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Regional Anesthesia and Acute Pain Medicine: A Problem-Based Learning Approach provides a comprehensive review of regional anesthesia and acute pain medicine for medical learners to integrate theoretical knowledge into clinical practice. Its problem-based format incorporates a pool of multiple-choice questions for self-assessment. Each of its 50 case-based chapters is accompanied by questions and answers accessible online in a full practice exam. These chapters cover several areas such as pharmacology, obstetric and pediatric regional anesthesia, complex acute pain problems, anticoagulation, and regional anesthesia and complicated nerve blocks. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases, which branches out through case-based questions to increasingly complex situations. This structure is designed to create an authentic experience mirroring the nuances of a complicated clinical scenario. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of the topic.

With a focus on practical acute pain management in adults in the hospital setting, this book provides health professionals with simple and practical information to help them manage patients with acute pain safely and effectively. • Combines evidence-based information with practical guidelines and protocols • Covers the pharmacology of opioids, local anesthetics, and nonopioid and adjuvant analgesic agents • Discusses management of acute pain in both surgical and nonsurgical acute pain settings including in patients with spinal cord or burns injuries and selected medical illnesses • Includes evidence-based information about management of acute pain in some specific patient groups, including the older patient, opioid-tolerant patients, and those with addiction disorders, pregnant or lactating patients and patients with obstructive sleep apnea or who have renal or hepatic impairment • Considers the role of acute pain management in the context of the current opioid epidemic and identifies possible strategies to minimise the risks. This resource will be helpful to a variety of professionals in assessing and managing acute pain.

'This title provides evidence-based clinical practice recommendations for nursing assessment and management of women in the intrapartum period choosing various types of analgesia/anesthesia for pain management. Guidelines for assessment and management of the woman and her fetus, including an assessment of pain relief, side effects, and potential adverse effects of medications, are described. Interventions directed at minimizing side effects and adverse reactions associated with analgesia and anesthesia and facilitating labor progress are also included'--Publisher's description

The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists. Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.

Here's a highly illustrated practical guide with easy to follow descriptions of pain injection techniques. It will give special advice on how to achieve a successful block and how to avoid and manage potential problems. The techniques will be described in a systematic and easy to use way. Each description of the injection will be accompanied by figures demonstrating the surface anatomy, patient position, needle puncture site and movement of the needle in relation to anatomyh. Where necessary further figures will be used to show dye injections and successful blocks. - Uses concise bulleted text with important factors highlighted throughout for ease of understanding and assimilation. - Shows how to perform each injection technique step-by-step with comprehensive illustrations (photographs, line drawings, radiologic images) - Techniques are grouped together in a logical and easy to follow manner with the same format being used for each block - Offers solutions to actual clinical problems and highlights potential pitfalls in both diagnosis and treatment.. - Covers a broad scope of clinical practice for use by both beginners and experts. - Offer proven, reliable treatment options to patients with persistent, severe or chronic pain. This introductory atlas provides a description of many basic regional anesthetic tools as well as common joint and muscular injections for pain relief. - See exactly how to proceed to achieve optimal results and avoid problems. Step-by-step instructions - with concise text accompanied by line drawings and color photographs - demonstrate correct needle placement and anatomical structure for 29 techniques and procedures. - Apply ultrasound guided therapies for optimal needle placement in delivery of anesthetic agents. - Access the full text online at Expert Consult.

This book provides a comprehensive overview of current standards of anesthesia and intensive care in neonates and children, with a view to promoting standardization in clinical practice. The first part of the book, devoted to issues in intensive care, opens by considering scoring systems for the assessment of sick children. The diagnosis, prevention, and management of ventilator-associated pneumonia are then discussed, and the roles of high-frequency oscillatory ventilation and noninvasive respiratory support are reviewed. Further chapters address procedural sedation and analgesia in children, the progress toward ‘open'ICUs with liberal visiting policies, and advances in long-term home mechanical ventilation.In the second part of the book, a range of important topics in anesthesia and perioperative medicine are discussed. After a review of safety issues, current trends in pediatric regional and locoregional anesthesia are described and a synopsis is provided on current knowledge regarding the use of central blocks in infants and children. Subsequent chapters are devoted to awareness monitoring, single-lung ventilation techniques, anesthesia in the context of severe prematurity, and emergence delirium.Pediatric Anesthesia, Intensive Care and Pain: Standardization in Clinical Practice will be an extremely useful source of information for both novices and more experienced practitioners in the field.

Intrathecal Drug Delivery for Pain and Spasticity - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of intrathecal drug delivery techniques performed today. Asokumar Buvanendran, MD and Sudhir Diwan, MD, offer expert advice on a variety of procedures to treat chronic non-malignant pain, cancer pain, and spasticity. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. - Understand the rationale and scientific evidence behind intrathecal drug delivery techniques and master their execution. - Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. - Apply the newest techniques in intrathecal pump placement, cancer pain management, use of baclofen pumps, and compounding drugs. - Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms.

Spinal Injections & Peripheral Nerve Blocks - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on when and why these procedures should be performed, the mechanisms of action on pain, and current guidelines for practice. Honorio Benzon, MD; Marc Huntoon, MD; and Samer Nauroze, MD offer expert advice and scientific evidence supporting the use of spinal injections and sympathetic nerve blocks. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. With access to the fully searchable text at www.expertconsult.com and procedural videos on Expert Consult, you'll have the detailed visual assistance you need right at your fingertips.Understand the rationale and scientific evidence behind spinal injections and sympathetic nerve blocks - when and why they should be performed, the mechanisms of action on pain, and current guidelines for practice - and master their execution. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. Apply the newest techniques in employing ultrasound, fluoroscopy and computed tomography (CT) to guide needle placement. Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms. See how it's done through step-by-step procedural videos on Expert Consult. Access the fully searchable contents at expertconsult.com.

Neurostimulation for the Treatment of Chronic Pain - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of neuromodulation techniques performed today. Salim Hayek, MD, PhD and Robert Levy, MD, PhD offer expert advice on a variety of spinal cord, peripheral nerve, and peripheral nerve field stimulation procedures to treat chronic pain. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. With access to the fully searchable text at www.expertconsult.com, you'll have the detailed visual assistance you need right at your fingertips.Understand the rationale and scientific evidence behind interventional and neuromodulatory techniques and master their execution. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. Apply the newest developments in motor cortex stimulation, deep brain stimulation, peripheral nerve stimulation, and spinal cord stimulation. Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms. Access the fully searchable contents, plus bonus procedural videos, at expertconsult.com.

At the turn of the century it is appropriate to take stock of this relatively young but rapidly developing subject. For the first time, this book brings together information on the status of obstetric regional analgesia in many parts of the globe, and on the intriguing variability of maternal attitudes towards it. Advances in the field over the last decade in new applications, new drugs and techniques and new research tools are also reviewed. Controversial topics such as the effects of regional analgesia on the progress of and outcome of labour, the indications, contraindications and complications, and the place of regional anaesthesia for operative delivery are discussed by numerous experts in the field. The problem of consent and medicolegal aspects are also addressed. Regional Analgesia in Obstetrics should be read by all those involved in the medical care of women in childbirth. Professor Felicity Reynolds is Emeritus Professor of Obstetric Anaesthesia, St Thomas'Hospital, London, UK.

by E.K. ZSIGMOND, M.D. Department of Anesthesiology University of Illinois Chicago U.S.A. It is, indeed, a distinct honor and privilege to be invited by the authors to write a preface to this monumental monograph, Regional Opioid Analgesia. Regional Opioid Analgesia is a colossal undertaking by Drs. De Castro, Meynadier and Zenz shortly after the introduction of this revolutionary approach to pain relief which opened a new epoch in analgesiology. This is, indeed, the first authentic and comprehensive textbook encompassing the current knowl­ edge on this novel approach to pain relief. We are indebted to the authors for introducing the new opioids to regional analgesia with the scientists, who de­ veloped the potent short and ultrashort acting opioids with high therapeutic indices, which many researchers dreamt about but never before materialized. The side effect liabilities of these new opioids are minute as compared to morphine and meperidine. Regional Opioid Analgesia could not have been more authentically written than by Drs. De Castro,Zenz and Meynadier,who have conducted daily clinical investigations on all known opioids for regional analgesia as well as for neurolept analgesia. Therein lies the great value of this monograph: it is the most authentic work on this topic.

Diagnosis, Management, and Treatment of Discogenic Pain - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of discogenic pain relief techniques performed today. Leonardo Kapural, MD and Philip Kim, MD offer expert advice on a variety of procedures to manage and treat discogenic pain. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. With online access to the fully searchable text and procedural videos at www.expertconsult.com, you'll have the detailed visual assistance you need right at your fingertips. - Understand the rationale and scientific evidence behind discogenic pain relief techniques and master their execution. - Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines for treating discogenic pain, when to recommend interventional procedures, how to perform them safely, and how to manage chronic back pain in the long term. - Apply the newest techniques in discography, radiofrequency and heat procedures, disc fusion, nucleus replacement, and interventions for disc herniation. - See how it's done through step-by-step procedural videos on Expert Consult. - Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms. - Access the fully searchable contents and bonus full-length videos of lumbar discography, biacuplasty, and MILD procedures at expertconsult.com.

The diagnosis of cancer inspires fear, in part because of the high mortality rate associated with most malignancies, and in part because of the perception that cancer is a painful disease. Recently compiled statistics tend to support patients'fears. Pain is a major symptom in 70% of patients with advanced cancer [1]. Half of all patients undergoing anticancer therapy experience pain [2]. It has been estimated by members of the World Health Organization that 3. 5 million people worldwide suffer from cancer pain. One study of the severity of cancer pain estimates that pain is moderate to severe in 50% of cancer pain patients, very severe or excruciating in 30% [3]. An analysis of several reports of patients in developed countries estimates that 50-80% of patients had inadequate relief [2]. In underdeveloped countries, adequacy of treatment may be far lower because of lack of availability of medical facilities and legal constraints on the use of potent narcotics. The picture need not be this bleak. The reality is that, for most patients, cancer pain is relatively easy to control with simple, inexpensive measures. Several studies have indicated that cancer pain can be well controlled with oral morphine in over 90% of patients [4,5]. Long-acting orally effective opiate preparations such as time­ release morphine, methadone, and levorphanol allow patients to sleep comfortably through the night. When the oral route is impossible, narcotics can be administered rectally or by intravenous or subcutaneous infusion.

Thousands of articles and many books have been published on the acquired immunodeficiency syndrome (AIDS). There are, however, no studies or case reports and only several articles published on the anesthetic considerations for a person with AIDS or in pain with AIDS. There is no literature on the pain management of AIDS patients. Writing on this subject must be considered trailblazing. The reason anesthesiologists should know about AIDS has rapidly extended from concern over transmission of infection to anesthetic and analgesic considerations. The anesthesiologist may also be part of a pain management team on either an acute or a chronic pain service. The requirement may be to treat an HIV -positive or AIDS patient acutely postoperatively or in consult to a psychiatric, medical, or surgical service. In a pain clinic setting, the anesthesiologist may be concerned with diagnosis, treatment, or referral for other multidisciplinary consultation. The earlier question of central nervous system involvement in AIDS is now moot, rapidly replaced with the knowledge that the eNS, if not primarily infected, is so shortly thereafter. Protected by the blood-brain barrier, the eNS becomes both a sanctuary and reservoir for HIV. Because neurologic complications of HIV are common, and since knowledge of the nervous system is essential for anesthetic and pain management, it is important to review HIV infection of the nervous system.

The provision of anesthesia during childbirth still generates considerable debate; opinions vary widely within the obstetric anesthesia community over issues such as the effect of anesthetic drugs on the fetal brain and the choice between different epidural techniques. Controversies in Obstetric Anesthesia and Analgesia debates these and other clinical management controversies encountered in daily practice, providing practical advice on how to manage each clinical problem. This concise, practical text is designed to provide rapid access to key information on both diagnosis and treatment, presenting each side of the debate in a clear discussion. Key references and suggestions for further reading are also provided. Written by a team of international practitioners working with and caring for high risk obstetric patients, Controversies in Obstetric Anesthesia and Analgesia is an invaluable resource for trainees and practitioners in anesthesia, obstetrics and critical care medicine.

In the United States, over half of pregnant women receive some form of anesthesia for their deliveries; this translates into well over 2 million anesthetics per year. With this new handbook, anesthesiologists have easy access to step-by-step, to-the-point information on how to manage patients in specific situations. Every aspect of obstetric anesthesia practice is covered, including patient evaluation, anesthesia for labor and delivery, anesthesia for cesarean delivery, management of patients with concurrent medical problems, management of obstetric emergencies, fetal assessment, and neonatal resuscitation. Distilled, synthesized text is complemented by a generous number of tables, charts, figures and flow diagrams, all presented in accessible handbook format. Obstetric Anesthesia is an ideal introduction to the specialty as well as an essential daily guide for obstetric patient care and management.

This third edition is fully updated, with a number of completely new chapters. Presentation of information is clear and concise, with extensive use of tables, colour illustrations, summary boxes of key information and bullet lists making it a handy revision aid for the primary FRCA.

Procedural sedation and analgesia represents one of the great advances in the maturation of emergency medicine as a discrete speciality within medicine. Once the exclusive domain of the anesthesiologist, sedation and pain management procedures are now a routine part of all emergency department practices. Emergency Sedation and Pain Management is a comprehensive medical text addressing emergency sedation and analgesia with specific emphasis on treatment of the emergency department patient. The easily accessible, clinically oriented format allows the reader fast and efficient access to the key points in each chapter. The text presents a clinical approach to the treatment of pain in emergency patients, including pediatric and adult populations. Analgesia, sedation, and anesthetic techniques are presented in an informative, authoritative, and concise format - written and edited by physicians with extensive research as well as clinical emergency medicine expertise. The chapters are richly supplemented with tables, photographs, and step-by-step illustrations.

This work discusses the methodology and available evidence from systematic reviews on the current best practice in anaesthesia and analgesia. The first edition is built upon in this thoroughly revised and updated text. Contributions are from acknowledged world authorities on systematic review in the specialty. The free access website continues to provide added detail on the literature.

With malpractice insurance premiums on the rise, and insurance rates for the practicing anesthesiologist at an all time high, it is important, now more than ever, to have a single source reference related to both anesthesia and analgesia and how they both relate to dermatologic surgery. This book provides comprehensive coverage on the therapeutic u

Thoroughly revised and reorganized, this 2nd edition offers you meticulous how-to-do-it guidance on performing today's top radiographically guided regional anesthesia and pain management techniques. Renowned experts explain how to make optimal use of fluoroscopy, MRI, and CT to pinpoint the exact anatomic site for each procedure.Provides fluoroscopic, MR, and CT images coupled with distinct line drawings for each procedure to ensure proper positioning and easy application of techniques.Offers easy-to-follow step-by-step descriptions addressing every aspect of patient positioning, the use of radiographic solutions for tissue-specific enhancement, and correct techniques for anesthesia/analgesia administration so you can be sure your patient will be pain free throughout the procedure.Discusses possible complications to help you avoid mistakes. Includes descriptions of procedures for each image guided technique as well as the approaches available for such imaging so you can choose the correct procedure for every patient. Features two new sections Advanced Techniques and Emerging Techniques, incorporates new procedures into the upper and lower extremity and head and neck chapters, and revises all other chapters substantially to put you on the cusp of the latest advances in the field.Uses nearly 1,600 crisp illustrations, 50% new to this edition, to illuminate every concept. Presents a complete reorganization by body region and focused content to help you get to the information you need quickly.

Practical Ultrasound in Anesthesia for Critical Care and Pain Management is a stand-alone comprehensive reference that covers important aspects of ultrasound for the practicing anesthesiologist. Beginning with a background on the physics of equipment and practical applications, this text takes the specialist through subjects like needle visualizati

Analgesics are among the oldest drugs described, albeit not necessarily for medicinaluse. Forexample,theSumeriansisolatedopioids(probablyfortheir euphoric effects) in the third millennium b. c. and the use of willow bark (salicin) for fever was?rst reported in the eighteenth century. Both types of drugs are still in use, but today they are supplemented by a wide array of substances ranging from antidepressants to ion channel blockers. Not all of theseareprescribedbyphysicians. Manycompoundsaresoldoverthecounter and thus available to the public for self-medication. As a result, analgesics are also the most misused class of drugs and are the culprit for a multitude of healthproblemsdueto untoward sideeffects. Thisvolumeattemptstosummarizethecurrentstateofknowledgeonme- anisms underlying the various effects of these drugs, their side effect pro?les, and their indications and contraindications in clinical use. It also gives - sights into current efforts to discover novel mechanisms underlying different types of pain generation and the resulting development of new modulating compounds. Theseefforts haveemergedmostlyas aconsequenceofthemore profound insights provided by molecular methods and of the now common use of animal models of pathological, rather than physiological, pain. These important issues are elaborated in the introductory chapter. In parallel, c- temporaryinterdisciplinarytreatmentapproacheshavetaughtusthatsomatic mechanisms alone cannot explain pain; it is an experience shaped as well by social context, memory, and other psychological phenomena. Thus, the book closes with two chapters putting pharmacological strategies into a broader perspective. All of these advancements culminate in the contemporary c- mon goal of developing mechanism-based rather thanempiric approaches to thetreatment ofpain.

Developing sectors in the intensive care field - and in critical care medicine in general - require specific levels of competence having a same common denominator: an in-depth knowledge of human pathophysiology. Although this volume presents plenty of topics in constant evolution, as witnessed by the collection of chapters compiled by several researchers, this edition includes, in particular, fields in which decision making at the patient's bedside prevails over theoretical argumentation. In other words, the first and foremost message this edition wants to provide is for the reader to focus his/her attention on evidence-based medicine.

Physicians, nurses, and safety experts comprehensively review sedation and analgesia to provide a completely new reference guide to safe sedation practices consistent with existing guidelines. Starting with an integrated review of the basic physiology and neurobiology of the sedated state, the authors proceed through clinical guidelines and practices, and conclude with an examination of quality-outcome measures and processes. They also review current mandates for safe sedation practices and address the key clinical issues of pharmacology, monitoring, and recovery. Special tables and figures throughout the book summarize protocols, regulatory requirements, recommended dosages, monitoring requirements, and quality assurance tools.