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.



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
ss 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

Appendix