• The 3rd edition of your go-to resource for veterinary critical care, Small Animal Critical Care Medicine, has been significantly updated to focus specifically on diagnostic and management strategies for the sickest veterinary patients. It covers critical care medical therapy, monitoring, and prognosis — from assessment and stabilization through the entire course of intensive care treatment. To make therapeutic decisions easier, clear and practical guidelines address underlying clinical findings, pathophysiology, outpatient follow-up, and long-term care. Editors Deborah Silverstein and Kate Hopper, along with leading experts from the veterinary emergency and critical care profession, have created this indispensable resource to help you and your team provide the highest standard of care for your critically ill patients.

    New to this edition

    • NEW! Coverage of high-flow nasal oxygen therapy and both core and advanced concepts for mechanical ventilation helps you deliver high-quality care to patients with respiratory failure.
    • NEW! Chapters on current critical care topics include Assessment of Intravascular Volume, Urine Osmolality and Electrolytes, and Infectious Disease Control in the ICU.
    • NEW! Chapters on novel procedures offer coverage of tracheal stents, urinary diversion techniques, and an in-depth review of point-of-care ultrasound with extensive figures and images.
    • NEW! Coverage of increasingly prevalent problems seen in the intensive care unit includes coagulation disorders of the critically ill patient, feline aortic thromboembolism, oxygen toxicity, and treatment of severe hypertension.
    • NEW! Chapters on shock fluid therapy and transfusion therapy provide cutting edge information on how to prevent complications and maximize resources.
    • NEW! Prevention of Compassion Fatigue and Burnout chapter addresses this major challenge currently affecting the veterinary profession.
    • NEW! Algorithms and figures throughout the text clarify key concepts and aid in diagnosis and treatment.
    • NEW! Enhanced eBook, included with the purchase of a new print copy of the book, provides online access to a fully searchable version of the text and makes its content available on various devices.
    • UPDATED! Coagulation section includes chapters on hemostasis, management of the bleeding patient, coagulation and platelet monitoring, and viscoelastic monitoring.
    • EXPANDED! Pharmacology section offers coverage of cannabis, trazadone, gabapentin, pimobendane, and appetite stimulants.


    Key Features

    • Over 200 concise, thoroughly updated chapters cover all the clinical areas needed for evaluating, diagnosing, managing, and monitoring a critical veterinary patient.
    • More than 150 recognized experts and many new authors offer in-depth, authoritative guidance on emergency and critical care clinical situations from a variety of perspectives.
    • A problem-based approach focuses on clinically relevant details.
    • Hundreds of full-color illustrations with updated photos and videos depict various emergency procedures, such as chest tube placement.
    • Handy appendices offer quick access to the most often needed calculations, conversion tables, continuous rate infusion determinations, reference ranges, and more.
    • Practical, user-friendly format makes reference quick and easy with summary tables, boxes highlighting key points, illustrations, and algorithmic approaches to diagnosis and management.
  • PART I: KEY CRITICAL CARE CONCEPTS
    1. Evaluation and Triage of the Critically Ill Patient
    2. Physical Examination and Daily Assessment of the Critically Ill Patient
    3. Hemostasis
    4. Cardiopulmonary Resuscitation
    5. Post-Cardiac Arrest Care
    6. Classification and Initial Management of Shock States
    7. SIRS, MODS and Sepsis
    8. Oxygen Toxicity
    9. Endothelial Surface Layer
    10. Hyperthermia and Fever
    11. Interstitial Edema
    12. Patient Suffering in the Intensive Care Unit
    13. Predictive Scoring Systems in Veterinary Medicine
    PART II: RESPIRATORY DISORDERS
    14. Control of Breathing
    15. Oxygen Therapy
    16. Hypoxemia
    17. Hypoventilation
    18. Upper Airway Disease
    19. Tracheal Collapse: Management and Indications for Tracheal Stents
    20. Feline Bronchopulmonary Disease
    21. Canine Lower Airway Disease
    22. Pulmonary Hypertension
    23. Pulmonary Edema
    24. Pneumonia
    25. Acute Respiratory Distress Syndrome
    26. Pulmonary Contusions and Hemorrhage
    27. Pulmonary Thromboembolism
    28. Chest Wall Disease
    29. Pleural Space Disease
    30. Respiratory Distress Look-Alikes
    PART III: ADVANCED RESPIRATORY SUPPORT
    31. High-Flow Nasal Oxygen
    32. Mechanical Ventilation — Core Concepts
    33. Mechanical Ventilation — Advanced Concepts
    34. Jet Ventilation
    35. Ventilator Waveforms
    36. Anesthesia and Monitoring of the Ventilator Patient
    37. Nursing Care of the Ventilator Patient
    38. Discontinuing Mechanical Ventilation
    39. Ventilator Induced Lung Injury
    40. Ventilator-Associated Pneumonia
    PART IV: CARDIOVASCULAR DISORDERS
    41. Mechanisms of Heart Failure
    42. Ventricular Failure and Myocardial Infarction
    43. Feline Cardiomyopathy
    44. Canine Cardiomyopathy
    45. Canine Myxomatous Mitral Valve Disease
    46. Blunt Cardiac Injury
    47. Pericardial Diseases
    48. Bradyarrhythmias and Conduction Disturbances
    49. Supraventricular Tachyarrhythmias
    50. Ventricular Tachyarrhythmias
    51. Myocarditis
    52. Cardiac Biomarkers
    53. Systemic Hypertension
    54. Cardiopulmonary Bypass
    PART V: ELECTROLYTE AND ACID-BASE DISTURBANCES
    55. Sodium Disorders
    56. Potassium Disorders
    57. Calcium Disorders
    58. Magnesium and Phosphate Disorders
    59. Traditional Acid-Base Analysis
    60. Non-Traditional Acid-Base Analysis
    61. Hyperlactatemia
    62. Urine Osmolality and Electrolytes
    PART VI: FLUID THERAPY
    63. Assessment of Hydration
    64. Volume Assessment
    65. Crystalloids and Hemoglobin-Based Oxygen-Carrying Solutions
    66. Colloid Solutions
    67. Daily Intravenous Fluid Therapy
    68. Shock Fluids and Fluid Challenge
    69. Transfusion Medicine
    70. Blood Types, Pre-transfusion Compatibility and Transfusion Reactions
    71. Hemorrhagic Shock
    PART VII: ENDOCRINE DISORDERS
    72. The Diabetic Patient in the ICU
    73. Diabetic Ketoacidosis
    74. Hyperglycemic Hyperosmolar Syndrome
    75. Hypoglycemia
    76. Diabetes Insipidus
    77. Syndrome of Inappropriate Antidiuretic Hormone
    78. Thyroid Storm
    79. Hypothyroid Crisis in the Dog
    80. Pheochromocytoma
    81. Critical Illness-Related Corticosteroid Insufficiency
    82. Hypoadrenocorticism
    PART VIII: NEUROLOGIC DISORDERS
    83. Neurological Evaluation of the ICU Patient
    84. Seizures and Status Epilepticus
    85. Intracranial Hypertension
    86. Tetanus
    87. Hepatic Encephalopathy
    PART IX: INFECTIOUS DISORDERS
    88. Hospital-Associated Infections and Zoonoses
    89. Febrile Neutropenia
    90. Sepsis and Septic Shock
    91. Bacterial Infections
    92. Fungal Infections
    93. Viral Infections
    94. Canine Parvovirus Infection
    95. Infective Endocarditis
    96. Urosepsis
    97. Necrotizing Soft-Tissue Infections
    98. Catheter-Related Bloodstream Infection
    99. Multi-Drug Resistant Infections
    100. Infectious Disease Control in the ICU
    PART X: HEMATOLOGIC DISORDERS
    101. Hypercoagulable States
    102. Feline Aortic Thromboembolism
    103. Platelet Disorders
    104. Coagulopathy in the ICU
    105. Management of the Bleeding Patient in the ICU
    106. Anemia in the ICU
    107. Dyshemoglobinemia
    108. Acute Hemolytic Disorders
    PART XI: INTRAABDOMINAL DISORDERS
    109. Acute Abdominal Pain
    110. Acute Pancreatitis
    111. Acute Cholecystitis
    112. Hepatitis and Cholangiohepatitis
    113. Hepatic Failure
    114. Portal Hypertension
    115. Portosystemic Shunt Management
    116. Acute Gastroenteritis
    117. Gastrointestinal hemorrhage
    118. Regurgitation and Vomiting
    119. Diarrhea
    120. Peritonitis
    PART XII: UROGENITAL DISORDERS
    121. Acute Kidney Injury
    122. Chronic Kidney Disease
    123. Kidney Transplantation
    124. Nutritional Assessment
    125. Nutritional Modulation of Critical Illness
    126. Enteral Nutrition
    127. Parenteral Nutrition
    PART XIII: TRAUMA
    128. Traumatic Brain Injury
    129. Wound Management
    130. Thermal Burn Injury
    PART XIV: ANESTHESIA AND PAIN MANAGEMENT
    131. Pain Assessment
    132. Sedation of the Critically Ill Patient
    133. Anesthesia in the Critically Ill Patient
    134. Analgesia and Constant Rate Infusions
    135. Physical Rehabilitation for the Critical Care Patient
    136. Integrative Veterinary Medicine for the Intensive Care Unit Patient
    PART XV: ENVIRONMENTAL EMERGENCIES
    137. Smoke Inhalation
    138. Hypothermia
    139. Heat Stroke
    140. Drowning and Submersion Injury
    PART XVI: MISCELLANEOUS DISORDERS
    141. Anaphylaxis
    142. Gas Embolism
    143. Subcutaneous Emphysema
    144. Ocular Disease in the Intensive Care Unit
    145. Critically Ill Neonatal and Pediatric Patients
    146. Critically Ill Geriatric Patients
    PART XVII: PHARMACOLOGY
    147. Catecholamines
    148. Vasopressin
    149. Antihypertensives
    150. Pimobendan
    151. Diuretics
    152. Appetite Stimulants
    153. Gastrointestinal Protectants
    154. Antiemetics and Prokinetics
    155. Opioid Agonists and Naloxone
    156. Benzodiazepines
    157. Alpha-2 Agonists and Antagonists
    158. Nonsteroidal Anti-Inflammatory Drugs
    159. Gabapentin
    160. Tramadol
    161. Trazodone
    162. Cannabinoid Medicine in Intensive Care Unit Patients
    163. Anticonvulsants
    164. Antiplatelet Drugs
    165. Anticoagulants
    166. Thrombolytic Agents
    167. Hemostatic Drugs
    168. Antiarrhythmic Agents
    169. Inhaled Medications
    170. Complications of Chemotherapeutic Agents
    171. Antitoxins and Antivenoms
    PART XVIII: ANTIMICROBIAL THERAPY
    172. Antimicrobial Use in the Critical Care Patient
    173. Beta Lactam Antimicrobials
    174. Aminoglycosides
    175. Fluoroquinolones
    176. Antifungal Therapy
    177. Inhaled Medications
    PART XIX: Extracorporeal Therapy
    178. Renal Replacement Therapies
    179. Apheresis
    180. Extracorporeal Therapies for Blood Purification
    PART XX: MONITORING
    181. Hemodynamic Monitoring
    182. Cardiac Output Monitoring
    183. Electrocardiogram Evaluation
    184. Oximetry Monitoring
    185. Colloid Osmotic Pressure and Osmolality Monitoring
    186. Coagulation and Platelet Monitoring
    187. Viscoelastic Monitoring
    188. Intraabdominal Pressure Monitoring
    189. Point-of-Care Ultrasound in the ICU
    190. Capnography
    191. Intracranial Pressure Monitoring
    192. Urine Output
    PART XXI: PROCEDURES
    193. Peripheral Venous Catheterization
    194. Intraosseous Catheterization
    195. Central Venous Catheterization
    196. Blood Film Evaluation
    197. Endotracheal Intubation and Tracheostomy
    198. Thoracocentesis
    199. Thoracostomy Tube Placement and Drainage
    200. Abdominocentesis
    201. Arterial Catheterization
    202. Blood Gas Sampling
    203. Temporary Cardiac Pacing
    204. Cardioversion
    205. Defibrillation
    206. Cerebrospinal Fluid Sampling and Interpretation
    207. Urinary Catheterization
    208. Urinary Diversion Techniques
    PART XXII: ICU DESIGN AND MANAGEMENT
    209. ICU Facility Design
    210. Management of the Intensive Care Unit
    211. Client Communication, Grief, and Veterinary Wellness
    212. Prevention of Compassion Fatigue and Burnout
    Appendices

  • Deborah Silverstein, DVM, DACVECC, Assistant Professor (Critical Care), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, PA, USA and

    Kate Hopper, BVSc, MVSc, DACVECC, Assistant Professor, Department of Surgical & Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA

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