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E-grāmata: Feline Anesthesia and Pain Management

Edited by (Royal College of Veterinary Surgeons, UK), Edited by (Michigan State University, East Lansing, Michigan, USA), Edited by (Université de Montréal in Montreal, Quebec, Canada)
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  • Izdošanas datums: 10-Oct-2017
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781119167846
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  • Formāts: PDF+DRM
  • Izdošanas datums: 10-Oct-2017
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781119167846

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Feline Anesthesia and Pain Management offers a definitive and practical guide to feline anesthesia and pain management.

The only book offering detailed practical information on anesthesia and pain management in cats, one of the world’s most popular pets
World renowned author team
Quick reference format with full color illustrations
  • Offers detailed practical information on anesthesia and pain management tailored to the unique needs of cats

  • Includes a team of world-renowned authors who are experts in veterinary anesthesia and analgesia

  • Uses a quick reference format that makes the information easy to find and follow

  • Presents full color images to illustrate concepts

 

 

Foreword xvii
Contributors xix
1 Handling, Restraint, and Preanesthetic Assessment 1(16)
Graeme Doodnaught
Paulo Steagall
Introduction
1(1)
Handling and Restraint
2(8)
Scruffing
2(1)
The Fearful Cat
3(2)
Blood Sampling
5(1)
Drug Administration
6(1)
IV Catheterization
6(1)
Intubation and Airway Management
7(3)
Preanesthetic Assessment
10(2)
Risk Factors, Morbidity, and Mortality
12(2)
Further Reading
14(3)
2 Anatomy, Physiology, and Pharmacology 17(18)
Bradley Simon
Paulo Steagall
Introduction
17(1)
Cardiovascular System
17(5)
Anatomy
17(2)
Cardiac Electrical Conductivity
19(2)
Physiology
21(1)
Pharmacology
21(1)
Respiratory System
22(3)
Anatomy
22(2)
Physiology
24(1)
Pharmacology
25(1)
Nervous System
25(2)
Central Nervous System (CNS) Anatomy
25(1)
Peripheral Nervous System Anatomy
26(1)
Parasympathetic Nervous System (PNS)
26(1)
Sympathetic Nervous System (SNS)
27(1)
Physiology
27(1)
Pharmacology
27(1)
Urinary System
27(3)
Anatomy
27(1)
Renal Blood Flow and Autoregulation
28(1)
Physiology
28(1)
Pharmacology
29(1)
Hepatic System
30(1)
Anatomy and Physiology
30(1)
Hepatic Metabolism and Pharmacology of Anesthetics, Analgesics, and Sedatives
31(1)
Endocrine System
31(1)
Gastrointestinal System
32(1)
Anatomy
32(1)
Physiology
32(1)
Pharmacology
33(1)
Further Reading
33(2)
3 Sedation and Premedication 35(14)
Paulo Steagall
Introduction
35(1)
Drugs used for Sedation in Cats
36(1)
Acepromazine
36(3)
Clinical Use
38(1)
Contraindications
38(1)
Benzodiazepines
39(1)
Clinical Use
40(1)
Diazepam versus Midazolam
40(1)
Contraindications
40(1)
Agonists of slpha2-Adrenergic Receptors
40(3)
Clinical Use
41(1)
Contraindications
42(1)
Anticholinergics
43(1)
Clinical Use
43(1)
Contraindications
44(1)
Opioids
44(1)
Ketamine and Alfaxalone
45(1)
Trazodone
45(1)
Other Drugs
45(1)
Further Reading
46(3)
4 Injectable Anesthetics and Induction of Anesthesia 49(18)
Paul Steagall
Introduction
49(1)
General Considerations for Induction of Anesthesia
50(1)
Drugs used for Induction of Anesthesia
51(3)
Propofol
51(1)
Commercial Preparations
51(1)
Pharmacology
52(1)
Clinical Use
52(1)
Contraindications
53(1)
Alfaxalone
54(1)
Commercial Preparations
54(1)
Pharmacology
54(1)
Clinical Use
54(1)
Contraindications
55(1)
Dissociative Anesthetics (Ketamine and Tiletamine)
55(2)
Commercial Preparations
56(1)
Pharmacology
56(1)
Clinical Use
57(1)
Contraindications
57(1)
Barbiturates
57(2)
Commercial Preparations
58(1)
Pharmacology
58(1)
Clinical Use
58(1)
Contraindications
59(1)
Etomidate
59(1)
Commercial Preparation
59(1)
Pharmacology
59(1)
Clinical Use
59(1)
Contraindications
60(1)
Fentanyl plus Midazolam
60(1)
Induction with Volatile Anesthetics
60(1)
Total Intravenous Anesthesia (TIVA)
61(1)
Infusion Devices
62(1)
Injectable-only Protocols
62(2)
Further Reading
64(3)
5 Local Anesthetics and Loco-regional Techniques 67(22)
Francesco Staffieri
Paulo Steagall
Introduction
67(1)
Physicochemical and Pharmacodynamic Properties of Local Anesthetics
68(1)
Axons and Nerve Fibers
69(1)
Pharmacokinetics
70(1)
Factors Influencing Onset and Duration of Action
70(1)
Metabolism
71(1)
Adjuvants
71(1)
Local Anesthetics
71(6)
Lidocaine
71(2)
Lidocaine Patch
73(1)
Eutectic Mixture of Lidocaine and Prilocaine
73(1)
Bupivacaine and Levobupivacaine
73(1)
Ropivacaine
73(1)
Mixing Local Anesthetics
74(1)
Adverse Effects
74(4)
Neurotoxicity
74(1)
Systemic Toxicity
75(1)
Treatment of Systemic Toxicity
76(1)
Other Complications
76(1)
Techniques for Nerve Location
77(1)
Local Anesthetic Techniques
78(7)
Head
78(2)
Infraorbital Nerve Block
78(1)
Mental Nerve Block
79(1)
Inferior Alveolar (Mandibular) Nerve Block
79(1)
Maxillary Nerve Block
80(1)
Peribulbar and Retrobulbar Blocks
80(1)
Thoracic Limbs
80(2)
Brachial Plexus (using ENS)
80(2)
Metacarpal/Metatarsal "Ring" Block
82(1)
Pelvic Limbs
82(2)
Lumbosacral Epidural
82(1)
Sacrococcygeal Epidural
82(1)
Sciatic and Femoral Nerve Block (using the ENS Technique)
83(1)
Other Techniques
84(9)
Intratesticular Block
84(1)
Intraperitoneal and Incisional Anesthesia
84(1)
Wound "Soaker" Catheters
84(1)
Further Reading
85(4)
6 Inhalation and Balanced Anesthesia 89(16)
Bruno Pypendop
Volatile Anesthetics
89(1)
Halothane
90(1)
Isoflurane
90(1)
Sevoflurane
91(1)
Desflurane
91(1)
Balanced Anesthetic Techniques
92(1)
Opioids
93(2)
Intravenous Administration
93(1)
Epidural Administration
94(1)
Transdermal Administration
95(1)
Ketamine
95(1)
Nitrous Oxide
96(1)
Lidocaine
97(1)
Dexmedetomidine
98(1)
Gabapentin
98(1)
Balanced Anesthesia Summary
99(1)
Breathing Systems
99(4)
Further Reading
103(2)
7 Monitoring 105(18)
Daniel Pang
Introduction
105(1)
Clinical Monitoring using Physical Senses ("Hands On")
106(1)
Cardiovascular System
107(5)
Doppler Ultrasound Probe, Pressure Cuff, and Sphygmomanometer
108(1)
Oscillometric Devices
109(2)
Esophageal Stethoscope
111(1)
Electrocardiograph (ECG)
111(1)
Respiratory System
112(9)
Flowmeters
112(1)
Capnography
112(5)
Breathing System
113(1)
Alveolar Dead Space
113(2)
Use and Interpretation of the Capnogram
115(2)
Pulse Oximetry
117(1)
Apnea Alarm
118(1)
Temperature
118(1)
Gas Analyzers
119(1)
Fluid Monitoring
119(2)
Further Reading
121(2)
8 Fluid Therapy 123(16)
Peter Pascoe
Introduction
123(1)
Feline Physiology and Pathology with regard to Fluid Therapy
123(2)
Fluids
125(4)
Preoperative Preparation
129(3)
Dehydration versus Hypovolemia
129(1)
Anemia
129(2)
Cardiac Disease
131(1)
Urethral or Ureteral Obstruction
131(1)
Head Trauma
131(1)
Intraoperative Fluids
132(4)
Maintenance
132(2)
Relative Hypovolemia
134(1)
Absolute Hypovolemia
135(1)
Chronic Kidney Disease (CKD)
136(1)
Postoperative Care
136(1)
Further Reading
137(2)
9 Anesthetic Management of Special Conditions 139(20)
Paulo Steagall
Introduction
139(1)
Urethral Obstruction and Uroabdomen
139(4)
General Considerations
139(2)
Anesthetic Management
141(2)
Chronic Kidney Disease (CKD)
143(2)
General Considerations
143(1)
Anesthetic Management
144(1)
Hyperthyroidism
145(2)
General Considerations
145(1)
Anesthetic Management
146(1)
Hypertrophic Cardiomyopathy (HCM)
147(1)
General Considerations
147(1)
Anesthetic Management
147(1)
Neuroanesthesia
148(3)
General Considerations
148(1)
Anesthetic Management
149(2)
Diaphragmatic Rupture
151(2)
General Considerations
151(1)
Anesthetic Management
152(1)
Gastrointestinal Emergencies
153(1)
General Considerations
153(1)
Anesthetic Management
154(1)
Idiopathic Hepatic Lipidosis
154(1)
General Considerations
154(1)
Anesthetic Management
154(1)
Diabetes Mellitus
155(1)
General Considerations
155(1)
Anesthetic Management
156(1)
Other Conditions
156(1)
Further Reading
157(2)
10 Anesthetic Complications 159(24)
Polly Taylor
Sheilah Robertson
Introduction
159(2)
Airway Management
161(6)
Complications from Intubation
163(4)
Respiratory Insufficiency
167(2)
Hypoxemia
167(1)
Hypercapnia
168(1)
Circulation
169(4)
Hypovolemia
170(1)
Hypotension
170(1)
Hypertension
170(1)
Cardiac Disease
171(1)
Dysrhythmias
171(1)
Fluid Overload
171(2)
Trauma
173(1)
Recovery
174(2)
Airway Obstruction and Hypoxemia
174(1)
Postanesthetic Blindness
175(1)
Excitement
175(1)
Prolonged Recovery
176(1)
Body Temperature
176(1)
Hypothermia
176(1)
Hyperthermia
177(1)
Postanesthetic Renal Failure
177(1)
Cardiopulmonary Resuscitation (CPR)
177(3)
Recognition of Cardiopulmonary Arrest
178(1)
Treatment - Basic Life Support
178(2)
Drug Therapy
180(1)
Monitoring During CPR
180(1)
Further Reading
180(3)
11 Mechanisms of Pain 183(16)
Craig B. Johnson
Introduction
183(1)
Mechanisms of Modulation in Tissues
183(3)
Mechanisms of Modulation in Peripheral Nerves
186(2)
Mechanisms of Modulation in The Spinal Cord
188(1)
Mechanisms of Modulation in the Brain
189(2)
The Role of Glial Cells (Glia, Neuroglia) and the Immune System
191(1)
Mechanisms of Cancer Pain
192(3)
Pain caused by Cancers in Bone
192(2)
Secretion of Eicosanoids and Inflammatory Responses
194(1)
Central Nociceptive Mechanisms
195(1)
Pain from Cancer Treatment
195(1)
Diabetic Neuropathy
195(1)
Pruritus (Itch)
196(1)
Further Reading
197(2)
12 Assessment and Recognition of Acute Pain 199(22)
Sheilah Robertson
Introduction
199(1)
Pain-assessment Tools
199(7)
Physiological Indicators of Pain
200(1)
Mechanical Threshold Testing
200(1)
Attributes of Pain-Assessment Tools
201(5)
Behavior-based Indicators of Pain
206(6)
Posture and Comfort
206(1)
Activity
207(1)
Attitude and Demeanor
207(1)
Interaction with People
208(1)
Response to Touch, Pressure, and Palpation
208(1)
Attention to the Wound or Painful Site
209(1)
Vocalization
209(1)
Facial Expression
209(2)
The Overall Picture
211(1)
Appetite and Elimination Behaviors
211(1)
Other Factors to Consider in an Overall Assessment
212(1)
Intervention Scores
212(1)
Using Response to Treatment as a Diagnostic Tool
212(1)
Confounding Factors
212(1)
Personality, Fear and Stress
213(3)
Disease
214(1)
Anesthetic Drugs
214(1)
The Observer
214(1)
Dysphoria and Euphoria
215(1)
Emergence Delirium
215(1)
Using Pain-assessment Tools
216(1)
Continued Assessment at Home
216(1)
Further Reading
217(4)
13 Treatment of Acute (Adaptive) Pain 221(20)
Paulo Steagall
Polly Taylor
Introduction
221(1)
Challenges in Feline Pain Management
222(1)
Principles of Pain Management
223(4)
Nonpharmacological Therapies in Acute Pain Management
227(2)
Pharmacological Therapy in Acute Pain Management
229(8)
Opioids
229(2)
Mechanism of Action
229(1)
Clinical Use
229(2)
Nonsteroidal Anti-inflammatory Drug (NSAID)
231(2)
Mechanism of Action
231(1)
Clinical Use
231(2)
Local Anesthetics
233(1)
Mechanism of Action
233(1)
Clinical Use
233(1)
Agonists of a2-Adrenergic Receptors
234(1)
Mechanism of Action
234(1)
Clinical Use
234(1)
Ketamine and Amantadine
235(1)
Mechanism of Action
235(1)
Clinical Use
235(1)
Tramadol
236(1)
Mechanism of Action
236(1)
Clinical Use
236(1)
Tapentadol
237(1)
Mechanism of Action
237(1)
Clinical use
237(1)
Gabapentin
237(9)
Mechanism of Action
237(1)
Clinical Use
237(1)
Further Reading
237(4)
14 Assessment and Recognition of Chronic (Maladaptive) Pain 241(16)
Beatriz Monteiro
Duncan Lascelles
Introduction
241(3)
Common Causes of Chronic Pain
244(1)
Clinical Signs
244(2)
Implications for Quality of Life
246(2)
Stepwise Approach for Assessment and Recognition of Chronic Pain in Cats in the Clinical Setting
246(2)
The Concept of Analgesic Challenge
248(1)
Assessing Chronic Pain in Specific Conditions
248(7)
Degenerative Joint Disease and Osteoarthritis
248(4)
Clinical Signs
248(2)
Orthopedic Examination and Goniometric Measurements
250(1)
Clinical Signs versus Radiographic Signs
251(1)
Other Conditions causing Chronic Pain
252(9)
Neoplasia
252(1)
Persistent Postsurgical Pain
253(1)
Amputation
253(1)
Chronic Pain Syndrome after Feline Onychectomy
253(1)
Periodontal Disease
253(1)
Feline Orofacial Pain Syndrome
254(1)
Gastrointestinal Conditions
254(1)
Interstitial Cystitis
254(1)
Diabetes-induced Neuropathy
255(1)
Further Reading
255(2)
15 Treatment of Chronic (Maladaptive) Pain 257(24)
Beatriz Monteiro
Eric Troncy
Introduction
257(1)
Client Communication: A Crucial Component of Treatment for Chronic Painful Conditions
258(1)
Challenges in the Treatment of Chronic Pain in Cats
258(3)
Pharmacological Therapy
261(1)
Drug Administration
261(1)
Opioids
261(1)
Local Anesthetics
261(2)
Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
263(4)
Clinical Use
264(1)
Clinical Use in Cancer Pain
264(1)
Contraindications
265(2)
Tramadol
267(1)
Clinical Use
267(1)
Contraindications
267(1)
Gabapentin
268(1)
Clinical Use
268(1)
Contraindications
269(1)
Amitriptyline
269(1)
Clinical Use
269(1)
Contraindications
270(1)
Amantadine
270(1)
Clinical Use
270(1)
Contraindications
270(1)
Emerging Analgesic Modalities
270(1)
Other Analgesics
271(1)
Nonpharmacological Treatment
272(1)
Physical Activity and Weight Control
272(1)
Environmental Enrichment
272(1)
Weight Control
273(1)
Physical Therapy, Massage, Acupuncture, and Transcutaneous Electrical Nerve Stimulation (TENS)
273(3)
Physical Therapy and Massage
274(1)
Acupuncture
274(1)
Transcutaneous Electrical Nerve Stimulation
275(1)
Monitoring for Treatment Efficacy
276(1)
Degenerative Joint Disease (DJD)
276(2)
Analgesics
277(1)
Physical Activity and Weight Control
277(1)
Nutraceuticals
277(1)
Chondroprotective Agents
277(1)
Further Reading
278(3)
Index 281
The editors Paulo Steagall, MV, MS, PhD, DACVAA, is an associate professor of veterinary anesthesia and analgesia at the Université de Montréal in Montreal, Quebec, Canada.

Sheilah Robertson, BVMS (Hons), PhD, DACVAA, DECVAA, CVA, DACAW, Dip ECAWBM, is the chief medical officer for Lap of Love Inc, a large network of veterinarians offering home-based hospice and euthanasia.

Polly Taylor, MA, VetMB, PhD, DVA, DipECVAA, MRCA, FRCVS, is a European and Royal College of Veterinary Surgeons specialist in veterinary anesthesia working as an independent consultant in veterinary anesthesia.