Anesthesia and Analgesia for Veterinary Technicians book cover

Anesthesia and Analgesia for Veterinary Technicians

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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Paperback, 432 Pages

Published: June 2010

Imprint: Mosby

ISBN: 978-0-323-05504-8

Contents

    1. Introduction to Anesthesia

      History of anesthesia

      The Veterinary Technician’s Role in the Practice of Anesthesia

    2. Patient Preparation
    3. 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

    4. Anesthetic Agents and Adjuncts
    5. 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

    6. Anesthetic Equipment
    7. 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

    8. Anesthetic Monitoring
    9. 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

    10. Special Techniques
    11. 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

    12. Analgesia
    13. 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

    14. Canine and Feline Anesthesia
    15. 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

    16. Equine Anesthesia
    17. 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

    18. Food Animal Anesthesia
    19. 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

    20. Anesthesia of Rodents and Rabbits
    21. 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

    22. Anesthetic Problems and Emergencies
    23. 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

    24. 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

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