Acute Pain Management (eBook, PDF)

Redaktion: Sinatra, Raymond S.

• Format: PDF

Produktbeschreibung

This textbook is written as a comprehensive overview of acute pain management. It is designed to guide clinicians through an impressive array of different options available to them and to patients. There has been a flurry of interest in the extent to which acute pain can become chronic pain, and how we might reduce the incidence of such chronicity. This overview covers a wide range of treatments for pain management, including the anatomy of pain pathways, the pathophysiology of severe pain, pain assessment, therapeutic guidelines, analgesic options, organization of pain services, and the role of anesthesiologists, surgeons, pharmacists, and nurses in providing optimal care. It also discusses the use of patient-controlled analgesia and how this may or may not be effective and useful.

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Produktdetails

• Verlag: Cambridge University Press
• Erscheinungstermin: 27. April 2009
• Englisch
• ISBN-13: 9780511513008
• Artikelnr.: 38205529

Inhaltsangabe

Part I. Pain Physiology and Pharmacology: 1. Pain pathways and acute pain
processing; 2. The pathophysiology of acute pain; 3. Patient variables
influencing acute pain management; 4. Acute pain: a psychosocial
perspective; 5. Non-steroidal anti-inflammatory drugs and acetaminophen:
pharmacology for the future; 6. Local anesthetics in regional anesthesia
and acute pain management; 7. Pharmacology of novel non-NSAID analgesics
(Ketamine, Clonidine, Gabapentin); 8. Pharmacokinetics of epidural opioids;
9. Transitions from acute to chronic pain; 10. Molecular basis and clinical
implications of opioid tolerance and opioid-induced hyperalgesia; Part II.
Clinical Analgesia: 11. Qualitative and quantitative assessment of pain;
12. The role of preventive analgesia and impact on patient outcome; 13.
Opioid oral and parenteral opioid analgesics for acute pain management; 14.
IV-PCA (history, technical aspects, agents, dosing, risk vs. benefits,
effects on pain, satisfaction, effect on outcome); 15. Clinical application
of epidural analgesia; 16. Neuraxial analgesia with hydromorphone morphine
and fentanyl: dosing and safety guidelines; 17. Regional anesthesia for
acute pain in the in-patient setting; 18. Regional anesthesia for acute
pain management in the outpatient setting; 19. Patient controlled analgesia
devices and analgesic infusion pumps; 20. Novel analgesic drug delivery
systems for acute pain management; 21. Non-selective non-steroidal
anti-inflammatory drugs (NSAIDs), cyclooxygenase-2 inhibitors (COX-2Is),
and acetaminophen in acute perioperative pain; 22. Perioperative ketamine
for better postoperative pain outcome; 23. Clinical application of
glucocorticoids, anti-neuropathics and other analgesic adjuvants for acute
pain management; 24. Non-pharmacological approaches for acute pain
management; 25. Adverse events associated with opioid therapy and their
treatment (incidence of adversity, nausea, vomiting respiratory depression,
ileus, etc.); 26. Respiratory depression: incidence, diagnosis, and
treatment; Part III. Acute Pain Management in Special Patient Populations:
27. Acute pain management services: organization and implementation issues;
28. Acute pain management in the community hospital setting; 29. Ambulatory
surgical pain: economic aspects and optimal analgesic management; 30.
Pediatric acute pain management (oral, parenteral, neuraxial); 31. Acute
pain management for elderly 'high risk' and cognitively impaired patients:
rationale for regional analgesia; 32. Post-cesarean analgesia; 33. Acute
pain management in Sickle Cell Disease patients; 34. Acute pain management
in patients with opioid dependency and substance abuse (including
buprenorphine); Part IV. Specialist Managed Pain: 35. Pain management
following colectomy: a surgeon's perspective (balancing analgesia vs. side
effects); 36. Acute pain management in the emergency department (medical
and trauma related pain); 37. The nurse's role in acute pain management;
38. The role of the pharmacist in acute pain management; Part V. Pain
Management and Patient Outcomes: 39. Economics and costs: a primer for
acute pain management specialists; 40. Evidence based medicine (does
optimal analgesia improve outcome/satisfaction in post-surgical settings);
41. Effect of epidural analgesia on postoperative outcomes; 42. Research in
acute pain management; 43. Quality improvement approaches in acute pain
management; 44. The future of acute pain management (where we are
heading?).