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Manual of Small Animal Emergency and Critical Care Medicine,
Second Edition presents essential information on common
emergencies in small animals using a concise, practical outline
format. Offering a thorough update to this classic reference,
the new edition provides new chapters on orthopedic injuries and
wound management, significant revisions to the treatment protocols,
and expanded toxicology information, as well as new references and
drug information. The book retains its logical division into two
parts, the first covering initial stabilization and the second
offering a systems approach to specific conditions.
As in the previous edition, chapters are extensively indexed and
cross-referenced to facilitate ease of use in emergency situations.
With many formulas, tables, drug dosages, and illustrations,
Manual of Small Animal Emergency and Critical Care Medicine
is an indispensable, convenient resource for busy emergency
clinicians, whether they are new graduates or seasoned
professionals.
Autorentext
Douglass K. Macintire was previously Director of Intensive
Care, College of Veterinary Medicine, Department of Small Animal
Surgery and Medicine, Auburn University and a Diplomate of ACVIM
and ACVECC.
Kenneth J. Drobatz is Director, Trauma Emergency Service,
and Professor and Chief of Critical Care, Matthew J. Ryan
Veterinary Hospital, University of Pennsylvania, and a Diplomate of
ACVIM and ACVECC.
Steven C. Haskins is Director, Small Animal Intensive
Care Unit, Veterinary Medical Teaching Hospital, University of
California, Davis and is a Diplomate of ACVA and ACVECC.
William D. Saxon is Telemedicine Consultant, IDEXX and a
Diplomate of ACVIM and ACVECC.
Zusammenfassung
Manual of Small Animal Emergency and Critical Care Medicine, Second Edition presents essential information on common emergencies in small animals using a concise, practical outline format. Offering a thorough update to this classic reference, the new edition provides new chapters on orthopedic injuries and wound management, significant revisions to the treatment protocols, and expanded toxicology information, as well as new references and drug information. The book retains its logical division into two parts, the first covering initial stabilization and the second offering a systems approach to specific conditions.
As in the previous edition, chapters are extensively indexed and cross-referenced to facilitate ease of use in emergency situations. With many formulas, tables, drug dosages, and illustrations, Manual of Small Animal Emergency and Critical Care Medicine is an indispensable, convenient resource for busy emergency clinicians, whether they are new graduates or seasoned professionals.
Inhalt
Contributors x
Preface to the First Edition xi
Preface to the Second Edition xii
Acknowledgments xiii
Part I Life Support and Initial Stabilization, Monitoring, and Intensive Care of the Critically Ill patient 1
**1 Approach to the Emergency Patient 3
**Steve C. Haskins and Douglass K. Macintire
Initial Preparation and Management 3
The Primary Survey: Initial Examination to Identify Life-Threatening Problems 4
Brief History 12
Thorough Secondary Survey 12
**2 Emergency Room Readiness 17
**Steve C. Haskins and Douglass K. Macintire
Being Prepared 17
Equipment Recommendations 17
Recommended Supplies 18
Recommended Drugs 19
**3 Cardiopulmonary-Cerebral Resuscitation (CPCR) 21
**Steve C. Haskins
Causes 21
Clinical Signs 21
The Nature of Cell Injury During Cardiac Arrest 21
Prognosis/General Recommendations 22
Treatment 22
Electrical Activity of the Heart 27
Postresuscitative Care 28
**4 Shock 30
**Steve C. Haskins
Definition 30
Categories of Shock 30
Systemic Inflammatory Response 30
Multiple Organ Dysfunction 31
Monitoring and Identifying Treatment Opportunities 31
Treatment of Shock with Special Emphasis on Septic Shock and MODS 31
Treatment of Anaphylactic Shock 40
**5 Anesthesia and Analgesia 41
**Steve C. Haskins
Overview of Anesthesia in Critically Ill Patients 41
Guidelines for Anesthesia in Critically Ill Patients 42
Specific Drugs Used for Anesthesia in Critical Patients 44
Anesthesia Concerns and Protocols for Common Conditions 54
Overview of Analgesia 57
Analgesia Drugs and Techniques 58
**6 Fluid Therapy 63
**Steve C. Haskins and Douglass K. Macintire
Body Fluid Compartments 63
Crystalloid Solutions 65
Colloid Solutions 69
Specific Conditions Requiring Fluid Therapy 75
**7 Monitoring 85
**Steve C. Haskins
Cardiovascular Monitoring 85
Respiratory Monitoring 102
Urologic Monitoring 106
Neurologic Monitoring 109
**8 Nutritional Support of Critical Patients 116
**Steve C. Haskins
Acute Malnutrition 116
Methods and Procedures of Providing Enteral Nutrition 117
Methods and Procedures of Providing Parenteral Nutrition 132
Nutrition as an Aid to Medical Therapy (Pharmaconutrition) 134
Part II Specific Protocols and Procedures for Emergency Conditions 137
**9 Respiratory Emergencies 139
**Kenneth J. Drobatz and Douglass K. Macintire
General Approach/Methods of Oxygen Delivery 139
Upper Airway Obstruction (Pharynx, Larynx, Trachea) 142
Pleural Space Disease 154
Lower Airway Disease 171
Parenchymal Disease 179
Cyanosis 185
Mechanical Ventilation 185
**10 Cardiac Emergencies 192
**Douglass K. Macintire
Clinical Signs 192
Diagnosis 193
Diagnostic and Monitoring Procedures 193
Management of Specific Conditions 199
**11 Gastrointestinal Emergencies 226
**Douglass K. Macintire
Clinical Signs, Diagnosis 226
Diagnostic and Monitoring Procedures 226
Management of Specific Conditions 231
**12 Urologic Emergencies 269
**Kenneth J. Drobatz and William D. Saxon
Clinical Signs, Diagnosis 269
Diagnostic and Monitoring Procedures 270 Management of Specific Conditions ...