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Chronic Postsurgical Pain by Gérard Mick,Virginie Guastella Pdf
Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.
This new edition reflects the evolution of the field including new topics for historical relevance regarding the changing attitudes towards opioid prescription and use. The book points out that the realization of liberalizing use is almost uncontrollably linked to unnecessary patient death. Similarly, the evidence is increasingly confirming that interventional pain procedures work. New evidence presents, for example, that Percutaneous Lysis of Adhesions is an effective therapeutic modality that has advantages over other options due to its cost effective nature and long term outcomes reducing the need for additional procedures including surgeries and more and more expensive medications. Awareness about the consequences of bad outcomes leads to medicolegal complications. The inevitable trigger is bad outcome which is often related to knowledge, training, experience, as well as equipment design. Some of the examples and lessons learned from the medicolegal arena may soon prevent such occurrences.
Acute Pain Management by Daniel B. Carr,Ada K. Jacox Pdf
Offers clinicians a collaborative, interdisciplinary approach to assess and manage pain, including input from the patient; aggressive use of both drug and non-drug therapies; assessment and frequent reassessment of the patient's pain; and a formal institutional approach to pain management. Includes strategies for overall and site-specific pain control. Addresses issues related to special groups. Contains analgesic dosage tables for adults and children, sample pain assessment tools, examples of non-drug interventions, and pre- and postoperative pain management flow charts.
Management of Postoperative Pain Within Eras Protocols in Surgery by Jaime Ruiz-Tovar Pdf
"Enhanced recovery after surgery (ERAS) programs are a multidisciplinary approach in the perioperative care of the patient undergoing major surgery, including pre, intra and postoperative measures, based on the actual evidence published in literature (evidence-based medicine), to improve the postoperative recovery of the patient. ERAS protocols have been widely developed in colorectal surgery, but given their excellent results, new protocols and guidelines have been developed in other surgical fields, including abdominal and extra-abdominal areas. One of the main keypoints in the multidisciplinary approach is a correct management of postoperative pain. Adequate analgesia implies lower morphine requirements and facilitates early postoperative mobilization. Consequently, lower postoperative ileus and earlier oral intake can be achieved. Altogether, this leads to an improvement of the overall quality of life. Multimodal analgesia is one of the main tools employed for these aims. It consists of the administration of different analgesic drugs by different ways, reducing the risk of toxicity and the appearance of adverse effects. In addition, the different analgesic methods used provide a synergistic effect, maximizing the analgesic result. The aim of this book is to update the actual evidence about ERAS protocols on different surgical approaches, analyzing the different analgesic schemes used in different approaches, all of them including the principle of multimodal analgesia"--
Ronnie Ann Rosenthal,Michael E. Zenilman,Mark R. Katlic
Author : Ronnie Ann Rosenthal,Michael E. Zenilman,Mark R. Katlic Publisher : Springer Science & Business Media Page : 1387 pages File Size : 47,6 Mb Release : 2011-07-12 Category : Medical ISBN : 9781441969996
Principles and Practice of Geriatric Surgery by Ronnie Ann Rosenthal,Michael E. Zenilman,Mark R. Katlic Pdf
"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review
Perioperative Pain Management for General and Plastic Surgery by Deepak Narayan,Alan D Kaye,Nalini Vadivelu Pdf
All physicians are involved in the management of pain at some level or the other, but of the various specialties and health professions, surgeons are at the frontline of delivering perioperative pain care. Perioperative Pain Management for General and Plastic Surgery offers a concise yet comprehensive overview of the surgical pain management field to help practitioners effectively plan and enhance perioperative pain control. Chapters provide guidance on solving common dilemmas facing surgeons who are managing patients with pain related problems and clinical decision-making, and explore essential topics required for the trainee and practitioner to quickly assess the patient with pain, to diagnose pain and painful conditions, determine the feasibility and safety of surgical procedure needed, and arrange for advanced pain management consults and care if needed. This text also explores the latest evolving techniques and appropriate utilization of modern equipment and technology to safely provide care. Highly accessible and written by experts in the field, Perioperative Pain Management for General and Plastic Surgery is an ideal resource for practicing surgeons, anesthesiologists, critical care personnel, residents, medical students.
Practical Trends in Anesthesia and Intensive Care 2018 by Davide Chiumello Pdf
This book offers an essential guide to managing the most-debated hot topics of practical interest in anesthesia and intensive care. It reviews the state of the art in issues concerning both intensive care medicine and anesthesia, such as perioperative coagulation management, neuroaxial blockade and complications, postoperative pain management, pediatric airway management, septic shock and hemodynamic management, diagnosis and management of acute respiratory distress syndrome, and antifungal treatments for critically ill patients. Written by leading experts and including updated references, it provides a comprehensive, easy-to-follow update on anesthesia and intensive care. The book clearly explains complex topics, offering practicing clinicians valuable insights into the latest recommendations and evidence in the field while, at the same time, making it a vital resource for students new to the fields of anesthesia and intensive care.
Chester C. Buckenmaier,Michael Kent,Edward R. Mariano,Jason C. Brookman
Author : Chester C. Buckenmaier,Michael Kent,Edward R. Mariano,Jason C. Brookman Publisher : Oxford University Press, USA Page : 1291 pages File Size : 55,5 Mb Release : 2019-05-14 Category : Medical ISBN : 9780190856649
Acute Pain Medicine by Chester C. Buckenmaier,Michael Kent,Edward R. Mariano,Jason C. Brookman Pdf
Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.
Fast Facts: Perioperative Pain by M. Brown,K. Peperzak Pdf
The importance of effective and safe pain management in the perioperative period has never been greater. The populations clinicians serve are rapidly changing and, when considered in combination with socioeconomic issues, it is clear that the challenges of providing a high-quality perioperative experience are extensive. Fast Facts: Perioperative Pain provides a succinct and accessible guide to the practice of perioperative pain management, covering the complete surgical journey from the preoperative assessment phase through to postoperative management, including persistent postsurgical pain. Packed with detailed figures and illustrations, this valuable resource is suitable for all multidisciplinary team members who encounter surgical patients in pain during the course of their work. Table of Contents: • Pain mechanisms • Preoperative phase • Diagnosis and assessment • Multimodal strategies • Systemic therapies • Non-systemic therapies • Non-pharmacological management • Specific management strategies • Persistent postsurgical pain • Substance use disorder
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse Publisher : National Academies Press Page : 483 pages File Size : 43,6 Mb Release : 2017-09-28 Category : Medical ISBN : 9780309459570
Pain Management and the Opioid Epidemic by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse Pdf
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Peter F. Svider,Anna A. Pashkova,Andrew P. Johnson
Author : Peter F. Svider,Anna A. Pashkova,Andrew P. Johnson Publisher : Springer Nature Page : 352 pages File Size : 55,7 Mb Release : 2021-01-21 Category : Medical ISBN : 9783030560812
Perioperative Pain Control: Tools for Surgeons by Peter F. Svider,Anna A. Pashkova,Andrew P. Johnson Pdf
According to the Centers for Disease Control and Prevention (CDC), there were nearly 40,000 opioid-related deaths in the U.S in the last year alone. These numbers have increased considerably for a variety of reasons, and the growing role of prescription drug abuse has been widely recognized. There has also been increasing consciousness of the lack of dedicated and formalized training dedicated to prescription of analgesics, particularly among surgical trainees and practicing surgeons. Recent studies demonstrate that only a small minority of training programs mandates any opioid prescribing education, despite the fact that nearly all programs allow trainee prescription of opioids on an outpatient basis. Therefore, it is not surprising that despite a growing body of literature illustrating the value of opioid alternatives and adjuncts, practicing surgeons in all specialties largely ignore these evidence-based practices and continue to prescribe opioids in situations for which alternatives are proven, safe, and effective. There are many reasons for preparing a concise and practical resource describing evidence-based practices targeting surgeons and surgical subspecialists, including but not limited to: (1) The exponential increase in prescription drug abuse associated with the “opioid epidemic,” as surgeons play an important role in managing perioperative and chronic pain in a variety of practice setting; this issue bears importance from the patient, physician, and policymaker standpoint; (2) With increasing recognition of the role of quality improvement in patient safety initiatives, and literature demonstrating inadequate opioid prescribing education (OPE) in surgical training programs, it is only a matter of time before accreditation bodies including the ACGME incorporate strong recommendations and mandates for OPE; (3) Myriad literature demonstrating the existence of evidence-based alternatives to opioids – All surgeons and surgical subspecialists would benefit from a practical guide concisely laying this literature out. We feel that surgeons of all experience levels may benefit, ranging from the first year surgical intern to an experienced practitioner trying to remain compliant with the evolving opioid regulatory environment. Hence, the appropriate target audience for this text would be for the tens of thousands of current surgical trainees in many specialties, including general surgery, thoracic surgery, otolaryngology, plastic surgery, urology, gynecology, vascular surgery, neurosurgery, and orthopedic surgery. Furthermore, surgeons out of training would be another audience of interest, as there are increasing courses for continuing medical education based on perioperative and chronic pain management. Currently, there are no comparable and competitive guides with these target audiences; all of the existing literature about perioperative and chronic pain is targeted either specifically for patients, anesthesiologists, or pain medicine physicians. This will be the only up to date guide focusing on evidence-based practices for perioperative pain control, and each section will also include information on chronic pain sequelae relevant to each surgical specialty. The editors envision this text being an interdisciplinary endeavor, incorporating surgeons from multiple specialties, anesthesiologists, pain medicine physicians, and palliative physicians as appropriate.