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Anesthesia and Analgesia for Veterinary Technicians

9780323055048
282,19 zł
253,97 zł Zniżka 28,22 zł Brutto
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Opis

This guide to the principles of anesthesia administration in animals combines user-friendly coverage of essential information with an outstanding illustration program and improved readability. Anesthesia and Analgesia for Veterinary Technicians, 4th Edition prepares you to administer anesthesia with information on pre-anesthetic preparation of the patient, induction procedures, monitoring animals vital signs during the anesthetic period, and postoperative care. Expert authors John A. Thomas, DVM, and Phillip Lerche, BVSc PhD, Dipl ACVA, also include discussions of actions and side effects of anesthetic agents, the physiology of respiration, heart rate and blood pressure, emergency response, anesthetic equipment, and specialized techniques.

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Szczegóły produktu
Mosby
43545
9780323055048
9780323055048

Opis

Rok wydania
2010
Numer wydania
4
Oprawa
miękka foliowana
Liczba stron
432
Wymiary (mm)
216 x 276
Waga (g)
1160
    1. Introduction to Anesthesia

      History of anesthesia

      The Veterinary Technicians Role in the Practice of Anesthesia

    2. Patient Preparation

    Communication-A Key to Success

    The Minimum Patient Database

    Patient History

    Physical Examination and Physical Assessment

    Preanesthetic Diagnostic Workup

    Determination of the Physical Status Classification

    Selection of the Anesthetic Protocol

    Preinduction Patient Care

    Withholding Food before Anesthesia

    Patient Stabilization

    Intravenous Catheterization

    Reasons for Intravenous Catheterization

    Choosing and Placing an Intravenous Catheter

    Fluid administration

    Composition of Body Fluids

    Fluid Homeostasis

    Fluid Needs

    Classification of IV Fluids

    IV Fluid Selection and Administration Rates

    Adverse Effects of Fluid Administration

    Calculating Fluid Administration Rates

    Other Preanesthetic Care

  • Anesthetic Agents and Adjuncts

Introduction to Anesthetic Agents and Adjuncts

Agonists, Partial Agonists, Mixed Agonist-Antagonists, and Antagonists

Analgesic Effects of Anesthetics and Adjuncts

Using drugs in combination

Regulatory Considerations for Controlled Substances

Preanesthetic Medications

Reasons for the use of preanesthetic medications

Anticholinergics

Tranquilizers and Sedatives

Opioids

Neuroleptanalgesia

Opioid Antagonists

Injectable Anesthetics

Barbiturates

Propofol

Dissociative anesthetics

Etomidate

Guaifenesin.

Inhalation Anesthetics

Classes of Inhalation Agents

CNS and Respiratory Stimulants

Doxapram

Anesthetic Equipment

Endotracheal Tubes and Associated Equipment

Endotracheal tube parts

Laryngoscopes

Masks

Anesthetic Chambers

Anesthetic Machines

Components of the Anesthetic Machine

Rebreathing Systems

Non-rebreathing Systems

Operation of the Anesthetic Machine

Care and Maintenance of Anesthetic Equipment

Anesthetic Monitoring

Introduction to Monitoring

Stages and Planes of Anesthesia

Overview of Anesthetic Stages and Planes

Finding the Optimum Depth

Determining whether or not the Patient is Safe

Indicators of Circulation

Heart rate

Heart rhythm

Capillary refill time

Blood Pressure

Pulse strength

Indicators of Oxygenation

Mucous membrane color

Physiology of Oxygen transport

Pulse Oximeter

Blood Gas Analysis

Indicators of Ventilation

Respiratory rate

Tidal volume

Respiratory Character

Apnea monitor

Capnograph (End-tidal CO2 monitor)

Blood gas analysis

Indicators of Body Temperature

Assessment of Anesthetic Depth

Reflexes and Other Indicators of Anesthetic Depth

Judging Anesthetic Depth

Recording Information during Anesthesia

Special Techniques

Local anesthesia

Local anesthetic agents

Characteristics of local anesthetics

Mechanism of Action

Route of Administration of Local Anesthetics

Toxicity of Local Anesthetics

Assisted and controlled ventilation

Ventilation in the Awake Animal

Ventilation in the Anesthetized Animal

Types of Controlled Ventilation

Risks of Controlled Ventilation

Neuromuscular blocking agents

Analgesia

Physiology of pain

Consequences of untreated pain

Signs of pain in animals

Pain assessment tools

Assessing response to therapy

Perioperative pain management

Pharmacologic analgesic therapy

Opioid Agents

Nonsteroidal Antiinflammatory Drugs

Other Analgesic Agents

Multimodal Therapy

Home Analgesia

Nursing care

Non-pharmacologic therapies

Canine and Feline Anesthesia

Patient Preparation

Selecting a Protocol

Summary of a General Anesthetic Procedure

Anesthetic induction with an IM agent or combination

Anesthetic induction with an IV injection of an ultra-short acting agent to effect

Total Intravenous Anesthesia (TIVA) by IV boluses of an ultra-short acting agent

Total Intravenous Anesthesia (TIVA) by constant rate infusion (CRI)

Induction and maintenance with an inhalant agent

IV induction and maintenance with an inhalant agent

Equipment Preparation

Premedication or Sedation

Anesthetic Induction

IV Induction

Inhalation Agents

Mask Induction

Chamber Induction

IM Induction

Oral administration

Endotracheal Intubation

Equipment for Endotracheal Intubation

Selecting an Endotracheal Tube

Preparing the Tube

Intubation Procedure

Checking for Proper Placement

Securing the Tube

Cuff inflation

Laryngospasm

Complications of Intubation

Maintenance of Anesthesia

Maintenance with an Inhalant Agent

Maintenance with repeat boluses of propofol or other ultrashort-acting agent

Maintenance with a CRI

Maintenance with injectable and inhalant agents

Maintenance with an IM injection

Patient Positioning, Comfort and Safety

Anesthetic Recovery

Anesthetists Role in the Recovery Period

Signs of Recovery

Monitoring

Oxygen Therapy

Extubation

The Postanesthetic Period

Equine Anesthesia

Patient Preparation

Selecting a Protocol

Summary of a General Anesthetic Procedure

Equipment Preparation

Premedication or Sedation

Standing chemical restraint

Anesthetic Induction

IV Induction

Inhalation Induction via Nasotracheal Tube

Endotracheal Intubation

Equipment for Endotracheal Intubation

Selecting an Endotracheal Tube

Preparing the Tube

Intubation Procedure

Complications of Intubation

Maintenance of Anesthesia

Maintenance with an Inhalant Agent

Maintenance with intravenous agents, or TIVA

Maintenance with injectable and inhalant agents

Patient Positioning, Comfort and Safety

Anesthetic Recovery

Preparation for recovery

Monitoring during recovery

Signs of recovery

Extubation

Standing after regaining consciousness

The Postanesthetic Period

Food Animal Anesthesia

Ruminants

Patient preparation

Selecting a Protocol

Summary of a General Anesthetic Procedure

Equipment Preparation

Premedication or Sedation

Anesthetic Induction

Endotracheal Intubation

Maintenance of Anesthesia

Patient Positioning, Comfort and Safety

Anesthetic Recovery

The Post-anesthetic Period

Swine

Physical examination

Sedation

Anesthetic Induction

Maintenance of Anesthesia

Recovery

Anesthesia of Rodents and Rabbits

Patient evaluation

Handling and restraint

Physical examination

Diagnostic tests

Preanesthetic patient care

Withholding food

Correction of preexisting problems

Preanesthetic agents

Anticholinergics

Phenothiazines

Benzodiazepines

Alpha2 adrenergic agonists

Opioids

General anesthesia

Induction techniques and agents

Intubation and maintenance of anesthesia

Postoperative care

Anesthetic emergencies

Respiratory depression

Circulatory failure

Postoperative Analgesia

Pain assessment

Analgesic agents

Chronic pain

Administration of analgesics

Anesthetic Problems and Emergencies

Reasons That Anesthetic Problems and Emergencies Arise

Human Errors That May Lead to Anesthetic Problems and Emergencies

Equipment Issues That May Lead to Anesthetic Problems and Emergencies

Adverse Effects of Anesthetic Agents

Patient Factors that may lead to Anesthetic Problems and Emergencies

Response to Anesthetic Problems and Emergencies

Role of the Veterinary Technician in Emergency Care

General Approach to Emergencies

Emergency Situations That May Arise During Anesthesia

Problems That May Arise in the Recovery Period

Workplace Safety

Hazards of Waste Anesthetic Gas

Short-Term Effects

Long-Term Effects

Assessment of Risk

Reducing Exposure to Waste Anesthetic Gas

Anesthetic techniques and procedures

Monitoring Waste Gas Levels

Safe Handling of Compressed Gases

Fire Safety Precautions

Use and Storage of Compressed Gas Cylinders

Accidental Exposure to Injectable Agents

  Glossary

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