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E-grāmata: Veterinary Anesthetic and Monitoring Equipment

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Edited by , Edited by (University of Wisconsin, Madison, Wisconsin, USA)
  • Formāts: PDF+DRM
  • Izdošanas datums: 06-Aug-2018
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781119277170
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Veterinary Anesthetic and Monitoring EquipmentPalielināt
  • Formāts: PDF+DRM
  • Izdošanas datums: 06-Aug-2018
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781119277170
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Veterinary Anesthetic and Monitoring Equipment is the first veterinary-specific resource solely dedicated to anesthetic and monitoring equipment used in clinical practice.  

  • Offers a practical guide to anesthetic and monitoring equipment commonly used in veterinary medicine
  • Provides clinically oriented guidance to troubleshooting problems that may occur
  • Discusses general principles applicable to any equipment found in the practice
  • Presents information associated with novel anesthetic equipment and monitors

 

Recenzijas

"Veterinary Anesthetic and Monitoring Equipment is a very nice compilation of anesthetic equipmentrelated topics.  The text is very easy to read and contains good explanations of concepts....complemented with good-quality photographs and diagrams accompanied by explanations. I recommend this book for anyone who is learning about veterinary anesthesia or intends to perform anesthesia." JAVMA, MAR 15, 2019, VOL 254, NO. 6

List of Contributors xvii
Preface xxi
1 Medical Gas Cylinders and Pipeline Systems 1(16)
Carl Bradbrook
1.1 Medical Gas Cylinders
1(7)
1.2 Liquid Oxygen Tanks
8(1)
1.3 Oxygen Concentrators
9(1)
1.4 Medical Gas Pipeline Systems
9(6)
References
15(2)
2 Oxygen Concentrators 17(6)
Allan Williamson
2.1 Introduction
17(1)
2.2 Function
17(1)
2.3 Product Gas
17(1)
2.4 Clinical Use
18(2)
2.5 Advantages
20(1)
2.6 Disadvantages
20(1)
2.7 Hazards
20(1)
2.8 Summary
21(1)
References
21(2)
3 Small Animal Anesthetic Machines and Equipment 23(12)
Craig Mosley
Amanda Shelby
3.1 Introduction
23(1)
3.2 Safety and Design
23(1)
3.3 The Basic Veterinary Anesthetic Machine
23(10)
3.4 Breathing Systems
33(1)
3.5 Waste Gas Scavenge Systems
33(1)
3.6 Routine Anesthesia Machine Checkout Procedures
33(1)
References
34(1)
4 Large Animal Anesthesia Machines and Equipment 35(20)
Amanda Shelby
4.1 History of the Large Animal Anesthesia Machine
35(1)
4.2 Purpose
35(1)
4.3 Standards
35(1)
4.4 Similarity to Small Animal Machines
35(1)
4.5 Components of the Anesthesia Machine
36(5)
4.6 Large Animal Anesthesia Workstations
41(1)
4.7 Common Commercially Available Machines
41(10)
4.8 General Cautions
51(1)
4.9 Miscellaneous Equipment for Large Animal Anesthesia
51(2)
References
53(2)
5 Anesthetic Vaporizers 55(18)
Sharon Fornes
Kristen G. Cooley
Rebecca A. Johnson
5.1 Introduction
55(1)
5.2 Vaporizer Physics
55(1)
5.3 Vaporizer Classification
56(6)
5.4 Other Factors Affecting Vaporizers
62(2)
5.5 Maintenance and Repair
64(1)
5.6 Current Vaporizer Standards
65(1)
5.7 The Modern Vaporizer
65(1)
5.8 Specific Vaporizers
66(5)
5.9 Summary
71(1)
References
71(2)
6 Anesthetic Ventilators 73(18)
Katrina Lafferty
6.1 Introduction
73(1)
6.2 Ventilator Function in the Breathing Circuit
73(1)
6.3 Tidal Volume Delivery
73(1)
6.4 Driving Gas
74(1)
6.5 Bellows Construction
75(1)
6.6 Pressure Limiting Controls
76(1)
6.7 Gas Pressure Alarm
77(1)
6.8 Exhaust Valve
77(1)
6.9 Spill Valve
77(1)
6.10 Ventilator Hose Connection or Ventilator Hose Switch
77(1)
6.11 Ventilation Modes
78(1)
6.12 Cleaning and Sterilization
79(1)
6.13 Pressure Checking
79(1)
6.14 General Concerns and Troubleshooting
80(1)
6.15 Pediatric Ventilation
81(1)
6.16 Basic Ventilator-Patient Set-up
82(1)
6.17 Small Animal Mechanical Ventilators
82(3)
6.18 Large Animal Mechanical Ventilators
85(4)
6.19 Conclusion
89(1)
References
89(2)
7 Humidification and Positive Pressure Equipment 91(10)
Stephanie Keating
Stuart Clark-Price
7.1 Humidification
91(5)
7.2 Positive Pressure Equipment
96(2)
References
98(3)
8 Waste Anesthetic Gas Collection and Consequences 101(14)
Heidi Reuss-Lamky
8.1 Introduction
101(1)
8.2 Occupational WAG Exposure
101(1)
8.3 Physical Properties and Elimination
102(1)
8.4 Pharmacodynamics
102(2)
8.5 History of Governmental Regulations and Trace (Waste) Gas Exposure
104(1)
8.6 WAG Exposure. Level Recommendations
104(1)
8.7 Reducing Environmental WAG Exposure
104(3)
8.8 The Anesthetist's Responsibility
107(5)
8.9 Monitoring WAG Exposure
112(1)
8.10 Summary
112(1)
References
113(2)
9 Hazards of the Anesthetic Delivery System and Operating Room Fires 115(12)
Odette O
9.1 Hazards of the Anesthetic Delivery System
115(8)
9.2 Operating Room Fires
123(2)
References
125(2)
10 Components of the Breathing System 127(14)
Craig Mosley
Amanda Shelby
10.1 Breathing Systems
127(12)
10.2 Summary
139(1)
References
139(2)
11 Mapleson Breathing Systems 141(14)
Tatiana Ferreira
11.1 Introduction
141(1)
11.2 Fresh Gas Flows (FGFs)
141(1)
11.3 Advantages and Disadvantages
141(2)
11.4 Choice of System
143(1)
11.5 Specific System Types
143(7)
11.6 Combined Systems
150(1)
11.7 Respiratory Gas Monitoring
150(1)
11.8 Potential Hazards
151(1)
References
152(3)
12 The Circle System 155(16)
Geoffrey Truchetti
Trish Anne Farry
12.1 Introduction
155(1)
12.2 Components
155(7)
12.3 Component Arrangement
162(2)
12.4 Gas Flow
164(2)
12.5 Resistance and Work of Breathing in the Circle System
166(1)
12.6 Dead Space
166(1)
12.7 Heat and Moisture
167(1)
12.8 Maintenance
167(1)
12.9 Advantages/Disadvantages
168(1)
References
168(3)
13 Laryngoscopes 171(6)
Erin Wendt-Hornickle
13.1 History
171(1)
13.2 Laryngoscope Use
171(1)
13.3 Description
171(3)
13.4 Fiber Optic Endoscopes
174(1)
13.5 Veterinary-Specific Laryngoscopes
175(1)
13.6 Summary
175(1)
References
176(1)
14 Supraglottic Airway Devices and Tracheal Tubes and Stylets 177(16)
Jennifer Sager
14.1 Introduction
177(1)
14.2 Laryngeal Mask Airway (LMA)
177(1)
14.3 Veterinary-gel (v-gel®) Airway Device
178(1)
14.4 Endotracheal Tubes
179(5)
14.5 Large Animal Endotracheal Tubes
184(1)
14.6 Reinforced Tubes
185(1)
14.7 Laser Safe Tubes
185(1)
14.8 Single Lung Intubation
186(1)
14.9 Stylets
187(1)
14.10 Cuff Pressure Manometers
188(2)
14.11 Summary
190(1)
References
190(3)
15 Oxygen Delivery Systems 193(6)
Jonathan Bach
15.1 Introduction
193(1)
15.2 Oxygen Supplementation Techniques
193(4)
15.3 Hyperbaric Oxygen
197(1)
References
197(2)
16 Gas Monitoring 199(14)
Louise O'Dwyer
16.1 Introduction
199(1)
16.2 Capnometry/Capnography
199(8)
16.3 Oxygen Measurement
207(1)
16.4 Nitrous Oxide and Inhalation Agent Analyzers
208(2)
16.5 Blood Gas Analysis: Partial Pressures of Oxygen and CO2
210(1)
16.6 Conclusion
210(1)
References
210(3)
17 Airway Volumes, Flows and Pressures 213(10)
Andrew Claude
Alanna Johnson
17.1 Introduction
213(1)
17.2 Definitions
213(1)
17.3 Volume and Flow Measurement Devices
214(4)
17.4 The Ventilatory (Respiratory) Cycle
218(1)
17.5 Airway Pressure Monitoring
219(1)
17.6 Spirometry Loops
219(3)
References
222(1)
18 Pulse Oximetry 223(12)
Odette O
18.1 Introduction
223(1)
18.2 History
223(1)
18.3 Importance of Pulse Oximetry
223(1)
18.4 Function
224(1)
18.5 Pulse Oximeter Probes
224(1)
18.6 Uses
225(1)
18.7 Oxyhemoglobin Dissociation Curves in Different Species
225(1)
18.8 Patient Factors
226(1)
18.9 Abnormal Hemoglobin
227(1)
18.10 Sources of Error
227(1)
18.11 Perfusion Index (PI) and Plethysmograph Variability Index (PVI)
228(1)
18.12 Other Pulse Oximeter Models
229(2)
18.13 Low Saturation Alarms
231(1)
18.14 Pulse Oximetry Use in the Recovery Period
231(1)
18.15 Summary
231(1)
References
232(3)
19 Cardiovascular Monitoring 235(18)
Anderson Favaro da Cunha
Rebecca A. Johnson
19.1 Introduction
235(1)
19.2 Definitions
235(1)
19.3 Measurement Techniques
235(9)
19.4 Patient Point of View
244(1)
19.5 Central Venous Pressure (CVP)
245(1)
19.6 Cardiac Output Monitoring
246(2)
19.7 Conclusion
248(1)
References
248(5)
20 Electrocardiography 253(18)
Tracey Lawrence
20.1 Overview
253(1)
20.2 The ECG Machine
253(1)
20.3 Lead Systems
254(3)
20.4 Mean Electrical Axis (MEA)
257(1)
20.5 ECG Cycle
258(2)
20.6 Electrode Placement
260(3)
20.7 ECG Filters
263(1)
20.8 Evaluating the ECG
264(4)
20.9 Equipment Maintenance
268(1)
20.10 Summary
268(1)
References
269(2)
21 Neuromuscular Transmission Monitoring 271(14)
Molly Allen
Rebecca A. Johnson
21.1 Introduction
271(1)
21.2 Neuromuscular Transmission
271(1)
21.3 Peripheral Nerve Stimulation
271(4)
21.4 Monitoring Techniques
275(4)
21.5 Other Equipment
279(1)
References
280(5)
22 Temperature Regulation and Monitoring 285(18)
Caroline Baldo
Darci Palmer
22.1 Introduction
285(1)
22.2 Heat and Thermodynamics
285(1)
22.3 Thermoregulation
285(1)
22.4 Types of Heat Loss
286(1)
22.5 Heat Loss During Anesthesia
287(1)
22.6 Effects of Hypothermia and Hyperthermia
288(1)
22.7 Re-Warming
289(1)
22.8 Temperature Monitoring Devices
290(1)
22.9 Sites of Temperature Monitoring
291(2)
22.10 Warming Devices
293(1)
22.11 Active Warming Devices
293(5)
22.12 Other Techniques to Minimize Heat Loss
298(1)
22.13 High-Risk Heating Methods
299(1)
References
300(3)
23 Fluid Regulation and Monitoring 303(20)
Julie Walker
23.1 Overview of Fluid Physiology
303(1)
23.2 Assessment of Fluid Balance
304(3)
23.3 Advanced Fluid Balance Monitoring Techniques
307(4)
23.4 Fluid Therapy
311(1)
23.5 Equipment for Fluid Therapy
312(7)
23.6 Summary
319(1)
References
319(4)
24 Anesthetic Records 323(12)
Thomas Riebold
24.1 Introduction
323(1)
24.2 Maintaining Anesthetic Records
323(1)
24.3 Monitoring Recommendations
323(1)
24.4 Paper Anesthetic Records
324(1)
24.5 Electronic Anesthetic Records
324(3)
24.6 Transitioning from Paper to Electronic Medical Records
327(1)
24.7 Specific Types of Anesthetic Monitoring Software
328(2)
24.8 Patient Management and Digital Records
330(3)
24.9 Automated Dispensing Systems and Record Keeping
333(1)
References
333(2)
25 Equipment for the Magnetic Resonance Imaging System 335(14)
Kris Kruse-Elliott
25.1 Basic Principles of Magnetic Resonance Imaging
335(2)
25.2 Regulations
337(1)
25.3 MRI Hazard Classification
337(1)
25.4 Types of Metal
338(1)
25.5 Gauss Lines and Safety Zones
338(1)
25.6 Specific Hazards
339(1)
25.7 Compatible MRI Equipment
340(1)
25.8 Anesthetic Machines
340(1)
25.9 Vaporizers
341(1)
25.10 Ventilators
342(1)
25.11 Laryngoscopes
342(1)
25.12 Endotracheal Tubes and Airway Devices
342(1)
25.13 Monitors
342(3)
25.14 Miscellaneous Items
345(1)
25.15 Summary
346(1)
References
346(3)
26 Equipment for Environmental Extremes and Field Techniques 349(16)
David Brunson
Kristen G. Cooley
26.1 Environmental Extremes
349(1)
26.2 Temperature
349(2)
26.3 Atmospheric Pressure
351(1)
26.4 Drug Delivery Systems
352(4)
26.5 Monitoring Equipment
356(2)
26.6 Field Techniques
358(1)
26.7 Anesthesia for Situations with Limited Means
358(4)
26.8 Stress
362(1)
26.9 Summary
363(1)
References
363(2)
27 Equipment Checkout and Maintenance 365(12)
Molly Allen
Lesley Smith
27.1 Introduction
365(1)
27.2 Daily Checks
365(8)
27.3 Other Equipment
373(1)
27.4 End of Case
373(1)
27.5 Preventative Maintenance
374(1)
References
374(3)
28 Equipment Cleaning and Sterilization 377(14)
Cristina de Miguel Garcia
Kristen G. Cooley
28.1 Introduction
377(1)
28.2 The Decontamination Process
378(6)
28.3 Recommendations for Cleaning and Disinfecting Specific Items
384(4)
References
388(3)
29 Unique Species Considerations: Dogs and Cats 391(4)
Turi Aarnes
29.1 Introduction
391(1)
29.2 Intubation
391(1)
29.3 Breathing System
392(1)
29.4 Monitoring
392(1)
29.3 Recovery
393(1)
29.6 Anesthetic Risk
393(1)
References
394(1)
30 Unique Species Considerations: Ruminants and Swine 395(24)
Denise Radkey
Lindsey Snyder
Rebecca A. Johnson
Part I: Ruminants
395(15)
30.1 Introduction
395(1)
30.2 Handling and Restraint
395(1)
30.3 IV Catheterization
396(1)
30.4 Induction Equipment
397(6)
30.5 Tracheal Insufflation and Demand Valves
403(1)
30.6 Padding and Positioning
404(2)
30.7 Monitoring Equipment
406(2)
30.8 Commercial Anesthetic Machines
408(1)
30.9 Anesthetic Circuit
408(1)
30.10 Anesthetic Recovery
409(1)
30.11 Summary
410(1)
Part II: Swine
410(6)
30.12 Introduction
410(1)
30.13 Handling and Restraint
410(1)
30.14 Intravenous Catheter Placement
411(1)
30.15 Induction Equipment
412(2)
30.16 Monitoring Equipment
414(1)
30.17 Anesthetic Circuit
415(1)
30.18 Anesthetic Recovery
416(1)
30.19 Summary
416(1)
References
416(3)
31 Unique Species Considerations: Equine 419(22)
Carolyn Kerr
31.1 Introduction
419(1)
31.2 Sedation and Pre-Anesthetic Period Considerations
419(7)
31.3 General Anesthesia
426(11)
31.4 Recovery Period
437(1)
31.5 Medical Records
437(1)
References
438(3)
32 Unique Species Considerations: Avian 441(10)
Carrie Schroeder
32.1 Introduction
441(2)
32.2 Anesthetic Considerations
443(2)
32.3 Venous Access
445(1)
32.4 Anesthetic Monitors
446(1)
32.5 Anesthetic Circuits
447(1)
32.6 Maintenance of Body Temperature
448(1)
32.7 Anesthetic Recovery
448(1)
References
449(2)
33 Unique Species Considerations: Rabbits 451(10)
Katrina Lafferty
33.1 Introduction
451(1)
33.2 Intubation
451(3)
33.3 Breathing Circuits
454(1)
33.4 Monitors
454(4)
33.5 Thermal Support
458(1)
33.6 Summary
458(1)
References
458(3)
34 Unique Species Considerations: Rodents 461(16)
Mario Arenillas Baquero
Rebecca A. Johnson
34.1 Introduction
461(1)
34.2 Anesthetic Machines
461(1)
34.3 Anesthetic Induction Chambers
462(2)
34.4 Masks
464(2)
34.5 Endotracheal Intubation and Intubation Devices
466(3)
34.6 Ventilators
469(1)
34.7 Monitoring Equipment
469(4)
34.8 Warming Devices
473(1)
34.9 Summary
474(1)
References
474(3)
35 Unique Species Considerations: Fish and Amphibians 477(12)
Kurt Sladky
35.1 Introduction
477(1)
35.2 Fish and Amphibian Anesthesia: Induction and Maintenance
477(6)
35.3 Anesthetic Monitoring
483(3)
References
486(3)
36 Unique Species Considerations: Reptiles 489(8)
Christoph Mans
36.1 Introduction
489(1)
36.2 Anesthetic Induction
489(1)
36.3 Airway Intubation
489(2)
36.4 Anesthetic Monitoring
491(4)
36.5 Summary
495(1)
References
495(2)
37 Unique Species Considerations: Non-Human Primates 497(6)
Stephen Cital
37.1 General Anatomy
497(1)
37.2 Taxonomy
497(1)
37.3 Immobilizing Equipment
497(1)
37.4 Anesthetic Machines
497(1)
37.5 Monitors
498(3)
37.6 Summary
501(1)
References
502(1)
Index 503
The Editors

Kristen G. Cooley, BA, CVT, VTS (Anesthesia/Analgesia), is an Instructional Specialist in the School of Veterinary Medicine at the University of Wisconsin, Madison, Wisconsin, USA.

Rebecca A. Johnson, DVM, PhD, DACVAA, is a Clinical Associate Professor of Anesthesia and Pain Management in the Department of Surgical Sciences, School of Veterinary Medicine at the University of Wisconsin, Madison, Wisconsin, USA.
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