12558nam 22005533 450 991087737580332120240614080242.01-119-83030-31-119-83028-1(MiAaPQ)EBC31471554(Au-PeEL)EBL31471554(CKB)32274078000041(EXLCZ)993227407800004120240614d2024 uy 0engurcnu||||||||txtrdacontentcrdamediacrrdacarrierVeterinary Anesthesia and Analgesia, the 6th Edition of Lumb and Jones6th ed.Newark :John Wiley & Sons, Incorporated,2024.©2024.1 online resource (1453 pages)1-119-83027-3 Cover -- Title Page -- Copyright Page -- Dedication -- Contents -- List of Contributors -- Foreword -- Preface -- About the Companion Website -- Section 1 General Topics -- Chapter 1 Overview, History, and Current Issues in Veterinary Anesthesia and Analgesia -- Overview -- Terminology -- History of veterinary anesthesia -- Early milestones -- Conceptualizing depth of anesthesia -- Evolution of veterinary anesthesia as a specialty -- Anesthesiologist defined -- Current issues in veterinary anesthesia and analgesia -- Environmental impact of anesthesia -- Impact of the opioid epidemic on veterinary anesthesia -- Emerging role of technology -- References -- Chapter 2 Anesthetic Risk and Informed Consent -- Assessing anesthetic risk -- Preoperative patient risk assessment -- Morbidity and mortality -- Small animal anesthesia morbidity -- Large animal anesthesia morbidity -- Small animal anesthetic mortality -- Large animal anesthetic mortality -- Informed consent -- References -- Chapter 3 Introduction to Patient Safety -- Introduction -- Nomenclature and terminology -- The risk of harm from healthcare -- Why things go wrong: Human error and the system -- The "process" of anesthesia -- Reason's Swiss cheese model -- Human factors -- Non-technical skills -- Organizational culture -- Blame and no-blame cultures -- Just culture -- Learning culture -- Safety I versus Safety II -- Assessing organizational safety culture -- Data gathering techniques -- Incident reporting systems -- Interviews -- Morbidity and mortality conferences -- Analysis techniques -- Root cause analysis -- Human Factors analysis techniques -- Patient safety evidence in anesthesia -- Patient safety interventions -- Checklists -- Other cognitive aids -- Communication tools: briefings, debriefings, and patient hand-offs -- Simulation-based training -- Engineering solutions.Methods for reducing medication error -- Assessment of patient safety interventions -- Useful resources -- References -- Chapter 4 Safety Considerations for Laser and Radiographic Procedures and Magnetic Resonance Imaging -- Introduction -- Laser -- Laser beam hazard and safety -- Laser fire hazard and safety -- Anesthetic considerations for laser surgery -- Non-beam hazards and safety -- Radiography -- Ionizing radiation hazards and safety -- Anesthetic considerations for radiography -- Remote facilities -- Magnetic resonance imaging -- Strong static magnetic field -- Gradient magnetic fields -- Radiofrequency fields -- Cryogens -- Anesthetic management considerations -- Sedation versus general anesthesia -- Patient monitoring -- Standing equine MRI -- Gadolinium-based contrast agents -- Emergency procedures -- Personnel considerations -- References -- Chapter 5 Anesthetic Emergencies, Resuscitation, and Adverse Events -- Introduction -- Cardiopulmonary arrest -- Basic life support -- Advanced life support -- Monitoring -- Cardiovascular complications -- Hypotension -- Hemorrhage -- Cardiac dysrhythmias -- Anaphylaxis -- Respiratory complications -- Respiratory depression and apnea -- Hypoxemia -- Airway obstruction -- Bronchospasm -- Accidental extubation -- Iatrogenic tracheal injury -- Acute or undiagnosed pneumothorax -- Pulmonary aspiration -- Volutrauma and barotrauma -- Wooden chest syndrome -- Airway fire -- Anesthetic drug-related complications -- Medical error resulting in overdose -- Patient arousal -- Anesthetic equipment-related complications -- Adjustable pressure-limiting valve closure or malfunction -- Oxygen supply failure -- Breathing system malfunction -- Vaporizer-related complications -- Other complications -- Gastroesophageal reflux and regurgitation -- Ruminal tympany -- Cerebral herniation -- Hyperkalemia.Hypo- or hyperthermia -- Myoclonus -- Postanesthetic complications -- Personnel injury -- Post-critical event debriefing -- References -- Chapter 6 Anesthesia Equipment -- Introduction -- Safety and design -- Introduction to airway management and support equipment -- Endotracheal tubes, lung isolation devices, supraglottic airway devices, laryngoscopes, intubation aids, and techniques -- Endotracheal tubes -- Endotracheal tubes for isolating one lung -- Supraglottic airway devices -- Laryngoscopes -- Intubation aids and techniques -- Nasotracheal intubation -- Wire- or tube-guided techniques -- Endoscope-guided technique -- Endotracheal tube exchangers -- Retrograde intubation -- Tracheostomy -- Lateral pharyngotomy -- Techniques of oxygen administration -- Mask delivery -- Nasal insufflation -- Tracheal insufflation -- Oxygen cages -- Oxygen toxicity -- Introduction anesthetic machines and breathing circuits -- Medical gas supply -- Medical gas safety -- Pressure-reducing valve (regulator) -- Pressure gauges -- The modern anesthetic machine -- Gas flow within the anesthetic machine -- Flowmeters -- Vaporizers -- Descriptions of vaporizers common in veterinary medicine -- Maintenance of vaporizers -- Use of the wrong anesthetic in an agent-specific vaporizer -- Oxygen flush valve -- Common gas outlet -- Breathing systems -- Rebreathing (circle) system -- Non-rebreathing systems -- Waste gas scavenge system -- Routine anesthesia machine checkout procedure -- Anesthesia ventilators -- Classification -- Introduction to single- and dual-circuit ventilators -- Single-circuit piston-driven ventilators -- Single-circuit compressed gas-powered ventilators -- Dual-circuit ventilators -- Control of ventilator driving gas -- Factors that affect delivered tidal volume -- Alarms -- Proper ventilator setup and monitoring -- Selected ventilator models.Respiratory assist devices -- Manual resuscitators -- Demand valves -- Acknowledgment -- References -- Chapter 7 Infection Prevention and Control in Anesthesia -- Introduction -- Postoperative infections -- Infection control and prevention -- Important tools and steps for perianesthetic infection control -- Perioperative checklists -- Hand hygiene -- Attire -- Reprocessing of anesthetic and surgical equipment -- Laryngoscopes and mouth rinse plungers -- Endotracheal tubes -- Monitoring equipment -- Intravenous catheters -- Breathing circuits and ventilators -- Preparation of the surgical site and maintenance of the sterile field -- Risk factors associated with postoperative infections -- Patient-specific risk factors -- Iatrogenic factors -- Environmental factors -- Patient care and drug administration considerations -- Bandages and dressings -- Lubricants -- Anesthetics and analgesics -- References -- Chapter 8 Euthanasia and Humane Killing -- Introduction -- Terminology -- Euthanasia -- Humane slaughter -- Depopulation -- Pain and consciousness -- Mechanisms of action -- Evaluating animal distress -- Choice of killing method relative to onset of unconsciousness -- Fetal sentience and euthanasia -- Low atmospheric pressure stunning -- Foam depopulation -- Agent purity and euthanasia -- Euthanasia in the clinical setting -- References -- Section 2 Patient Monitoring -- Chapter 9 Biomedical Engineering -- Introduction -- History of biomedical engineering -- Subdisciplines of biomedical engineering -- Biomedical instrumentation systems -- Biomedical data -- Biomedical data and time series analysis -- Biomedical engineering milestones in anesthesia -- Stethoscopes -- Endotracheal tubes, laryngoscopes, and inhalant anesthetic delivery -- Anesthetic conserving device -- Pulse oximetry -- Evolution of monitoring equipment and guidelines.Contemporary biomedical engineering applications in anesthesia -- Drug delivery systems -- Ultrasound-guided nerve blocks -- Models and simulators in anesthesia -- Biomedical engineering in veterinary medicine -- References -- Chapter 10 Anesthetic Depth Monitoring and Electroencephalography -- Introduction -- Minimum alveolar concentration -- Physical signs of anesthetic depth -- Stage 1 -- Stage 2 -- Stage 3 -- Stage 4 -- Electrophysiologic monitoring -- Depth-of-anesthesia devices -- The Bispectral Index™ -- Spectral entropy -- Patient state index -- Cerebral state monitor -- Narcotrend® index -- Index of consciousness -- Auditory evoked potentials -- Clinical utility of depth-of-anesthesia devices -- References -- Chapter 11 Electrocardiography -- Introduction -- Electrical potentials and the lead system -- Einthoven's triangle -- Bipolar, unipolar, and precordial leads -- The ECG complex -- Evaluating an ECG -- Heart rate calculation -- Rhythm evaluation -- Mean electrical axis -- Species-specific variations -- Canine -- Feline -- Equine -- ECG equipment -- Artifacts and filters -- Effect of anesthesia -- References -- Chapter 12 Blood Pressure Monitoring -- Introduction -- Blood pressure determinants and definitions -- Mean arterial pressure -- Normal ranges of blood pressure -- Autoregulation of blood pressure -- Invasive blood pressure measurement -- Components for invasive blood pressure measurement -- Physics of invasive blood pressure monitoring systems -- Arterial catheter placement and maintenance -- Non-invasive blood pressure measurement -- Doppler ultrasonographic blood pressure measurement -- Oscillometric blood pressure measurement -- High-definition oscillometric blood pressure measurement -- Central venous pressure measurement -- Indices of fluid responsiveness -- Pulse pressure variation and systolic pressure variation.Plethysmography variability index."Veterinary Anesthesia and Analgesia: The Sixth Edition of Lumb and Jones is a fully updated revision to this comprehensive, authoritative reference to all aspects of veterinary anesthesia and pain management. Encompassing both scientific principles and clinical applications, the new edition adds new knowledge, techniques, and discussion of emerging issues throughout. Fourteen new chapters significantly expand the coverage of patient monitoring modalities and nociception and pain, while presenting new information on safety culture, infection prevention and control, biomedical engineering, and point-of-care ultrasound. Logically organized into sections, information on basic principles, pharmacology, specific body systems, and specific species is easy to access. Comparative anesthetic considerations for dogs and cats, horses, ruminants, swine, laboratory animals, free-ranging terrestrial mammals, marine mammals, reptiles, amphibians, fish, and birds are discussed. Chapters are devoted to anesthesia and pain management of common domestic species and patient populations, including updated chapters on local and regional anesthetic and analgesic techniques. A companion website offers video clips of point-of-care ultrasound techniques and pain assessment and scoring. With its unparalleled multidisciplinary approach, Veterinary Anesthesia and Analgesia is a must-own volume for veterinary anesthesia specialists and researchers; specialists in other disciplines, including both small and large animal surgeons; practitioners; and students"--Provided by publisher.AnesthesiaveterinaryAnalgesiaveterinaryAnesthesiaveterinaryAnalgesiaveterinary636.089796Lamont Leigh1755506Grimm Kurt1755507Robertson Sheilah1755508Love Lydia956739Schroeder Carrie1755509MiAaPQMiAaPQMiAaPQBOOK9910877375803321Veterinary Anesthesia and Analgesia, the 6th Edition of Lumb and Jones4192309UNINA