Small Animal Surgical Emergencies. Группа авторов
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shapedRound diamond
Glass ionomer
Light composite
Figure 2.36 Large dental surgical instrument set for more complex procedures.
Figure 2.37 (a) Part I periodontal extraction cassette. (b) Part II periodontal extraction cassette.
Figure 2.38 Top: Garant mixing tips. Left to right: 16‐gauge needles to guide wire, 22‐gauge needles, micro brushes, 20‐gauge needles, etch gel, and a disposable etch applicator tip
Source: Courtesy of J.M. Eliason, School of Veterinary Medicine, Philadelphia, PA.
Figure 2.39 3 M™ ESPE™ 4 : 1/10 : 1 Garant dispenser automatically mixes and distributes temporization material.
Source: Courtesy of J.M. Eliason, School of Veterinary Medicine, Philadelphia, PA.
Box 2.38 Supplies for Specific Oral Surgical Emergencies
Tooth fractures:
Pulpectomy set
Orthodontic supplies
Oral and maxillofacial swelling:
Periodontal extraction cassette
± Culturette
± Tracheostomy set
Tooth displacement injuries:
Periodontal extraction cassette
Transport medium (fresh milk or balanced salt solution)
Orthodontic supplies
Palate defects:
Large surgery set
Absorbable monofilament sutures:Canine: 3‐0 to 4‐0Feline: 4‐0 to 5‐0
Jaw fractures:
Hypodermic needle
Cerclage wire
Pumice flour
Prime&Bond NT (Dentsply Sirona, Ontario, Canada)
3M™ ESPE™ Protemp plus temporary material cartridge introductory kit
Glass ionomer cement
Light cure composite
Temporomandibular joint luxation:
Wood dowel or no. 2 hexagonal pencil
Non‐absorbable monofilament suture (3‐0, straight needle)
Two‐hole buttons (3)
Temporomandibular joint ankylosis:
Large surgery set
High‐speed hand piece
± Tracheostomy set
Masticatory myositis:
Large surgery set
± Tracheostomy set
Bite wounds:
Small or large surgery set
Culturette
0.12% chlorhexidine gluconate rinse and lactated Ringer's solution
Absorbable monofilament suture
± drain placement
Foreign bodies:
Small or large surgery set
Culturette
Lavage: 0.12% chlorhexidine gluconate rinse and lactated Ringer's solution
Absorbable monofilament suture
± drain placement
Projectile injuries:
Large surgery set
Periodontal extraction set
High‐speed hand piece
Burrs:Crosscut fissureRound diamond
± Tracheostomy set
Specific Oral Surgical Emergencies
Supplies recommended for specific oral surgical emergencies are listed in Box 2.38.
Orthopedic Emergencies
Joint Irrigation and Drainage with Hypodermic Needles
Limb(s) must be clipped and prepared with antiseptic scrub prior to needle insertion. The patient should be positioned in opposed lateral recumbency of the affected limb. Traditionally, saline, or lactated Ringer’s solution and a pressure infusion bag are used to irrigate the joint (Box 2.39, Figure 2.40). Alternatively, a 60‐cc syringe and a large‐bore needle could be used, although pressure cannot be measured and is likely more time consuming than using a pressure bag.
Arthroscopy
Arthroscopy is a minimally invasive surgical approach which provides full joint visualization by use of rigid arthroscopes. In some cases, arthroscopy can be more effective than traditional joint irrigation. Limb positioners, although not essential, offer advantages of proper patient positioning for easy surgical access and flexibility to adjust positioning without compromising sterility:
Stifle: dorsal.
Elbow: dorsal.
Shoulder: modified lateral.
Box 2.39 Instruments and Supplies for Joint Irrigation
Saline or LRS a
Culturette
2 needles (size varies)aCanine: