Emergency surgical procedures:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | [The veterinary clinics of North America / Small animal practice]
30,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VIII S., S. 473 - 702 Ill. |
| ISSN: | 0195-5616 |
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| 650 | 7 | |a Surgery |2 cabt | |
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Datensatz im Suchindex
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| adam_text | EMERGENCY SURGICAL PROCEDURES
CONTENTS
Preface ix
David E. Holt
Preoperative Evaluation and Management of the
Emergency Surgical Small Animal Patient 473
Rebecca S. Syring and Kenneth J. Drobatz
Animals with surgical emergencies have a variety of clinical signs
and vary from stable to critically ill. The emergency clinician
should quickly recognize those patients that are critically ill,
initiate proper stabilizing treatment, and determine which pa¬
tients require medical versus surgical intervention. This article
discusses the general approach to the emergency patient. It fo¬
cuses on initial evaluation, stabilization, and diagnosis of com¬
mon surgical emergencies.
Emergency Vascular Access 491
Dez Hughes and Matthew W. Beal
Establishing and maintaining vascular access is often vital to the
preoperative, intraoperative, and postoperative management of
the small animal emergency surgical patient. Vascular access may
be used for the delivery of crystalloids, colloids, blood compo¬
nents, medications, and anesthetic or sedative agents. It can also
facilitate venous and arterial blood sampling and allow direct
measurement of arterial and venous pressures. Selection of an
appropriate catheter and knowledge of placement techniques,
maintenance, and use of the various methods of vascular access
are essential to the small animal emergency patient and the criti¬
cal care veterinarian.
VETERINARY CLINICS OF NORTH AMERICA:
SMALL ANIMAL PRACTICE
VOLUME 30 • NUMBER 3 • MAY 2000 V
Anesthesia for the Emergency Small Animal Patient 509
Sandra Z. Perkowski
Anesthesia for the debilitated or emergency patient requires a
thorough knowledge of the pharmacologic and physiologic effects
of the anesthetic agents available. Preoperative evaluation and
preparation of the patient, intraoperative monitoring and prompt
attention to potential crises, and postoperative monitoring and
pain management are all critical to the success of dealing with
these cases. Special attention is devoted to cases with cardiovas¬
cular, respiratory, or neurologic instability.
Surgical Emergencies of the Respiratory System 531
Lori L. Ludwig
Management of the patient in respiratory distress requires an
efficient and accurate diagnostic and therapeutic strategy. This
article describes the approach to patients with respiratory com¬
promise, including the indications and techniques for performing
emergency surgical procedures. The clinical features of upper
airway obstruction, thoracic wall trauma, and pleural space dis¬
ease are discussed.
Gastrointestinal Emergencies 555
Lillian R. Aronson, Daniel J. Brockman, and
Dorothy Cimino Brown
The animal with a surgical gastrointestinal emergency usually
requires a rapid, thorough physical examination with concurrent
resuscitation. As the diagnosis is being made, the animal must be
made as stable as possible before undergoing general anesthesia.
During surgery, there must be a critical evaluation of gastrointesti¬
nal viability and the use of precise technical skills to achieve
the best outcome. Adept postoperative management, including
careful monitoring and an index of suspicion for potential compli¬
cations, is vital.
Surgical Emergencies of the Urinary Tract 581
Mary A. McLoughlin
True emergencies of the urinary tract center on three major issues,
including uncontrolled renal hemorrhage, accumulation of urine
within the peritoneal cavity or retroperitoneal space, and obstruc¬
tion to urine outflow. Successful management of urinary tract
emergencies in small animal patients is based not only on the
severity of the injury or obstruction but on the condition of the
patient at the time of diagnosis and the patient s response to
medical stabilization. When most urinary tract emergencies are
initially recognized, patients are metabolically and hemodynami
cally unstable. Therefore, urinary tract emergencies are first re
vi CONTENTS
garded as medical emergencies, and emergency surgical proce¬
dures are aimed at patient stabilization and lifesaving measures.
Diagnosis and Management of Peritonitis 603
Heather Swann and Dez Hughes
Peritonitis is a clinical syndrome rather than a definitive diagnosis
and, as such, the underlying cause must be identified. Many
potential causes exist, and peritonitis may be classified as primary
or secondary, local or diffuse, acute or chronic, or according to
the causative agent. Peritonitis is one of the most common initia¬
tors of the systemic inflammatory response syndrome faced by
the small animal practitioner. Because systemic inflammatory re¬
sponse syndrome is such a devastating disease process, aggres¬
sive stabilization, rapid definitive diagnosis, and prompt surgical
and medical treatment are vital for optimizing outcome.
Neurosurgical Emergencies 617
Amy S. Kapatkin and Charles H. Vite
The neurologic patient is considered a neurosurgical emergency
when delay of treatment may influence the patient s outcome.
Diseases of the spinal cord, brain, and peripheral nerves are
presented in this article. Diagnostic tools (i.e., advanced imaging
and electrophysiologic tests), differential diagnoses, treatment op¬
tions (conventional and controversial), whether the patient re¬
quires surgery, and the optimal time for surgical intervention are
discussed.
Emergency Management of Open Fractures and
Luxations 645
Catherine A. Popovitch and A. Jon Nannos
Management of open fractures can be challenging, but the appro¬
priate initial treatment can help to ensure the best possible case
outcome. The first section of this article discusses the emergency
management of an animal with an open fracture. The second
section reviews joint luxations and how they are best managed
on an emergency basis. This includes joint reduction when appro¬
priate and the recommended external coaptation to help maintain
reduction.
A Practical Approach to Hemoperitoneum in the Dog
and Cat 657
Daniel J. Brockman, Carlos M. Mongil, Lillian R. Aronson,
and Dorothy Cimino Brown
This article describes a diagnostic approach and the medical and
surgical stabilization of patients with hemoperitoneum. Emphasis
CONTENTS vii
is placed on animals with neoplastic and traumatic disease. Be¬
cause there is little information in the veterinary literature regard¬
ing treatment outcomes for neoplastic or traumatic hemoperito
neum in cats or dogs, a specific treatment protocol for each
scenario cannot be recommended. The therapeutic guidelines con¬
tained in this article are based on the opinions and experience of
the authors.
Bite Wounds in Dogs and Cats 669
David E. Holt and Greg Griffin
Bite wounds are a frequent injury in dogs and cats. Some bites are
severe, causing crushing, avulsion, and devitalization of tissues
beneath the skin. Bites can also crush the airway or penetrate the
abdominal or thoracic cavities, resulting in life threatening injur¬
ies. This article reviews the local mechanisms of trauma and
systemic mediators involved in severe bite wound injuries and
provides a plan for stabilization, injury assessment, and definitive
bite wound management.
Postoperative Management of the Emergency Surgery
Small Animal Patient 681
Colleen A. Brady and Lesley G. King
Hypovolemia, hypothermia, and hypotension are common post¬
operative findings that predispose the critically ill patient to sec¬
ondary complications. This patient population is especially vul¬
nerable to sepsis, hypoxia, and immune dysfunction. Careful
monitoring is essential for early recognition of potentially life
threatening physiologic derangements. Early and aggressive in¬
tervention may help minimize systemic insult before it progresses
to acute respiratory distress syndrome, acute renal failure, dis¬
seminated intravascular coagulation, or multiple organ failure.
Index 699
Subscription Information Inside back cover
viii CONTENTS
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| series2 | [The veterinary clinics of North America / Small animal practice] |
| spelling | Emergency surgical procedures David E. Holt, guest ed. Philadelphia [u.a.] Saunders 2000 VIII S., S. 473 - 702 Ill. txt rdacontent n rdamedia nc rdacarrier [The veterinary clinics of North America / Small animal practice] 30,3 0195-5616 Emergency Procedures cabt Surgical Operations cabt Surgery cabt Small Animal Diseases cabt Surgical emergencies Chirurgische Krankheit (DE-588)4263624-3 gnd rswk-swf Notfallchirurgie (DE-588)4126526-9 gnd rswk-swf Lebensbedrohende Krankheit (DE-588)4283991-9 gnd rswk-swf Kleintierkrankheit (DE-588)4114227-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Kleintierkrankheit (DE-588)4114227-5 s Notfallchirurgie (DE-588)4126526-9 s DE-604 Chirurgische Krankheit (DE-588)4263624-3 s Lebensbedrohende Krankheit (DE-588)4283991-9 s Holt, David E. Sonstige oth Small animal practice] [<<The>> veterinary clinics of North America 30,3 (DE-604)BV000001819 30,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009027410&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Emergency surgical procedures Emergency Procedures cabt Surgical Operations cabt Surgery cabt Small Animal Diseases cabt Surgical emergencies Chirurgische Krankheit (DE-588)4263624-3 gnd Notfallchirurgie (DE-588)4126526-9 gnd Lebensbedrohende Krankheit (DE-588)4283991-9 gnd Kleintierkrankheit (DE-588)4114227-5 gnd |
| subject_GND | (DE-588)4263624-3 (DE-588)4126526-9 (DE-588)4283991-9 (DE-588)4114227-5 (DE-588)4143413-4 |
| title | Emergency surgical procedures |
| title_auth | Emergency surgical procedures |
| title_exact_search | Emergency surgical procedures |
| title_full | Emergency surgical procedures David E. Holt, guest ed. |
| title_fullStr | Emergency surgical procedures David E. Holt, guest ed. |
| title_full_unstemmed | Emergency surgical procedures David E. Holt, guest ed. |
| title_short | Emergency surgical procedures |
| title_sort | emergency surgical procedures |
| topic | Emergency Procedures cabt Surgical Operations cabt Surgery cabt Small Animal Diseases cabt Surgical emergencies Chirurgische Krankheit (DE-588)4263624-3 gnd Notfallchirurgie (DE-588)4126526-9 gnd Lebensbedrohende Krankheit (DE-588)4283991-9 gnd Kleintierkrankheit (DE-588)4114227-5 gnd |
| topic_facet | Emergency Procedures Surgical Operations Surgery Small Animal Diseases Surgical emergencies Chirurgische Krankheit Notfallchirurgie Lebensbedrohende Krankheit Kleintierkrankheit Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009027410&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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