Small Animal Critical Care Medicine

The 3rd edition of your #1 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.

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.

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.

CONTENTS

Part I - Assessment and Triage

Physical examination

Patient triage

Survival prediction index

Part II - Frequently Encountered Problems in the Intensive Care Unit

Cardiopulmonary resuscitation

Hyperthermia and Fever

Hypotension

Oliguria

Deteriorating mental status

Tachypnea and hypoxemia

Shock

Systemic inflammatory response syndrome

Nosocomial infections and zoonoses

Enteral nutrition

Parenteral nutrition

Part III - Respiratory Disorders

Respiratory failure

Upper airway disease

Endotracheal intubation

Tracheostomy

Oxygen therapy

Allergic airway disease in dogs and cats and feline bronchopulmonary disease

Pulmonary edema

Pneumonia

Aspiration pneumonitis and pneumonia

Acute lung injury and acute respiratory distress syndrome

Pulmonary contusions and hemorrhage

Ventilator-associated lung injury

Pulmonary thromboembolism

Smoke inhalation

Atelectasis

Pleural space disease

Thoracocentesis

Thoracostomy tube placement and drainage

Chest wall disease

Nonrespiratory look-alikes

Part IV - Cardiovascular Disorders

Cardiogenic shock

Left ventricular failure

Feline cardiomyopathy

Canine cardiomyopathy

Valvular heart disease

Myocardial contusion

Myocardial infarction

Hypertensive crisis

Cardiac tamponade and pericardiocentesis

Pericardial diseases

Bradyarrhythmias and conduction abnormalities

Supraventricular tachyarrhythmias

Ventricular tachyarrhythmias

Myocarditis

Arterial catheterization

Pulmonary arterial catheterization

Temporary transvenous pacing

Trancutaneous pacing

Cardioversion and defibrillation

Part V - Electrolyte and Acid-Base Disturbances

Sodium disorders

Potassium disorders

Calcium disorders

Magnesium disorders

Phosphate disorders

Acid-base disturbances

Lactic acidosis

Part VI - Fluid Therapy

Peripheral venous catheterization

Intraosseous catheterization

Central venous catheterization

Daily intravenous fluid therapy

Shock fluids and fluid challenge

Transfusion medicine

Part VII - Endocrine Disorders

Diabetic ketoacidosis

Hyperglycemic hyperosmolar syndrome

Hypoglycemia

Diabetes insipidus

Syndrome of inappropriate antidiuretic hormone

Thyroid storm

Myxedema coma

Pheochromocytoma

Relative Adrenal insufficiency

Hypoadrenocorticism

Part VIII - Intoxications

Approach to poisoning and drug overdose

Ethylene glycol

Acetominophen

Salicylates

Illicit drugs

Rodenticides

Sedative, muscle relaxant, and narcotic overdose

Calcium channel and beta-block drug overdose

Digoxin overdose

Cyanide

Carbon monoxide

Methemoglobinemia

Cyclic antidepressant drug overdose

Anticholineric poisonings

Serotonin syndrome

Anticholinesterase toxicity

Ivermectin toxicity

Pyrethrins

Snake envenomation

Spider bite

Part IX - Neurologic Disorders

Coma scales

Seizures and status epilepticus

Spinal cord injury

Intracranial hypertension

Lower motor neuron disease

Tetanus

Hepatic encephalopathy

Vestibular disease

Cerebrospinal fluid sampling

Part X - Infectious Disorders

Sepsis

Septic shock

Gram-positive infections

Gram-negative infections

Fungal infections

Viral infections

Canine parvovirus infection

Endocarditis

Urosepsis

Necrotizing soft-tissue infections

Catheter-related bloodstream infection

Part XI – Hematologic disorders

Hypercoagulable states

Bleeding disorders

Thrombocytopenia

Anemia

Acute hemolytic disorders

Blood film evaluation

Part XII - Intraabdominal Disorders

Acute abdominal pain

Acute pancreatitis

Acute biliary diseases of the dog and cat

Hepatitis and cholangiohepatitis

Hepatic failure

Gastroenteritis

Motility disorders

Gastrointestinal hemorrhage

Vomiting and Regurgitation

Diarrhea

Peritonitis

Gastric dilatation-volvulus and bloat

Part XIII - Urogenital Disorders

Acute renal failure

Chronic renal failure

Hemodialysis and peritoneal dialysis

Urinary catheterization

Pyometra

Dystocia and Obstetric crises

Paraphimosis and priapism

Mastitis

Part XIV - Surgical and Postoperative Conditions

Preoperative evaluation of the critically ill patient

Postoperative evaluation of the critically ill patient

Postcraniotomy management

Portosytemic shunt management

Peritoneal drainage techniques

Postthoracotomy management

Post-cardiac surgery management

Management after cardiopulmonary bypass

Kidney transplantation

Part XV - Trauma

Traumatic brain injury

Thoracic trauma

Abdominal trauma

Abdominocentesis

Diagnostic peritoneal lavage

Wound management

Thermal burn injury

Electrical and lightning injuries

Massive transfusion

Part XVI - Anesthesia and Pain Management

Pain and sedation assessment

Sedation of the critically ill patient

Anesthesia of the critically ill patient

Analgesia and constant rate infusions

Alternative therapies

Part XVII - Miscellaneous Disorders

Hypothermia

Heat stroke

Anaphylaxis

Drowning and submersion injury

Fat embolism

Tumor lysis syndrome

Ocular disease in the intensive care unit

Air embolism

Critically ill pediatric patients

Critically ill geriatric patients

Part XVIII - Pharmacology

Vasoactive catecholamines

Vasopressin

Antihypertensives

Nitroglycerin

Diuretics

Gastrointestinal protectants

Anti-emetics

Neuromuscular blockers

Narcotic agonists and antagonists

Benzodiazepines

Anticonvulsants

Anticoagulants

Thrombolytic agents

Digoxin

Antiarrhythmic agents

β blockers

Aerosolized medications

Complications of chemotherapeutic agents

Antimicrobial use in the critical care patient

Penicillins and cephalosporins

Aminoglycosides

Fluoroquinolones

Macrolides

Antifungal therapy

Miscellaneous antibiotics

Part XIX - Monitoring

Daily assessment of the critically ill patient

Nutritional assessment

Hemodynamic monitoring

Urine output

Colloid osmotic pressure and osmolality

Intraabdominal pressure

Capnography

Blood gas and oximetry monitoring

Intracranial pressure monitoring

Sedation monitoring

Electrocardiogram evaluation

Cardiac output monitoring

Part XX - Mechanical Ventilation

Basic mechanical ventilation

Advanced mechanical ventilation

Jet ventilation

Care of the ventilator patient

Discontinuing mechanical ventilation

Deborah Silverstein

Affiliations and Expertise

Assistant Professor (Critical Care), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, PA, USA

Kate Hopper

Affiliations and Expertise

Assistant Professor, Department of Surgical & Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA