Emergências e Cuidados Intensivos

Veterinary Emergency and Critical Care Procedures, 3rd Edition

De: Timothy B. Hackett, Elisa M. Mazzaferro
ISBN: 9781119769637
2025, Wiley
Capa mole
Páginas: 272

  • Updated edition of a practical step-by-step guide to common procedures in emergency and critical care medicine for dogs and cats

    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.

  • 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

  • Timothy B. Hackett, DVM, MS, DACVECC

    Is the Alexander de Lahunta Chair, Department of Clinical Sciences, and Professor in the Section of Emergency and Critical Care at Cornell University College of Veterinary Medicine in Ithaca, New York, USA.

    Elisa M. Mazzaferro, MS, DVM, PhD, DACVECC

    Is a Staff Criticalist at Cornell University Veterinary Specialists, a private referral hospital affiliated with Cornell University College of Veterinary Medicine, located in Stamford, Connecticut, USA.

info