Small Animal Critical Care Medicine - E-Book


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Emphasizing evidence-based therapy for critically ill or injured dogs and cats, Small Animal Critical Care Medicine, 2nd Edition puts diagnostic and management strategies for common disorders at your fingertips. It covers critical care medical therapy, monitoring, and prognosis — from triage and stabilization through the entire course of acute medical crisis and intensive care treatment. To make therapeutic decisions easier, clear guidelines address underlying clinical findings, pathophysiology, outpatient follow-up, and long-term care. From lead editors Deborah Silverstein and Kate Hopper, along with a Who’s Who of experts from the veterinary emergency and critical care world, this comprehensive reference helps you provide the highest standard of care for ICU patients.

  • Over 200 concise chapters are thoroughly updated to cover all of the clinical areas needed for evaluating, diagnosing, managing, and monitoring a critical veterinary patient.
  • More than 150 recognized experts offer in-depth, authoritative guidance on emergency and critical care clinical situations from a variety of perspectives.
  • A problem-based approach focuses on clinically relevant details. 
  • Practical, user-friendly format makes reference quick and easy with summary tables, boxes highlighting key points, illustrations, and algorithmic approaches to diagnosis and management.
  • Hundreds of full-color illustrations depict various emergency procedures such as chest tube placement.
  • Appendices offer quick access to the most often needed calculations, conversion tables, continuous rate infusion determinations, reference ranges, and more.
  • All-NEW chapters include Minimally Invasive Diagnostics and Therapy, T-FAST and A-FAST, Systemic Inflammatory Response Syndrome (SIRS), Multiple Organ Dysfunction Syndrome (MODS), Sepsis, Physical Therapy Techniques, ICU Design and Management, and Communication Skills and Grief Counseling.
  • NEW! Coverage of basic and advanced mechanical ventilation helps you in deliver high-quality care to patients with respiratory failure.
  • NEW! Coverage of increasingly prevalent problems seen in the Intensive Care Unit includes multidrug-resistant bacterial infections and coagulation disorders.
  • NEW chapters on fluid therapy and transfusion therapy provide information on how to prevent complications and maximize resources.
  • UPDATED coagulation section includes chapters on hypercoagulability, platelet function and testing, anticoagulant therapy, and hemostatic drugs.



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Published 05 September 2014
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EAN13 9780323243520
Language English
Document size 4 MB

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Small AnimalCritical Care Medicine
Deborah C. Silverstein, DVM, DACVECC Associate Professor of Critical Care Department of Clinical Studies Matthew J. Ryan Veterinary Hospital University of Pennsylvania Philadelphia, Pennsylvania Adjunct Professor Temple University School of Pharmacy Philadelphia, Pennsylvania
Kate Hopper, BVSc, PhD, DACVECC Associate Professor of Small Animal Emergency & Critical Care Department of Veterinary Surgical & Radiological Sciences School of Veterinary Medicine University of California–Davis Davis, California
Table of Contents
Cover image
Title page
Reference Ranges
Dedication Part I Key Critical Care Concepts
Chapter 1 Evaluation and Triage of the Critically Ill Patient Introduction Triage Systems Initial Patient Triage Summary References
Chapter 2 Physical Examination and Daily Assessment of the Critically Ill Patient Physical Examination Monitoring and Laboratory Data References
Chapter 3 Cardiopulmonary Resuscitation
Preparedness and Prevention
Basic Life Support Monitoring Advanced Life Support
Open-chest CPR Prognosis References
Chapter 4 Post–Cardiac Arrest Care Propagating Sustained Rosc Systemic Response to Ischemia and Reperfusion: Sepsis-Like Syndrome
Post–Cardiac Arrest Brain Injury
Myocardial Dysfunction
Persistent Precipitating Pathology References
Chapter 5 Shock Clinical Presentation Diagnostics and Monitoring Treatment References
Chapter 6 Systemic Inflammatory Response Syndrome Systemic Inflammation The Consequences of Systemic Inflammation
SIRS and Sepsis
Potential Markers of Sepsis
Treatment of SIRS in Humans
SIRS in Small Animals Summary References
Chapter 7 Multiple Organ Dysfunction Syndrome
Specific Organ Dysfunction
Scoring Systems Management References
Chapter 8 Hypotension Normal Determinants of Blood Pressure Potential Causes of Hypotension
Response to Decreases in Blood Pressure
Diagnosis of Hypotesion
Treatment of Hypotension Summary References
Chapter 9 Hypertensive Crisis Pathophysiology Blood Pressure Measurement
Target Organ Damage
Patients at Risk for Hypertension
Hypertensive Urgency
Hypertensive Emergency Treatment References
Chapter 10 Hyperthermia and Fever Thermoregulation Hyperthermia True Fever Inadequate Heat Dissipation
Benefits and Detriments of Fever
Clinical Approach to the Hyperthermic Patient
Nonspecific Therapy for Febrile Patients
The Febrile Intensive Care Patient References
Chapter 11 Interstitial Edema Microvascular Filtration Lymphatic Drainage
Serosal Transudation
Antiedema Mechanisms
Mechanisms of Edema Formation
Chronic Edemagenic Conditions
Conclusion References
Chapter 12 Patient Suffering in the Intensive Care Unit Maslow's Hierarchy of Needs and Primal Alert Signals References
Chapter 13 Illness Severity Scores in Veterinary Medicine Applications of Illnes Severity Scores Research Applications
Features of Model Construction
Model-Building Process Summary References Part II Respiratory Disorders
Chapter 14 Oxygen Therapy Arterial Oxygen Content Indications for Oxygen Therapy
Methods of Oxygen Administration
Hyperbaric Oxygen
Complications of Oxygen Therapy References
Chapter 15 Hypoxemia Collection of Blood Samples for In Vitro Measurement Recognition of Hypoxemia
Mechanisms of Hypoxemia
Estimating the Magnitude of the Venous Admixture References
Chapter 16 Hypoventilation Definitions Control of Breathing
Differential Diagnosis
Clinical Signs Diagnosis Treatment References
Chapter 17 Upper Airway Disease History and Clinical Signs Emergency Stabilization Diagnostics Diseases of the Upper Airway References
Chapter 18 Brachycephalic Syndrome Pathophysiology Respiratory Consequences Summary References
Chapter 19 Tracheal Trauma Pathophysiology References
Chapter 20 Allergic Airway Disease in Dogs and Cats and Feline Bronchopulmonary Disease Definition of Allergic Airway Disease Human Asthma
Pathogenesis of Small Animal Allergic Respiratory Disease
Parasitic Allergic Airway Disease
Canine Allergic Bronchitis or Eosinophilic Bronchopneumopathy
Pulmonary Infiltrates with Eosinophils
Feline Bronchopulmonary Disease
Treatment of Allergic Airway Disease and Feline Bronchopulmonary Disease Prognosis References
Chapter 21 Pulmonary Edema Pathophysiology Clinical Presentation
Diagnostic Tests
Treatment Prognosis References
Chapter 22 Pneumonia
Clinical Presentation
Diagnostic Testing
Pathophysiology Treatment Additional Management Considerations Monitoring
Prognosis and Outcome References
Chapter 23 Aspiration Pneumonitis and Pneumonia Definitions Aspiration Pneumonitis and Pneumonia References
Chapter 24 Acute Lung Injury and Acute Respiratory Distress Syndrome The Human Perspective The Canine Perspective References
Chapter 25 Pulmonary Contusions and Hemorrhage Pathophysiology and Pathology Diagnosis Management Prognosis and Outcome
Atraumatic Pulmonary Hemorrhage
Diagnostic Evaluation Treatment Prognosis and Outcome References
Chapter 26 Pulmonary Thromboembolism
History and Clinical Signs
Physical Examination
Diagnostic Testing
Treatment and Prophylaxis
Summary References
Chapter 27 Chest Wall Disease Chest Wall Anatomy and Function Diagnosis of Chest Wall Disease
Diseases of the Chest Wall References
Chapter 28 Pleural Space Disease Pleural Space Clinical Evaluation
Pleural Effusion
Space-Occupying Lesions
Diaphragmatic Hernia References
Chapter 29 Nonrespiratory Look-Alikes PH and PCO2 Receptor Activation PO2 Receptor Activation
Cortical Modification of Respiration
Thermal Receptor Changes
Electrolyte Imbalances and Metabolic Disease
Peripheral Nervous System Disease
Central Nervous System Disease
Clinical Evaluation Summary References Part III Mechanical Ventilation
Chapter 30 Basic Mechanical Ventilation Compliance The Ventilator Breath
Ventilator Settings