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Small Animal Surgical Emergencies

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Страница 1 Table of Contents List of Tables List of Illustrations Guide Pages Страница 7Страница 8Страница 9Страница 10Страница 11Страница 12Страница 13 Daisy’s Story 1 Triage and Initial Stabilization of the Emergency Small Animal Surgical Patient Introduction Triage and Initial Assessment Respiratory Assessment Hypoxemic Shock Box 1.1 Formula Used for A–a Gradient Calculation Example Blood Gas Cardiovascular Assessment Hypovolemic Shock and Fluid Therapy Cardiogenic Shock Distributive/Septic Shock Metabolic Shock Dehydration Box 1.2 Fluid Therapy Prescription Formula Example Fluid Prescription Calculation Neurologic Assessment Urinary Assessment Vascular Access Analgesia, Sedation and Anxiolytics 2 Operating Room Nursing Tips for Emergency Surgical Procedures Gastrointestinal System Esophageal Surgery Gastrointestinal Foreign Bodies Rectal Prolapse Hemoabdomen Box 2.1 Routine Soft Tissue Instrument Set Box 2.2 Instruments for Gastrointestinal Surgery Biliary Emergencies Liver Lobectomy Box 2.3 Instruments for Biliary Surgery Urinary System Ureteral Surgery Urethral Surgery Perineal Urethrostomy in Cats: Patient Positioning Box 2.4 Instrumentation for Hepatic Surgery Box 2.5 Instrumentation for Ureteral Surgery Retrograde Hydropulsion in Dogs Urethrostomy and Urethrotomy in Dogs: Patient Positioning Contrast Studies Respiratory System Temporary Tracheostomy Brachycephalic Upper Airway Surgery: Patient Positioning Arytenoid Lateralization (Laryngeal Tie‐Back Procedure): Patient Positioning Lateral Thoracotomy for the Treatment of Pleural Space Disease Sternotomy for the Treatment of Pleural Space Disease Cardiovascular System Pacemaker Placement Box 2.6 Instrumentation for Perineal Urethrostomy Box 2.7 Instruments for Retrograde Hydropulsion Box 2.8 Instruments for Urethrostomy and Urethrotomy in Dogs Pericardiocentesis for Pericardial Effusion Box 2.9 Instruments for Contrast Studies Box 2.10 Instruments for Temporary Tracheostomy Tube Placement Box 2.11 Instrumentation Recommended for Arytenoid Cartilage Lateralization Box 2.12 Instruments for a Lateral Thoracotomy Pericardiectomy Box 2.13 Instrumentation to Perform a Sternotomy Box 2.14 Instruments for Pericardiocentesis Reproductive System Cesarean Section Box 2.15 Instruments Recommended for a Pericardiectomy Neonatal Care Box 2.16 Instruments and Supplies for Cesarean Section Pyometra Penile Emergencies Prostatic Abscessation Vaginal Prolapse Box 2.17 Neonatal Supply Box Box 2.18 Instruments for Pyometra Surgery Wound Management Box 2.19 Instruments and Supplies for Penile Surgery Box 2.20 Instruments and Supplies for Prostatic Surgery Box 2.21 Instruments and Supplies for Vaginal Prolapse Ocular Emergencies Standard Surgical Preparation Protocol Surgical Supplies Box 2.22 Instruments and Supplies for Initial Wound Management Box 2.23 Preoperative Periocular Surgical Preparation Box 2.24 Final Sterile Periocular Surgical Preparation Box 2.25 Intraocular Instrument Set Box 2.26 Extraocular Instrument Set Box 2.27 Enucleation Instrument Set Box 2.28 Eye Utility Instrument Set Instrument Sterilization Intraocular Surgery Box 2.29 Instrumentation and Supplies for Intraocular Surgery Extraocular Surgery Box 2.30 Instruments and Supplies for Temporary Tarsorrhaphy Box 2.31 Instruments and Supplies for Eyelid Laceration Repair Box 2.32 Instruments and Supplies for Nictitating Membrane Laceration Enucleation Oral Emergencies Nursing Responsibilities Box 2.33 Instruments and Supplies for Enucleation Procedure Safety Requirements Surgical Environment Personal Protective Equipment Standard Oral Surgical Preparation Protocol Patient Positioning Surgical Supplies Instrument Sterilization Box 2.34 Large Dental Surgery Set Box 2.35 Periodontal Extraction Cassette Box 2.36 Orthodontic Supplies Box 2.37 Instruments and Supplies for Pulpectomy Box 2.38 Supplies for Specific Oral Surgical Emergencies Specific Oral Surgical Emergencies Orthopedic Emergencies Joint Irrigation and Drainage with Hypodermic Needles Arthroscopy Box 2.39 Instruments and Supplies for Joint Irrigation Arthrotomy Open Fracture Box 2.40 Arthroscopy Tower Set‐Up Box 2.41 Instruments and Supplies for Arthroscopy Box 2.42 Instruments and Supplies for Arthrotomy Box 2.43 Supplies for a Robert Jones Bandage Standard Surgical Preparation Protocol Bone Plates and Screws Box 2.44 Types of Plates Box 2.45 Instruments and Supplies for Fracture Repair Box 2.46 String of Pearls Instruments and Supplies Box 2.47 Instruments and Supplies to Insert an Interlocking Nail Box 2.48 Instruments and Supplies for the SK External Skeletal Fixation System Страница 130 3 Emergency Stabilization of the Acute Abdomen Patient Introduction Pathophysiology of Acute Abdomen Differential Diagnoses Primary Assessment Systematic Approach to Initial Stabilization: Cardiovascular System Resuscitation and Management of Cardiovascular Abnormalities Monitoring Response to Treatment Systematic Approach to Initial Stabilization: Respiratory System Systematic Approach to Initial Stabilization: Central Nervous System Abdominal Examination Minimum Database Interpretation and Management Peritoneal Fluid Analysis and Indications for Emergency Laparotomy Diagnostic Imaging for the Acute Abdomen Conclusion 4 Esophageal Foreign Bodies Introduction Anatomy Pathophysiology of Esophageal Injury (Figure 4.3) Presentation Emergency Stabilization Diagnostics Radiography Computed Tomography Endoscopy Non‐surgical Treatment Esophageal Forceps Endoscopic Technique Fluoroscopic Technique [9] Rigid Endoscope Technique Advancement into the Stomach Surgical Treatment Cervical Esophagotomy Transthoracic Esophagotomy Case Report 4.1 Postoperative Care Complications Prognosis for Esophageal Bone Foreign Bodies Fishhooks and Needles Fishhooks Needles Esophageal Stick Injuries 5 Gastrointestinal Foreign Bodies Introduction Classification of Foreign Bodies Pathophysiology Signalment, History, and Physical Examination Laboratory Findings Imaging Radiographs Ultrasound Computed Tomography Surgical Techniques Stomach Small Intestine Anatomy Discrete Foreign Body Linear Foreign Body Postoperative Care Long‐Term Postoperative Complications Prognosis 6 Intussusception Introduction Clinical Presentation Diagnosis Initial Stabilization Surgical Management Postoperative Care and Complications Prognosis 7 Rectal Prolapse Etiology Clinical Evaluation Treatment Box 7.1 Conditions Associated with Rectal Prolapse in Small Animals Reduction of Prolapse Surgical Intervention 8 Gastric Dilatation and Volvulus Introduction Pathogenesis Risk Factors Pathophysiology Local Effects Systemic Effects Clinical Presentation Stabilization and Diagnostic Evaluation Operative Techniques Goals of Surgery Repositioning of the Stomach Assessment of Gastric Viability Gastric Necrosis Gastric Resection Open Resection Stapled Resection Gastric Invagination Splenectomy Gastropexy Gastropexy Techniques Incisional Gastropexy Belt‐Loop Gastropexy Tube Gastropexy Circumcostal Gastropexy Other Techniques Postoperative Care Complications Postoperative Arrhythmias Gastric Necrosis, Ulceration or Dehiscence Recurrent Gastric Dilatation Ileus Acute Kidney Injury Systemic Inflammatory Response Syndrome and Disseminated Intravascular Coagulation Outcome and Prognosis 9 Intestinal Volvulus Definition and Pathophysiology Presentation Diagnostics Case Report 9.1 Treatment Preoperative Treatment Surgical Treatment Postoperative Treatment Complications and their Management Ischemic Necrosis Reperfusion Injury Short Bowel Syndrome Prognosis Страница 251{buyButton}

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