TID, Tranexamic acid 20 mg/kg IV at 01, Ampicillin Sulbactam 30 mg/kg IV TID, Galastop 5 µg/kg PO SID, Oxytetracycline eye ointment both eyes TID, Paracetamol 15 mg/kg IV at 02. 21.11 (nothing given before observation 3): Ketamin CRI & Ampicillin & Ondansetron & Maropitant & Galastop & Oxytetracycline eye ointment same as 20.11, Fentanyl CRI from 7.5 µg/kg/h IV to 5 µg/kg/h, Tranexamic acid 20 mg/kg IV at 10 then stopped, Paracetamol 15 mg/kg IV TID, Pregabalin 2 mg/kg PO BID. 22.11: Ampicillin & Ondansetron & Maropitant & Galastop & Paracetamol & Pregabalin & Oxytetracycline same as 21.11, Ketamin 1 mg/kg SC TID (started after observation 4), Carprofen 4 mg/kg IV SID (started after observation 4), Methadon 0.2 mg/kg IV q4h (started after observation 4). 24.11: Ampicillin 30 mg/kg IV 1x switched to Amoxicillin 50 mg and Clavulanic acid 12.5 mg PO BID (Amoxicillin 19 mg/kg & Clavulanic acid 4.7 mg/kg), Galastop PO 5µg/kg PO SID, Paracetamol 15 mg/kg from IV to PO TID, Pregabalin 2 mg/kg PO BID, Carprofen 4 mg/kg PO SID, Oxytetracyclin eye ointment both eyes TID. 25.11 (everything given before observation 5): Amoxicillin and Clavulanic acid & Galastop & Paracetamol & Pregabalin & Carprofen & Oxytetracyclin eye ointment same as 24.11.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: head, front legs, hind legs, eyes
Pain duration: Less than 24 hours
Estimated pain severity: 41
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 2.93 kg
Birth date: 2022-04-15 00:00:00
Primary diagnosis: Multiple bite wounds, bilateral corneal lesion
Situation: hospitalized
Medical history: The dog was presented to our clinic on the 20.11.2024 in the afternoon. She was still seen around 09:30. Then the owners realised that they hadn't seen her for a while - she's usually always with her puppies (7 weeks old). They went looking for her and found her lying outside in the snow at around 10.30 am. The owner then had to drive home from work - and then still here; she was therefore hypothermic for about 2-3 hours in total and probably also hypotensive. The medical history abbreviated as far as everything else is concerned. No known previous illnesses. At our clinic she was warmed up and stabilized, and afterwards the wounds were cleaned (wounds: gluteal region both sides, both shoulders, around both eyes). The day after (21.11) a wound revision was performed. The dog stayed hospitalized until 25.11.
Medication: Before presentation: no medication. Before observation 1: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Maropitant 1 mg/kg IV, Tranexamic acid 20 mg/kg IV. Started before observation 2: Fentanyl CRI 5 µg/kg/h IV, Ketamin CRI 0.6 mg/kg/h IV. 20.11 started/continued after observation 2: Fentanyl CRI 5 µg/kg/h IV (augmented to 7.5 µg/kg/h?), Ketamin CRI 0.6 mg/kg/h IV, Maropitant 1 mg/kg IV SID, Ondansetron 0.5 mg/kg IV TID, Tranexamic acid 20 mg/kg IV at 01, Ampicillin Sulbactam 30 mg/kg IV TID, Galastop 5 µg/kg PO SID, Oxytetracycline eye ointment both eyes TID, Paracetamol 15 mg/kg IV at 02. 21.11 (nothing given before observation 3): Ketamin CRI & Ampicillin & Ondansetron & Maropitant & Galastop & Oxytetracycline eye ointment same as 20.11, Fentanyl CRI from 7.5 µg/kg/h IV to 5 µg/kg/h, Tranexamic acid 20 mg/kg IV at 10 then stopped, Paracetamol 15 mg/kg IV TID, Pregabalin 2 mg/kg PO BID. 22.11: Ampicillin & Ondansetron & Maropitant & Galastop & Paracetamol & Pregabalin & Oxytetracycline same as 21.11, Ketamin 1 mg/kg SC TID (started after observation 4), Carprofen 4 mg/kg IV SID (started after observation 4), Methadon 0.2 mg/kg IV q4h (started after observation 4). 24.11: Ampicillin 30 mg/kg IV 1x switched to Amoxicillin 50 mg and Clavulanic acid 12.5 mg PO BID (Amoxicillin 19 mg/kg & Clavulanic acid 4.7 mg/kg), Galastop PO 5µg/kg PO SID, Paracetamol 15 mg/kg from IV to PO TID, Pregabalin 2 mg/kg PO BID, Carprofen 4 mg/kg PO SID, Oxytetracyclin eye ointment both eyes TID. 25.11 (everything given before observation 5): Amoxicillin and Clavulanic acid & Galastop & Paracetamol & Pregabalin & Carprofen & Oxytetracyclin eye ointment same as 24.11.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: head, front legs, hind legs, eyes
Pain duration: Less than 24 hours
Estimated pain severity: 56
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 2.93 kg
Birth date: 2022-04-16 00:00:00
Primary diagnosis: Multiple bite wounds, bilateral corneal lesion
Situation: hospitalized
Medical history: The dog was presented to our clinic on the 20.11.2024 in the afternoon. She was still seen around 09:30. Then the owners realised that they hadn't seen her for a while - she's usually always with her puppies (7 weeks old). They went looking for her and found her lying outside in the snow at around 10.30 am. The owner then had to drive home from work - and then still here; she was therefore hypothermic for about 2-3 hours in total and probably also hypotensive. The medical history abbreviated as far as everything else is concerned. No known previous illnesses. At our clinic she was warmed up and stabilized, and afterwards the wounds were cleaned (wounds: gluteal region both sides, both shoulders, around both eyes). The day after (21.11) a wound revision was performed. The dog stayed hospitalized until 25.11.
Medication: Before presentation: no medication. Before observation 1: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Maropitant 1 mg/kg IV, Tranexamic acid 20 mg/kg IV. Started before observation 2: Fentanyl CRI 5 µg/kg/h IV, Ketamin CRI 0.6 mg/kg/h IV. 20.11 started/continued after observation 2: Fentanyl CRI 5 µg/kg/h IV (augmented to 7.5 µg/kg/h?), Ketamin CRI 0.6 mg/kg/h IV, Maropitant 1 mg/kg IV SID, Ondansetron 0.5 mg/kg IV TID, Tranexamic acid 20 mg/kg IV at 01, Ampicillin Sulbactam 30 mg/kg IV TID, Galastop 5 µg/kg PO SID, Oxytetracycline eye ointment both eyes TID, Paracetamol 15 mg/kg IV at 02. 21.11 (nothing given before observation 3): Ketamin CRI & Ampicillin & Ondansetron & Maropitant & Galastop & Oxytetracycline eye ointment same as 20.11, Fentanyl CRI from 7.5 µg/kg/h IV to 5 µg/kg/h, Tranexamic acid 20 mg/kg IV at 10 then stopped, Paracetamol 15 mg/kg IV TID, Pregabalin 2 mg/kg PO BID. 22.11: Ampicillin & Ondansetron & Maropitant & Galastop & Paracetamol & Pregabalin & Oxytetracycline same as 21.11, Ketamin 1 mg/kg SC TID (started after observation 4), Carprofen 4 mg/kg IV SID (started after observation 4), Methadon 0.2 mg/kg IV q4h (started after observation 4). 24.11: Ampicillin 30 mg/kg IV 1x switched to Amoxicillin 50 mg and Clavulanic acid 12.5 mg PO BID (Amoxicillin 19 mg/kg & Clavulanic acid 4.7 mg/kg), Galastop PO 5µg/kg PO SID, Paracetamol 15 mg/kg from IV to PO TID, Pregabalin 2 mg/kg PO BID, Carprofen 4 mg/kg PO SID, Oxytetracyclin eye ointment both eyes TID. 25.11 (everything given before observation 5): Amoxicillin and Clavulanic acid & Galastop & Paracetamol & Pregabalin & Carprofen & Oxytetracyclin eye ointment same as 24.11.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: head, front legs, hind legs, eyes
Pain duration: 24 hours to 7 days
Estimated pain severity: 49
Species: dog
Breed: Yorkshire Terrier
Sex: f, not neutered
Weight: 2.93 kg
Birth date: 2022-04-17 00:00:00
Primary diagnosis: Multiple bite wounds, bilateral corneal lesion
Situation: hospitalized
Medical history: The dog was presented to our clinic on the 20.11.2024 in the afternoon. She was still seen around 09:30. Then the owners realised that they hadn't seen her for a while - she's usually always with her puppies (7 weeks old). They went looking for her and found her lying outside in the snow at around 10.30 am. The owner then had to drive home from work - and then still here; she was therefore hypothermic for about 2-3 hours in total and probably also hypotensive. The medical history abbreviated as far as everything else is concerned. No known previous illnesses. At our clinic she was warmed up and stabilized, and afterwards the wounds were cleaned (wounds: gluteal region both sides, both shoulders, around both eyes). The day after (21.11) a wound revision was performed. The dog stayed hospitalized until 25.11.
Medication: Before presentation: no medication. Before observation 1: Ampicillin 30 mg/kg IV, Methadon 0.1 mg/kg IV, Ondansetron 0.3 mg/kg IV, Maropitant 1 mg/kg IV, Tranexamic acid 20 mg/kg IV. Started before observation 2: Fentanyl CRI 5 µg/kg/h IV, Ketamin CRI 0.6 mg/kg/h IV. 20.11 started/continued after observation 2: Fentanyl CRI 5 µg/kg/h IV (augmented to 7.5 µg/kg/h?), Ketamin CRI 0.6 mg/kg/h IV, Maropitant 1 mg/kg IV SID, Ondansetron 0.5 mg/kg IV TID, Tranexamic acid 20 mg/kg IV at 01, Ampicillin Sulbactam 30 mg/kg IV TID, Galastop 5 µg/kg PO SID, Oxytetracycline eye ointment both eyes TID, Paracetamol 15 mg/kg IV at 02. 21.11 (nothing given before observation 3): Ketamin CRI & Ampicillin & Ondansetron & Maropitant & Galastop & Oxytetracycline eye ointment same as 20.11, Fentanyl CRI from 7.5 µg/kg/h IV to 5 µg/kg/h, Tranexamic acid 20 mg/kg IV at 10 then stopped, Paracetamol 15 mg/kg IV TID, Pregabalin 2 mg/kg PO BID. 22.11: Ampicillin & Ondansetron & Maropitant & Galastop & Paracetamol & Pregabalin & Oxytetracycline same as 21.11, Ketamin 1 mg/kg SC TID (started after observation 4), Carprofen 4 mg/kg IV SID (started after observation 4), Methadon 0.2 mg/kg IV q4h (started after observation 4). 24.11: Ampicillin 30 mg/kg IV 1x switched to Amoxicillin 50 mg and Clavulanic acid 12.5 mg PO BID (Amoxicillin 19 mg/kg & Clavulanic acid 4.7 mg/kg), Galastop PO 5µg/kg PO SID, Paracetamol 15 mg/kg from IV to PO TID, Pregabalin 2 mg/kg PO BID, Carprofen 4 mg/kg PO SID, Oxytetracyclin eye ointment both eyes TID. 25.11 (everything given before observation 5): Amoxicillin and Clavulanic acid & Galastop & Paracetamol & Pregabalin & Carprofen & Oxytetracyclin eye ointment same as 24.11.
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: head, front legs, hind legs, eyes
Pain duration: 24 hours to 7 days
Estimated pain severity: 26
Species: dog
Breed: Jack Russell Terrier
Sex: m, neutered
Weight: 8.1 kg
Birth date: 2021-07-23 00:00:00
Primary diagnosis: Hit by car with diaphragmal hernia
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Starky was presented to our clinic on 24.22.2024 due to dyspnoea after being hit by a car. Intestines and liver with the gall bladder were visible in the right hemithorax in the T-FAST. The diaphrtagmal hernia was confirmed with x-rays --> report (24.11): Diaphragmatic rupture with herniation of the stomach, liver and likely spleen into the thoracic cavity, causing severe reduction in lung volume (right more than left) and mass effect on the heart and trachea and right lung lobes; Moderate right pleural effusion with retraction and atelectasis of the right cranial/middle lung lobes; Small mineral body within the intestines (incidental) --> Findings compatible with severe trauma as hit by car; The pleural effusion is considered haemorrhagic because of the diaphragmatic rupture. The dog went into surgery the same day.
Medication: 24.11 after surgery: Fentanyl-CRI: 3 µg/kg/h, Ampicillin 30 mg/kg IV TID, Maropitant 1 mg/kg IV SID. 25.11: switch from Fentanyl CRI to Methadon 0.2 mg/kg IV q4h, Ampicillin 30 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Carprofen 32 mg/kg IV SID started at 15, Ondansetron 0.3 mg/kg IV TID started at 17, Metoclopramid CRI IV started at 17, Tranexamic acid 20 mg/kg IV TID started at 17, Ketamin 0.5 mg/kg SC 1x at 17. 26.11: Ampicillin & Maropitant & Ondansetron & Carprofen & Tranexamic acid same as 25.11, Methadon 0.2 mg/kg at 09 and 13 then switch to Buprenorphin 0.02 mg/kg IV TID from 17.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 63
Species: dog
Breed: Jack Russell Terrier
Sex: m, neutered
Weight: 8.1 kg
Birth date: 2021-07-24 00:00:00
Primary diagnosis: Hit by car with diaphragmal hernia
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Starky was presented to our clinic on 24.22.2024 due to dyspnoea after being hit by a car. Intestines and liver with the gall bladder were visible in the right hemithorax in the T-FAST. The diaphrtagmal hernia was confirmed with x-rays --> report (24.11): Diaphragmatic rupture with herniation of the stomach, liver and likely spleen into the thoracic cavity, causing severe reduction in lung volume (right more than left) and mass effect on the heart and trachea and right lung lobes; Moderate right pleural effusion with retraction and atelectasis of the right cranial/middle lung lobes; Small mineral body within the intestines (incidental) --> Findings compatible with severe trauma as hit by car; The pleural effusion is considered haemorrhagic because of the diaphragmatic rupture. The dog went into surgery the same day.
Medication: 24.11 after surgery: Fentanyl-CRI: 3 µg/kg/h, Ampicillin 30 mg/kg IV TID, Maropitant 1 mg/kg IV SID. 25.11: switch from Fentanyl CRI to Methadon 0.2 mg/kg IV q4h, Ampicillin 30 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Carprofen 32 mg/kg IV SID started at 15, Ondansetron 0.3 mg/kg IV TID started at 17, Metoclopramid CRI IV started at 17, Tranexamic acid 20 mg/kg IV TID started at 17, Ketamin 0.5 mg/kg SC 1x at 17. 26.11: Ampicillin & Maropitant & Ondansetron & Carprofen & Tranexamic acid same as 25.11, Methadon 0.2 mg/kg at 09 and 13 then switch to Buprenorphin 0.02 mg/kg IV TID from 17.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 42
Species: dog
Breed: Jack Russell Terrier
Sex: m, neutered
Weight: 8.1 kg
Birth date: 2021-07-25 00:00:00
Primary diagnosis: Hit by car with diaphragmal hernia
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: Starky was presented to our clinic on 24.22.2024 due to dyspnoea after being hit by a car. Intestines and liver with the gall bladder were visible in the right hemithorax in the T-FAST. The diaphrtagmal hernia was confirmed with x-rays --> report (24.11): Diaphragmatic rupture with herniation of the stomach, liver and likely spleen into the thoracic cavity, causing severe reduction in lung volume (right more than left) and mass effect on the heart and trachea and right lung lobes; Moderate right pleural effusion with retraction and atelectasis of the right cranial/middle lung lobes; Small mineral body within the intestines (incidental) --> Findings compatible with severe trauma as hit by car; The pleural effusion is considered haemorrhagic because of the diaphragmatic rupture. The dog went into surgery the same day.
Medication: 24.11 after surgery: Fentanyl-CRI: 3 µg/kg/h, Ampicillin 30 mg/kg IV TID, Maropitant 1 mg/kg IV SID. 25.11: switch from Fentanyl CRI to Methadon 0.2 mg/kg IV q4h, Ampicillin 30 mg/kg IV TID, Maropitant 1 mg/kg IV SID, Carprofen 32 mg/kg IV SID started at 15, Ondansetron 0.3 mg/kg IV TID started at 17, Metoclopramid CRI IV started at 17, Tranexamic acid 20 mg/kg IV TID started at 17, Ketamin 0.5 mg/kg SC 1x at 17. 26.11: Ampicillin & Maropitant & Ondansetron & Carprofen & Tranexamic acid same as 25.11, Methadon 0.2 mg/kg at 09 and 13 then switch to Buprenorphin 0.02 mg/kg IV TID from 17.
Pain type: acute, inflammatory, visceral, somatic
Pain origin: abdomen
Pain duration: 24 hours to 7 days
Estimated pain severity: 64
Species: dog
Breed: Shiba Inu
Sex: f, not neutered
Weight: 10 kg
Birth date: 2012-09-01 00:00:00
Primary diagnosis: Polyneuropathy (polyradikuloneuritis vs paraneoplastic) vs Myasthenia gravis
Situation: emergency initial
Medical history: The dog was referred to our clinic on 02.12.2024. The dog slipped once in the house in October but she didn't injure herself. Since the beginning of October/several months, the dog no longer wants to go for walks. This changes from day to day, sometimes she only wants to defecate/urinate and sometimes she wants to go for a normal walk. She continues to adopt the physiological posture when defecating. If she doesn't want to go for a walk, she simply lies down sternally and refuses. The owner has not observed any lameness, twitching, changes in posture or crying out when she is in pain in the last few months. On Friday evening (29.11.24) it was noticed that the dog no longer closed her mouth completely and also lost some saliva. According to her owner, she was eating/drinking a little less, but is generally a rather stubborn eater.On Saturday (30.11) she no longer wanted to go for a walk so she was taken to a private vet, where she was found to be orthopaedically/neurologically normal and given an anti-inflammatory injection, which she continued to take at home until Sunday morning. This did not improve her gait. On Sunday 01.12, according to her owner, she became increasingly ataxic, stumbling and walking unsteadily, especially in the forelimbs. She was therefore taken to the veterinary clinic in Thun. She was hospitalised there for one night with an infusion. The dog is allergic (hey fever) and gets Apoquel in the summer.
Medication: 2 & 1 days before presentation: NSAID (unknown what). Just before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mng/kg IV.
Neurologic exam: Performed on 02.12. Mentation: somewhat reserved, but orientates itself normally in space, reacts attentively to manipulation. Posture: unable to stand. Gait: only able to walk with support, otherwise too weak. Postural reactions: within the norm. Spinal reflexes: Flexor generalised moderately reduced, remaining spinal reflexes unremarkable. Sensitivity: unremarkable. Neuroanatomical localisation: peripheral nervous system (Polyneuropathy (polyradikuloneuritis vs paraneoplastic) vs Myasthenia gravis).
Pain type: acute, nociceptive, somatic
Pain origin: neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 61
Species: dog
Breed: Shiba Inu
Sex: f, not neutered
Weight: 11 kg
Birth date: 2012-09-02 00:00:00
Primary diagnosis: Polyneuropathy (polyradikuloneuritis vs paraneoplastic) vs Myasthenia gravis
Situation: emergency follow-up
Time since surgery: 0-2 hrs
Medical history: The dog was referred to our clinic on 02.12.2024. The dog slipped once in the house in October but she didn't injure herself. Since the beginning of October/several months, the dog no longer wants to go for walks. This changes from day to day, sometimes she only wants to defecate/urinate and sometimes she wants to go for a normal walk. She continues to adopt the physiological posture when defecating. If she doesn't want to go for a walk, she simply lies down sternally and refuses. The owner has not observed any lameness, twitching, changes in posture or crying out when she is in pain in the last few months. On Friday evening (29.11.24) it was noticed that the dog no longer closed her mouth completely and also lost some saliva. According to her owner, she was eating/drinking a little less, but is generally a rather stubborn eater.On Saturday (30.11) she no longer wanted to go for a walk so she was taken to a private vet, where she was found to be orthopaedically/neurologically normal and given an anti-inflammatory injection, which she continued to take at home until Sunday morning. This did not improve her gait. On Sunday 01.12, according to her owner, she became increasingly ataxic, stumbling and walking unsteadily, especially in the forelimbs. She was therefore taken to the veterinary clinic in Thun. She was hospitalised there for one night with an infusion. The dog is allergic (hey fever) and gets Apoquel in the summer.
Medication: 3 & 1 days before presentation: NSAID (unknown what). Just before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mng/kg IV.
Neurologic exam: Performed on 02.12. Mentation: somewhat reserved, but orientates itself normally in space, reacts attentively to manipulation. Posture: unable to stand. Gait: only able to walk with support, otherwise too weak. Postural reactions: within the norm. Spinal reflexes: Flexor generalised moderately reduced, remaining spinal reflexes unremarkable. Sensitivity: unremarkable. Neuroanatomical localisation: peripheral nervous system (Polyneuropathy (polyradikuloneuritis vs paraneoplastic) vs Myasthenia gravis).
Pain type: acute
Pain origin: neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 43
Species: dog
Breed: Shiba Inu
Sex: f, not neutered
Weight: 12 kg
Birth date: 2012-09-03 00:00:00
Primary diagnosis: Polyneuropathy (polyradikuloneuritis vs paraneoplastic) vs Myasthenia gravis
Situation: emergency follow-up
Time since surgery: 4-6 hrs
Medical history: The dog was referred to our clinic on 02.12.2024. The dog slipped once in the house in October but she didn't injure herself. Since the beginning of October/several months, the dog no longer wants to go for walks. This changes from day to day, sometimes she only wants to defecate/urinate and sometimes she wants to go for a normal walk. She continues to adopt the physiological posture when defecating. If she doesn't want to go for a walk, she simply lies down sternally and refuses. The owner has not observed any lameness, twitching, changes in posture or crying out when she is in pain in the last few months. On Friday evening (29.11.24) it was noticed that the dog no longer closed her mouth completely and also lost some saliva. According to her owner, she was eating/drinking a little less, but is generally a rather stubborn eater.On Saturday (30.11) she no longer wanted to go for a walk so she was taken to a private vet, where she was found to be orthopaedically/neurologically normal and given an anti-inflammatory injection, which she continued to take at home until Sunday morning. This did not improve her gait. On Sunday 01.12, according to her owner, she became increasingly ataxic, stumbling and walking unsteadily, especially in the forelimbs. She was therefore taken to the veterinary clinic in Thun. She was hospitalised there for one night with an infusion. The dog is allergic (hey fever) and gets Apoquel in the summer.
Medication: 4 & 1 days before presentation: NSAID (unknown what). Just before observation 1: Ondansetron 0.3 mg/kg IV. Before observation 2: Methadon 0.1 mng/kg IV.
Neurologic exam: Performed on 02.12. Mentation: somewhat reserved, but orientates itself normally in space, reacts attentively to manipulation. Posture: unable to stand. Gait: only able to walk with support, otherwise too weak. Postural reactions: within the norm. Spinal reflexes: Flexor generalised moderately reduced, remaining spinal reflexes unremarkable. Sensitivity: unremarkable. Neuroanatomical localisation: peripheral nervous system (Polyneuropathy (polyradikuloneuritis vs paraneoplastic) vs Myasthenia gravis).
Pain type: acute, nociceptive, inflammatory, somatic
Pain origin: neck
Pain duration: 24 hours to 7 days
Estimated pain severity: 34
Species: dog
Breed: American Bulldog
Sex: m, not neutered
Weight: 30.2 kg
Birth date: 2016-08-25 00:00:00
Primary diagnosis: Rupture of the medial collateral ligament of the right carpus
Situation: Pre-surgery
Medical history: The dog Altan was presented on 03.12.24 for biopsy and surgical treatment of the rupture of the medial collateral ligaments of the right carpal joint. According to the medical histry, Altan showed an acute lameness of the right forelimb on 08.11.24 morning after presumably falling off the sofa and did not put any weight on it. With a splint bandage until the operation date, the swelling decreased somewhat and Altan was able to put more weight on the limb. Rimadyl was given from 08.11 unil 15.11, then from 19.11 to 28.11. An artificial medial carpal ligament replacement was done and the dog went home the day after.
Medication: Before presentation: Amoxicillin 17 mg/kg & Clavulanic acid 4 mg/kg (Clyanic 500 + 125 mg) PO BID, Gabapentin 10 mg/kg SID-BID. Before observation 2: Carprofen 4 mg/kg IV.
Anesthesia: Intervention on 03.12.2024: Artificial medial carpal ligament replacement. Premedication at 12:55: Medetomidin 0.007 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Methadon 0.1 mg/kg IV, local anesthesia RUMM block Ropivacain 2 mg/kg (6 ml). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Intervention duration: 60 min. Anaethesia duration: 180 min.
Pain type: acute, orthopedic, somatic
Pain origin: front legs
Estimated pain severity: 22
Species: dog
Breed: American Bulldog
Sex: m, not neutered
Weight: 30.2 kg
Birth date: 2016-08-26 00:00:00
Primary diagnosis: Rupture of the medial collateral ligament of the right carpus
Situation: Post-surgery
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog Altan was presented on 03.12.24 for biopsy and surgical treatment of the rupture of the medial collateral ligaments of the right carpal joint. According to the medical histry, Altan showed an acute lameness of the right forelimb on 08.11.24 morning after presumably falling off the sofa and did not put any weight on it. With a splint bandage until the operation date, the swelling decreased somewhat and Altan was able to put more weight on the limb. Rimadyl was given from 08.11 unil 15.11, then from 19.11 to 28.11. An artificial medial carpal ligament replacement was done and the dog went home the day after.
Medication: Before presentation: Amoxicillin 17 mg/kg & Clavulanic acid 4 mg/kg (Clyanic 500 + 125 mg) PO BID, Gabapentin 10 mg/kg SID-BID. Before observation 2: Carprofen 4 mg/kg IV.
Anesthesia: Intervention on 03.12.2024: Artificial medial carpal ligament replacement. Premedication at 12:55: Medetomidin 0.007 mg/kg IM, Methadon 0.2 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 2 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Methadon 0.1 mg/kg IV, local anesthesia RUMM block Ropivacain 2 mg/kg (6 ml). Antibiotics: Ampicillin/Sulbactam 30 mg/kg IV. Intervention duration: 60 min. Anaethesia duration: 180 min.
Pain type: acute, inflammatory, orthopedic, somatic
Pain origin: front legs
Estimated pain severity: 39
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered
Weight: 36 kg
Birth date: 2023-06-09 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Pre-surgery
Medical history: The dog was presented to our clinic for a consultation on 09.12.2024 and TPLO surgery the following day. He has been weak on both hind limbs from an early age. He had a TPLO surgery on the left side at the beginning of September, he has healed well and is no longer lame on that side. X-rays report 12.08.2024: Bilateral moderate stifle joint distention; Bilateral mild to moderate stifle joint osteoarthrosis; Possible bilateral cranial tibial subluxation Unremarkable tarsi --> Findings consistent with a cranial cruciate ligament disease; No radiographic sings of osteochondrosis. Two weeks before presentation on 09.12 the owners started the medication again (Rimadyl?) because Tyler was lame on his right leg. The surgery went well and on the 11.12 the dog went home.
Medication: Before presentation on 09.12: propably Carprofen. No medication before observation 1 (probably, I don't know when pain medication was given the last time by the owner). Before observation 2: Methadon 0.1 mg/kg IV, Paracetamol 10 mg/kg IV. 10.12 after surgery: Methadon 0.1 mg/kg IV q4h, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV TID. 11.12 (nothing given before observaion 3): probably Buprenorphin 0.015 mg/kg IV TID, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV at 09 then stopped, proably Carprofen 0.4 mg/kg IV SID at 13.
Anesthesia: Intervention on 11.12.2024: Arthroscopy & TPLO right. Premedication at 08:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.006 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl, Local anaesthesia Femoralis / Ischiadicus block Ropivacain 10 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypothermia. Wake up phase: postoperative sedation Acepromazin, Bolus Methadon 0.2 mg/kg IV, Bolus Paracetamol 10 mg/kg IV. Anaesthesia duration: 270 min.
Orthopedic exam: Performed on 09.12.2024. Right hinflimb: lameness grade 1/4, slightly swollen knee, positive tibial compression test and drawer test. Left hindlimb: intermittent lameness grade 1/4, knee swollen, negative tibial compression test.
Pain type: acute, chronic, orthopedic, somatic
Pain origin: hind legs
Pain duration: More than 7 days
Estimated pain severity: 33
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered
Weight: 37 kg
Birth date: 2023-06-10 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Post-surgery
Time since surgery: < 2 hrs
Recovered from anesthesia: Mild sedation (1)
Medical history: The dog was presented to our clinic for a consultation on 09.12.2024 and TPLO surgery the following day. He has been weak on both hind limbs from an early age. He had a TPLO surgery on the left side at the beginning of September, he has healed well and is no longer lame on that side. X-rays report 12.08.2024: Bilateral moderate stifle joint distention; Bilateral mild to moderate stifle joint osteoarthrosis; Possible bilateral cranial tibial subluxation Unremarkable tarsi --> Findings consistent with a cranial cruciate ligament disease; No radiographic sings of osteochondrosis. Two weeks before presentation on 09.12 the owners started the medication again (Rimadyl?) because Tyler was lame on his right leg. The surgery went well and on the 11.12 the dog went home.
Medication: Before presentation on 09.12: propably Carprofen. No medication before observation 1 (probably, I don't know when pain medication was given the last time by the owner). Before observation 2: Methadon 0.1 mg/kg IV, Paracetamol 10 mg/kg IV. 10.12 after surgery: Methadon 0.1 mg/kg IV q4h, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV TID. 11.12 (nothing given before observaion 3): probably Buprenorphin 0.015 mg/kg IV TID, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV at 09 then stopped, proably Carprofen 0.4 mg/kg IV SID at 13.
Anesthesia: Intervention on 11.12.2024: Arthroscopy & TPLO right. Premedication at 08:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.006 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl, Local anaesthesia Femoralis / Ischiadicus block Ropivacain 10 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypothermia. Wake up phase: postoperative sedation Acepromazin, Bolus Methadon 0.2 mg/kg IV, Bolus Paracetamol 10 mg/kg IV. Anaesthesia duration: 270 min.
Orthopedic exam: Performed on 09.12.2024. Right hinflimb: lameness grade 1/4, slightly swollen knee, positive tibial compression test and drawer test. Left hindlimb: intermittent lameness grade 1/4, knee swollen, negative tibial compression test.
Pain type: acute, chronic, orthopedic, somatic, inflammatory
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 39
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered
Weight: 38 kg
Birth date: 2023-06-11 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Post-surgery
Time since surgery: 2-4 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented to our clinic for a consultation on 09.12.2024 and TPLO surgery the following day. He has been weak on both hind limbs from an early age. He had a TPLO surgery on the left side at the beginning of September, he has healed well and is no longer lame on that side. X-rays report 12.08.2024: Bilateral moderate stifle joint distention; Bilateral mild to moderate stifle joint osteoarthrosis; Possible bilateral cranial tibial subluxation Unremarkable tarsi --> Findings consistent with a cranial cruciate ligament disease; No radiographic sings of osteochondrosis. Two weeks before presentation on 09.12 the owners started the medication again (Rimadyl?) because Tyler was lame on his right leg. The surgery went well and on the 11.12 the dog went home.
Medication: Before presentation on 09.12: propably Carprofen. No medication before observation 1 (probably, I don't know when pain medication was given the last time by the owner). Before observation 2: Methadon 0.1 mg/kg IV, Paracetamol 10 mg/kg IV. 10.12 after surgery: Methadon 0.1 mg/kg IV q4h, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV TID. 11.12 (nothing given before observaion 3): probably Buprenorphin 0.015 mg/kg IV TID, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV at 09 then stopped, proably Carprofen 0.4 mg/kg IV SID at 13.
Anesthesia: Intervention on 11.12.2024: Arthroscopy & TPLO right. Premedication at 08:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.006 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl, Local anaesthesia Femoralis / Ischiadicus block Ropivacain 10 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypothermia. Wake up phase: postoperative sedation Acepromazin, Bolus Methadon 0.2 mg/kg IV, Bolus Paracetamol 10 mg/kg IV. Anaesthesia duration: 270 min.
Orthopedic exam: Performed on 09.12.2024. Right hinflimb: lameness grade 1/4, slightly swollen knee, positive tibial compression test and drawer test. Left hindlimb: intermittent lameness grade 1/4, knee swollen, negative tibial compression test.
Pain type: acute, chronic, orthopedic, somatic, inflammatory
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 46
Species: dog
Breed: American Staffordshire Terrier
Sex: m, not neutered
Weight: 39 kg
Birth date: 2023-06-12 00:00:00
Primary diagnosis: Cruciate ligament rupture right
Situation: Post-surgery
Time since surgery: > 12 hrs
Recovered from anesthesia: No sedation (0)
Medical history: The dog was presented to our clinic for a consultation on 09.12.2024 and TPLO surgery the following day. He has been weak on both hind limbs from an early age. He had a TPLO surgery on the left side at the beginning of September, he has healed well and is no longer lame on that side. X-rays report 12.08.2024: Bilateral moderate stifle joint distention; Bilateral mild to moderate stifle joint osteoarthrosis; Possible bilateral cranial tibial subluxation Unremarkable tarsi --> Findings consistent with a cranial cruciate ligament disease; No radiographic sings of osteochondrosis. Two weeks before presentation on 09.12 the owners started the medication again (Rimadyl?) because Tyler was lame on his right leg. The surgery went well and on the 11.12 the dog went home.
Medication: Before presentation on 09.12: propably Carprofen. No medication before observation 1 (probably, I don't know when pain medication was given the last time by the owner). Before observation 2: Methadon 0.1 mg/kg IV, Paracetamol 10 mg/kg IV. 10.12 after surgery: Methadon 0.1 mg/kg IV q4h, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV TID. 11.12 (nothing given before observaion 3): probably Buprenorphin 0.015 mg/kg IV TID, Paracetamol 10 mg/kg IV TID, Ampicillin 10 mg/kg IV at 09 then stopped, proably Carprofen 0.4 mg/kg IV SID at 13.
Anesthesia: Intervention on 11.12.2024: Arthroscopy & TPLO right. Premedication at 08:30: Methadon 0.2 mg/kg IM, Dexmedetomidin 0.006 mg/kg IM. Induction: Ketamin 1 mg/kg IV, Propofol 1.5 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: Bolus Fentanyl, Local anaesthesia Femoralis / Ischiadicus block Ropivacain 10 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Complications: hypothermia. Wake up phase: postoperative sedation Acepromazin, Bolus Methadon 0.2 mg/kg IV, Bolus Paracetamol 10 mg/kg IV. Anaesthesia duration: 270 min.
Orthopedic exam: Performed on 09.12.2024. Right hinflimb: lameness grade 1/4, slightly swollen knee, positive tibial compression test and drawer test. Left hindlimb: intermittent lameness grade 1/4, knee swollen, negative tibial compression test.
Pain type: acute, chronic, orthopedic, somatic, inflammatory
Pain origin: hind legs
Pain duration: Less than 24 hours
Estimated pain severity: 41
Species: dog
Breed: Flat Coated Retriever
Sex: m, neutered
Weight: 28.8 kg
Birth date: 2018-08-29 00:00:00
Primary diagnosis: Subcutaneous histiocytic sarcoma left flank
Situation: Pre-surgery
Medical history: The dog was presented to our oncology departement on 09.12.2024 and then came for surgery on 11.12. On 27 November, the owners discovered a subcutaneous mass on Jacky's left flank, which is why they took Jacky to a private vet. There the mass was punctured and a diagnosis of histiocytic sarcoma was made. Jacky is doing very well clinically and shows no symptoms. He is very active and eats well. Jacky has no known pre-existing conditions and is not on any medication. On 11.12 a mass resection with wide margins and one facial plane was performed. On 12.12 the dog went home.
Medication: No medication before presentation and before surgery. Before observation 2 (see anesthsia protocol): Methadon 0.1 mg/kg IV, Carprofen 4 mg/kg IV. 11.12 after surgery: Buprenorphin 0.015 mg/kg IV TID started at 17, Trazodon 1.7 mg/kg PO at 18. 12.12 (nothing given before observation 3): Carprofen 4 mg/kg IV SID.
Anesthesia: Intervention on 11.12.2024: Histiocytic sarcoma resection left flank. Premedication at 11:28: Methadon 0.2 mg/kg IM, Medetomidin 0.008 mg/kg IM. Propofol 1.3 mg/kg IV. Maintenance: FiO2, Isofluran. Analgesia: 1x Bolus Methadon 0.2 mg/kg IM, local anaesthesia epidural Lidocain 4.5 mg/kg (7 ml) & Morphin 0.3 ml. Antibiotics: Ampicillin / Sulbactam 30 mg/kg IV. Wake up phase: Bolus Methadon 0.1 mg/kg IV, Bolus Carprofen 4 mg/kg IV. Intervention duration: 60 min. Anaesthesia duration: 180 min.
Pain type: no pain
Pain origin: no pain