Veterinary Emergency and Critical Care Procedures (eBook)

Timothy Hackett, DVM, MS, DACVECC, is the Chief of Emergency and Critical Care Medicine and the Small Animal Medical Chief of Staff at the James L. Voss Veterinary Teaching Hospital at Colorado State University in Fort Collins, Colorado. Elisa Mazzaferro, MS, DVM, PhD, DACVECC, is a criticalist at Cornell University Veterinary Specialists, a private referral hospital affiliated with Cornell University College of Veterinary Medicine, located in Stamford, CT.

Veterinary Emergency and Critical Care Procedures 5
Contents 7
Preface 9
1 Vascular Access Techniques 11
INTRODUCTION 11
CENTRAL VENOUS CATHETER PLACEMENT 11
Introduction 11
Supplies Needed 11
Indications 12
Contraindications 12
OVER-THE-WIRE CATHETERS (SELDINGER TECHNIQUE) 31
Introduction 31
Supplies Needed 31
Indications 31
Contraindications 31
PERIPHERAL CATHETERIZATION 39
Introduction 39
Supplies Needed 39
Indications 39
Contraindications 39
VASCULAR CUTDOWN 49
Introduction 49
Supplies Needed 49
Indications 49
Contraindications 49
INTRAOSSEOUS CATHETERIZATION 55
Introduction 55
Supplies Needed 55
Indications 55
Contraindications 55
ARTERIAL CATHETERIZATION 68
Introduction 68
Supplies Needed 68
Indications 68
Contraindications 68
REFERENCES 77
2 Nutritional Support and Orogastric Lavage 79
INTRODUCTION 79
NASOESOPHAGEAL AND NASOGASTRIC TUBES 79
Introduction 79
Supplies Needed 79
Indications 80
Contraindications 80
ESOPHAGOSTOMY TUBES 85
Introduction 85
Supplies Needed 85
Indications 85
Contraindications 85
OROGASTRIC LAVAGE 97
Introduction 97
Supplies Needed 97
Indications 97
Contraindications 97
JEJUNOSTOMY TUBE 101
Introduction 101
Supplies 101
Indications 101
Contraindications 101
Potential Complications 101
PARENTERAL NUTRITION 106
Introduction 106
Calculating Energy Requirements 106
Administering Parenteral Nutrition 106
Potential Complications and Monitoring 106
PN Solutions 107
REFERENCES 109
3 Thoracocentesis and Thoracostomy Tube Placement 111
THORACOCENTESIS 111
Introduction 111
Supplies Needed 111
Indications 112
Cautions and Contraindications 112
THORACOSTOMY TUBE PLACEMENT 118
Introduction 118
Supplies Needed 118
Indications 119
Contraindications 119
MANAGEMENT OF AN OPEN SUCKING CHEST WOUND 132
Introduction 132
Supplies Needed 132
Indications 132
Contraindications 132
LOCAL ANESTHETIC BLOCKS FOR RIB FRACTURES OR FLAIL CHEST 136
Introduction 136
Supplies Needed 136
Indications 136
Contraindications 136
REFERENCES 141
4 Oxygen Supplementation and Respiratory Sampling Techniques 143
NASAL AND NASOPHARYNGEAL OXYGEN CATHETER PLACEMENT 143
Introduction 143
Supplies Needed 143
Indications 143
Contraindications 144
OXYGEN HOOD 150
Introduction 150
Supplies Needed 150
Indications 150
Contraindications 150
INTRATRACHEAL OXYGEN SUPPLEMENTATION CATHETER 154
Introduction 154
Supplies Needed 154
Indications 154
Contraindications 155
TRACHEOSTOMY TUBE PLACEMENT 159
Introduction and Indications 159
Supplies Needed 159
Contraindications 159
AIRWAY PRESSURE THERAPY 167
Introduction 167
Supplies Needed 167
Indications 167
Contraindications 167
TRANSORAL WASH 171
Introduction 171
Supplies Needed 171
Indications 171
Contraindications 171
Limitations 171
TRANSTHORACIC ASPIRATE 175
Introduction 175
Supplies Needed 175
Indications 175
Cautions and Contraindications 175
REFERENCES 179
5 Urinary Catheter Placement, Urohydropulsion, and Temporary Antepubic Cystostomy Catheter Placement 181
URINARY CATHETER PLACEMENT IN MALE AND FEMALE DOGS 181
Introduction 181
Supplies Needed 181
Indications 182
Contraindications 182
URETHRAL CATHETERIZATION IN MALE AND FEMALE CATS 194
Supplies Needed 194
UROHYDROPULSION 204
Introduction 204
TEMPORARY ANTEPUBLIC CYSTOSTOMY CATHETER PLACEMENT 210
Introduction and Indications 210
Supplies Needed 210
Contraindications 210
REFERENCES 218
6 Abdominocentesis and Diagnostic Peritoneal Lavage 219
ABDOMINOCENTESIS 219
Introduction 219
Supplies Needed 219
Indications 220
Contraindications 220
Limitations 220
DIAGNOSTIC PERITONEAL LAVAGE 224
Introduction and Indications 224
Supplies Needed 224
Indications 224
Contraindications 224
Limitations 224
ABDOMINAL DRAINAGE CATHETER 235
Introduction 235
Supplies Needed 235
Indications 235
Contraindications 235
REFERENCES 242
7 Pericardiocentesis and Pericardial Drainage Catheter 243
INTRODUCTION 243
Supplies Needed 243
Indications 243
Contraindications 243
REFERENCES 251
8 Central Venous Pressure 253
INTRODUCTION 253
Supplies Needed 253
Indications 254
Contraindications 254
REFERENCES 261
9 Cardiopulmonary Resuscitation 263
INTRODUCTION 263
Supplies Needed 263
Indications 264
Contraindications 264
CLOSED -CHEST CPR 264
OPEN-CHEST CPR 271
Supplies 271
CLOSING THE THORAX IF RETURN OF SPONTANEOUS CIRCULATION OCCURS AFTER OPEN-CHEST CPR 277
REFERENCES 282
10 Continuous Rate Infusions 283
INTRODUCTION 283
PHARMACOKINETICS 283
CALCULATIONS 284
REFERENCES 286
Index 287

"Additionally, veterinarians who are embarking on a career
in emergency medicine would be well advised to add this book to
their library, given its unique visual content. The addition of the
e-book and video references further improves the
appeal." (Australian Veterinary Journal, 26
September 2014)

"In summary, this book is certainly a handy one to keep
around in an emergency clinic. It readily and clearly depicts many
important procedures that occur on a day-to-day basis in an
emergency setting." (Journal of Small Animal
Practice, 1 December 2013)

"This book will provide an on-going source for teaching
and reference and will be a very welcome addition to my
library." (The Veterinary Journal, 1 August
2013)

"Overall, this book is a good reference for anyone who
intends to brush up on important emergency and critical-care
techniques." (Journal of The American
Veterinary Medical Association, 15 December 2012)

"I would recommend this book for any practice library
supported by further texts if the individual requires
them." (Veterinary Practice, 1 January 2013)

"Overall, I think the book will be most useful for
veterinary technicians, students and veterinarians entering the
emergency field for the first time." (Veterinary
Record, 5 January 2013)

"Also recommended for immediate reference is Timothy B. Hackett
and Elisa M. Mazzaferro's VETERINARY EMERGENCY AND CRITICAL CARE
PROCEDURES (9780470958551, $59.99) appears in its second updated
edition to provide a step-by-step guide to key emergency and
critical care procedures encountered in general and specialty
practice." (Bookwatch, 1 December 2012)
"This is an essential book for small animal practices,
emergency clinics, and any place that teaches veterinary students,
interns, or residents. The abundant images are of excellent
quality. The second edition has all color pictures along with
online videos of many of the procedures."
(Doody's, 2 November 2012)