A virtualist is a doctor who specializes in virtual medicine. She uses tools like VR headsets, spatial acoustics, haptic feedback, and even olfactory mimicry to induce reactions in patients' bodies that help treat a variety of physiological and psychological conditions, from chronic pain, to compulsive behavior, without the use of pharmaceuticals or surgical techniques. Virtualists don't exist yet, but after reading VRx they just might. In recent years, scientists have established that people's perceptions - their subjective experiences of the world - influence how their bodies work. We typically have little control over our perceptions, particularly when we are sick. But what could we do if we did? In VRx Brennan Spiegel introduces readers to a new kind of medicine, called virtual therapeutics, answering exactly this question, using technology that is already available. It works through two basic but powerful psychological concepts: embodied cognition, the idea that thought processes involve the whole body, not just the brain; and presence, the ability of virtual reality to trick your body into thinking it's somewhere that it isn't, or can do something that it can't usually do. VRx takes readers on a mindbending journey through the ways in which these deep connections between our minds and our bodies are being put to good use. We learn about the woman who endures an exceptionally painful labor by completing breathing exercises on a digital beach, the schizophrenic patient who literally confronts the demon inside his head, the burn victims who are able to manage their pain better after traversing snowy virtual landscapes, and the doctor who confronted his own fear of mortality by watching himself die. Brimming with extraordinary stories of the power of virtual therapeutics to treat both physical and psychological conditions, VRx offers nothing short of a completely new way of healing.

'A Headache in the Pelvis is a lamp in the dark human suffering of chronic pelvic pain. This book is a precious document that will help many people.' Psychologist David Wise lived for 22 years with agonising chronic pelvic pain (also known as prostatitis/CPPS). There was seemingly no cure, until he began to make the connection between his anxiety and his physical pain. He enlisted renowned NeuroUrologist Dr Rodney Anderson from Stanford University to develop a revolutionary new method for muscle relaxation. Amazingly, a third of their patients were able to stop taking drugs within six months of beginning their new daily, holistic muscle relaxation treatment. Sufferers of chronic pelvic pain are living a life of quiet desperation. For the first time, there is a solution that is helping patients empower themselves in their own healing and gain control over their chronic pain. Patients and medical practitioners across the US and UK have called this method 'life-changing'. This audiobook is for patients who have tried everything to cure themselves of chronic pelvic pain and for the clinicians who want to work with their patients towards a long-term solution.

This book serves as a practical resource for pain medicine providers. It presents important clinical concepts while covering critical pain medicine fundamentals. Chapters were carefully chosen to cover common aspects of clinical pain medicine and also follow a common format to facilitate quick look-up. Each chapter includes a concise discussion of the latest supporting evidence as well as relevant case scenarios. The coverage is clinically and board relevant, evidence-based and up-to-date. It will appeal to residents preparing for the written board examination and practitioners preparing for board re-certification, which now occurs every 10 years. Beyond these groups, the book has the potential to appeal to learners and practitioners around the world; pain medicine is burgeoning globally, and there is great need for concise, clinically relevant resources.

Whether someone was injured at work, struck in a motor vehicle accident, or threw their back out while at home, once pain strikes, people need to get back to feeling their best-and back to work-as quickly as possible. Pain after an injury can be limiting and make a person feel helpless, uncertain, and fearful about the future. It is difficult to achieve one's dreams when pain is preventing doing anything but moving from the bed to the couch. The quickest way to get over the pain to achieve those dreams is to get back to feeling great and back to work. In Move Freely, Helen M. Blake, MD helps readers rise above the pain of an injury by sharing her process for physical renewal. Dr. Blake's process is the guide to anti-inflammatory nutrition, mindfulness and yoga practices, aerobic conditioning, and vitamin supplements. Move Freely teaches readers how to rise above the pain that continues for months or years, nourish one's well-being, work toward professional goals and aspirations, and so much more. It enlists the most comprehensive set of tools and practices to get readers back to work and ready to pursue their passions-beyond the limits of chronic pain.

Complications during airway management occur frequently when treating children. Although tracheal intubation is a routine procedure, there are no pediatric texts dedicated to this essential practice. The lack of specific resources and knowledge makes treating children with complex airways even more challenging. This landmark book is dedicated to the successful management of the complex pediatric airway. It explores and evaluates current research and covers novel topics such as airway ultrasonography and apneic oxygenation. It delineates the risks associated with intubating children, and their preventative measures. Aimed at clinicians involved in airway management in any form, this book covers the basics of airway management and how to perform a variety of essential techniques. Both occasional and exclusive pediatric clinicians will find this a valuable resource to support best practice. The book is supplemented by additional videos online, enhancing the demonstration of devices and techniques discussed in the text.

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research. Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; for this reason, treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care. Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice. Endorsements/Reviews: "Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties." -- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC)

Part of the What Do I Do Now? Pain Medicine series, this timely volume presents clinical scenarios exploring headache medicine and treatments. Headache Medicine is a complex and constantly developing field, often relying on outdated and time-intensive textbooks. The purpose of this book is to educate readers on the diagnosis and management of commonly encountered headache disorders through brief discussion of relevant and specific cases. The book begins with Headache Medicine clinical pearls and red flags. It progresses through primary and secondary headache disorders, using cases to illustrate presentations and then help to guide an approach to evaluation and management. The book follows the same order as the International Classification of Headache Disorders (ICHD-3). Topics include migraines, cluster headaches, neuropathic eye pain, and trigeminal and occipital neuralgia. This handy guide will be of use to physicians and advanced practitioners (nurse practitioners and physician assistants) interested in the practice of Headache Medicine, emergency room and urgent care physicians, neurologists, internists, psychiatrists, physiotherapists, residents, and medical students undergoing a Neurology or Headache Medicine rotation.

This issue of Anesthesiology Clinics, guest edited by Dr. Alexander A. Hannenberg, focuses on Management of Critical Events. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: Why We Fail to Rescue from Critical Events; High Fidelity Simulation Training; Alternatives to High Fidelity Simulation Training; Tools to Improve our Capacity to Rescue; Use of Cognitive Aids to Improve Management of Critical Events; Real-time debriefing after critical events: Exploring the Gap between Principle and Reality; Mass Casualty Events; Obstetrical Hemorrhage; Intraoperative cardiac arrest; The Lost Airway; The Septic Patient and Oxygen Supply Failure.

Advances in Anesthesia highlights the year's significant medical advances, providing one source to review the essential information updates for the Anesthesiologist in that year. The distinguished editorial board, led by Dr. Thomas McLoughlin, includes Drs. Richard Dutton, Laurence Torsher, and Francis Salinas. The board has assembled a first-rate volume for 2020, including topics on motor-sparing nerve blocks; whole blood; teaching airway management skills to non-anesthesiologists; endovascular procedures; regional anesthesia for cardiac surgery, ketamine; consent; medical cannabis; and more.

The Comprehensive Textbook of Healthcare Simulation is a cohesive, single-source reference on all aspects of simulation in medical education and evaluation. It covers the use of simulation in training in each specialty and is aimed at healthcare educators and administrators who are developing their own simulation centers or programs and professional organizations looking to incorporate the technology into their credentialing process. For those already involved in simulation, the book will serve as a state-of-the-art reference that helps them increase their knowledge base, expand their simulation program's capabilities, and attract new, additional target learners. Features: * Written and edited by pioneers and experts in healthcare simulation * Personal memoirs from simulation pioneers * Each medical specialty covered * Guidance on teaching in the simulated environment * Up-to-date information on current techniques and technologies * Tips from "insiders" on funding, development, accreditation, and marketing of simulation centers * Floor plans of simulation centers from across the United States * Comprehensive glossary of terminology

Are you frustrated by the lack of lack of quality, up-to-date revision material for the Primary FRCA OSCE examination? The answer is here. Primary FRCA: OSCEs in Anaesthesia provides candidates with over 80 practice OSCE stations presented in the style of the Royal College exam. Covering the main OCSE categories such as physical examination, resuscitation and simulation, anaesthetic hazards, and equipment, this book will help candidates prepare for the exam and test their knowledge. Each station is constructed in clear and logical fashion to make the revision of individual topics more accessible. The sample questions and answers allow self-testing and are complemented by discussions, numerous illustrations and up-to-date clinical guidelines which follow modern-day anaesthetic practice. With more candidates now failing the OSCE component of the exam, Primary FRCA: OSCEs in Anaesthesia is a must-have for trainees and tutors preparing for the primary FRCA.

Offering timely coverage of this complex field, Interventional Management of Chronic Visceral Pain Syndromes is a practical, evidence-based guide for the mechanisms, presentation, diagnosis, and treatments of chronic non-malignant and malignant abdominal pain syndromes. Experienced clinicians and academic leaders in pain medicine comprehensively discuss best-practice guidelines using the newest interventional techniques, including dorsal root ganglion stimulation, high frequency spinal cord stimulation, and low-dose intrathecal infusion pumps. Coverage includes malignant and non-malignant gastrointestinal pain, malignant and non-malignant pelvic pain in males and females, rectal pain, and chest pain. Discusses key demographic characteristics as well as clinical and diagnostic presentations of the most common and esoteric visceral pain syndromes that will enable clinicians to identify pain generators. Provides a truly systematic approach to the treatment of chronic visceral pain, including the use of pharmacologic, non-interventional, interventional, and multidisciplinary therapies with evidence-based data. Covers the indications, contraindications, and outcomes results of the newest interventional treatments that all clinicians should be aware of, including neuromodulation and intrathecal pump therapy.

Als Schmerzpatient mussen Sie ggf. regelmassig Schmerzmedikamente einnehmen, um den Alltag bewaltigen zu koennen. Dieser Ratgeber erklart verstandlich die Wirkungsweise und die moeglichen Risiken der verschiedenen Substanzen, wie sie richtig eingesetzt werden und welche Nebenwirkungen auftreten koennen. Der Leser erhalt auf praktische Fragen klare Antworten, z.B.: Welche Tatigkeiten darf ich unter Schmerzmitteln ausuben, darf ich Maschinen bedienen oder Auto fahren? Sind Schmerzmittel in der Schwangerschaft und Stillzeit erlaubt? Wie lange durfen Schmerzmittel eingenommen werden? Die Autoren sind AErzte und Experten auf dem Gebiet der Schmerzmedizin und kennen die Sorgen und Fragen von Patienten. Sie wenden sich an alle, die Schmerzmedikamente verschrieben bekommen haben oder rezeptfrei verkaufliche Schmerzmedikamente einnehmen.

Conventional pharmaceutical approaches to pain management are not always successful. Using only those medications that have an official indication for a certain condition reduces substantially the chance of the patient gaining pain relief and may expose them to intolerable side effects. However evidence now exists on the use of other drugs, produced for non-pain conditions, and how they can substantially increase the chances of pain relief.
Covering the most recent developments in this field, McCleane offers an alternative solution to pain treatment when conventional treatments fail. This pioneering book proposes evidence-based alternatives to current options in pain management, using well-grounded rationales for each given treatment.
This book is an ideal reference for the specialist and non-specialist prescriber alike and for practitioners from a wide variety of disciplines. It provides the evidence required and treatment algorithms for readers to use the drugs appropriately and to explore the field if they wish.

Most people choose their surgeon with care, but very few think about the anesthesiologist, even though that physician's skills and approach can significantly influence surgical outcomes. Here Dr. Steven L. Orebaugh recommends steps we all can take to secure safe and effective anesthesia. What type of anesthesia is used-and how it is applied-directly affects postoperative comfort as well as mental clarity and rehabilitation. This book describes the various options for anesthesia and how they can be used together for the best possible outcome and optimal pain management. Dr. Orebaugh offers a brief history of the subject and a clear and careful overview of the types of anesthesia and their associated complications and risks. Dr. Orebaugh focuses especially on the benefits of regional anesthesia. When appropriately applied-whether alone or with other methods-spinal and peripheral nerve blocks often lead to better recovery and reduced pain. Studies show that as many as half of all surgical patients experience poorly controlled postoperative pain. Regional anesthetic nerve blocks can help significantly in managing this pain while reducing the side effects of general anesthetics and pain medications. A better understanding of anesthesia will reassure people contemplating surgery and equip them to take the necessary steps toward healthy recovery. Knowing their options, they can have informed conversations with their doctor and indicate a preference for a specific anesthetic treatment. Written by a compassionate and experienced anesthesiologist and backed by scientifically accurate information and the latest research, this book will help patients do just that.

Dieses Buch fasst den aktuellen Forschungsstand zum Thema Cannabis zusammen. Hierfur wurden alle bedeutsamen, in den letzten 10 Jahren in deutscher und englischer Sprache publizierten Forschungsarbeiten systematisch recherchiert und ausgewertet. Dargestellt werden: - psychische, organische und soziale Risiken des Konsums pflanzlicher und synthetischer Cannabisprodukte zu Rauschzwecken, - Wirksamkeit, Vertraglichkeit und Sicherheit von Cannabisarznei bei organischen und psychischen Erkrankungen, - Motive und Erwartungen eines nichtarztlich verordneten Gebrauchs von Cannabis im Sinne einer Selbstmedikation. Die Expertise liefert einen umfassenden UEberblick uber die aktuelle Literatur. Sie bewertet das therapeutische Potenzial und die Risiken von Cannabis entsprechend internationaler methodischer Vorgaben der evidenzbasierten Medizin. Die Expertise dient somit als solides Nachschlagewerk. Ihr Auftraggeber war das Bundesministerium fur Gesundheit.

Focusing exclusively on reverse shoulder arthroplasty (RSA) techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. The book begins with a history of RSA followed by a thorough overview of the basic science and biomechanics of the shoulder. Indications for and clinical applications of RSA in a number of surgical interventions are then described, including the revision of failed shoulder arthroplasty, setting in cases of glenoid and humeral bone loss and rotator cuff tears. A whole section is then dedicated to various commercial devices with descriptive expert analysis of the design and implementation of each. An examination of the current economic value of RSA, including cost effectiveness and expected cost outcomes, comprises the final section. Reverse Shoulder Arthroplasty can therefore be read either from start to finish, allowing orthopedic surgeons to appreciate the various perspectives offered, or by selecting specific topics of interest much like a "how-to manual" of either a particular device design or the treatment of a specific pathology.

For nearly 40 years, Oh's Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today's intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. New coverage of the latest developments in ICU imaging techniques, including ultrasound. New information on the latest advances in ECMO (Extracorporeal Membrane Oxygenation) for cardiac and respiratory failure, ARDS, septic shock, neurologic disorders, muscle function, and hemodynamic therapy. New co-editor Dr. Jonathan Handy shares his knowledge and expertise on acid-base disturbances during critical illness, critical care transfers, intravenous fluid therapy, cardiovascular physiology, burn management, sepsis, and the immunological impact of surgery and burn injury. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Theodore H. Stanley, M.D. Anesthesiology and Pain Management contains the Refresher Course manuscripts of the presentations of the 36th Annual Postgraduate Course in Anesthesiology which took place at The Cliff Conference Center in Snowbird, Utah, February 22-26, 1991. The chapters reflect new data and concepts within the general framework of "pain research and basic science," "clinical topics in pain management." The purposes of the textbook are to 1) act as a reference for the anesthesiologists attending the meeting, and 2) serve as a vehicle to bring many of the latest concepts in anesthesiology to others within a short time of the formal presentation. Each chapter is a brief but sharply focused glimpse of the interests in anesthesia expressed at the conference. This book and its chapters should not be considered complete treatises on the subjects addressed but rather attempts to summarize the most salient points. This textbook is the ninth in a continuing series documenting the proceedings of the Postgraduate Course in Salt Lake City. We hope that this and the past and future volumes reflect the rapid and continuing evolution of anesthesiology in the late twentieth century. ix list of Contributors Ashburn, Michael A. Department of Anesthesiology, University of Utah, Salt Lake City, Utah Basbaum, Allan Department of Anatomy & Physiology, University of California - San Francisco, San Francisco, California Bonica, John J. Department of Anesthesiology, The University of Washington, Seattle, Washington Cousins, Michael J.

Anesthesia for the New Millenium: Modern Anesthetic Clinical Pharmacology contains the refresher course lectures of the 1999 meeting and is a review of the current state of the art in anesthesia clinical pharmacology. The authors of the individual chapters are among the world's most widely recognized experts in the pharmacology of perioperative medicine. The book features sections on new pharmacology concepts, new drug delivery techniques, recently released drugs and novel thinking about older drugs. It also addresses several areas that have recently emerged as very hot clinical and research topics, including depth of anesthesia monitoring technology and anesthesia drug interactions. The textbook is the seventeenth in a continuing series documenting the proceedings of the postgraduate course.

Edited and written by an international "who's who" of more than 100 authors, including anesthesiologists, nurse anesthetists, bench scientists, a surgeon, and representatives of industry, this text provides a comprehensive history of anesthesia, unique in its focus on the people and events that shaped the specialty around the world, particularly during the past 70 years when anesthesia emerged from empiricism and developed into a science-based practice.

This issue of Anesthesiology Clinics, guest edited by Drs. Katherine Forkin, Lauren Dunn, and Edward Nemergut, is focused on Gender, Racial, and Socioeconomic Issues in Perioperative Medicine. Topics include: Addressing Racial and Gender Disparities amongst Physicians and the Impact on the Community they Serve; Addressing Racial and Gender Disparities in Critical Care; Care and Outcomes of Religious Minority Patients in the ICU; Genetics and Gender in Acute Pain and Perioperative Analgesia; Women and Underrepresented Minorities in Academic Anesthesiology; Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation; Racial Differences in Cesarean Section and Labor Analgesia; Gender Differences in Postoperative Outcomes after Cardiac Surgery; Perioperative Considerations Regarding Sex in Solid Organ Transplantation; Considerations for Transgender Patients Perioperatively; Health Disparities in Pediatric Anesthesia; Role of Gender and Race in Patient Reported Outcomes and Satisfaction; and Effects of Gender and Race/Ethnicity in Perioperative Team Performance.

Learn basics about how to read a blood gas report. What are the principle components, how they are derived and what is their significance? This includes pH, PaCO2, PCO2, PaO2, PAO2, FiO2, CaO2, A-a gradient, SaO2, HCO3, Pulse oximetry, Carbon-monoxide poisoning, Hyperbaric Chamber. This is section I of the book. Section II of the book is a work book approach where the doctor learns to interpret blood gases from the given report (emphasis is not to use the graph) in a step by step manner. One learns to interpret simple and mixed disorders including Respiratory Acidosis, Metabolic Acidosis, Anion gap and Non Anion Gap Acidosis, Respiratory Alkalosis, Metabolic Alkalosis, Chloride Responsive and Non-Responsive Alkalosis, Mixed Disorders and common mistakes made while interpreting a blood gas report and how to avoid them. Each disorder is separately explained. Section III further challenges the resident with over 200 exercises on blood gases. Section IV is the summary of the book.

Rate your pain on a scale of one to ten. What about on a scale of spicy to citrus? Is it more like a lava lamp or a mosaic? Pain, though a universal element of human experience, is dimly understood and sometimes barely managed. Pain Woman Takes Your Keys, and Other Essays from a Nervous System is a collection of literary and experimental essays about living with chronic pain. Sonya Huber moves away from a linear narrative to step through the doorway into pain itself, into that strange, unbounded reality. Although the essays are personal in nature, this collection is not a record of the author's specific condition but an exploration that transcends pain's airless and constraining world and focuses on its edges from wild and widely ranging angles. Huber addresses the nature and experience of invisible disability, including the challenges of gender bias in our health care system, the search for effective treatment options, and the difficulty of articulating chronic pain. She makes pain a lens of inquiry and lyricism, finds its humor and complexity, describes its irascible character, and explores its temperature, taste, and even its beauty.

Pain has many valuable functions. It can be a warning or force us to rest our bodies. Yet most ongoing chronic pain, such as unrelenting backache or headache, has no discernable cause and diminishes countless lives. Over the years a scientific revolution has taken place in chronic pain research and therapy. A major catalyst for this was the introduction of the 'gate theory' by Professor Ronald Melzack and Professor Patrick D. Wall, which argued that pain is a unified stream of experience generated by the brain, incorporating a whole host of psychological functions. Their now-classic book, with a new introduction taking in all the latest medical developments, examines every facet of pain: the psychological and clinical aspects, the physiological evidence, the major theories of pain and the developments in its control. The challenge in the twenty-first century is to look at how memories, personal and social expectations, genetics, gender, aging and stress patterns all play a role in pain, and how understanding this could lead to the relief of the suffering endured by millions.