Fundamentals of Small Animal Surgery offers a thorough introduction to the surgical principles essential to good veterinary practice. With many high-quality pencil drawings and clinical photographs to complement the detailed descriptions, the book is a useful resource for building basic surgery skills.

Fundamentals of Small Animal Surgery is designed to provide a grounding in the foundations of veterinary surgical practice and an understanding of the practical application of surgical techniques.

Covering topics ranging from assessment and surgical pack preparation to aseptic technique and postoperative pain management, the book is a valuable reference for surgical procedure training in veterinary or veterinary technician schools, and serves as a refresher for veterinarians and technicians in practice.

Gheorghe M. Constantinescu, DVM, PhD, mult. Drhc is Professor of Veterinary Anatomy and Medical Illustrator in the Department of Veterinary Biomedical Sciences at University of Missouri, Columbia, Missouri, USA.

Hun-Young Yoon, DVM, MS, PhD is a Research Professor at the College of Veterinary Medicine, Veterinary Science Research Institute at Konkuk University, Seoul, South Korea.

Contributor List viii

Introduction xiiMargaret L. Campbell

Section 1 Communication Case Studies 1

Case 1.1 Comsmunicating about a Progressive Diagnosis and Prognosis 5Julia A. Walch

Case 1.2 Diagnosis/Prognosis Uncomplicated Death at Home 12Constance Dahlin

Case 1.3 Accommodating Religiosity and Spirituality in Medical Decision-Making 18Jennifer Gentry

Case 1.4 Discussing Cardiopulmonary Resuscitation When it May Be Useful 26Kelli Gershon

Case 1.5 Discussing CPR When it is a Non-Beneficial Intervention 33Judy Passaglia

Case 1.6 Discussing Brain Death, Organ Donation, and Donation after Cardiac Death 41Christine Westphal and Rebecca Williams

Case 1.7 Discussing Physiological Futility 52Judy C. Wheeler

Case 1.8 Wounded Families: Decision-Making in the Setting of Stressed Coping and Maladaptive Behaviors in Health Crises 60Kerstin McSteen

Case 1.9 Notification of an Expected Death 68Peg Nelson

Case 1.10 Death Notification after Unexpected Death 73Garrett K. Chan

Section 2 Symptom Management Case Studies 83

Case 2.1 Pain: Cancer in the Home 87Constance Dahlin

Case 2.2 Treating an Acute, Severe, Cancer Pain Exacerbation 98Patrick J. Coyne

Case 2.3 Pain and Advanced Heart Failure 104Margaret L. Campbell

Case 2.4 Dyspnea and Advanced COPD 110Margaret L. Campbell

Case 2.5 Dyspnea and Heart Failure 117Garrett K. Chan

Case 2.6 Treating Dyspnea during Ventilator Withdrawal 128Margaret L. Campbell

Case 2.7 Cough Associated with COPD and Lung Cancer 138Peg Nelson

Case 2.8 Hiccups and Advanced Illness 145Marian Grant

Case 2.9 Treating Nausea Associated with Advanced Cancer 152Judy C. Wheeler

Case 2.10 Nausea Associated with Bowel Obstruction 161Terri L. Maxwell

Case 2.11 Nausea Related to Uremia, Dialysis Cessation 168Linda M. Gorman

Case 2.12 Opioid-Induced Pruritus 176Richelle Nugent Hooper

Case 2.13 Pruritus in End-Stage Renal Disease 183Linda M. Gorman

Case 2.14 Opioid-Induced Constipation 190Grace Cullen Oligario

Case 2.15 Depression in Advanced Disease 198Todd Hultman

Case 2.16 Treating Anxiety 205Darrell Owens

Case 2.17 Terminal Secretions 213Terri L. Maxwell

Case 2.18 Fungating Wounds and the Palliative Care Patient 220Laura C. Harmon

Case 2.19 Pressure Ulcer Care in Palliative Care 229Laura C. Harmon

Case 2.20 Treating Ascites 239Darrell Owens

Case 2.21 Delirium Management in Palliative Care 247Kerstin McSteen

Section 3 Family Care Case Studies 257

Case 3.1 Caring for the Family Expecting a Loss 259Patricia A. Murphy and David M. Price

Case 3.2 Anticipatory Grief and the Dysfunctional Family 266Rita J. DiBiase

Case 3.3 Acute and Uncomplicated Grief after an Expected Death 277Rita J. DiBiase

Case 3.4 Bereavement after Unexpected Death 289Garrett K. Chan

Case 3.5 Complicated Grief 300Rita J. DiBiase

Index 309