Farm Animal Anesthesia

Farm Animal Anesthesia
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A completely revised and updated reference for farm animal anesthesia, sedation, and pain management  In the newly revised Second Edition of  Farm Animal Anesthesia: Cattle, Small Ruminants, Camelids, and Pigs , distinguished veterinarians Drs. HuiChu Lin and Paul Walz deliver a practical and easy-to-use manual for techniques associated with anesthesia and pain management in farm animal species. The authors incorporate advances in surgical and diagnostic techniques, with the latest drugs and equipment, updated images, and new technique descriptions added throughout the book.  Reflecting their newfound popularity,  Farm Animal Anesthesia  offers additional and updated information on drug combinations and anesthetic techniques relevant to small ruminants and potbellied pigs. New chapters and topics on paralytic drugs for complete muscle relaxation, ventilators for advanced orthopedic and ophthalmological surgeries, updated local and regional anesthetic techniques, and comprehensive standing surgery and diagnostic procedures have been added.  Readers will also enjoy access to a companion website with video clips demonstrating techniques described within. The book also includes:  A thorough introduction to general preanesthetic considerations for ruminants, camelids, including alpacas and llamas, and potbellied pigs A comprehensive exploration of commonly used preanesthetics and injectable anesthetics, including anticholinergics, sedatives, tranquilizers, analgesics, and injectable anesthetics Practical discussions of standing sedation and chemical restraint, including new drug combinations for reliable restraint and remote drug delivery In-depth treatments of the use of neuromuscular blocking drugs and monitoring in farm animals Perfect for farm animal practitioners, veterinary surgeons, veterinary anesthetists, and researchers,  Farm Animal Anesthesia  is also an indispensable resource for veterinary students and residents in surgery and anesthesia seeking a one-stop, practical reference to farm animal anesthesia.

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Группа авторов. Farm Animal Anesthesia

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Farm Animal Anesthesia. Cattle, Small Ruminants, Camelids, and Pigs

Contributing Authors

Preface

About the Companion Website

1 Preanesthetic Considerations

1.1 Positioning

1.2 Ruminal Tympany

1.3 Regurgitation

1.4 Salivation

1.5 Malignant Hyperthermia

1.6 Differences in Sensitivity to Anesthetics

1.7 Preanesthetic Preparation

References

2 Commonly Used Preanesthetics

2.1 Acepromazine (Phenothiazine Derivatives) 2.1.1 Cattle

2.1.2 Small Ruminants and Camelids

2.1.3 Swine

2.2 Droperidol and Azaperone (Butyrophenone Derivatives)

2.3 Detomidine, Dexmedetomidine, Medetomidine, Romifidine, and Xylazine (α2 Agonists)

2.3.1 Cattle. 2.3.1.1 Xylazine

2.3.1.2 Detomidine

2.3.1.3 Medetomidine

2.3.1.4 Romifidine

2.3.2 Small Ruminants and Camelids. 2.3.2.1 Xylazine

2.3.2.2 Detomidine

2.3.2.3 Medetomidine

2.3.2.4 Romifidine

2.3.3 Swine. 2.3.3.1 Xylazine

2.3.3.2 Detomidine

2.3.3.3 Medetomidine

2.4 Atipamezole, Tolazoline, Yohimbine, and Vatinoxan (α2 Antagonists)

2.5 Diazepam and Midazolam (Benzodiazepine Derivatives)

2.5.1 Cattle, Small Ruminants, and Camelids

2.5.2 Swine

2.6 Chloral Hydrate

References

3 Standing Sedation and Chemical Restraint

3.1 Cattle

3.2 Small Ruminants and Camelids

3.3 Swine

References

4 Injectable Anesthetics and Field Anesthesia

4.1 Injectable Anesthetics. 4.1.1 Ketamine

4.1.1.1 Cattle

4.1.1.2 Small Ruminants and Camelids

4.1.1.3 Swine

4.1.2 Telazol

4.1.2.1 Cattle

4.1.2.2 Small Ruminants and Camelids

4.1.2.3 Swine

4.1.3 Propofol

4.1.3.1 Small Ruminants and Camelids

4.1.3.2 Swine

4.1.4 Alfaxalone

4.1.4.1 Small Ruminants and Camelids

4.1.4.2 Pigs

4.1.5 Guaifenesin

4.2 Field Anesthesia. 4.2.1 Cattle

4.2.2 Small Ruminants and Camelids

4.2.3 Swine

References

5 Neuromuscular Blocking Agents

5.1 Physiology of the Neuromuscular Junction

5.2 Mechanism of Action of NMBAs

5.2.1 Depolarizing NMBAs

5.2.2 Nondepolarizing NMBAs

5.3 Clinically Useful NMBAs

5.3.1 Atracurium

5.3.2 Cis‐atracurium

5.3.3 Vecuronium

5.3.4 Rocuronium

5.4 Monitoring of NMBA Action

5.5 Reversal of NMBAs

References

6 Inhalation Anesthesia and Use of Ventilators

6.1 Cattle

6.2 Small Ruminants and Camelids

6.3 Swine

6.4 Use of Ventilators

References

7 Perioperative Monitoring and Management of Complications

7.1 Perioperative Monitoring

7.2 Supportive Fluid Therapy

7.3 Positioning

7.4 Recovery

7.5 Perioperative Complications. 7.5.1 Regurgitation and Aspiration Pneumonia

7.5.2 Airway Obstruction

7.5.3 Ruminal Tympany/Bloat

7.5.4 Salivation

7.5.5 Hypoventilation

7.5.6 Cardiac Arrhythmias

7.5.7 Hypotension

7.5.8 Hypothermia

7.5.9 Malignant Hyperthermia

7.5.10 Postanesthetic Neuromyopathy

7.5.11 Cardiovascular Collapse

References

8 Local and Regional Anesthesia in Food Animals

8.1 Local Anesthetic Agents

8.2 Anesthesia for Dehorning

8.3 Anesthesia for the Eye and Eyelids

8.4 Nasal Anesthesia

8.5 Anesthesia for Reproductive Procedures and for Cessation of Straining

8.5.1 Caudal Epidural Anesthesia

8.5.2 Continuous Caudal Epidural Anesthesia

8.5.3 Internal Pudendal Nerve Block

8.5.4 Dorsal Penile Nerve Block

8.5.5 Sacral Paravertebral Nerve Block

8.5.6 Lumbosacral Epidural Anesthesia

8.6 Anesthesia for Laparotomy

8.6.1 Line Block

8.6.2 Inverted L Block

8.6.3 Proximal Paravertebral Block

8.6.4 Distal Paravertebral Block

8.7 Anesthesia for Udder and Teats

8.8 Anesthesia of the Limbs

8.9 Castration

References

9 Anesthetic Management of Specific Procedures

9.1 Urogenital Surgery in the Male. 9.1.1 Castration

9.1.2 Penile Papilloma

9.1.3 Persistent Frenulum

9.1.4 Penile Translocation

9.1.5 Epididymectomy

9.1.6 Vasectomy

9.2 Urogenital Surgery in the Female

9.2.1 Cesarean Section

9.2.2 Ovariectomy

9.2.3 Vaginal Prolapse

9.2.4 Perineal Laceration

9.3 Surgical Disorders of the Abdomen. 9.3.1 Laparotomy

9.3.2 Disorders of the Forestomachs

9.3.3 Displacements and Volvulus of the Abomasum

9.3.4 Small Intestine Disorders (Intussusception, Intestinal Volvulus, Intestinal Obstruction)

9.3.5 Urolithiasis and Bladder Rupture

9.3.6 Umbilical Hernias

9.4 Musculoskeletal Indications. 9.4.1 Dehorning

9.4.2 Claw Amputation and Facilitated Ankylosis

9.4.3 Excision of Interdigital Fibromas

9.4.4 Teeth Floating

9.4.5 Tail Docking

9.4.6 Rectal Prolapse

9.5 Wounds, Lumps, Bumps, and Abscesses. 9.5.1 Wound Management

9.5.2 Ocular Squamous Cell Carcinoma

9.5.3 Enucleation

9.5.4 Entropion

9.5.5 Abscess Removal for Caseous Lymphadenitis

References

10 Pain Management for Farm Animals

10.1 Local Anesthetics

10.2 Systemic Pain Management. 10.2.1 Opioid Analgesics

10.2.2 Nonsteroidal Anti‐inflammatory Drugs

10.2.3 Alpha‐2 Agonists

10.2.4 Ketamine

10.2.5 Gabapentin

10.3 Drug Combinations for Pain Management

10.3.1 Constant Rate Infusion

10.4 Local or Regional Analgesia

10.4.1 Caudal Epidural Analgesia

10.4.2 Lumbosacral Epidural Anesthesia

10.4.3 Intra‐articular Analgesia

References

11 Fluid Therapy

11.1 General Considerations

11.2 Physiology of Body Fluids

11.3 Patient Assessment

11.4 Fluid and Electrolyte Therapy in the Perioperative Period

11.4.1 Quantity and Rate of Fluid Administration

11.4.2 Fluid Type Selection

11.4.3 Fluid Therapy in Cases of Calf Diarrhea

11.4.4 Fluid Therapy in Cases of Acute Ruminal Acidosis (Grain Overload)

11.4.5 Fluid Therapy in Cases of Hepatic Lipidosis/Ketosis/Pregnancy Toxemia

11.4.6 Fluid Therapy in Cases of Abomasal and Small Intestinal Disorders

11.4.7 Fluid Therapy for Cases of Sepsis (Septic Peritonitis, Septic Omphalitis, etc.)

11.4.8 Fluid Therapy in Cases of Urinary Tract Obstruction/Rupture

11.4.9 Whole‐blood Transfusions

11.4.10 Method of Administration

11.5 Monitoring Fluid Administration

References

12 Regulatory and Legal Considerations of Anesthetics and Analgesics Used in Food‐producing Animals

12.1 Alpha‐2 Agonists and Antagonists

12.2 Barbiturates

12.3 Benzodiazepines

12.4 Dissociative Anesthetics

12.5 Local Anesthetics

12.6 Opioids

12.7 Nonsteroidal Anti‐inflammatory Drugs

12.8 Phenothiazine Derivatives

12.9 Propofol

References

13 Euthanasia of Farm Animals

13.1 Considerations Prior to Euthanasia

13.2 The Process of Euthanasia

13.3 Methods of Euthanasia

13.3.1 Injectable Euthanasia Agents

13.3.2 Physical Methods

13.3.3 Adjunctive and Other Methods of Euthanasia

13.4 Considerations Subsequent to Euthanasia

References

Index. a

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Second Edition

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In regard to α2 antagonists, ruminants and camelids are more sensitive to tolazoline than other species [53, 54]. When administered intravenously alone at 1.5 mg/kg to nonsedated Holstein calves, tolazoline caused coughing, increased frequency of defecation, and a mild increase in breathing effort. At higher IV doses from 2 to 10 mg/kg, adverse effects including bright red conjunctival mucous membrane, coughing, nasal discharge, profuse salivation, labored breathing, central nervous system depression, signs of abdominal pain, straining, head pressing, restlessness, and severe diarrhea were observed. However, there were no long‐lasting adverse effects observed in those calves [54]. Currently, lower doses of tolazoline at 0.5–1.5 mg/kg IV are recommended for use in all ruminants, including camelids. Others have suggested that IV administration of tolazoline should be avoided, except in emergency situations, to prevent adverse effects such as cardiac asystole [55].

There are concerns from potbellied pig owners and breeders regarding the statement that “injectable anesthetics should not be used in young pigs” and that “ketamine in particular should not be used in potbellied pigs of any age” [56]. These statements have never been proven or supported by controlled, scientific studies. Furthermore, the clinical experiences of this author and of most practicing veterinarians indicate otherwise.

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