Anesthesia and Analgesia for Veterinary Technicians - John Thomas, Phillip Lerche

Anesthesia and Analgesia for Veterinary Technicians

Buch | Softcover
432 Seiten
2010 | 4th Revised edition
Mosby (Verlag)
978-0-323-05504-8 (ISBN)
52,35 inkl. MwSt
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A guide to the principles of anesthesia administration in animals. It 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.
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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Comprehensive scope of coverage includes both large and small animals.
A reading level and depth of information appropriate for the technical level.
Easy-to-read, user-friendly format makes this a practical guide in the classroom or in practice.
Objectives, key points, and review questions help reinforce learning.
Focus on health and safety issues satisfies OSHA requirements.
Step-by-step procedures boxes clarify the technician's role in anesthesia delivery.






New organization and completely updated techniques, drugs, and equipment keep you up-to-date on the latest advances in the field.
49 new procedures boxes, 20 anesthetic protocol boxes, and 5 case studies help you apply knowledge to real-life situations.
Two new large animal chapters cover pain management and anesthetic techniques for equine and ruminant patients.
Illustrated, step-by-step procedures and the full-color format make this text inviting and user-friendly.
All new figures and 4-color art make the material easy to understand and visually appealing.
New material in every chapter incorporates the expanding role of veterinary technician anesthetists, especially in referral practices, teaching institutions, and research.
Chapter outlines and Technician Tips emphasize key information and highlight key terms in the glossary.
Student resources on the Evolve website include a video animation that demonstrates the use and maintenance of different anesthesia machines.

Introduction to Anesthesia History of anesthesia

The Veterinary Technician's Role in the Practice of Anesthesia


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

Anesthetist's 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

Reihe/Serie evolve
Zusatzinfo Approx. 580 illustrations (576 in full color)
Verlagsort St Louis
Sprache englisch
Themenwelt Veterinärmedizin Klinische Fächer Anästhesie / Intensivmedizin
ISBN-10 0-323-05504-4 / 0323055044
ISBN-13 978-0-323-05504-8 / 9780323055048
Zustand Neuware
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