On Euthanasia: What to Expect

Previously in this series on euthanasia, we’ve discussed making the decision and scheduling an appointment to euthanize your dog. Today I’d like to discuss the procedure itself. Knowing what to expect may make it easier for you to prepare yourself. I understand that this topic is very sensitive and may be upsetting to some people, but strongly feel that knowledge is power. It can be very comforting to have a solid understanding of what will happen and what your dog will feel during his or her final moments.

Photo by Kelvin Andow

Photo by Kelvin Andow

When your vet euthanizes your dog, they will inject an overdose of a powerful sedative directly into your dog’s vein. This drug will cause the nerves in your dog’s body to stop sending signals (including pain signals) and will slow your dog’s breathing and heart until they eventually stop. Many dogs take a final, deep breath as they pass away. Sometimes dogs will urinate or defecate when they are euthanized due to the total relaxation that happens. If this happens to your dog, it will do so when your dog is no longer aware of what is happening. Euthanasia does not hurt. Afterwards, your dog’s eyes may be open (although the vet can close them if you wish) and his tongue might hang out of his mouth. If your dog’s body is moved, he may appear to burp or sigh as air escapes the lungs.

In many cases, your veterinarian may choose to sedate your dog prior to euthanasia. You can ask your vet to do this if you think it will make the process easier for you or your dog. Sedatives can be given orally by mixing them with your dog’s favorite foods or can be administered via injection into your dog’s leg or back muscles. The sedatives given via injection are more powerful than oral sedatives and will provide more complete relaxation.

In Dobby’s case, we sought advice from his veterinary behaviorist on the best drugs to make the process as easy as possible. I wish that I could tell you that he went peacefully, but to be honest his euthanasia was very difficult. Most dogs who are old or sick pass on quite quietly, but in cases like Dobby where there is a behavioral component to the euthanasia, it is not uncommon for them to overcome all of the sedatives in their system.

Dobby was given a double dose of his anxiety medication, trazodone, the night before his appointment. Three hours before his appointment, he was given another very large dose of this drug – four times the amount he would usually take. In most cases, this would have made him too sleepy to walk, but Dobby was still walking around and carrying his ball when the vet arrived, even though he was quite sleepy. He growled and barked at the vet and was on high alert.

When he was given another sedative via injection into his leg (because he was responding too aggressively for the vet to have a clear shot at his vein), Dobby started to show a lot of seizure activity in the form of head swinging. He also became very sensitive to noises and startled every time I sniffled (not an uncommon side effect of his seizures). At that point he was no longer aware of what was going on around him, so the vet gently injected the euthanasia solution into his vein. I held him close and whispered how much I loved him, telling him he was a good dog and that he didn’t ever have to be scared again, until I felt his body relax. The vet listened to his heart with a stethoscope and confirmed that he was gone.

If you’re preparing to euthanize your dog, remember that you have options. Dobby’s response to the process was extreme, and most dogs do not respond that way. You can choose whether you’d like to be present during the actual euthanasia or not. I personally wanted to be there for Dobby because I knew that my presence would help him feel less afraid. However, if you do not feel like you can be there for your dog that is also okay. Consider talking to your vet about sedation and staying with your pet until he or she is sedated, then leaving the area during the euthanasia itself. You could also ask a friend or family member that your dog knows and likes to take your dog to their final appointment or to stay with your dog while you leave the room.

Again, this is a very personal topic, and everyone deals with death differently. Together, you and your vet can help to make your dog’s final moments as peaceful as possible. Remember that euthanasia does not hurt. In assisting with many euthanasias over my career, I’ve noticed that after a dog is gone there is often a beautiful expression of peace that settles over their face. The pain or stress they’ve been experiencing no longer hangs over them, and it’s those of us who are left behind who have to deal with grief.

If you’ve made this difficult decision, how did your dog’s final moments go? Did you or your vet choose to sedate your dog ahead of time? Please feel free to share your experiences below. I really appreciate the kind and supportive community of dog lovers that follow this blog. There’s a lot of healing going on in the comments after each of these posts, and it’s a wonderful salute to the dogs who’ve brought us here that so many of you have felt willing to share.

82 responses to “On Euthanasia: What to Expect

  1. 10.5 hours ago I laid with my 12 y/o shepherd x Venus on the floor at the vet clinic with my 2nd family dog, Bucky right next to us. Venus had beautiful brown eyes, alert ears and reminded me of the Walmart Greeters. No person nor animal was spared from an 80 lb, bunny-rabbit hopping toothy-smiled and long-tongued shepherd running up to them to greet them. Even the odd time in 12 years when I selfishly raised my voice to her, she would come running to me, big eyes and soft face, as if to say “I’m sorry”. Her mind was sharp but her body was so tired. Tired from the arthritis in her hips and knees and the cysts / lumps on her body. She struggled to stand after laying down, Didn’t run after her favorite chewed up tennis balls any longer – only limp-walked and only 3-4 strides at that. She had taught me so much about life and to be fearless. I cried buckets laying next to her, telling her she is my rock, that I loved her from the moment I saw her when she was only 4 weeks old. The decision to euthanize her was the difficult but it was even harder, heart wrenching actually, when I laid next to her telling her I am here and that I loved her and I hope she knew that. I told her she wouldn’t be in pain any more. I couldn’t let her suffer any longer, it was my turn to suffer from missing her. It will become easier to think of her without crying but til then, I will cry regardless of where I am, when looking at Bucky who misses her too, looking for her constantly or when reading the stories penned by other pet owners who miss their beloved pets. Its very personal but I don’t feel so alone knowing others are out there going thru the same pain.

  2. I had my dog euthanized on September 21st 2015. I had previous experience being in the room while a dog was euthanized so I thought I knew what to expect. This time was quite different. The vet gave my dog the sedative shot in the scruff of his neck and offered him a large serving of canned chicken dog food, then left the room. My dog was continuing to eat the food as he was getting sleepy to the point of choking on the food. He panicked because he couldn’t breath and his legs went straight out as if he was running. I tried to clear all the food from his mouth before he was totally asleep. Watching that was very traumatizing to me. The vet returned in the middle of his panicked state and administered the final shot. My dog didn’t die in peace, he died in panic. I just don’t understand why that had to happen to him. Any feedback would be helpful.

    • Karen Stansberry

      I am so sorry to hear of this horrible experience. My heart goes out to you. That was stupid on the part of the vet. Please use someone else from now on. Be sure to let them know you are leaving and why. I had a vet who just put my dog in a pen to die – slowly. When I insisted on seeing her, she was lying in her own filth, covered in flies and hadn’t had water in such a long time her mouth was glued shut. I immediately moved her. She did have to be euthanized and it was mercifully peaceful for her. I tell everyone I know about that experience, I suggest you do the same.

    • That’s absolutely horrible. I’m so sorry to hear that. I hope the vet doesn’t do that as routine procedure. The injection is a very fast acting medication and often it will make the animal nauseous. Even if he had given him food prior to the injection he may have vomited.
      I put down one of mine about 3 days ago. We gave him a large “last meal” because we wanted to keep his belly happy and let him be content as he passed. About 30 seconds after the injection. He vomited it all up while laying down. He couldn’t even lift his head to clear it from his mouth because of the heavy sedation. About 20 seconds he was helpless.
      Your dog may have had seizure activity by the description of his legs. Many dogs have reactions to the sedation medication. Regardless, I am simply appalled (and heart broken) that the vet fed your dog after sedating him. I’m so sorry. I would call and ask if its normal practice and file a complaint with whomever necessary.

  3. I had my dog euthanized a week and a half ago. He was 16, had heart failure , but the worst part was he had dementia. He got lost walking around the house and cried all the time out of fear and anxiety. Occasionally he would act himself and that’s what made it so hard to finally make the decision. I asked the vet’s office to make a “consultation” appointment because I couldn’t bear giving up on him. At the visit the vet patiently explained what the options were and how long he would live with heroic measures. It wasn’t worth it for a few more months. So, I had the strenght to finally do it. The vet gave an injection of sedative and my dog stumbled a little and I laid him down into a comfortable position with his blanket from home. I spent the next few minutes petting him, kissing him, and telling him I loved him and how he did a great job of being my companion. He looked very peaceful. Then the vet came and put a catheter in his vein and did the injection. I asked how long would it take, he said less than a minute. At that point I left the room, I didn’t want to see him completely dead. Thank God a very good friend was waiting for me in the waiting room.

    • Tina, I am glad your dog didn’t have to suffer and he is at peace. My next dog I am going to hold on my lap and hold him and kiss his cheek and tell him what a great boy he is. Unfortunately with the dog I recently euthanized I was beside him talking to him, petting him and telling him what a good boy he was. The next one will be in my arms.

  4. I am preparing to send Rosie to heaven today. She has scarred lungs and collapsing trachea and has been home nursed until today. This site has given me strength – thank you all, bless you

  5. As I lay hear with tears steaming down my face. The pain is almost to much to bear. At 9am tomorrow morning, we will be putting our 16 yr old girl to sleep. She can barely walk. Lost so much weight, has dementia and actually need to wear diapers because she no longer has control all the time. The hardest thing for more is that she is still eating A lot. I know it sounds weird for me to say that. It just makes it feel worse. I’m gonna give my girl what dignity she has left. although so hard, I have to believe that this is what has to be done. I’m gonna miss he sooo much.

  6. I just got back from the vet where I had to experience putting our poor girl Zoe down. She was a 15 year old Jack Russell who over the past year (and recently month) went downhill quite fast. Dimentia coupled with arthritis resulted in her feeling anxious and in pain. We made the decision to happened her suffering and after the initial sedative was injected we where petting her and telling her how much she was loved. She passed out with me feeding her dog treats and being scratched on the cheeks. She was a great companion and awesome dog.

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