For an anesthesiologist, though the challenge of managing an obstetric patient can be very satisfying and rewarding, it can also be extremely difficult given the potential for serious harm to the fetus and mother. For routine care, it is important to understand the risks and benefits of many practices to provide patients with informed decisions and the most satisfying experiences. There are also many less-usual patients and situations, however, that challenge the anesthesiologist's skills significantly. This issue of the Anesthesiology Clinics presents the most up-to-date information on both of these categories, and is written by an outstanding group of experienced clinicians from all over the world. Topics including high-risk analysis, use of simulators for training, major hemorrhage, off-labor-floor consultation, depth of anesthesia monitoring, pharmaceuticals, use of vasopressors, neurological infections after neuroaxial anesthesia, airway management, the HIV patient, ultrasound, and others.

Neuropathic pain is one of the most common, debilitating, costly, and difficult to treat categories of chronic pain conditions characterized by a lesion or disease of the somatosensory nervous system. Neuropathic Pain, part of the What Do I Do Now? Pain Medicine series, brings together in one volume 45 cases which expertly explore the diagnoses, assessment, management, and treatment of various types of neuropathic pain including less common and complex cases. Treatment of neuropathic pain requires skillful assessment and management. Neuropathic Pain provides an engaging collection of thought-provoking cases which clinicians can utilize when they encounter challenging situations. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

This book provides a concise yet comprehensive overview on the use of opioids in the ICU, offering practical, real-world recommendations on opioid utilization and alternative therapies. The text explains the physiology and assessment of pain and the need for analgesia in the ICU, details the pharmacology of opioids and their use in providing analgesia, sedation, and comfort for patients during critical illness, and summarizes advanced pharmaceutical and surgical approaches to pain management and procedural applications that can supplement, minimize, or replace opioids for the ICU patient. The book also includes algorithms and step-by-step approaches on navigating the delicate balance between the relief of suffering and the adverse effects of opioids, as well as a dedicated section on the management of critically ill patients with preexisting opioid tolerance. Written by experts in the field, Opioid Use in Critical Care: A Practical Guide is a valuable resource for ICU providers who treat and manage critically ill patients with opioids.

Pain management is a growing area of interest for many health care professionals. It is a truly integrated approach involving a team comprising medical practitioners, clinical psychologists, physiotherapists, occupational therapists and nurse practitioners. Different professions may work together but the approach may also be adopted by individual practitioners. Pain Management: An Interdisciplinary Approach deals specifically with the management of potentially chronic l pain, how to assess patients with pain, the factors involved in the development of chronic pain and the setting up and running of a pain management programme. The main focus is on musculoskeletal and fibromyalgic type pain. Cancer pain is not addressed. The authors address not only what is recommended in the management of pain but also whether and why it is done, thereby covering not only the content of interdisciplinary pain management but also the processes involved. An increasing number of courses on pain management are now being set up around the world. This has created an increasing and continuous demand for a textbook which could be used by those attending these courses and which would provide others who have to deal with the problems as part of their day to day practice with guide to best practice. The book provides an essential reference for all health professionals involved in all aspects of pain management. Provides extensive background material and covers broad issues which other books lack Focuses on not only what is done with the management of pain but whether and why it is done Includes the nuts and bolts of setting up and running a pain management programme Addresses the application of pain management programmes in a wide range of fields Has a multidisciplinary approach and therefore appeals to a multidisciplinary market Two new co-authors: Kay Greasley and Bengt Sjolund. Major restructuring of chapters and rewriting of content with new authors for many of them. Greatly increased discussion of biopsychosocial management in individual clinical practice. Addresses the needs of the individual practitioners as well as those working in specialised pain management units. Includes more on primary care and secondary pain prevention. Expanded discussion of the clinical-occupational interfaces. Particular emphasis on the identification and targeting of modifiable risk factors for chronic pain and prolonged disability. The following topics stregthened throughout: communication, the nature of groups, medication and iatrogenics. Potential of an evidence-based biopsychosocial approach to pain management highlighted.

Veronika Schneider gibt in diesem essential in Kurzform AErzten aller Fachgebiete einen UEberblick uber Ursachen, Symptomatik, Diagnostik, Differenzialdiagnosen und Therapie des Restless-Legs-Syndroms - auch bekannt als Willis-Ekbom-Disease oder Wittmaack-Ekbom-Syndrom. Damit bietet die Autorin eine Hilfestellung bei der Diagnosestellung und gibt eine UEbersicht uber die Therapiemoeglichkeiten und ihre Nebenwirkungen.

This prestigious text offers the most up-to-date advice on the assessment and treatment of pain. Derived from the highly acclaimed journals Best Practice & Research Clinical Rheumatology and Best Practice & Research Clinical Anaesthesiology, this fully updated volume discusses the basic principles of pain, its diagnosis, the recognition of 'red' flags indicating a greater risk of serious causes and 'yellow' flags indicating a greater risk of developing more chronic pain, and the evidence-based management of a variety of conditions. Illustrated throughout, the book draws upon the expertise of some of the World's leading experts in the field, providing a publication that gives a truly international perspective to the management of pain. Full reference to the latest clinical research New chapters on limb pain and Science and psychology of pain Cochrane Reviews, when relevant boxed and bulleted Research Agenda and Practice Points Reference to national and international guidelines

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

Die Veranderungen im Gesundheitswesen bewirken einen enormen Druck auf die Krankenhauser, so effizient wie moglich zu arbeiten.

Das Praxishandbuch fur die Funktionsdienste OP und Anasthesie unterstutzt Pflegende, damit sie den neuen Anforderungen gerecht werden konnen.

Die Operationsabteilung ist mit Personaleinsatz und kostenintensivem Materialbedarf der betriebswirtschaftlich teuerste Bereich der Krankenhauser. Bei einem chirurgisch versorgten Patienten entstehen allein 30% der Gesamtkosten im OP. Damit entscheidet die Leistungsfahigkeit des OP-Bereiches wesentlich den finanziellen Erfolg eines Krankenhauses im DRG-System. Um Kosten zu senken, mussen Schnittstellen zu "Nahtstellen" werden. Dies ist besonders im Bereich der standardisierten Operationen moglich und OP- und Anasthesiepflegepersonal muss sich daher interdisziplinar weiterbilden. "

A comprehensive review of the current state of thinking and research in relation to the management of the psychological aspects of pain. Written in a style and at a level which is relevant and accessible to the practising clinician and also to students it provides a wealth of clinically valuable information on how the psychology of pain may be utilized in clinical practice. Addresses the common clinical problems relating to the psychological aspects of pain management and gives practical guidance based on the latest research as to how those problems should be dealt with. A model is provided to help readers grasp the main points as well as to help organize possible applications. The second part of the book is exclusively dedicated to incorporating the psychology of pain into clinical practice. Rather than starting with rehabilitating those with chronic pain, this book provides clinical application from the beginning. Thus, the book examines why patients seek care in the first place as well as how to communicate with patients. Practical routines are provided for dealing with patients from the first visit and on wards.; Special emphasis is placed on utilizing the information for early

Make breathwork an indispensable part of your everyday self-care routine with this step-by-step guide to mindful breathing. New science has revealed the importance of breathwork to balance the body, focus the mind, relieve stress, address anger issues and so much more! This little self-care book will take you on a breathtaking journey of holistic healing, featuring: -A down to earth guide to tackle over 50 step-by-step techniques to use at home -Detailed information based on a 360 degree approach to improving breathing techniques written by an expert in the field -Features practices, routines and exercised accompanied by step-by-step illustrations Dive deep into the pages of this brilliant breathwork book to explore expert advice on a diverse range of topics, including body position, depth of breath, speed of breath, visualization, duration and repetition. These easy-to-follow techniques further include conscious and connected breathing, holographic breathwork, and qi gong breathwork, all encompassed within a bite-sized self-help bible full of friendly advice and accompanying illustrations to help make life-transforming change a reality for you! A recent study suggests that pranayama - a form of yoga breathing, can decrease stress-related inflammation, in addition to reducing stress, lowering blood pressure and improving immunity. It's time to tap into the ever-growing trend of wellness, and immerse yourself in the power of breathing, from slowing down and being aware of your breath, to recognizing your own unique rhythms, this all-encompassing self-care book truly does have it all. Did you know that self-care is a vital tool for navigating the challenges of modern living? In a society where stress and anxiety mounts and self-esteem takes a dive, it can be challenging to know where to begin. Don't worry, DK has got you covered! Whether you're experiencing stress and anxiety in your work or personal life and you're seeking a wider range of self-care practices, or you wish to widen your knowledge and experience on breathing techniques through yoga and meditation, this wonderful well-being book has something for everyone to discover. It's time to wake up to the true power of breathwork and enhance the quality of your life for the better. At DK, we believe in the power of discovery. So once you've completed Breathwork why not explore more books in DK's Little Book of Self-Care series? Discover how to make aromatherapy an indispensable part of your everyday self-care routine in Aromatherapy, or immerse yourself in mindfulness massage with Trigger Points.

Do you suffer from chronic pain? Have you tried all the normal 'solutions' - doctors, injections, medications and surgeries - yet still found no relief? In this ground-breaking book, Nick Ortner presents a startling alternative to reduce or eliminate chronic pain: tapping, also known as EFT (Emotional Freedom Techniques). Looking at the scientific research surrounding pain, stress and tapping, he opens your eyes to just how powerful tapping can be, and then outlines tips and techniques to address pain in both the short and long terms. Nick guides you on a journey that begins on the surface - tapping to address the pain itself - and moves to the deeper issues that often affect pain. With easy-to-follow tapping scripts and exercises, Nick helps you heal the emotional pain and underlying beliefs that often keep people stuck. He also addresses topics that you may not associate with chronic pain, such as: Creating personal boundaries Dealing with toxic relationships Clearing resistance to change Understanding the power of a diagnosis Working through anger After reading this book, you'll not only understand what's causing your pain but also how to achieve complete and lasting relief. This is about more than just pain relief. It's about empowering yourself to take back your body in order to live the life you want.

Das Buch bietet eine aktuelle Darstellung der in der stationaren und in der speziellen ambulanten palliativmedizinischen Versorgung (SAPV) der Bevoelkerung in Deutschland bestehenden Rechtsfragen und deren Loesung. Das Werk bezieht Stellung zu den Bedingungen der medikamentoesen Versorgung, zum Leistungsanspruch Privatversicherter, der noch nicht durchgangig besteht und auch zur UEbertragung arztlicher Tatigkeiten an Nichtarzte, die rechtlich in einer Grauzone stattfindet. Untersucht werden der Einsatz der Palliativversorgung als intermittierende Behandlung nicht nur am Lebensende, sondern fruhzeitig und parallel zur kurativen Therapie und als sektorenubergreifende Versorgung fur alle Versicherten. Ein weiterer Schwerpunkt liegt in der Forderung, die Aufklarung und Information uber die Moeglichkeiten hospiz-palliativer Versorgung bei gleichzeitigem Auf- und Ausbau der notwendigen Strukturen in den Vordergrund der derzeitigen Bemuhungen zu stellen. Erst nach ausreichender Umsetzung dieser Voraussetzungen sollte eine Neuregelung zum Themenkreis arztlich assistierter Suizid erfolgen. Die ausfuhrlichen Empfehlungen der Deutschen Gesellschaft fur Medizinrecht (DGMR) e.V. zu aktuellen Rechtsfragen der Palliativversorgung sind im Wortlaut im Anhang abgedruckt.

Now in its sixth edition, the Handbook of Drugs in Intensive Care is the essential guide to using drugs safely and effectively in the intensive care setting. The book is split into two sections: an A-Z guide to the drugs available, and concise notes on the key topics and situations faced on a daily basis. The A-Z section provides succinct information on each drug including uses, limitations, administration directions and adverse effects. The second section details practice guidelines such as insulin therapy, Parkinson's disease therapy when nil-by-mouth, and drug dosing in renal failure. This revised edition includes seventeen new drug monographs and covers several new topics, including blood glucose management. A colour chart showing drug compatibility for intravenous administration is included at the back of the book. Presented in a concise, compact format, this book is an invaluable resource for doctors, nurses, pharmacists and other healthcare professionals caring for critically ill patients.

Im Jahr 2009 verabschiedete der Deutsche Bundestag das Gesetz ber Patientenverf gungen. F r rzte, Kliniken und Pflegeeinrichtungen ist eine Patientenverf gung eine bindende Vorgabe. Daher sollte die Verf gung so pr zise wie m glich abgefasst werden, am besten mithilfe sachkundiger Beratung. Das Handbuch erl utert beratenden rzten und anderen Berufsgruppen die relevanten Sachverhalte und Kriterien und behandelt neben den medizinischen und juristischen auch die ethischen, weltanschaulichen und religi sen Aspekte einer Patientenverf gung.

The essential companion to the Textbook of Pain, this book provides the pain specialist and trainee with an easy-to-access overview on the management complexities, assessment tools and multiple treatment modalities that are currently available to the physician dealing with the full spectrum of pain syndromes. The emphasis throughout is on the clinical aspects of pain medicine. It contains the core information that the practitioner and trainee needs. Each chapter is brief and succinctly written, with key information provided in accessible tables and summary charts. The book is divided into two main sections: clinical states (acute, chronic and cancer pain) and therapeutic aspects (pharmacological, surgical, physiotherapy, psychotherapy) - and it presents a rational, multidisciplinary approach to the management of pain.Designed for concise, quick reference Provides core information needed for accurate diagnosis and management of patients Accessible and affordable introduction to pain medicine Edited by Melzack & Wall themselves - giving reassurance that the information is from a knowledgeable and trusted source Suitable as a recommended text for pain specialists in training

Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient's purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled "Modern Inhalation Anesthetics" appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970's anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. "The very mechanism of anesthetic action at the biophase" was discussed within the theoretical framework of the "u- tary theory of narcosis".

Le situazioni critiche in medicina d'urgenza e in terapia intensiva rappresentano una tra le sfide piu difficili nella pratica clinica. La natura stessa dell'ambiente di cura, l'incertezza, il rischio elevato, i tempi ristretti e lo stress, rendono queste discipline particolarmente vulnerabili agli errori nella gestione dei pazienti. Nell'ultimo decennio e diventato sempre piu evidente, che la capacita di erogare trattamenti sicuri in queste circostanze dipende da un'approfondita conoscenza dei meccanismi all'origine dell'errore umano. Questo volume, che e la traduzione italiana della seconda edizione di Crisis Management in Acute Care Settings, propone una rassegna originale e completa di tutti i problemi correlati ai fattori umani, rilevanti per la sicurezza dei pazienti durante l'erogazione di trattamenti urgenti. Le energie di medici e psicologi si sono mescolate in un testo facilmente accessibile, che aiutera i medici e altri professionisti della salute a comprendere meglio i principi del comportamento umano e del processo decisionale nelle situazioni critiche, per evitare errori e garantire un trattamento piu sicuro ai loro pazienti.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

In Effective Management of Musculoskeletal Injury the author presents a model for understanding musculoskeletal injuries. He describes the common types of musculoskeletal injury and explores the contributory causes involved before detailing effective models for therapy and methods of management. Effective Management of Musculoskeletal Injury is research-based. It develops models for the management of musculoskeletal pain that include manual therapy, exercise, ergonomic and psychosocial interventions. Throughout the text particular attention is paid to pain resulting from cumulative and chronic types of injury. The book will be a valuable resource for all practitioners who deal with the management of musculoskeletal pain as part of their day to day practice.Presents a complete system of patient management that treats the injury, the patient with the injury, and the patient's environment. Examines the interface between ergonomics and manual therapy The book emphasises understanding the cause of the injury and how these create the symptom picture Addresses a major clinical problem area (chronic low back pain), which has high costs for the health systems and for employers Provides a long-term solution to the demands on the time of practitioners by encouraging them to look beyond the presenting patient to the factors in their lifestyle which have created the problem Topical - the problem of chronic back pain has become a major national crisis Relevant to a broad spectrum of practitioners.

L'abuso di sostanze puo essere alla base di un gran numero di patologie e disturbi psichiatrici, e viene classificato tra i primi quattro fattori di rischio che contribuiscono al carico di malattia globale. Una situazione di dipendenza puo infatti complicare un quadro psichiatrico gia difficile, poiche si sovrappone ad altri disturbi e talvolta ne prende le forme, rendendo ancora piu ardua la valutazione del paziente. Individuare con precisione un disturbo da abuso di sostanze puo facilitare la diagnosi clinica, evitare test non necessari e abbreviare la durata del ricovero. Questo volume costituisce una guida pratica e concisa rivolta agli studenti, ai medici e ad altre figure professionali che si confrontano con la moderna medicina della dipendenza. Illustrando una vasta gamma di evidenze, metodi e soluzioni per la gestione del paziente con dipendenza, questa guida fornisce gli strumenti e le conoscenze di base utili a una pratica clinica rapida ed efficace in questo campo.

Written in a user-friendly style, each chapter begins with a summary of key points, basic definitions and principles. This is an essential guide for all anaesthetists interested in reading journal articles and conducting research, and it also provides a basic grounding for those preparing for specialist examinations. * enables the reader to interpret statistical methods used in journal articles, understand and use statistics in research projects (and pass examinations!) * offers clear advice on the appropriate use of statistics in anaesthesia and intensive care * explains in simple terms the various statistical methods

Anspruch auf Lebensqualitat.... ...hat jeder Tumorpatient. Dabei ist er auf eine gezielte und effektive Schmerztherapie angewiesen, die ihm jeder Arzt zukommen lassen muss. Die 3. Auflage des bewahrten Lehrbuches Tumorschmerztherapie bietet dem Leser alle notwendigen Grundlagen dafur: - Entstehung, Lokalisation und Projektion des Schmerzes - Pharmakologische, radiologische, anasthesiologische und psychologische Therapieverfahren sowie operative Moeglichkeiten - Rechtliche, ethische, soziale und seelsorgerische Aspekte Neu in der 3. Auflage: - Kapitel zur Schmerztherapie in der gynakologischen und urologischen Onkologie - Leitlinien der Tumorschmerztherapie - Rechtliche Fragen zur arztlichen Behandlung