Anesthesia and Analgesia for Veterinary Technicians

Anesthesia and Analgesia for Veterinary Technicians

Paperback Mosby

By (author) John Thomas, By (author) Phillip Lerche

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  • Publisher: Mosby
  • Format: Paperback | 432 pages
  • Dimensions: 216mm x 274mm x 20mm | 1,293g
  • Publication date: 16 June 2010
  • Publication City/Country: St Louis
  • ISBN 10: 0323055044
  • ISBN 13: 9780323055048
  • Edition: 4, Revised
  • Edition statement: 4th Revised edition
  • Illustrations note: Approx. 350 illustrations
  • Sales rank: 201,489

Product description

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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Review quote

"The numerous tips, references and advide provided in the book should allow student nurses to pass their anesthesiology exam with flying colours but make sure you don't store it too far away. Daily practice will provide you with reasons to dive into it!" Veterniary Today, December 2010 'This is the fourth edition of this book. Topics such as application of time contraints, physiology of oxygen transport and interpretation of the capnogram are clearly explained with the use of examples, making their inclusion relevant and appropriate. Additionally, many of the figures are available to download for free following regestration at the publisher's website. Throughout the text, a recurring theme is the use of guidelines for when to seek advice from the supervising veterinarian, the importance of communication skills, documentation of information and problem solving. This approach emphasises a team approach, while acting as a reminder that ultimate patient responsibility lies with the veterinarian. In summary, this text can be recommended as an extremely useful addition to a nurse's/technician's personal? or practice library. The clarity of explanation and breadth of topics also lend it well as a refresher for practicing veterinarians.' JSAP, June 2012

Table of contents

*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