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Anesthesia and Analgesia for Veterinary Technicians - E-Book

Anesthesia and Analgesia for Veterinary Technicians - E-Book

John Thomas | Phillip Lerche

(2014)

Additional Information

Book Details

Abstract

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.

    Table of Contents

    Section Title Page Action Price
    Front Cover\r Cover
    ANESTHESIA and ANALGESIA iii
    Copyright\r iv
    Dedication v
    Contributors vii
    Preface ix
    Contents xi
    Chapter 1\rIntroduction to Anesthesia 1
    HISTORY AND TERMINOLOGY OF ANESTHESIA 1
    THE VETERINARY TECHNICIAN’S ROLE \nIN THE PRACTICE OF ANESTHESIA 3
    Chapter 2\rPatient Preparation 5
    COMMUNICATION—A KEY TO SUCCESS 6
    THE MINIMUM PATIENT DATABASE 7
    SELECTION OF THE ANESTHETIC PROTOCOL 24
    DETERMINATION OF THE PHYSICAL STATUS CLASSIFICATION 24
    PREINDUCTION PATIENT CARE 26
    INTRAVENOUS CATHETERIZATION 27
    FLUID ADMINISTRATION 28
    OTHER PREANESTHETIC CARE 39
    Chapter 3\rAnesthetic Agents and Adjuncts 50
    INTRODUCTION TO ANESTHETIC AGENTS AND ADJUNCTS 50
    PREANESTHETIC MEDICATIONS 54
    INJECTABLE ANESTHETICS 70
    INHALATION ANESTHETICS 84
    CENTRAL NERVOUS SYSTEM \nAND ­RESPIRATORY STIMULANTS 92
    Chapter 4\rAnesthetic Equipment 96
    ENDOTRACHEAL TUBES AND ASSOCIATED EQUIPMENT 97
    MASKS 99
    ANESTHETIC CHAMBERS 99
    COMPONENTS OF THE ANESTHETIC MACHINE 100
    ANESTHETIC MACHINES 100
    REBREATHING SYSTEMS 116
    NON-REBREATHING SYSTEMS 122
    OPERATION OF THE ANESTHETIC MACHINE 125
    CARE AND MAINTENANCE OF ANESTHETIC EQUIPMENT 131
    Chapter 5\rAnesthetic Monitoring 138
    INTRODUCTION TO MONITORING 139
    STAGES AND PLANES OF ANESTHESIA 140
    DETERMINING WHETHER OR NOT THE PATIENT IS SAFE 143
    ASSESSMENT OF ANESTHETIC DEPTH 170
    RECORDING INFORMATION DURING ANESTHESIA 176
    REVIEW QUESTIONS 181
    Chapter 6\rSpecial Techniques 183
    LOCAL ANESTHESIA 183
    LEARNING OBJECTIVES 183
    ASSISTED AND CONTROLLED VENTILATION 190
    NEUROMUSCULAR BLOCKING AGENTS 194
    Chapter 7\rAnalgesia 206
    PHYSIOLOGY OF PAIN 207
    CONSEQUENCES OF UNTREATED PAIN 208
    SIGNS OF PAIN IN ANIMALS 208
    PAIN ASSESSMENT TOOLS 210
    PERIOPERATIVE PAIN MANAGEMENT 211
    PHARMACOLOGIC ANALGESIC THERAPY 212
    HOME ANALGESIA 227
    NURSING CARE 227
    NONPHARMACOLOGIC THERAPIES 228
    Chapter 8\rCanine and Feline Anesthesia 233
    PATIENT PREPARATION 234
    SELECTING A PROTOCOL 235
    SUMMARY OF A GENERAL ANESTHETIC PROCEDURE 236
    EQUIPMENT PREPARATION 239
    PREMEDICATION OR SEDATION 240
    ANESTHETIC INDUCTION 240
    ENDOTRACHEAL INTUBATION 245
    MAINTENANCE OF ANESTHESIA 251
    PATIENT POSITIONING, COMFORT, \nAND SAFETY 252
    ANESTHETIC RECOVERY 253
    POSTANESTHETIC PERIOD 256
    Chapter 9\rEquine Anesthesia 265
    PATIENT PREPARATION 267
    SELECTING A PROTOCOL 267
    EQUIPMENT PREPARATION 267
    SUMMARY OF A GENERAL ANESTHETIC PROCEDURE 267
    PREMEDICATION OR SEDATION 268
    ANESTHETIC INDUCTION 269
    ENDOTRACHEAL INTUBATION 272
    MAINTENANCE OF ANESTHESIA 273
    ANESTHETIC RECOVERY 275
    PATIENT POSITIONING, COMFORT, \nAND SAFETY 275
    POSTANESTHETIC PERIOD 278
    Chapter 10\rRuminant and Swine Anesthesia 283
    RUMINANTS 283
    PATIENT PREPARATION 284
    SELECTING A PROTOCOL 284
    SUMMARY OF A GENERAL ANESTHETIC ­PROCEDURE 284
    SWINE 289
    PHYSICAL EXAMINATION 289
    SUMMARY OF A GENERAL ANESTHETIC PROCEDURE 289
    Chapter 11\rRodent and Rabbit Anesthesia 298
    PATIENT EVALUATION 298
    PREANESTHETIC PATIENT CARE 303
    PREANESTHETIC AGENTS 304
    GENERAL ANESTHESIA 306
    POSTOPERATIVE CARE 312
    ANESTHETIC EMERGENCIES 312
    POSTOPERATIVE ANALGESIA 313
    Chapter 12\rAnesthetic Problems and Emergencies 319
    REASONS THAT ANESTHETIC PROBLEMS AND EMERGENCIES ARISE 320
    RESPONSE TO ANESTHETIC PROBLEMS AND EMERGENCIES 334
    Chapter 13\rWorkplace Safety 351
    HAZARDS OF WASTE ANESTHETIC GAS 351
    LEARNING OBJECTIVES 351
    SAFE HANDLING OF COMPRESSED GASES 359
    ACCIDENTAL EXPOSURE TO INJECTABLE AGENTS 360
    ANSWER KEY 365
    Appendix A\rAmerican College of Veterinary Anesthesiologists MonitoringGuidelines Update, 2009 367
    Recommendations for Monitoring AnesthetizedVeterinaryPatients 367
    Appendix B\rNitrous Oxide 370
    PHYSICAL PROPERTIES OF NITROUS OXIDE 370
    EFFECTS OF NITROUS OXIDE ON MAJOR ORGAN SYSTEMS 370
    OTHER EFFECTS 370
    NITROUS OXIDE RISKS 371
    NITROUS OXIDE DELIVERY 371
    NITROUS OXIDE USE 372
    Appendix C\rUse of Nonprecision Vaporizers 373
    DESCRIPTION AND FUNCTION OF NONPRECISION VAPORIZERS 373
    USE OF NONPRECISION VAPORIZERS 373
    SAFETY 373
    Appendix D\rProcedure for Operation of a Closed Rebreathing System 375
    Appendix E\rStandard Volumes, Weights, Measures, and Equivalents 376
    METRIC SYSTEM 376
    CONVERSION TABLES 376
    Appendix F\rEquipment and Drugs for Use in an Emergency Crash Kit 379
    GLOSSARY 381
    Index 389