The package includes five textbook chapters in PDF format. These are full-color reproductions (if applicable) as they have appeared in print. Package includes:
1) Breed-Related Diseases - Canine and Feline Gastroenterology, 2013, Chapter 62, Pages 958-9... moreThe package includes five textbook chapters in PDF format. These are full-color reproductions (if applicable) as they have appeared in print. Package includes:
1) Breed-Related Diseases - Canine and Feline Gastroenterology, 2013, Chapter 62, Pages 958-972.
2) The Abdomen - Diagnostic Radiology and Ultrasonography of the Dog and Cat (Fifth Edition), 2011; Chapter 2, pp 23-198.
3) Laboratory Values and Interpretation of Results - Small Animal Medical Differential Diagnosis (Second Edition), 2014, Pages 283-326.
4) Fluid Therapy in Endocrine and Metabolic Disorders - Fluid, Electrolyte, and Acid-Base Disorders in Small Animal Practice (Fourth Edition), 2012, Chapter 20, Pages 500-513.
5) Analgesia, Anesthesia, and Chemical Restraint in the Emergent Small Animal Patient - Veterinary Clinics of North America: Small Animal Practice, Volume 43, Issue 4, July 2013, Pages 941-953.
Proceeds will benefit the AKC Canine Health Foundation
LOGIN to Purchase and Download less
Diabetic ketoacidosis, hyperglycemic hyperosmolar syndrome, hypoglycemia, insulinoma, hypoadrenocorticism, pheochromocytoma, thyrotoxicosis, and myxedema coma are all examples of life-threatening complications of endocrine disease.
Success in treatment of endocrine emergencies is contingent on early recognition and treatment.
Many endocrine diseases presenting emergently have nonspecific signs and symptoms. Endocrine crises are often precipitated by concurrent disease, further making early identification difficult.
Veterinary Clinics of North America: Small Animal Practice,
April 2013. Author: Amie Koenig
Member fee: $7.95 - Login to purchase and download
Monitoring critically ill patients can be a daunting task even for experienced clinicians. Goal-directed therapy is a technique involving intensive monitoring and aggressive management of hemodynamics in patients with high risk of morbidity and mortality. The aim of goal-directed therapy is to ensure adequate tissue oxygenation and survival. This article reviews commonly used diagnostics in critical care medicine and what the information gathered signifies and discusses clinical decision making on the basis of diagnostic test results. One example is early goal-directed therapy for severe sepsis and septic shock. The components and application of goals in early goal-directed therapy are discussed.
Macrovascular versus microvascular monitoring parameters
Central Venous Pressure
Lactate and Lactate Clearance
Central Venous Oxygen Saturation
Early Goal-Directed Therapy
The EGDT Bundle, Step-by-Step
Step 1: identification of a severe sepsis or septic shock patient
Step 2: identification of a high-risk patient
Step 3: target CVP of 8 to 12 mm Hg
Step 4: target MAP greater than 65 mm Hg and less than 90 mm Hg
Step 5: target Scvo2 greater than 70%
Step 6: sedation and mechanical ventilation
Other Goals and Adjunctive Therapies for EGDT
Urine output greater than 0.5 mL/kg/h
Early source control
Early antibiotic therapy
Veterinary Clinics of North America: Small Animal Practice, Vol 41(4), July 2011, Pages 817-838. Author: Amy L. Butler
Member fee: $7.95 - Login to purchase and download
Myocardial dysfunction is commonly encountered in humans, and presumably in dogs with sepsis and critical illness. This dysfunction contributes to increased mortality. With management of the underlying diseases and an understanding of the processes contributing to myocardial dysfunction, steps may be taken to mitigate the consequences of cardiac impairment. Clinical findings, proposed pathophysiologic mechanisms, and current treatment considerations are discussed. Further study is needed to find practical ways to identify myocardial dysfunction and to determine whether timed interventions intended to augment cardiac performance will reduce mortality in this patient population.
Cardiac performance in septic shock
Proposed mechanisms of sepsis-induced myocardial dysfunction
Toll-like receptors and innate immunity
Cascade of events from trigger to myocardial dysfunction
Additional contributing factors leading to poor outcome
Veterinary Clinics of North America: Small Animal Practice, Vol 41(4), July 2011, pp 717-726. Author: Barret J. Bulmer
Login to Purchase and Download
Multiple organ failure and multiple organ dysfunction syndrome (MODS) were first recognized as undesirable complications of advancements in emergency and critical care. MODS remains the leading cause of death and resource expenditure in human intensive care units. MODS has been documented in small animal veterinary patients raising similar concerns. The understanding of the pathogenesis of MODS has evolved from uncontrolled infection to uncontrolled inflammation. Management is primarily through supportive care, early and aggressive monitoring of organ function, and intensive care nursing. Tissue hypoxia, microvascular thrombosis, increased vascular permeability, and disrupted cell-cell communication are prominent features of MODS.
History and definitions
Clinical scoring systems
Veterinary Clinics of North America: Small Animal Practice, Vol 41(4), July 2011, pp 703-707. Author: Timothy B. Hackett