Perioperative Care, An Issue of Veterinary Clinics of North America: Small Animal Practice

Lori S. Waddell

Description

This issue, Guest Edited by Dr. Lori Waddell, focuses on Perioperative Care in dogs and cats. Articles include: Oxygenation and ventilation, Heart rate and rhythm, Acid/base and electrolyte disturbances, Blood pressure management, Thermoregulation, Anemia and oxygen delivery, Analgesia, Assessment of perfusion and fluid balance, Hemostasis monitoring and treatment, and more!

Sujets

• Médecine
• Médecine Générale
• Smal Animal
• Veterinary Medicine
• Medical

Informations

• Publié par: Elsevier
• Date de parution: 22 juillet 2016
• Nombre de lectures: 0
• EAN13: 9780323391269
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

Clinics Review Articles Veterinary Clinics of North America: Small Animal Practice
Perioperative Care

Lori S. Waddell, DVM
Intensive Care Unit, Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, PA, USA
ISSN  0195-5616 Volume 45 • Number 5 • September 2015
Elsevier
Table of Contents
Cover image
Title page
Copyright
Contributors
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface: Perioperative Monitoring
Assessment of Fluid Balance and the Approach to Fluid Therapy in the Perioperative Patient
Key points
Introduction
The importance of monitoring
Fluid balance in perioperative patients
The role of the physical examination in assessing perfusion and hydration
Approach to fluid therapy in the perioperative patient
Resuscitation endpoints and goal-directed therapy
Upstream endpoints of resuscitation
Downstream endpoints of resuscitation
Direct assessment of the microcirculation
Current controversies and future considerations
Summary
Anemia and Oxygen Delivery
Key points
Introduction
Determinants of tissue oxygenation
Hemoglobin
Microvascular determinants of oxygen delivery
Anemia
Physiologic adaptations to anemia
Clinical approach to anemic patients
Summary
Oxygenation and Ventilation
Key points
Predicting respiratory concerns
Types of surgical procedures
Immediate postoperative support
Hypoxemia
Hypoventilation
Summary
Perioperative Acid-Base and Electrolyte Disturbances
Key points
Introduction
Preoperative derangements
Intraoperative derangements
Postoperative derangements
Summary
Perioperative Monitoring of Heart Rate and Rhythm
Key points
Nature of the problem
Approach to management
Monitoring and clinical outcomes
Complications and concerns
Summary
Perioperative Blood Pressure Control and Management
Key points
Blood pressure control
Conditions that may also cause hypotension
Blood pressure support
Cardiovascular actions of drugs used for preanesthetic medication
Opioids
Induction of anesthesia
Injectable anesthetic drugs
Inhalational anesthetic drugs
Summary
Inadvertent Perianesthetic Hypothermia in Small Animal Patients
Key points
Introduction
Indications for techniques to minimize hypothermia
Techniques and mechanisms of heat conservation
Complications
Summary
Postoperative Hemostasis Monitoring and Management
Key points
Introduction
Hemostatic response to surgical stress
Surgical stress and postoperative thrombophilia
Postoperative hypercoagulability in veterinary medicine
Comorbidities that can exacerbate surgical stress
Diagnosing coagulation disturbances in the perioperative setting
Perioperative anticoagulant therapy
Surgery-specific modifications
Risks associated with anticoagulant and thrombolytic therapy
Perioperative planning
Summary
Analgesia in the Perioperative Period
Key points
Introduction
Why should I treat perioperative pain?
How do I determine if my patient is in pain?
How do I create an analgesic plan?
Which opioid do I choose?
Choosing a nonsteroidal anti-inflammatory drug
How can I incorporate a local anesthetic?
Would an α2-agonist be helpful?
Would an analgesic adjunct be beneficial?
What nonpharmacologic therapies could be incorporated in the analgesic plan?
Summary
Nursing Care
Key points
Introduction
Developing nursing care plans
Respiratory nursing care
Continuous suction/aspiration
Nursing considerations
Cardiovascular nursing care
Recumbent patient care
Renal nursing care
Summary
Wound Care
Key points
Introduction
Phases of wound healing
Factors affecting wound healing
Wound care
Wound closure
Drains
Bandaging
Novel treatments
Summary
Peri-Surgical Nutrition
Key points
Nutrition in hospitalized surgical patients
Enteral support and immunonutrition
Other potential immunonutrients
Summary
Index
Copyright
Elsevier
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VETERINARY CLINICS OF NORTH AMERICA: SMALL ANIMAL PRACTICE Volume 45, Number 5
September 2015 ISSN 0195-5616, ISBN-13: 978-0-323-39125-2
Editor: Patrick Manley
Developmental Editor: Meredith Clinton
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Contributors

Editor
LORI S. WADDELL, DVM
Diplomate, American College of Veterinary Emergency and Critical Care; Adjunct Associate Professor, Critical Care, Intensive Care Unit, Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, Pennsylvania

Authors
INGRID M. BALSA, DVM
Department of Surgical and Radiological Sciences, University of California, Davis, Davis, California
LISA J. BAZZLE, DVM
D