Veterinary Emergency and Critical Care Procedures, Third Edition delivers a highly practical step-by-step guide to common life-saving procedures in canine and feline practice. Presenting concise descriptions of techniques accompanied by full-color clinical photographs, this book is designed for easy reference in an emergency situation.
This newly revised and updated Third Edition includes the latest developments in the field of emergency and critical care medicine, with new information on the Mila Seldinger thoracostomy tube placement, over-the-wire blind intubation using a rigid polypropylene catheter and ET tube, use of an introducer to facilitate placement of esophagostomy tubes, as well as transoral airway washes.
Each procedure includes information on the indications for the technique, potential risks, and equipment required, with helpful hints for avoiding complications. A companion website features video clips demonstrating most procedures.
This new edition includes information on: - Cardiopulmonary resuscitation based on the latest RECOVER guidelines, covering closed and open chest CPR as well as basic and advanced life support - Vascular access techniques, including peripheral venous catheters, percutaneous facilitation, vascular cutdown, central venous catheters, and arterial catheterization - Oxygen supplementation and management of upper airway obstruction, covering nasal and nasopharyngeal oxygen catheters, and intratracheal oxygen supplementation - Thoracocentesis and thoracostomy tube placement, management of open sucking chest wounds, and analgesia and local anesthesia to block rib fractures
Veterinary Emergency and Critical Care Procedures is a must-have reference for any veterinarian or veterinary technician dealing with emergent canine and feline patients, along with veterinary and veterinary technology students.
Table of Contents
Preface ix
List of Abbreviations xi
1 Vascular Access Techniques 1
Introduction 1
Peripheral Catheterization 4
Introduction 4
Supplies Needed 4
Indications 4
Contraindications 4
Central Venous Catheter Placement 11
Supplies Needed 11
Indications 11
Contraindications 11
Over- the- Wire Catheters (Seldinger Technique) 12
Supplies Needed 12
Indications 12
Contraindications 12
Jugular Central Through- the- Needle Catheter Placement 13
Lateral Saphenous Over- the- Wire (Seldinger) Catheter 28
Auricular Venous Catheter 36
Arterial Catheterization 40
Introduction 40
Supplies Needed 40
Indications 40
Contraindications 40
Vascular Cutdown 46
Introduction 46
Supplies Needed 46
Indications 46
Contraindications 46
Intraosseous Catheterization 55
Introduction 55
Supplies Needed 55
Indications 55
Contraindications 55
Placement of Intraosseous Catheter Placement in the Humerus 61
Intraosseous Catheterization Using the Ez- Io Device 65
Three Syringe Technique for Blood Sample Collection 69
Supplies Needed 69
Indications 69
Contraindications 69
Suggested Reading 72
2 Respiratory Emergencies: Thoracocentesis Local Anesthesia for Rib Fracture, Management of Open Sucking Chest Wounds, and Thoracostomy Tube Placement 73
Emergency Airway Access 73
Indications 73
Supplies Needed 73
Temporary Tracheostomy Tube Placement 77
Introduction and Indications 77
Supplies Needed 77
Contraindications 77
Patient Preparation 77
Tracheostomy Tube Care 84
Thoracocentesis 84
Introduction 84
Supplies Needed 85
Indications 85
Caution and Contraindications 85
Management of an Open Sucking/Penetrating Chest Wound 95
Introduction 95
Supplies Needed 95
Indications 95
Contraindications 95
Local Anesthetic Blocks for Rib Fractures or Flail Chest 98
Introduction 98
Supplies Needed 98
Indications 98
Contraindications 98
Thoracostomy Tube Placement 102
Introduction 102
Supplies Needed 102
Contraindications 103
Thoracostomy Tube - Trocar 104
Alternate Method of Thoracostomy Tube Placement Without a Trocar 108
Thoracostomy Tube Placement Using Over- the- Wire Seldinger Technique 112
Supplies Needed 112
Suggested Reading 119
3 Oxygen Supplementation and Respiratory Sampling Techniques 121
Nasal and Nasopharyngeal Oxygen Catheter Placement 121
Introduction 121
Supplies Needed 121
Indications 121
Contraindications 122
Oxygen Hood 128
Introduction 128
Supplies Needed 128
Indications 128
Contraindications 128
Transoral Wash 132
Introduction 132
Supplies Needed 132
Indications 132
Contraindications 132
Limitations 132
Suggested Reading 137
4 Pericardiocentesis 139
Introduction 139
Supplies Needed 139
Indications 139
Contraindications 139
Suggested Reading 147
5 Nutritional Support and Orogastric Lavage 149
Introduction 149
Nasoesophageal and Nasogastric Tubes 149
Introduction 149
Supplies Needed 149
Indications 150
Contraindications 150
Esophagostomy Tubes 157
Introduction 157
Supplies Needed 157
Placement of Esophagostomy Tube Using Introducer 164
Orogastric Lavage 167
Introduction 167
Supplies Needed 167
Indications 167
Contraindications 167
Suggested Reading 171
6 Urinary Catheter Placement Urohydropulsion and Temporary Antepubic Cystostomy Catheter Placement 173
Urinary Catheter Placement in Male and Female Dogs 173
Introduction 173
Supplies Needed 173
Indications 174
Contraindications 174
Urethral Catheterization in Male and Female Cats 187
Urohydropulsion 195
Introduction 195
Temporary Antepubic Cystostomy Tube Placement 201
Introduction and Indications 201
Contraindications 201
Supplies Needed 201
Suggested Reading 209
7 Abdominocentesis and Diagnostic Peritoneal Lavage 211
Abdominocentesis 211
Introduction 211
Supplies Needed 211
Indications 212
Contraindications 212
Limitations 212
Diagnostic Peritoneal Lavage 216
Supplies Needed 216
Indications 216
Contraindications 216
Limitations 216
Abdominal Drainage Catheter 227
Introduction 227
Supplies Needed 227
Indications 227
Contraindications 227
Suggested Reading 234
8 Cardiopulmonary Resuscitation 235
Introduction 235
Supplies Needed 235
Indications 236
Supplies Needed for a Crash Cart 237
Closed- Chest CPR 240
Advanced Life Support (ALS) 246
Open- Chest CPR 253
Indications 253
Contraindications 253
Supplies Required 253
Closing the Thorax After Open- Chest CPR 259
Suggested Reading 261
9 Continuous Rate Infusions 263
Introduction 263
Pharmacokinetics 263
Calculations 264
Suggested Reading 265
10 Product Guide and Supplies 267
Index 275
