Those tough cases – how painful are they and when do we call it?

A geriatric Labrador presents with advanced intestinal lymphoma that has spread though the lymph nodes. The patient has received two doses of chemotherapy and has now experience a rupture of the small intestines. The patient has septic shock and a peritonitis. The owner has requested that everything that is possible to save the dog's life should be done including surgery. What would you do? Does your thoughts differ from that of the owner? How much pain is this doggie in? How do we manage this pain? What about a 9 year old Irish wolfhound that has been diagnosed with an osteosarcoma. The Irish wolfhound has hip dysphasia and elbow dysplasia. The owner has declined all forms of treatment for the osteosarcoma including euthanasia. What would you do? How much pain does this doggie have? How do we manage this pain. Are there tools we can use to help in the decision making process and guide us in the pain management of these patients.

About our Speaker

Dr Kenneth Joubert

Kenneth graduated with a BVSc from The University of Pretoria in 1995. After graduating he joined small animal practice in Johannesburg for 2 years before returning to the University of Pretoria. In 2000 he obtained a MMedVet (Anaes) and held the position of senior lecturer in anaesthesiology at the university. In 2004 he left the university to re-join private practice before starting his own referral practice in anaesthesiology, pain management and critical care. Kenneth has published 42 scientific publications, delivered 87 scientific presentations, delivered 162 continuing education talks, done 16 multimedia presentations, published 39 non-scientific articles, presented 9 courses, written one book chapter and attended 66 congress of continuing education. Kenneth currently runs a private practice dedicated to anaesthesia, analgesia and intensive care. He has regularly examined students in pharmacology, anaesthesiology and clinical studies. Kenneth has and is currently involved in the supervision of 5 students for masters and PhD.

Kenneth has a keen interest in total intravenous anaesthesia, intensive care, ventilation and cardiology. His research interests include non-steroidal anti-inflammatory agents, anaesthetic depth monitoring and total intra-venous anaesthesia.

Kenneth chaired the Faculty Ethics Committee (Animal Use and Care Committee) until it was dissolved to form a University based Animal Use and Care Committee. I was then a member of the Senate committee for Research Ethics and Integrity and the Animal Use and Care Committee of the University of Pretoria. Kenneth currently serves on the AUCC (RECA) Nelson Mandela Metropolitan University and the Ethical Review Group of the AVA. He is also a member of the Education Committee and the Standard Committee of the South African Veterinary Council.

We look forward to welcoming you online.

The SAVA Pretoria Branch & Zoetis Team