BasbaumAI, Fields H(1984) Endogenous pain control systems: brarnstem spinal
pathways and endorphin circuitry. Ann Rev Neurosci 7:309–338 5.Gebhart GF (
1982)Opiateand opiodeffects onbrain stemneurons: relevance to nociception and
Author: M. Tiengo
Publisher: Springer Science & Business Media
Local-regional anesthesia and pain therapy represent two areas of common interest for all physicians. A thorough preparation in functional anatomy and general pharmacology, including familiarity with local anesthetics and analgesics, is considered fundamental background for further study or clinical application of such techniques. Knowledge of the mechanisms of action, efficacies and side effects of the relevant drugs is essential, as is appreciation of possible drug interactions to evaluate eventual toxic effects. Local-regional anesthesia and pain management are being increasing used in diverse medical specialties, including those requiring manual dexterity. In contemporary medicine correct evaluation of the medical outcome becomes essential, especially in relation to the cost-benefit balance, not only in terms of the resources consumed, also and more importantly for the quality of life of the patient.
The fourth edition of this highly successful textbook discusses the practical applications of the various methods of regional anaesthesia, including ultrasound, as well as giving an account of their theoretical aspects.
Author: Graeme McLeod
Publisher: Oxford University Press
The fourth edition of this highly successful textbook discusses the practical applications of the various methods of regional anaesthesia, including ultrasound, as well as giving an account of their theoretical aspects. The well-established author team use their experience to provide a practical and stimulating book which reflects everyday clinical activity, supplemented by high definition ultrasound images and schematic diagrams. The book will also discuss the place of regional anaesthesia in current medical practice, particularly with regard to pain processes, ultrasound imaging, and patient outcomes. Regional anaesthesia is a rapidly expanding sub-speciality of anaesthesia: routine provision of long-lasting pain relief and the introduction of real-time ultrasound block has fuelled a demand for cadaver and ultrasound-based anatomy training courses. Thus, it is more important than ever to have a thorough grounding in this exciting subspecialty.
The wealth of detail, the high quality photos and drawings, the well composed text, and the engaging layout are enticing. Handling and reading such an exceptional book brings great pleasure. Forget the fish. Buy the book.
Author: Admir Hadzic
Publisher: McGraw-Hill Education / Medical
The single most comprehensive hands-on guide to the practice of Regional Anesthesia and Pain Management -- in full color! 4 STAR DOODY'S REVIEW! "This is an enormous book. It weighs in at just under eight and a half pounds with a list price that makes it comparable to an equal quantity of sushi grade tuna! It is a beautiful and powerful text/reference book. The composition corresponds particularly well with the subject. The wealth of detail, the high quality photos and drawings, the well composed text, and the engaging layout are enticing. Handling and reading such an exceptional book brings great pleasure. Forget the fish. Buy the book."--Doody's Review Service Here at last is a reference that covers the practice of Regional Anesthesia in its entirety, providing practitioners and students with both the physiologic principles and specific, state-of-the-art patient-management protocols and techniques. Recognized leaders in the specialty have filled this richly illustrated volume with authoritative, completely practical help. You'll find algorithms for managing or avoiding a wide range of common clinical dilemmas or complications. You'll get time-saving tools such as intravenous-to-oral opioid conversion tables and PCA setup guides as well as no-nonsense selection of nerve block techniques and advice on their strengths and pitfalls. This handy reference helps you make wise choices about anesthetics, dosing intervals, equipment, and perioperative management of patients receiving single-injection or continuous nerve blocks or spinal or epidural anesthesia. It tells you how to successfully manage patients with suspected epidural hematoma or neurologic injuries -- and much more. Filled with full-color, high-quality, detailed illustrations and clinical images of actual patients Covers the entire field of regional anesthesia, including nerve stimulator and ultrasound-guided peripheral nerve blocks, from imaging and instrumentation to step-by-step instructions for employing them in adults and children Details how to achieve reliable anesthesia and analgesia for surgical interventions on the face and upper and lower extremities Provides information on the advantages and disadvantages of using regional anesthesia in patients with coexisting diseases Offers guidance on acute pain management of adults and children in the perioperative period and in the ER Features up-to-date information on the etiology, prevention, and management of a wide range of complications
This yearbook covers a number of issues in anaesthesia, including; drug testing in the fields of obstetrical anaesthesia, regional anaesthesia complications and chronic pain management; bi-spectral EEG analysis; Xenon; malignant ...
Author: John H. Tinker
Publisher: Mosby Incorporated
This yearbook covers a number of issues in anaesthesia, including; drug testing in the fields of obstetrical anaesthesia, regional anaesthesia complications and chronic pain management; bi-spectral EEG analysis; Xenon; malignant hyperthermia, atypical pseudocholinesterase, and train of four monitoring; and reports in the medico/legal/ethical arenas featuring physician assisted suicide. Also included is a paper from the American Society of Anaesthesiologists' Closed Claims Study, which examines the variability of expert' opinion and testimony.
In spite of that non - scientific attitude , the practice of anesthesia has evolved to
its present state of sophistication based on the principal objective of eliminating pain during surgical procedures . For decades , students of anesthesia have
A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated.
Author: Chester Buckenmaier
Publisher: Oxford University Press, USA
A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated. Although the MARAA handbook initially gained its reputation as a useful resource for managing pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance provides pertinent and practical guidance for managing vital acute pain services in all civilian and military clinical settings. Opening chapters review equipment, local anesthesia and additives, and physics of ultrasound and nerve stimulation. Much of the book is devoted to step-by-step guidance on performing various regional anesthesia nerve blocks organized by pertinent neuroanatomy, use of nerve stimulation, and use of ultrasound. The concluding group of chapters discusses organization of the acute pain service and staff, a review of multidisciplinary care, basics of pediatric regional anesthesia, first-aid acupuncture, and more.
This review is intended to be an analysis of the current literature to assist individuals and institutions in designing a pathway for total knee arthroplasty that is based on existing evidence and expert recommendation and may be customized ...
Abstract : Abstract: In 2014, the American Society of Regional Anesthesia and Pain Medicine in collaboration with the European Society of Regional Anaesthesia and Pain Therapy convened a group of experts to compare pathways for anesthetic and analgesic management for patients undergoing total knee arthroplasty in North America and Europe and to develop a practice pathway. This review is intended to be an analysis of the current literature to assist individuals and institutions in designing a pathway for total knee arthroplasty that is based on existing evidence and expert recommendation and may be customized according to individual settings.
Background and Aims:Reconstructive surgery is discussed with the majority of women in the UK undergoing mastectomy either as an immediate or a delayed procedure.
Author: Boyne Bellew
Background and Aims:Reconstructive surgery is discussed with the majority of women in the UK undergoing mastectomy either as an immediate or a delayed procedure. Acute postsurgical pain is commonly associated with both mastectomies and reconstructions. Risk of chronic pain is increased with inadequate pain management in the immediate post-operative period. Post-mastectomy pain syndrome is associated with severe pain after mastectomy and adds to an already psychologically devastating experience and negatively impacts the womanu2019s quality of life. The American Society of Anesthesiologists Task Force recommends use of multimodal analgesic strategies including regional blockade.Methods:A 62-year old female presented for mastectomy and immediate reconstruction with a deep inferior epigastric perforator (DIEP) free flap. She had bilateral erector spinae plane (ESP) nerve block catheters sited and right-sided Serratus Anterior block (SAP) prior to TIVA general anaesthesia.ResultsIntraoperatively she received standard protocol analgesia. In the post-operative recovery area she was comfortable requiring no further analgesia. Post-operative analgesia included paracetamol, naproxen & pregabalin. The ESP catheters were bolused at midnight on the day of surgery, 6am and noon the next day with 20ml 0.125% bupivacaine with 1:400,000 adrenaline. Both catheters were removed following final bolus. No rescue analgesia was required until day 2 postoperatively.Conclusions:ESP nerve block catheters, SAP nerve block, together with multimodal analgesia is a useful post-operative analgesic strategy for mastectomy and DIEP reconstruction. This patient had a 50% reduction in opiate requirement and we plan to undertake a larger case series using this strategy to refine our centeru2019s analgesic protocols for this patient group.
Multimodal analgesia is increasingly recognized as one of the better options for pain management in orthopedic trauma. An excess of one modality (regardless of
this modality, systemic narcotics, or regional techniques) seems to be implicated
Author: Lee A Fleisher
Publisher: Elsevier Health Sciences
Make informed clinical decisions with reliable, up-to-date guidance from Evidence-Based Practice of Anesthesia, 3rd Edition! Leading authority Lee A. Fleisher, MD expertly explores the full range of important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Make sound, evidence-based decisions on every aspect of patient care: preoperative assessment, monitoring and administration of anesthesia during surgery, postoperative intensive care management, and postoperative pain management. Master the current best practices you need to know for day-to-day practice and oral board review. Confidently navigate the latest issues thanks to new chapters on optimal airway management in GI endoscopy, the role of Ketamine for perioperative management, fast-track surgery, and hypothermia after intraoperative cardiac arrest, plus many other vital updates. Efficiently translate evidence into practice with numerous quick-reference tables and short, well-organized chapters that promote fast and effective decision making. Get practical decision-making tools you can use in both routine care and complicated or special situations.
This chapter focuses on regional anesthesia techniques for acute postoperative pain management. ... Subarachnoid and epidural analgesia are commonly
practiced re- gional anesthesia techniques for acute postoperative pain management.
Author: Scott Fishman
Publisher: Lippincott Williams & Wilkins
Bonica's Management of Pain was the first major textbook written primarily to guide practitioners as a comprehensive clinical text in the field of pain medicine. We aim to build on Bonica's tradition to assemble an updated, comprehensive textbook for pain practitioners that is seen as the leading text in the field of pain medicine. Prior editions have been largely based on contributions from leading practitioners who described current practice; this revision will make every attempt to include concise summaries of the available evidence that guides current practice.
We can now say that paediatric regional anaesthesia is one of the most effective
methods for perioperative analgesia and pain control. Many factors contribute to
the wide use of regional anaesthesia in children: the perception of pain and the ...
Author: A. Gullo
Publisher: Springer Science & Business Media
In modern medicine the most functional methodologies are taking an increasing importance in spreading informations, rendering it credible while at the same time using reliable data to focus interaction between basic science and clinical medicine. Critical care medicine embraces these needs and more than any other discipline thrives and develops thanks to interdisciplinary contact. APICE 2004 has been organised to provide precise answers to these issues. In particular, considerable emphasis has been given to the reviews regarding the most important aspects - or the most significant clinical developments - in the sectors involving variety of functions: neurological, respiratory and cardiovascular, gastrointestinal, metabolism and perfusion; trauma infections, sepsis and organ failure; perioperative medicine and life support techniques; information technology dedicated to clinical medicine, but also as a means of information and education. The contributing authors are all part of leading research groups at the international level in the various sectors presented in the volume.
The editors have built Issues in Pain Therapies and Research: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Pain Therapies and Research in this eBook to be deeper than what you can ...
Issues in Pain Therapies and Research / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Pain Therapies and Research. The editors have built Issues in Pain Therapies and Research: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Pain Therapies and Research in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Pain Therapies and Research: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist.
Author: Anna.A Pashkova
Publisher: Elsevier Health Sciences
This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: Overview of Pain Management for the Otolaryngologist; Pre-Operative Optimization; Local Blocks and Regional Anesthesia in the Head and Neck; Acute Pain Management following Head and Neck Surgery; Acute Pain Management following Sleep Surgery; Perioperative Analgesia for Thyroid and Parathyroid Surgery; Perioperative Analgesia for Sinus Surgery; Perioperative Analgesia following Otologic Surgery; Acute Pain Management following Facial Plastic Surgery; Perioperative Analgesia for Pediatric Patients Undergoing Otolaryngologic Procedures; Non-Opioid Adjuncts and Alternatives; Postoperative Analgesia in the Chronic Pain Patient; Non-Enteral Pain Management; Chronic Pain Management in the Head and Neck Patient; Controlled Substance Agreements; Pain Psychology; Sinus Headache; and Quality Improvement in Pain Medicine.
Postoperative multimodal analgesia pain management with nonopioid analgesics and techniques. JAMA Surg. 2017;152(7):691–697. Stein ALS,
Baumgard D, Del Rio I, Tutiven JL. Updates in pediatric regional anesthesia and
its role in the ...
Author: Kirk Lalwani
Publisher: Oxford University Press
Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews pediatric anesthesia utilizing the PBL approach. Each chapter deals with conditions and problems in pediatric anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Cases were carefully selected to present a broad systems-based tour of commonly encountered clinical cases in pediatric anesthesia. The book can be used to review an upcoming clinical case or as a PBL tool. The "Stem Case and Key Questions" and "Discussion" sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the subspecialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.
Regional. Anaesthesia. and. Analgesia,. Part. 1: Peripheral. Nerve. Blockade.
Barbora Parizkova and Shane George Key ... a range of techniques that provide
isolated localised anaesthesia (ability to perform surgery) or analgesia (pain relief).
Author: Felicia Cox
Publisher: John Wiley & Sons
The Handbook of Perioperative Pain Management is an up-to-date evidence-based guide to the effective management of perioperative pain even in the most challenging situations. It provides readers with an understanding of the physiology, pharmacology and psychology of acute pain together with guidelines for best practice. Examples of assessment documentation and guidelines for specific patient sub-groups are reproduced throughout the text.
Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care.
Author: Richard D. Urman
Publisher: Oxford University Press
Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards surrounding proper management of perioperative pain. There is now an increased burden on every hospital and training program to ensure that healthcare providers understand the essentials of pain management and are able to recognize and treat pain in a timely fashion. Poorly controlled pain leads to patient dissatisfaction and contributes to increased morbidity and mortality, such as myocardial infarction, pneumonia, and emotional effects. Proper management, including appropriate pharmacologic management and regional analgesic techniques, can improve function and shorten length of hospital stay. Patients who are undergoing procedures under sedation or anesthesia need to receive adequate pain relief with drugs or regional anesthetic techniques. In the recovery room following the procedure, the staff taking care of the patient needs to be properly trained to diagnose and treat post-procedural pain. Part of the Oxford American Pain Library, this concise, evidence-based clinical guide serves as a tool for every clinician who wishes to understand the basic mechanisms, pharmacology, invasive and noninvasive treatment modalities, guidelines and development of pain management protocols. The authors address new technologies, chronic pain issues, running an acute pain service, opioid and non-opioid pharmacology (including newly approved drugs), epidural and other regional anesthesia, and special populations such as pediatric patients, the elderly, and patients with a co-existing disease.
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 ...
Author: A. Gullo
Publisher: Springer Science & Business Media
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.
Pain Research and Clinical Management Series K. J. S. Anand, MBBS, DPhil,
B. J. Stevens, RN, PhD, Patrick J. McGrath, OC, ... regional. analgesia. and. anaesthesia. Navil. Sethna. Santhanam. Suresh. INTRODUCTION All invasive
Author: K. J. S. Anand
Publisher: Elsevier Health Sciences
A new edition of a highly regarded text in the series on Pain Research and Clinical Management. The book is now used as a standard reference text for those working in the field of neonatology and paediatric pain assessment and management. It provides a comprehensive resource of the latest information in the field for use by both researchers and clinicians. The text is intended for use by all professionals working in the field: neonatologists; pediatricians; anestheiologists; nurses; psychologists. Multidisciplinary editorship and authorship ensuring relevancy and balance of content for all professional groups concerned. Clinically relevant and research based. Edited and written by the best known international names in the field. Covers pain management in infants up to 1 year of age as well as term and preterm neonates. Includes new chapters on: Long-term consequences of neonatal pain from animal models; Pharmacogenetics and pharmacodynamics of analgesic drugs; Neuraxial and Regional Analgesia and Anesthesia; Fetal pain and surgery; Vulnerable Populations, Palliative Care; Infant Pain in the Home and Community, Developing Countries; Health Policy and Health Economics related to Infant Pain; Complementary and Alternative Approaches to Pain in Infancy; and Future Direction.
The ASRA evidencebased medicine assessment of ultrasoundguided regional anesthesia and pain medicine. Executive summary. ... Review Professional
Standards 3—Guidelines for the management of major regional analgesia.
Viewed 21 ...
Author: Alwin Chuan
Publisher: OUP Oxford
Regional Anaesthesia: A Pocket Guide is an essential companion to the practice of regional anaesthesia for consultants and trainees in the specialty. Filled with practical advice and carefully designed for ease of use, this book is the helpful aid to practice that anaesthetists have been waiting for. The book covers all the major blocks by anatomical region, from the head and upper extremities, to the lower extremities and para-axial region. The technique for each procedure is prefaced by information on its difficulty, indications, contraindications, and potential side-effects. Every procedure is also accompanied by a range of high-quality clinical photographs and anatomical drawings that demonstrate the importance of applying anatomical knowledge in practical anaesthetic procedures. Regional anaesthesia is a fast-moving specialty, and this book takes into account recent advances in ultrasound-guided techniques with a strong focus on real-time observation of needle placement. Landmark-placed blocks have are also covered for clinicians without access to ultrasound technology. Regional Anaesthesia: A Pocket Guide is a unique compilation of anaesthetic techniques that offers support and guidance for any trainee or specialist in their every day practice.