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Pet Forum / Miscellaneous / Animal Health / January 2008



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Sleepaway

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lilfirebug72 - 13 Jan 2008 03:53 GMT
I had my 12 year old dog put down yesterday. Was told that it would be
peaceful and painless. It went horribly in the other direction. She writhed
and jerked on the table, while she was whimpering and yipping. All this
before the entire syringe contents had been injected into her. After awhile
of this goin on, the vet-tech left the room as I was asking what was
happening. She returned a minute later with another syringe which I later
found out was another dose of the same drug. Comet continued jerking and
whimpering until she finally passed after the second dose of the Sleepaway.I
am not sure what to do. My vet contacted the company that gave them the drug.
They gave no real anwers. But they did say that they will come pick up all of
this drug that they have on hand, and bring them new stuff. My dog is the
third animal to experience this. They are saying it was most likely some form
of barbituate euphoria. I am heartbroken and instead of feeling that I did
what was best for my sick old girl. I feel  that I killed her inhumanely. Any
information would be so helpful. I cannot let this go. Not just for Comet.
But for everyother pet owner out there who has to make this decision. I may
have to live with this nightmare. But no one else should have to.
diddy - 13 Jan 2008 04:13 GMT
> I had my 12 year old dog put down yesterday. Was told that it would be
> peaceful and painless. It went horribly in the other direction. She
[quoted text clipped - 15 lines]
> decision. I may have to live with this nightmare. But no one else should
> have to.

I had the same happen to me with three dogs.
Dale Atkin - 13 Jan 2008 05:13 GMT
>> I had my 12 year old dog put down yesterday. Was told that it would be
>> peaceful and painless. It went horribly in the other direction. She
>> writhed and jerked on the table, while she was whimpering and yipping.
>> All this before the entire syringe contents had been injected into her.
>> After awhile of this goin on, the vet-tech left the room as I was asking
>> what was happening.

You're a bit unclear here, was the tech giving the injection, or was it the
vet? What was the training of the tech? What were the pre-existing
conditions that the dog had?

>> My dog is the third animal to experience
>> this.

Is this on this bottle? or at this clinic? or with this person
administering? If its the third one on that bottle, and its a fresh bottle,
then obviously there is something *very* wrong with that bottle. If its the
third for the person administering, and they are relatively new at this,
well I'd blame the person administering.

I've seen many euthanasias (I volunteer at a vet clinic), and I've yet to
see one go this badly (although I have heard of it happening...perhaps
someone with more knowledge could fill us in on why it goes badly
sometimes.). I've seen animals that they have a hard time finding the veins,
or the veins blow, or the animal doesn't die after the requisite dose,
animals that completely freak out when the needle comes anywhere near them,
but I've yet to see the really graphic, 'bad reaction' kind of euthanasia.

>> They are saying it was most likely some form of barbituate
>> euphoria. I am heartbroken and instead of feeling that I did what was
>> best for my sick old girl. I feel  that I killed her inhumanely.

What happend was very unfortunate, and in general pretty rare. I've seen
cases where the owners have refused to euthanize, the long drawn out
suffering can be very hard. There was one I remember that we had in that
eventually we had to refuse to treat any further. We had her hospitalized
every day for weeks. By the end of it, you could see that she just wanted to
go.

>> Any
>> information would be so helpful. I cannot let this go. Not just for
[quoted text clipped - 3 lines]
>>
> I had the same happen to me with three dogs.

Was this all at the same vet? Or different vets? If it was the same place,
I'd be finding another vet. These kinds of reactions should be rare. If
you've had it happen to three of your dogs, something is very very wrong. I
also might insist that my dog was somehow tranquilized prior to the
administration of the euthanasia drug.

Dale
diddy - 13 Jan 2008 10:45 GMT
> en to me with three dogs.
>
[quoted text clipped - 5 lines]
>
> Dale

This was three different vets. The first one was a dog i rescued from the
pound. It had a history of biting, which I felt the dog at least deserved
an evaluation. So i sprung it from the pound, put it in the kennel (as a
parvo prevention buffer from it's uncertain background for my personal
dogs). It was friendly that day that I rescued it. It was young, appeared
health.  The next day, i walked out to the kennel to feed, and it lunged
for my throat.  That was it. My evaluation was over, and i made an
appointment for the nearest vet. I wasn't going to work with it, I wasn't
going to attempt to place it. I certainly wasn't keeping it, and I didn't
want a dog like that out there representing my breed.
Liability was written all over that dog.

The second vet was a secondary vet that I used as an alternative when I
couldn't get into my regular vet. It was my personal dog (22 years old, in
systematic organ failure) The veins were rolly (as common in my breed) and
the circulation was a factor. Never the less, the vet gave her 4-5 shots
and it took almost 45 minutes to put her down. I could have driven home,
and shot my dog more humanely. It was a nightmare, and my dog did not
deserve to go out like that.

Having had a bad experience twice, when Danny's time came (My best dog
ever) at 14 1/2, I asked the vet to sedate him first. (My personal vet) and
he said it wasn't necessary. I told him the last two dogs I put down went
badly. I just didn't want to risk it.  He said no worries, this was fast,
quick and humane. I told him I really wanted him sedated first. I would
gladly pay. He felt it unnecessary. And Danny screamed, and sure enough,
wouldn't go down, requiring a second shot.

He looked at me, and I knew he couldn't believe it. He trusted me. This was
in 2004, and i still recall the terror in his eyes. Not exactly the way you
want to recall the final moments of your favorite dog.

I don't think i am going to trust any of my dogs to any vet any more. I'll
just do it myself.  I love my vet, But I hated him and still resent it,
that he would not sedate him first. It's such a simple request. I would
have felt so much better about it, and so would have he.
Dale Atkin - 13 Jan 2008 15:43 GMT
>> en to me with three dogs.
>>
[quoted text clipped - 33 lines]
> quick and humane. I told him I really wanted him sedated first. I would
> gladly pay. He felt it unnecessary.

At this point I would have walked out and gone to another vet, never to
return to that one. Its really not acceptable on the vets part (and pretty
stupid of him really) not to use sedation when the client is insisting on it
(even if in his judgement the likelihood of a reaction is remote.). I wonder
if its something about the breed. I take it from your descriptions that this
is one of the breeds with a bad rep. Care to be more specific? I'd like to
chat with some vets and see if they have any insight here.

>And Danny screamed, and sure enough,
> wouldn't go down, requiring a second shot.

Its not the requiring a second shot that gets me, its the screeming.
Sometimes they do get nervous and tense up as the shot starts to hit their
system, but I've never seen anything like what you're describing here, and
I'd really like to know why it happens.

> He looked at me, and I knew he couldn't believe it. He trusted me. This
> was
[quoted text clipped - 6 lines]
> that he would not sedate him first. It's such a simple request. I would
> have felt so much better about it, and so would have he.

I don't know if I'd be taking it on myself, given that there are certaining
options which will prevent this from happening, and certainly vets ready and
willing to sedate your pets first (I imagine that your vet that refused to
sedate your dog before would be one of them). I for one am not sure how
'quick and painless' a bullet to the brain would be (I assume that is what
you're talking about when you say you'll take care of it yourself), and I
imagine that the potential for complications is probably even greater than
that with a barbituate overdose.

Dale
diddy - 14 Jan 2008 00:02 GMT
> At this point I would have walked out and gone to another vet, never to
> return to that one. Its really not acceptable on the vets part (and
[quoted text clipped - 4 lines]
> be more specific? I'd like to chat with some vets and see if they have
> any insight here.

All three were Norwegian Elkhounds
diddy - 14 Jan 2008 00:06 GMT
> Its not the requiring a second shot that gets me, its the screeming.
> Sometimes they do get nervous and tense up as the shot starts to hit their
> system, but I've never seen anything like what you're describing here, and
> I'd really like to know why it happens.

Senja Screamed in panic and screamed and screamed and screamed. I was
watching the clock, and it took 40-45 minutes(it was seven years ago, so I
forget how many exactly, But i looked at the clock and knew i could have
driven her home and back in that amount of time.. which would have been
that time range)

Danny did not take so long, but he was very much aware, and also screaming.
I don't remember the Rescue dog, it was even longer ago than Senja. But i
know the vet injected her many times.
I could understand the older one with poor circulation. But the rescue dog
was young and healthy.
lilfirebug72 - 13 Jan 2008 13:10 GMT
The vet was giving the injection. The vet-tech just went to get another dose.
I haven't asked yet if these three reactions were all out of the same bottle.
Or if they are the same vet. This is a new town for me. I have only been here
a year. So unfortunately I couldn't go to Comet's regular doctor. Comet had
Cuschings disease accompanied with a tumor, as well as kidney disease. I had
to euthanize a cat that was 17 years old. She went so peacefully. I really
thought it would be the same for comet. Thanks for the ideas on new questions
to ask. If the drug company is coming to pick up the whole batch it makes me
think it was more than one bottle. But I will find out.

>>> I had my 12 year old dog put down yesterday. Was told that it would be
>>> peaceful and painless. It went horribly in the other direction. She
[quoted text clipped - 48 lines]
>
>Dale
elegy - 13 Jan 2008 15:57 GMT
>I had my 12 year old dog put down yesterday. Was told that it would be
>peaceful and painless. It went horribly in the other direction. She writhed
[quoted text clipped - 13 lines]
>But for everyother pet owner out there who has to make this decision. I may
>have to live with this nightmare. But no one else should have to.

i'm very sorry for your horrible experience. and for comet's. we do
sometimes have pets vocalize, but it's rare. in the times i've seen
it, i've been pretty comfortable that the dog was not in pain and was
not aware. i don't know if that's what happened in comet's case, but i
truly do hope so.

in all the euthanasias that i've both done and assisted with (many),
i've never, not once, seen a dog go down like you described. we have
sometimes needed a second injection for a dog with poor circulation
whose heart hasn't stopped but is unconscious, but still, there has
never been a reaction like that. even if the injection was given
poorly- out of the vein- it should not have caused a reaction like
that. it simply would not work.

no one should have to go through that and have those images to carry
with you. i am truly, truly sorry. i would be heartbroken as well.

Signature

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lilfirebug72 - 17 Jan 2008 05:42 GMT
Thankyou. Apparently my vet agreed. This was not normal! The drug company is
taking their entire stock of this drug and replacing it with new stuff. I
just wonder how long it will take to find out what the problem was. I'm
geussing that the FDA at least if not more agencies have to get involved
since they picked it up to test it. This whole thing has been crazy. But I'm
determined to get to the bottom of it for Comet. And for the other animals
that suffered like she did, because of a faulty drug, or inadequate vet.
Whatever it turns out to be.

>>I had my 12 year old dog put down yesterday. Was told that it would be
>>peaceful and painless. It went horribly in the other direction. She writhed
[quoted text clipped - 18 lines]
>no one should have to go through that and have those images to carry
>with you. i am truly, truly sorry. i would be heartbroken as well.
Ebbtide - 13 Jan 2008 21:12 GMT
I had my Black Lab put down three years ago, a vet I always used.
He got the needle in right away and the dog fell to the table but arched his
back as though he was ready to seizure, it took about 60 seconds. He told me
this is an unconscious condition, but  I couldn't believe what was
happening. The Vet acted as though it was normal. I am an RN and I don't
want any pt. suffer or experience adversity in any way, so why should our
animals? I felt his last day was horrible. He was my best dog ever! I have
told everyone in my community about this experience, I hope he looses pts.
over this.
My friend recently used a Vet here in town -  ANGELS AT THE END.The female
Vet comes to the house and euthanizes the animal. My friend said is was a
comforting experience. I don't know what some of these vets are using, but
it's scary to think that could happen again.
I know how sad you are. I will keep in my thoughts.

>I had my 12 year old dog put down yesterday. Was told that it would be
> peaceful and painless. It went horribly in the other direction. She
[quoted text clipped - 21 lines]
> may
> have to live with this nightmare. But no one else should have to.
lilfirebug72 - 17 Jan 2008 05:43 GMT
This vet that I went to used Sleepaway! Am having a hard time finding another
vet that uses it.
>I had my Black Lab put down three years ago, a vet I always used.
>He got the needle in right away and the dog fell to the table but arched his
[quoted text clipped - 16 lines]
>> may
>> have to live with this nightmare. But no one else should have to.
pfoley - 13 Jan 2008 21:44 GMT
> I had my 12 year old dog put down yesterday. Was told that it would be
> peaceful and painless. It went horribly in the other direction. She writhed
[quoted text clipped - 13 lines]
> But for everyother pet owner out there who has to make this decision. I may
> have to live with this nightmare. But no one else should have to.

==============
Wow, I don't blame you for how you feel.  What a horrible experience that
must have been.  I never had that type of experience with my two dogs.  Both
dogs went extremely peacefully and without pain.  Neither one twitched at
all.  The vet talked me through exactly what would happen; that first the
dog would fall asleep and then the dog's heart would stop beating.  That was
how it happened for me; just that way.  The vet had to tell me when the dogs
had passed as they looked the same and never moved.  It only took seconds.
I walked away thinking how peaceful it all had been for both of them.  It
made me feel better that I was there with them at the end seeing that it all
went smoothly.
Had I had your experience, I think I probably would have blamed the vet.
Wouldn't a good vet know exactly which drugs would be the best to administer
and the amount needed in order to do the job right for your particular dog
through experience and training?  Was it a technician that put your dog down
and not the vet?  I know if I had an experience like that, I would never go
back to that vet again.  I am sorry it had to end that way for you and your
dog Comet.
buglady - 14 Jan 2008 11:53 GMT
> I had my 12 year old dog put down yesterday. Was told that it would be
> peaceful and painless. It went horribly in the other direction

........I am so sorry.  What a horrible exprerience.

My vet contacted the company that gave them the drug.

............At least the vet was sufficiently disturbed to contact the
company and try to do something about this issue, though if I understand you
correctly this was the third time that happened that he knew of.

Sleepaway is made by Fort Dodge:
http://www.drugs.com/vet/sleepaway.html

I'd also suggest your vet make an ADE:

http://www.fda.gov/cvm/adetoc.htm

You may also report adverse reactions by telephoning the Center for
Veterinary Medicine at 1-888-FDA-VETS.

Under Cummulative reports - pentobartibal, there are quite a few ineffective
euthanasias listed.
http://www.fda.gov/cvm/ade_cum.htm

If your vet does not want to do this, you can.

buglady
take out the dog before replying
lilfirebug72 - 17 Jan 2008 05:50 GMT
Thank you so much for the sites and number to call. Geuss I know what I'm
doing over lunch tomorrow.
>> I had my 12 year old dog put down yesterday. Was told that it would be
>> peaceful and painless. It went horribly in the other direction
[quoted text clipped - 25 lines]
>buglady
>take out the dog before replying
Interlocutor - 15 Jan 2008 04:05 GMT
>I had my 12 year old dog put down yesterday. Was told that it would be
>peaceful and painless. It went horribly in the other direction. She writhed
[quoted text clipped - 13 lines]
>But for everyother pet owner out there who has to make this decision. I may
>have to live with this nightmare. But no one else should have to.

Truly a horror story.

I'm sorry to hear that it happened to you (or to anyone).

Bottom line: it wasn't your fault.

I can well imagine a good anesthesiologist, if not constrained by
law, making the process much more predictable/humane. Just start
an IV and administer large doses:

a.) sodium thiopental (quickly put them under).
b.) (perhaps) Pentabarb (keep them under)
c.) potassium chloride (stops heart)

To the group. Pardon my lack of knowledge, but are vets allowed
to handle and administer the above pharmaceuticals? I may have
serious need of knowing in a few years.

 Thanks,
 I
Dale Atkin - 15 Jan 2008 04:10 GMT
> I can well imagine a good anesthesiologist, if not constrained by
> law, making the process much more predictable/humane. Just start
[quoted text clipped - 7 lines]
> to handle and administer the above pharmaceuticals? I may have
> serious need of knowing in a few years.

They can, and do. The active ingredient in many euthanasia drugs (including
sleepaway) is pentabarb, administered IV. Sometimes at my vet's they'll
pre-tranq them with Dormitor (Medetomidine) intramuscularly if they have
reason.

Dale
Dale Atkin - 15 Jan 2008 04:31 GMT
> I can well imagine a good anesthesiologist, if not constrained by
> law, making the process much more predictable/humane. Just start
> an IV and administer large doses:

You know... I was thinking after I wrote the last post about an article I
read (I don't recall the magazine...it was a main stream one). It was all
about how poorly thought out, and overly complex the human system of lethal
injection is, and all the horrible things that can (and have) gone wrong
with it (agonizing long drawn out deaths). The general feeling around the
vet's office is that the system they use for animals is (in general) much
more humane and less prone to error. It sounds like there may have been a
problem with this particular batch of the drug. In general, the animal
system is very humane.

What may I ask makes you think that a vet, who has been trained to perform
euthanasia, and has likely performed it hundreds of times would be less apt
than an anesthesiologist who has likely never performed the proceedure let
alone properly inserted an IV in to an animal, (which is much more difficult
than in a person due to among other things the likelihood that the animal
will bite, scratch, claw you). Add to that that the animal proceedure has
been performed many many many times more often than the human proceedure,
and a concerted effort has gone in to making the animal proceedure as humane
as possible, I really think that the typical animal proceedure is the best
we've got (other than potentially pre-tranqing the animal, which is often
done).

Anyways, hope I haven't ranted too much,

Dale
Interlocutor - 15 Jan 2008 18:47 GMT
>> I can well imagine a good anesthesiologist, if not constrained by
>> law, making the process much more predictable/humane. Just start
[quoted text clipped - 5 lines]
>injection is, and all the horrible things that can (and have) gone wrong
>with it (agonizing long drawn out deaths).

As near as I can tell, many states use, for lethal injection, something
like:

1.) Sodium thiopental (Abbott Sodium Pentothal)- Induces coma
2.) pancuronium bromide (~Pavulon)- freezes muscles
3.) potassium chloride - stops heart
 
The problem seems to be that 1.) wears off (~ 5 min.) while they
are doing whatever they do with 2.) and 3.), leaving the executionee
conscious but immobile ("cruel and unusual ...").

There is a case presently before the US Supreme Court ...

There have also been similar cases in anesthesiology (during surgery).

Many feel that the problems arise primarily from insensitivity/bungling,
particularly by law enforcement/prison bureaucracies.

>The general feeling around the
>vet's office is that the system they use for animals is (in general) much
>more humane and less prone to error. It sounds like there may have been a
>problem with this particular batch of the drug. In general, the animal
>system is very humane.

Well, the particular batch won't explain Diddy's experience over
several years. No?

>What may I ask makes you think that a vet, who has been trained to perform
>euthanasia, and has likely performed it hundreds of times would be less apt
>than an anesthesiologist who has likely never performed the proceedure let
>alone properly inserted an IV in to an animal, (which is much more difficult
>than in a person due to among other things the likelihood that the animal
>will bite, scratch, claw you).

The thought never occurred to me until I read the orig. post and Diddy's
responses. When we had to put my cradle-to-grave pooch down in '96, there
was no problem. The vet used what looked like a single pink solution,
found a vein, administered, the poor fella let out a big sigh and
collapsed. Broke my heart (I was holding him), but it was done properly/
humanely. If I hadn't been such a wreck, I would've asked about the lethal
solution.

>Add to that that the animal proceedure has
>been performed many many many times more often than the human proceedure,
>and a concerted effort has gone in to making the animal proceedure as humane
>as possible, I really think that the typical animal proceedure is the best
>we've got (other than potentially pre-tranqing the animal, which is often
>done).

Usually using only pentabarb? I dunno.

Anesthesiologists are more extensively trained and are held to
stricter standards?

Anesthesiologists do pediatratric work. Children and babies are not
necessarily easier to handle than dogs, etc.

Anesthesiologists live in a world of needles and solutions. Size up a
job, start an IV, administer just the right dose(s) of just the right
solution(s) for the job. It's what they do, "Day in, day out". Very
different from a regular doc or vet.

I have no problem with the notion that vets generally manage a good
job of euthanasia, but I can't explain these variances from the norm,
hence I feel that extra precautions may sometimes be called for.

A more detailed question: do vets commonly stock thiopental and
potassium (I know they generally have pentobarb)? For an extra $30 or so,
I'd be strongly inclined to request all 3.

>Anyways, hope I haven't ranted too much,

I, for one, didn't take any of it as a rant.

 Regards,
 I
Deborah, DVM - 16 Jan 2008 19:14 GMT
snipped

> As near as I can tell, many states use, for lethal injection, something
> like:
[quoted text clipped - 6 lines]
> are doing whatever they do with 2.) and 3.), leaving the executionee
> conscious but immobile ("cruel and unusual ...").

Typical animal euthanasia solutions contain large amounts of pentobarbitol,
often with some phenytoin mixed in (another anesthetic, makes it a little
"smoother" usually).  The pentobarb overdose pretty much stops the heart
within 60 seconds max barring any unforeseen conditions in the animal.  I
always figured that human lethal injection was so involved and lengthy a
procedure for 2 reasons:  #1 to allow people to "witness" the procedure, #2
because they don't want to have to keep such large quantities of pentobarb
on hand.  It actually takes a while for potassium to stop the heart, and
yes, having the sedative and paralytic wear off before the heart is stopped
is a problem.  You just don't know about it because the person is paralyzed
and can't move or scream.  Not very humane.

I would say that >95% of the animals I euthanize simply go to sleep
peacefully within seconds of administering the solution.  A small percentage
of animals gasp after the heart has stopped, which is a reflex and is
unavoidable.  Rarely they vocalize, but it's also after the heart has
stopped and is an unavoidable reflex.  I warn all owners that there is a
minute chance this might happen.  Often animals cry when you initially poke
them with the needle, again it's unavoidable.  Whether you are administering
a sedative or the euthanasia, a needle is still going to be involved.  From
my point of view, I'd rather only make an animal experience one needle poke,
not multiple.  When I have issues with apparent "painful" euthanasias, it's
almost always because I've inadvertently administered the solution outside
of the vein, and unfortunately that happens sometimes.  It definitely hurts
(having injected myself accidentally I can vouch for that).  Then there are
the weird cases -- I once had a cat to whom I administered the typical dose
of euthasol (label dose is 1cc per 10 lbs, I usually double it, so this 8#
cat received 2 cc).  She was still sitting up and purring at us.  Another 2
cc's administered, cat still purring and looking at us.  I looked at my
tech, said "you did see me give 4 cc, right?  and it went into her vein, not
on the table, right?" she was as flabbergasted as I was.  Finally after
another 2 cc's the cat died.  It was very peaceful, but bizarre.  Luckily
the owner had chosen not to be present, because I'm sure that the cat having
to have 3 injections would have been very distressing.  I don't think there
is any way to account for individual animal physiology.

I feel horrible whenever a euthanasia goes poorly, so I hope the original
poster's vet at least apologized.  If not, if they thought it was routine,
then I'd probably be looking for another vet as well.  And for whoever it
was who had 3 animals have bad euthanasias, I'd definitely have to wonder if
there was a breed issue.  I've never put down an elkhound so couldn't speak
to that.  But there are some breeds who are either overly sensitive or
overly tolerant of certain classes of drugs, so it's entirely possible.

> A more detailed question: do vets commonly stock thiopental and
> potassium (I know they generally have pentobarb)? For an extra $30 or so,
> I'd be strongly inclined to request all 3.

Thiopental no, it's pretty out of favor as an anesthetic.  Potassium yes.
Paralytic agents, no.

Deborah, DVM
John Hasler - 16 Jan 2008 19:47 GMT
Deborah writes:
> I always figured that human lethal injection was so involved and lengthy
> a procedure for 2 reasons: #1 to allow people to "witness" the procedure,
[quoted text clipped - 3 lines]
> heart is stopped is a problem.  You just don't know about it because the
> person is paralyzed and can't move or scream.

It's my understanding that this rather awkward scheme is used so that the
people who administer the drugs can leave the room before the curtains are
opened for the observers to observe the death.  That way the executioners
can remain anomymous without wearing black hoods.

Seems to me that the technicians could place a catheter and the warden
could press the plunger while the observers watch.
Signature

John Hasler
john@dhh.gt.org
Dancing Horse Hill
Elmwood, WI USA

Interlocutor - 16 Jan 2008 23:50 GMT
>snipped
>>
[quoted text clipped - 15 lines]
>always figured that human lethal injection was so involved and lengthy a
>procedure for 2 reasons:  #1 to allow people to "witness" the procedure,

Good point. I suppose they have to put on a show for certain folks.

>#2
>because they don't want to have to keep such large quantities of pentobarb
>on hand.  

I don't think pentobarb is much used for human lethal injection.
See en.wikipedia.org/wiki/Lethal_injection and similar sources.

>It actually takes a while for potassium to stop the heart, and
>yes, having the sedative and paralytic wear off before the heart is stopped
>is a problem.  You just don't know about it because the person is paralyzed
>and can't move or scream.  Not very humane.

There's little or nothing humane about the whole dog-and-pony show
to my knowledge.

>I would say that >95% of the animals I euthanize simply go to sleep
>peacefully within seconds of administering the solution.  A small percentage
[quoted text clipped - 3 lines]
>minute chance this might happen.  Often animals cry when you initially poke
>them with the needle, again it's unavoidable.  

Understood.

>Whether you are administering
>a sedative or the euthanasia, a needle is still going to be involved.  From
>my point of view, I'd rather only make an animal experience one needle poke,
>not multiple.  

I concur 100%. But what I tentatively proposed (3 drugs) just begs
install of a catheter.

Back in '01 I had open surgery. Because of post-op problems, I had
to back-track what was done in anesthesia. The A-doc had a record
of it. He had started an IV, installed a catheter, then pumped
Versed, Demerol, some fentanyl compound, and about 7 other
solutions into me. The problem evidently had nothing to do
with anesthesia, but, what the A-doc did put me in touch with
the business of anesthesiologists controlling active body
processes with various IV solutions.

Is it practical, if deemed necessary/desirable, to install a
catheter in a dog, possibly after install of a cone-collar?

I know there could be some trade-offs in making euthanasia
more complex. If 99% certain that a simple pentabarb injection
would do the job, I'd likely opt for it. It would help if some
of these strange cases (i.e. your cat, the elkhounds) could be at
least tentatively explained.

>When I have issues with apparent "painful" euthanasias, it's
>almost always because I've inadvertently administered the solution outside
[quoted text clipped - 10 lines]
>to have 3 injections would have been very distressing.  I don't think there
>is any way to account for individual animal physiology.

If you have any ideas as to why the cat survived 2 lethal injections, I'd
be very interested to hear.

>I feel horrible whenever a euthanasia goes poorly,

Anyone would, I should think.

>so I hope the original
>poster's vet at least apologized.  If not, if they thought it was routine,
[quoted text clipped - 3 lines]
>to that.  But there are some breeds who are either overly sensitive or
>overly tolerant of certain classes of drugs, so it's entirely possible.

"Sensitive" flew right by me. I suppose if a dog had been getting
massive doses of phenobarb for grand mal seizures, "tolerant" could
explain part/all of the story. They still use phenobarb, don't they?

>> A more detailed question: do vets commonly stock thiopental and
>> potassium (I know they generally have pentobarb)? For an extra $30 or so,
>> I'd be strongly inclined to request all 3.
>
>Thiopental no, it's pretty out of favor as an anesthetic.  Potassium yes.
>Paralytic agents, no.

To my knowledge, paralytic agents are not indicated.

If specifically requested by a dog owner, would you triple the
pentabarb dose to help insure effective euthanasia?

 Thanks,
 I
John Hasler - 17 Jan 2008 00:31 GMT
> I suppose they have to put on a show for certain folks.

They are required by law to do the execution in the presence of
representatives of the public.  If you think about it for a minute you will
realize why that is necessary.
Signature

John Hasler
john@dhh.gt.org
Dancing Horse Hill
Elmwood, WI USA

Dale Atkin - 17 Jan 2008 04:40 GMT
>> I suppose they have to put on a show for certain folks.
>
> They are required by law to do the execution in the presence of
> representatives of the public.  If you think about it for a minute you
> will
> realize why that is necessary.

I tried. I can't for the life of me think why this might be necessary.

Dale
buglady - 17 Jan 2008 02:24 GMT
> Is it practical, if deemed necessary/desirable, to install a
> catheter in a dog, possibly after install of a cone-collar?

......Catheters are sometimes used, depends on the vet.  My current vet
didn't use a catheter for my elderly cat (which was only one of a few
euthansias I have gone through).  I was a little stunned at first, expecting
trouble, but he said he's found that putting in a cathether bothers them
more than just giving the injection.  She went peacefully and instantly.
This may not always be the case.  I can see a struggling animal causing a
bad stick or missing a vein.  I'm not sure yet what I think yet about not
using a catheter.  Having a catheter in means less restraint when the actual
shot is given.  Again depends on how the animal puts up with it.

.....Cone collar?  Geez, the last thing you want to do is stress out the
animal and the owner.  It's taken the human ALL they can scrape together
emotionally to get to the vet for the euthaniasia anyway.

.....None of the 4 euthanasias I've had to do over the years has gone wrong,
for which I am profoundly greatful.

buglady
take out the dog before replying
Dale Atkin - 17 Jan 2008 04:46 GMT
> If specifically requested by a dog owner, would you triple the
> pentabarb dose to help insure effective euthanasia?

I would have thought that the proceedure least likely to have the effects
indicated here wouldn't be to triple the dosage of pentabarb. The OP didn't
have a problem with insufficient drug being used. There was something very
unusual about the drug. For me, the most effective method if the owner (or
the vet) are concerned about complications would be to pre-tranq the animal
with something (preferably something that *doesn't* have to hit the vein,
maybe Dormitor that can go IM), and then the euthanasia solution can be
administered without fear of undue stress should the final injection go
awry.

Dale
Interlocutor - 17 Jan 2008 19:04 GMT
I'm not here to tell folks their business. There are people in this
forum with vastly more experience than I.

But, in my insane dream, a vet perceived (through prescience or whatever)
that a particular euthanasia might be difficult. After getting clearance
from the owner, he administered a strong oral tranquilizer an hour or
so before the event, then walked in with a catheter rig, something
like 6 "lethal" doses of pentabarb, 2 of potassium. Started the
IV/catheter (only one needle-stick), plugged in pentabarb until the
poor critter was unconscious, gave one more pentabarb dose, then the
potassium. If the dog didn't respond as expected, lots of extra
doses on hand. Confirmed loss of respiration, heartbeat, etc, and
the job was definitively done.

I know this sounds like overkill, and it would be in many (but not
necessarily all) circumstances.

Just a thought.

 I

>> If specifically requested by a dog owner, would you triple the
>> pentabarb dose to help insure effective euthanasia?
[quoted text clipped - 10 lines]
>
>Dale
 
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