[QUOTE=pezk;8799554]
Can any of the vets comment on the animals that fight the sedation? Doesnt sound like it happens very often. Are there any warning signs in the personality of an animal that would predict the terrible result?[/QUOTE]
It’s really hard to predict.
The ones that fight the sedation or propofol are the ones that are already in distress, i.e. ones whose brain is anxious for one reason or another. Truly sick animals just go very peacefully and quickly; the ones that are maybe not as sick, with compromised systems that the body is still trying to compensate for, with a lot of adrenaline going, are the ones that don’t go as smoothly. The ones that are distressed because they are disoriented, have brain tumors, have seizures, or other brain disorders are also in this category. The ones with severely compromised circulatory systems may not get the drugs as quickly to their brains so they may go through an excitatory phase.
All of those get a little acepromazine with the propofol, or they get something before hand… usually straight opioid pain medication or diazepam/midazolam. The “healthy” dogs with catastrophic trauma usually get pain medication before the decision is made to euthanize them and the ones that present for seizures or other issues usually get tranquilizers too. The ones that present for euthanasia where the problem has been going on and untreated are the ones that don’t go as easily and the ones that are the most frustrating. How I wish it was so easy to calm an animal and a family who are both so distressed…
I have met some people with very fragile psyches working in this field. I never know what their life has been like or how they deal with death. It is very hard to stand on the other side of the table and criticize their choice in how they want to say goodbye to their beloved family member or pet. If they want to be present, then fine. If they want to say goodbye and then leave, then fine. The animals are not alone when they go…they never are. The animals are being stroked, petted, talked to, reassured, and kept on comfy blankets when they go, just as if they would be if their owners were there. At least where I am that’s what we do… we have all been there ourselves, and we know what it’s like.